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Schubert MM, Hall S, Leveritt M, Grant G, Sabapathy S, containing beverages a day (36). Thus it is important and
Desbrow B. Caffeine consumption around an exercise bout: effects on practical to examine what influence caffeine has on determi-
energy expenditure, energy intake, and exercise enjoyment. J Appl nants of energy balance. There is strong evidence that caffeine
Physiol 117: 745754, 2014. First published August 14, 2014; can lead to subtle increases in resting EE (REE) (5% over 24
doi:10.1152/japplphysiol.00570.2014.Combining an exercise and h) (28). However, caffeines effects on appetite and EI are
nutritional intervention is arguably the optimal method of creating
more variable, with some studies reporting reductions in EI
energy imbalance for weight loss. This study sought to determine
whether combining exercise and caffeine supplementation was more (47), while others do not (23, 24, 26); however, these studies
effective for promoting acute energy deficits and manipulations to were all conducted in resting conditions. The mechanisms by
substrate metabolism than exercise alone. Fourteen recreationally which caffeine may influence appetite and EI remain unknown,
active participants (mean SD body mass index: 22.7 2.6 kg/m2) but may be related to adenosine antagonism or changes in
completed a resting control trial (CON), a placebo exercise trial (EX), neurotransmitters, such as dopamine (22). Although most of
and a caffeine exercise trial (EXCAF, 2 3 mg/kg of caffeine 90 these studies did not incorporate measures of EE, alterations in
min before and 30 min after exercise) in a randomized, double-blinded resting metabolism, such as increased heart rate, fat oxidation,
design. Trials were 4 h in duration with 1 h of rest, 1 h of cycling at and skin temperature, have been documented with caffeine
65% power at maximum O2 consumption or rest, and a 2-h recov- consumption (1, 3).
ery. Gas exchange, appetite perceptions, and blood samples were A pair of studies examined the effect of 4 days of caffeine
obtained periodically. Two hours after exercise, participants were supplementation on spontaneous activity and EE, but observed
offered an ad libitum test meal where energy and macronutrient intake
no changes in these variables using a variety of assessment
were recorded. EXCAF resulted in significantly greater energy
expenditure and fat oxidation compared with EX (250 kJ; 10.4 g)
methods (31, 32). While novel, these two studies were focused
and CON (3,126 kJ; 29.7 g) (P 0.05). A trend for reduced on free-living EE and nonexercise physical activity. The effect
energy and fat intake compared with CON (718 kJ; 8 g) (P of caffeine supplementation on a structured exercise bout and
0.055) was observed. Consequently, EXCAF created a greater the potential alterations in energy balance remain to be eluci-
energy deficit (P 0.05). Caffeine also led to exercise being per- dated. Caffeine may also alter behavior via increasing enjoy-
ceived as less difficult and more enjoyable (P 0.05). Combining ment of physical activity (40), which could be due to afore-
caffeine with exercise creates a greater acute energy deficit, and the mentioned changes in neurotransmitters and have implications
implications of this protocol for weight loss or maintenance over for longer term exercise participation. This makes caffeine of
longer periods of time in overweight/obese populations should be particular interest as a potential nutritional intervention to
further investigated. utilize, in combination with exercise to manipulate energy
exercise; appetite; caffeine; fat oxidation; exercise enjoyment balance. However, to our knowledge, no study has simultane-
ously examined how caffeine influences EE and EI in congru-
ence with exercise.
ENERGY BALANCE IS AN IMPORTANT concept in weight and obesity Given the widespread habitual consumption of caffeine and
management, as understanding and manipulating energy bal- the recommendations of exercise participation for health and
ance can lead to changes in body composition or body weight. weight loss and maintenance, examining the interactions of
Exercise is consistently recommended for weight loss, weight caffeine and exercise from an energy balance perspective may
maintenance, and improving general and metabolic health (18). provide a highly practical strategy for creating acute and
Recent systematic reviews have indicated that exercise causes chronic energy deficits. Thus the aim of the present study was
minimal compensatory behavior in most healthy individuals in to examine how caffeine ingestion influences energy balance
regard to energy intake (EI) and nonexercise energy expendi- around an acute bout of exercise in recreationally active men
ture (EE), both acutely (24 h) and over weeks and months and women. We hypothesized that caffeine supplementation
(19, 41, 50). with exercise would lead to higher EE and fat oxidation
Caffeine is the most widely consumed psychoactive sub- without alterations or compensation in EI, thereby creating a
stance in the world, with a recent study reporting 85% of a larger energy deficit than exercise alone.
