Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Dose-dependent effects of decaffeinated coffee on endothelial function in healthy subjects

Abstract

Background/Objectives:

Coffee is known to contain antioxidant substances whose effects may be blunted because of caffeine that may unfavorably affect the cardiovascular system. This study was designed to investigate the acute dose-dependent effects of decaffeinated coffee (DC) on endothelial function measured by the brachial artery flow-mediated dilation (FMD).

Subjects/Methods:

A total of 15 (8 men and 7 women) healthy nonobese subjects underwent a single-blind, crossover study. Subjects ingested one and two cups of decaffeinated Italian espresso coffee in random order at 5- to 7-day intervals.

Results:

In the hour following the ingestion of two cups of DC, FMD increased (mean±s.e.m.): 0 min, 7.4±0.7%; 30 min, 8.0±0.6%; 60 min, 10.8±0.8%; P<0.001) as compared to consumption of one cup of DC (0 min, 6.9±0.7%; 30 min, 8.4±1.2%; 60 min, 8.5±1.1%; 3 × 2 repeated-measures analysis of variance: P=0.037 for time × treatment effect). Blood pressure did not differ between groups, and basal heart rate was lower in the two-cup group at baseline and 60 min.

Conclusions:

The present study demonstrated a significant acute favorable dose-dependent effect of decaffeinated espresso coffee on endothelial function. Further studies are needed to investigate the effects of chronic use of DC especially with respect to caffeinated coffee and in subjects with cardiovascular diseases.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  • Barac A, Campia U, Panza JA (2007). Methods for evaluating endothelial function in humans. Hypertension 49, 748–760.

    Article  CAS  Google Scholar 

  • Bjelakovic G, Nikolova D, Simonetti RG, Gluud C (2004). Antioxidant supplements for prevention of gastrointestinal cancers: a systematic review and meta-analysis. Lancet 364, 1219–1228.

    Article  CAS  Google Scholar 

  • Bonita JS, Mandarano M, Shuta D, Vinson J (2007). Coffee and cardiovascular disease: in vitro, cellular, animal, and human studies. Pharmacol Res 55, 187–198.

    Article  CAS  Google Scholar 

  • Buscemi S, Verga S, Tranchina MR, Cottone S, Cerasola G (2009). Effects of hypocaloric very-low-carbohydrate diet vs Mediterranean diet on endothelial function in obese women. Eur J Clin Invest 39, 339–347.

    Article  CAS  Google Scholar 

  • Corretti MC, Anderson TJ, Benjamin EJ, Celermajer D, Charbonneau F, Creager MA et al. (2002). Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the International Brachial Artery Reactivity Task Force. J Am Coll Cardiol 39, 257–265.

    Article  Google Scholar 

  • Deanfield JE, Halcox JP, Rabelink TJ (2007). Endothelial function and dysfunction. Testing and clinical relevance. Circulation 115, 1285–1295.

    Article  Google Scholar 

  • Friedewald WT (1972). Estimation of the concentration of low density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18, 499–502.

    CAS  Google Scholar 

  • Fuchgott RF, Zawadzki JV (1980). The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine. Nature 288, 373–376.

    Article  Google Scholar 

  • Fujioka K, Shibamoto T (2008). Chlorogenic acid and caffeine contents in various commercial brewed coffees. Food Chem 106, 217–221.

    Article  CAS  Google Scholar 

  • Gokce N, Keaney JF, Hunter LM, Watkins MT, Menzoian JO, Vita JA (2002). Risk stratification for postoperative cardiovascular events via noninvasive assessment of endothelial function. Circulation 105, 1567–1572.

    Article  Google Scholar 

  • Grassi D, Desideri G, Necozione S, Lippi C, Casale R, Properzi G et al. (2008). Blood pressure is reduced and insulin sensitivity increased in glucose-intolerant, hypertensive subjects after 15 days of consuming high-polyphenol dark chocolate. J Nutr 138, 1671–1676.

    Article  CAS  Google Scholar 

  • Karatzis E, Papaioannou TG, Aznaouridis K, Karatzi K, Stamatelopoulos K, Zampelas K et al. (2005). Acute effects of caffeine on blood pressure and wave reflections in healthy subjects: should we consider monitoring central blood pressure? Int J Cardiol 98, 425–430.

    Article  Google Scholar 

  • Kim W, Jeong MH, Cho SH, Yun JH, Chae HJ, Ahn YK et al. (2006). Effect of green tea consumption on endothelial function and circulating endothelial progenitor cells in chronic smokers. Circ J 70, 1052–1057.

    Article  CAS  Google Scholar 

  • Klatsky AL, Koplik S, Kipp H, Friedman GD (2008). The confounded relation of coffee drinking to coronary artery disease. Am J Cardiol 101, 825–827.

    Article  Google Scholar 

  • Langley-Evans SC (2000). Consumption of black tea elicits an increase in plasma antioxidant potential in humans. Int J Food Sci Nutr 51, 309–315.

    Article  CAS  Google Scholar 

  • Larsson SC, Männistö S, Virtanen MJ, Kontto J, Albanes D, Virtamo J (2008). Coffee and tea consumption and risk of stroke subtypes in male smokers. Stroke 39, 1681–1687.