sample population (38,000) consumed one or more caffeine-
METHODS
Address for reprint requests and other correspondence: M. M. Schubert, Overview. This study was a double-blind, randomized, placebo-
School of Allied Health Sciences, Griffith Univ., G40 2.59, Parklands Dr., controlled, crossover trial conducted according to the guidelines in the
Gold Coast, Queensland 4222, Australia (e-mail: m.schubert@griffith.edu.au). Declaration of Helsinki. All procedures were approved by the Griffith
University Human Research Ethics Committee (GU protocol: PBH/ lation (V E), and respiratory exchange ratio (RER) (Quark C-PET;
52/13/HREC), and all participants provided written, informed consent Cosmed, Italy) were monitored continuously. V O2 max attainment was
before enrollment. Participants completed three experimental condi- confirmed with the following criteria: RER 1.10, heart rate 10
tions a minimum of 3 days and maximum of 1 mo apart in a random beats/min of age-predicted maximum, and/or a plateau in V O2 2.0
order: a resting control trial (CON), a placebo exercise trial (EX), and mlkg1min1 (39).
a caffeine-exercise trial (EXCAF). A randomization sequence was Standardization of diet and exercise. Before all experimental trials,
generated using randomization software (http://www.randomizer. participants were instructed to refrain from alcohol and caffeine intake
org/) for each participant. An individual not associated with data for 24 h. Also in the 24 h before each trial, participants were asked to
collection further randomized participants to caffeine or placebo complete a food diary and record all food and drink. This diary was
treatment for each exercise trial. Procedures were identical for all photocopied and returned to the participants, who were asked to
trials, with the exception that no exercise was performed during the replicate their intake for all subsequent trials. Food intake the 24 h
CON trial. Participants were informed that the purpose of the study before each trial was examined using dietary analysis software (Food-
was to examine the effects of exercise and caffeine on energy balance, Works, Xyris Software; Kenmore Hills, Queensland, Australia). Par-
and that EE would be measured during the laboratory visits. At the ticipants were also asked to refrain from strenuous exercise the 18 h
end of each visit, they were told that they would be given a free lunch. before their trial, and this was confirmed through verbal compliance at
They were not informed this lunch was being measured until debrief- the start of each trial.
ing on completion of the study. Experimental trials. A timeline of the experimental trials is dis-
Familiarization and screening. Participants were required to be played in Fig. 1. Participants arrived to the laboratory in the morning
nonsmoking; nonobese [body mass (BM) index 30 kg/m2], pre- (0600 0900) after an overnight fast (10 12 h), having minimized
menopausal (women), between 18 and 45 yr of age; not taking any physical activity en route. On arrival, participants completed visual
medicine known to influence lipid, carbohydrate (CHO), or caffeine analog scales for measures of mood, physical symptoms, and appetite
metabolism (except oral contraceptives); not dieting; weight stable in while lying in a semisupine position. Simultaneously, a cannula was
the previous 3 mo (5% by self-report); no history of any cardiovas- inserted into an antecubital vein for blood sample collection. Also at
cular or metabolic diseases; no food allergies or intolerances; no
this time (during the exercise trials), 3 mg/kg BM of caffeine (PCCA,
history of gastrointestinal disorders; and recreationally active (defined
Matraville, NSW, Australia) or a placebo (Metamucil) were ingested
as 30 min of moderate-intensity exercise/day, 3 days/wk). Partic-
with 250 ml of water. Our group has used this compound before as a
ipants were recruited by e-mail advertisements through the university
texture-matched placebo with no reported issues, and the small
e-mail system. All participants completed preliminary paperwork on
health, exercise, and dietary behaviors before attending any laboratory amount of fiber (400 mg) likely had no influence on the variables
sessions. examined. After giving participants 20 min to rest quietly and
Dietary restraint, dietary disinhibition, and susceptibility to hunger acclimate, the participants began the first resting period of 60 min.
were assessed using the Three-Factor Eating Questionnaire (46). REE was measured continuously for the final 20 min of this period
Participants were excluded if they exceeded the cutoffs of 12, 9, and using indirect calorimetry (Quark C-PET; Cosmed) and a facemask
8 for restraint, disinhibition, and hunger, respectively. Dietary caf- (V2 Mask; Hans-Rudolph), with the participants in a semisupine
feine intake was assessed using a caffeine consumption questionnaire position, using suggested best-practice methods (9). Coefficients of
variation in our laboratory for REE, V O2, and V CO2 are 5.2, 4.8, and
to quantify daily consumption (13).
Participants completed a familiarization and screening visit for 5.6%, respectively.
determination of body composition, maximum O2 consumption Participants then completed 60 min of exercise on a cycle ergom-
O2 max), and to be familiarized with the computer questionnaires eter, at 65% power output of V O2 max (EX and EXCAF) or
(V
utilized in the study. Informed consent was also obtained at this time. rested/worked quietly (CON). During exercise, mechanical work and
Height and weight were determined for calculation of BM index. power output data were recorded continuously, while gas exchange
(V O2, V
CO2, RER) was recorded for the first 15 min and then from
Body density was determined via the sum of three skinfolds specific
for sex using established equations (29, 30). Percent body fat was 2535 min and 4555 min. Power output was adjusted as necessary to
calculated from body density utilizing the Siri equation (43). Partic- maintain 65% of the estimated power output at V O2 max. The
ipants then mounted a cycle ergometer (Lode Excalibur Sport; Lode attained power output from the first exercise trial was duplicated in the
BV, Groningen, the Netherlands) and initiated exercise at 30 W for 3 second one. At 15-min intervals, participants provided ratings of
min, after which workload was increased by 20 W/min (women) or 30 perceived exertion (RPE) (6), leg pain (10), and pleasure/displeasure
W/min (men) following a ramp protocol until volitional fatigue (Feeling Scale) (27); heart rate was also recorded at these times.
(cadence 50 revolutions/min) was attained. Pedal cadence was Enjoyment was assessed postexercise via completion of the Physical
maintained at 60 90 revolutions/min, and participants were encour- Activity Enjoyment Scale (PACES) (33). During the equivalent pe-
aged to exercise all-out. Heart rate (Polar Electro, Kempele, Fin- riod of the CON trial, gas exchange data were collected over the final
land), O2 consumption (V O2), CO2 production (V CO2), minute venti- 15 min to estimate EE; no perceptual measures were taken.
familiarization testing, but contact with one male participant Table 2. Energy expenditure and substrate metabolism in
was lost between screening and data collection. Another par- the resting period, exercise period, and recovery periods
ticipant completed her first trial but withdrew thereafter due to
CON EX EXCAF
a family emergency. Fifteen participants [8 women (3 using
oral contraceptives); 7 men] completed all phases of the study. Resting period (060 min)
During data analysis, one male participant was discovered to EE, kJ 369 62 361 78 420 99*
CHO Ox, g 13 3 12 3 13 4
have started all three of his trials with elevated plasma caffeine Fat Ox, g 4.5 1.1 4.1 1.0 5.4 1.4*
levels (44 SD above mean values). Therefore, this participant RER 0.80 0.03 0.81 0.03 0.79 0.02
was excluded from analyses due to his noncompliance. Demo- Exercise/rest period
graphics of the remaining study participants (n 14) are (60120 min)
EE, kJ 414 75 3296 604* 3390 673*
displayed in Table 1. Habitual caffeine intake was similar CHO Ox, g 14 3 146 31* 138 31*
between sexes (P 0.925), but, due to differences in body Fat Ox, g 4.6 1.6 24.3 7.2* 30.4 9.6*
weight, the men received a significantly greater dosage during RER 0.82 0.02 0.90 0.02* 0.88 0.03*
the experimental trials (P 0.005). Where possible, women Recovery period 1
completed all trials between days 114 of their menstrual cycle (120180 min)
EE, kJ 461 89 488 96 505 95
(n 4); when this was not possible, two trials were completed CHO Ox, g 15 3 15 7 13 3
during the first phase, and the final trial during the same phase Fat Ox, g 5.5 1.8 6.5 2* 7.4 2*
3 4 wk later (n 4). The majority of participants (n 12) RER 0.83 0.02 0.82 0.04 0.80 0.02*
habitually exercised in the morning and in a fasted state. Recovery period 2
(180240 min)
Dietary intake in the 24 h before each trial was well matched EE, kJ 438 88 438 73 517 90*
(CON: 8.6 2.7 MJ, EX: 8.3 2.7 MJ, EXCAF: 8.5 2.6 CHO Ox, g 18 5 16 4 17 5