    Article  CAS  Google Scholar 

  • Mahmud A, Feely J (2001). Acute effects of caffeine on arterial stiffness and aortic pressure waveform. Hypertension 38, 227–231.

    Article  CAS  Google Scholar 

  • Miller ER, Pastor-Barriuso R, Dalal D, Riemersma RA, Appel L, Guallar E (2004). Meta-analysis: high-dosage vitamin E supplementation may increase all-cause mortality. Ann Intern Med 142, 37–46.

    Article  Google Scholar 

  • Mukamal KJ, Maclure M, Muller JE, Sherwood JB, Mittleman MA (2004). Caffeinated coffee consumption and mortality after acute myocardial infarction. Am Heart J 147, 999–1004.

    Article  CAS  Google Scholar 

  • Papamichael CM, Aznaouridis KA, Karatzis EN, Karatzi KN, Stamatelopoulos KS, Vamvakou G et al. (2005). Effect of coffee on endothelial function in healthy subjects: the role of caffeine. Clin Sci 109, 55–60.

    Article  CAS  Google Scholar 

  • Rossi R, Nuzzo A, Origliani G, Modena MG (2008). Prognostic role of flow-mediated and cardiac risk factors in post-menopausal women. J Am Coll Cardiol 51, 997–1002.

    Article  Google Scholar 

  • Serafini M, Bugianesi R, Maiani M, Valtuena S, De Santis S, Crozier A (2003). Plasma antioxidants from chocolate. Nature 424, 1013.

    Article  CAS  Google Scholar 

  • Serafini M, Ghiselli A, Ferro-Luzzi A (1996). In vivo antioxidant effect of green and black tea in man. Eur J Clin Nutr 50, 28–32.

    CAS  Google Scholar 

  • Silletta MG, Marfisi RM, Levantesi G, Boccanelli A, Chieffo C, Franzosi M et al. (2007). Coffee consumption and risk of cardiovascular events after acute myocardial infarction. Circulation 116, 2944–2951.

    Article  CAS  Google Scholar 

  • Umemura T, Ueda K, Nishioka K, Hidaka T, Takemoto H, Nakamura S et al. (2006). Effects of acute administration of caffeine on vascular function. Am J Cardiol 98, 1538–1541.

    Article  CAS  Google Scholar 

  • van Woundenbergh GJ, Vliegenthart R, van Rooij FJ, Hofman A, Oudkerk M, Witteman JCM et al. (2008). Coffee consumption and coronary calcification: the Rotterdam Coronary Calcification Study. Arterioscler Thromb Vasc Biol 28, 1018–1023.

    Article  Google Scholar 

  • Vivekananthan DP, Penn MS, Sapp SK, Hsu A, Topol EJ (2003). Use of antioxidant vitamins for the prevention of cardiovascular disease: meta-analysis of randomized trials. Lancet 361, 2017–2023.

    Article  CAS  Google Scholar 

  • Vlachopoulos C, Panagiotakos D, Ioakeimidis N, Dima I, Stefanadis C (2005). Chronic coffee consumption has a detrimental effects on aortic stiffness and wave reflections. Am J Clin Nutr 81, 1307–1312.

    Article  CAS  Google Scholar 

  • Widlansky ME, Gokce N, Keaney JF, Vita JF (2003). The clinical implications of endothelial function. J Am Coll Cardiol 42, 1149–1160.

    Article  CAS  Google Scholar 

  • Yeboah J, Crouse JR, Hsu FC, Burke GL, Herrington DM (2007). Brachial flow-mediated dilation predicts incident cardiovascular events in older adults: the Cardiovascular Health Study. Circulation 115, 2390–2397.

    Article  Google Scholar 

  • Zampelas A, Panagiotakos DB, Pitsavos C, Chrysohoou C, Stefanadis C (2004). Associations between coffee consumption and inflammatory markers in healthy persons: the ATTICA study. Am J Clin Nutr 80, 862–867.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was supported in part by the Italian Ministry of Education (ex 60% funds, 2007) and by the Associazione Onlus Nutrizione e Salute, Italy.

We thank the voluntary subjects who participated in the study. This study was registered with the Current Controlled Trials (ISRCTN41583899).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S Buscemi.

Additional information

Contributors: SB contributed to the experimental design, performed the FMD measurements, interpreted data, drafted the paper and performed the statistical analysis. SV contributed to the experimental design, data interpretation and the writing of the paper. JAB contributed to the interpretation of the data, critical revision of the paper and final approval of the submitted paper. MRT, SB, AM, RR and GP recruited participants and performed data collection and analysis. GC contributed to the experimental design, data interpretation, writing of the paper and trial coordination and had overall responsibility for the study.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Buscemi, S., Verga, S., Batsis, J. et al. Dose-dependent effects of decaffeinated coffee on endothelial function in healthy subjects. Eur J Clin Nutr 63, 1200–1205 (2009). https://doi.org/10.1038/ejcn.2009.51

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2009.51

Keywords

This article is cited by

Search

Quick links