MJ; P 0.972). No order effects were observed during the Fat Ox, g 3.6 2.0 4.5 1.1 6.2 2.3*
trials for EE, EI, appetite, substrate oxidation, or plasma RER 0.86 0.03 0.84 0.02 0.82 0.02*
metabolites (P 0.05 for all). Total trial (0240 min)
EE, kJ 1706 278 4582 787* 4832 910*
Six participants had no idea or incorrectly guessed for which CHO Ox, g 60.7 9.3 188.5 40.1* 178.9 38.5*
trial they had received caffeine. Four participants correctly Fat Ox, g 18.3 5.7 37.6 7.8* 48.0 11.2*
identified their caffeine trials, but only had some idea of their
Values are means SD; n 14 subjects. CON, control; EX, exercise-
certainty of having received caffeine. Three participants cor- placebo; EXCAF, exercise-caffeine; EE, energy expenditure; CHO Ox,
rectly reported they were pretty sure they had received carbohydrate oxidation; Fat Ox, fat oxidation; RER, respiratory exchange ratio.
caffeine. Finally, one participant correctly identified his caf- *Mean value is significantly different from CON (P 0.05). Mean value is
feine trial and was absolutely certain he had received caf- significantly different from EX (P 0.05).
feine.
Energy expenditure and substrate oxidation. Energy expen- recovery period in EXCAF compared with CON and EX
diture and substrate oxidation for each measurement period and (d 0.251.05). Total EE was significantly higher in EXCAF
total trial are shown in Table 2. Two-factor repeated-measures compared with EX (d 0.41) and CON (d 5.18), while EE
ANOVA revealed main effects of trial (P 0.001), time (P during EX was also higher compared with CON (d 5.09)
0.001), and a significant trial time interaction (P 0.001) (P 0.001 for all).
for EE. Energy expenditure was higher during the exercise Regarding CHO oxidation, a main effect of trial (P
period and also the 2 h postexercise compared with the resting 0.001), time (P 0.001), and a trial time interaction (P
period (P 0.01 for all). Furthermore, EE was higher during 0.001) was revealed. Mean CHO oxidation was significantly
the resting period, exercise period, and the second postexercise elevated in EX and EXCAF compared with CON (P 0.01
for both; d 5.04 and 4.94); these results were supported by
the results for total CHO oxidation. CHO oxidation was sig-
Table 1. Participant demographics nificantly elevated during the exercise period compared with
Variable Men Women All all other time points (P 0.01 for all); CHO oxidation was
also elevated in the final hour compared with rest and the first
n 6 8 14
Age, yr 25.7 3.6 24.4 5.2 24.9 4.4 hour postexercise (P 0.001 for both).
Height, cm 181.1 6.4* 166.2 4.5 172.6 9.2 For fat oxidation, a main effect of trial (P 0.001), time
Weight, kg 80.9 13.5* 59.0 7.9 68.4 15.1 (P 0.001), and a trial time interaction (P 0.001) was
BMI, kg/m2 24.5 2.4* 21.3 1.9 22.7 2.6 observed. Mean fat oxidation was significantly greater for
Sum of skinfolds, mm 37 14 41 11 40 12
O2max, l/min
V 3.9 0.6* 2.8 0.4 3.27 0.74
EXCAF compared with CON (P 0.001) and EX (P
O2max, mlkg1min1
V 48.7 8.4 46.7 8.5 47.6 8.2 0.005) and was also higher for EX compared with CON (P
Power output at V O2max, W 338 48* 248 33 286 60 0.001); this was supported by total fat oxidation results, which
Power output, W/kg 4.3 0.8 4.3 0.7 4.25 0.7 showed that EXCAF was greater than EX (d 0.98; P
Caffeine intake, mg/day 210 225 202 184 206 194 0.005), with both having greater fat oxidation than CON (d
Caffeine dosage (6 mg/kg) 485 81* 354 48 410 91
TFEQ restraint 5.7 3.8 7.5 3.9 6.7 3.8 2.94 and 2.51; P 0.001 for both). Fat oxidation was elevated
TFEQ disinhibition 3.5 2.9 4.3 2.1 3.9 2.4 at rest, during exercise, and during the second hour of recovery
TFEQ hunger 4.0 2.1 5.4 1.8 4.8 2.0 in EXCAF compared with EX and CON (d 0.751.21;
O2max,
Values are means SD; n, no. of subjects. BMI, body mass index; V P 0.05 for all). EXCAF and EX fat oxidation were also
maximum O2 consumption; TFEQ, Three-Factor Eating Questionnaire. *Sig- elevated during the first hour of recovery compared with CON
nificantly different from women (independent samples t-test; P 0.05). (P 0.05).
controlling for trial 0.841, P 0.001), fat oxidation and EE however, none of these correlations remained significant after
(partial r 0.495, P 0.009), and a trend for a relationship controlling for trial.
between ventilation and fat oxidation during exercise (partial
r 0.350, P 0.074). In addition, measures of affect (plea- DISCUSSION
sure/displeasure) were correlated with absolute EI (partial r
0.436, P 0.023), while enjoyment of physical activity was The present study aimed to examine the ability of caffeine
correlated with eREI (partial r 0.411, P 0.033). Finally, supplementation to acutely manipulate EE, substrate metabo-
caffeine and paraxanthine AUCs were correlated with eREI lism, and EI in combination with a bout of moderate exercise
(r 0.518 and 0.47, respectively; P 0.025 for both), in active individuals. The primary findings were that caffeine
total fat oxidation (r 0.784 and 0.694; P 0.001 for both), and exercise together led to significantly greater fat oxidation
and total EE (r 0.537 and 0.48; P 0.022 for both); and EE, and a larger energy deficit compared with exercise
Fig. 3. Perceptual appetite responses during CON (), EX (), and EXCAF
() trials for hunger (A) and satisfaction (B). Values are means SE; n 14
participants. Hatched rectangle represents exercise or rest; downward arrow at
150 min represents liquid breakfast and second caffeine dose consumption.
*P 0.05 vs. CON.
previously established at rest in men and women (2, 3) and The ability of caffeine to manipulate some psychological
during moderate intensity exercise (55% V O2 max/65% max- variables is well established (45). In agreement with prior
imum heart rate) in untrained men and women (17, 49); we research, we found caffeine attenuated RPE during exercise
extend these findings by establishing that caffeine before and (16) and trended toward a reduction in muscle pain (37). We
after exercise, in a pattern of typical consumption, can increase also observed a trend for improved pleasure/displeasure as
EE and fat metabolism in recreationally active men and women assessed via the Feeling Scale (27), which is also in agreement
before, during, and after moderate exercise. The implications with a prior study that utilized a similar exercise protocol in
of these differences in EE, and the potential time course that an endurance-trained men (4). Caffeine also improved enjoyment
increased EE would be sustained, require further investigation. of physical activity, as assessed via a validated questionnaire
It would also be interesting to compare habitual and nonhab- (33). Schrader and colleagues (40) previously reported, using
itual caffeine consumers, since nonhabitual consumers may be Likert scales, that caffeine supplementation increased the lik-
more sensitive to the thermogenic effects of caffeine (51). ing of physical activity in sedentary women after 2 wk of
Habituation to caffeine and any changes in its effectiveness caffeine paired with 30 min of moderate physical activity. The
would also be worth investigating to see if the development of present study expanded these findings by showing that caffeine
tolerance blunts changes in EE. supplementation improved enjoyment of a moderate exercise
Regarding the closest available literature on caffeine sup- task in recreationally active men and women. It has been
plementation and energy balance, a pair of studies revealed that reported that both pleasure and enjoyment are associated with
caffeine supplementation (5 mgkg BM1day1 in two 2.5 exercise participation and compliance; thus caffeine supple-
mg/kg doses) led to nonsignificant decreases in EI (490 and mentation may be a prospective strategy to improve participa-
880 kJ) and a trend for decreased fat intake in the second tion (20). Furthermore, these changes in enjoyment may be due
study (13 g; P 0.052) over 4 days of supplementation (31, to central effects of caffeine on adenosine and other neu-
32). EI was assessed each day with 24-h food diaries and rotransmitters, such as dopamine (22).
averaged for each 4-day condition (caffeine or placebo). How- Exercise caused a significant perturbation in lactate levels,
ever, these authors observed no changes in physical activity, and this was independent of caffeine ingestion. Glucose levels
nonexercise physical activity, total EE, steps per day, or REE were also unaffected by caffeine ingestion. Exercise led to
during caffeine supplementation (31, 32). The main explana- significantly greater triglyceride levels compared with CON,
tion for the difference in EE results observed in the present and caffeine supplemented this increase. The increase in trig-
study with caffeine supplementation and the results of Judice and lycerides or other markers of fat metabolism (glycerol/free-
colleagues (31, 32) could be that we utilized a structured, pro- fatty acids) has been observed in response to caffeine ingestion
longed, moderate exercise bout in addition to caffeine to manip- before (1, 17), but whether increased appearance in the circu-
ulate EE; therefore, caffeine and exercise synergistically manip- lation is indicative of increased oxidation has been hotly
ulating the SNS may have had an additive effect on EE and EI. debated. Although we observed a relationship between fat
Individuals are not driven to compensate for energy ex- oxidation and triglycerides, correlation does not imply causa-
pended during exercise in the immediate hours (12 h) after a tion. Since this study did not use tracer methodology, the
single bout (19, 41). Our present study supports these findings precise fate of the circulating triglycerides cannot be known.
by revealing that participants only incompletely compensated There are a number of prospective mechanisms to support
for the exercise-induced energy deficit. Interestingly, a greater our findings that caffeine and exercise together result in sig-
deficit was noticeable for EXCAF compared with EX and nificantly greater fat oxidation and EE, and a larger energy
CON, and this appeared to be at least partially mediated by deficit compared with exercise alone. First, as mentioned
decreased fat consumption and increased fat oxidation. A study above, caffeine has well-known influences on SNS activity,
by Tremblay and colleagues (47) previously observed de- and this can lead to increased ventilation, lipid shuttling, and
creased energy and fat intake in men at a test meal 30 min after oxidation. Supporting this, a number of relationships between
ingesting 300 mg of caffeine compared with placebo, but two EE, ventilation, and fat oxidation were observed during exer-
other studies assessing acute effects of caffeine on single-meal cise. Second, caffeine may manipulate mood by its antagonism
EI did not achieve this result when using a single-item meal, of adenosine receptors and also increase serotonin and dopa-
which probably limited the ability to observe differences in mine release (22, 35); higher dopamine levels may attenuate
macronutrient intake (Schubert MM, Grant G, Horner KM, caloric intake or the drive to eat (11). An increased positive
King NA, Leveritt M, Sabapathy S, Desbrow B, unpublished affect has been associated with decreases in EI (48), which
observations; Ref. 5). Exercise and caffeine have both been were also observed in the present study. The ability of caffeine
examined for their hypothesized abilities to influence appetite to influence neural networks may also have contributed to the
perceptions (5, 7, 12). In agreement with most research, the reduction in EI, but this is purely speculative because, to our
exercise bout in the present study caused a transient suppres- knowledge, no study has yet examined the influence of caffeine
sion of hunger and the desire to eat while simultaneously on brain areas involved in appetite and feeding behavior in
increasing satisfaction and fullness (7), but this effect was response to food stimuli. Finally, caffeine has been shown to
short-lived and had dissipated within 30 min. In contrast, increase hippocampal brain-derived neurotropic factor, which
caffeine ingestion had no additive effect on exercise-induced has significant roles in the control of energy metabolism (34,
alterations in appetite, despite a significant reduction in fat 38). Clearly, further research is required to understand the
consumption and a moderate, although not statistically signif- exact mechanisms underpinning the changes in EE and EI
icant, decrease in EI in the EXCAF trial compared with EX. observed in the present study.
Interestingly, changes in appetite perceptions do not appear to Limitations. The primary limitation of the present study is
occur when caffeine and coffee are ingested at rest (23, 24). the relatively short duration of observation. We did not monitor
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