Changes in caffeine consumption as a signal of pregnancy
Abstract
Objectives The purpose of this prospective study was to examine caffeine consumption and other signals of early pregnancy.Study design One hundred and five pregnant, nonsmoking, coffee drinkers ages 18-40 were enrolled by the ninth week after their last menstrual period (LMP). Participants kept daily diaries of beverage and caffeine consumption and symptoms. Urine samples were collected to assess hormone metabolites. Descriptive statistics were generated.Results During the first trimester, 96% of subjects decreased or quit drinking coffee, 65% of whom reported a unique aversion to coffee. The mean daily caffeine consumption at LMP from coffee alone was 119 mg (S.D., 105), with a range 1-574 mg. There was a 59% decrease of mean daily consumption of caffeine from coffee between weeks 4 and 6, from 96 to 39 mg. The vast majority of subjects experienced nausea (98%) and appetite loss (93%); vomiting was less prevalent (54%). The most common dietary aversions included meat, coffee, spicy foods, and dairy products. Hormone metabolite patterns are reported.Conclusion Signals of early pregnancy included an aversion to coffee in addition to nausea and vomiting, which resulted in decreased caffeine consumption. These symptoms often interfered with daily life and lasted beyond the first trimester for many. Consideration should be given that a decrease in caffeine consumption may be a signal for a healthy pregnancy and acting as a confounder.
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In a small cohort of 105 women who drank coffee before pregnancy, 65% reported an aversion to coffee during the first trimester, and 95% voluntarily reduced their consumption during this trimester.
“in a small cohort of 105 women who drank coffee before pregnancy, 65% reported an aversion to coffee during the first trimester, and 95% voluntarily reduced their consumption during this trimester (171)”
From The Safety of Ingested Caffeine: A Comprehensive Review (2017) · cites this paper as [171]
Cites
Barone, J. J., & Roberts, H. R. (1996) · Food and Chemical Toxicology · doi:10.1016/0278-6915(95)00093-3 · Cited by 705 · see citing works
A prospective study of nausea and vomiting during pregnancy.
Gadsby, R., Barnie-Adshead, A., & Jagger, C. (1993) · PubMed · Cited by 404 · see citing works
Lacroix, R., Eason, E. L., & Melzack, R. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(00)70349-8 · Cited by 307 · see citing works
Caffeine metabolism in the newborn
Aldridge, A., Aranda, J. V., & Neims, A. H. (1979) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt1979254447 · Cited by 268 · see citing works
Caffeine Intake and the Risk of First-Trimester Spontaneous Abortion
Cnattingius, S., Signorello, L. B., Annerén, G., Clausson, B., Ekbom, A., Ljunger, E., Blot, W. J., McLaughlin, J. K., Petersson, G., Rane, A., et al. (2000) · New England Journal of Medicine · doi:10.1056/nejm200012213432503 · Cited by 264 · see citing works
Nausea and Vomiting During Pregnancy: Effects on the Quality of Women's Lives
O’Brien, B., & Naber, S. (1992) · Birth · doi:10.1111/j.1523-536x.1992.tb00671.x · Cited by 195 · see citing works
The disposition of caffeine during and after pregnancy.
Aldridge, A., Bailey, J. R., & Neims, A. H. (1981) · PubMed · Cited by 178 · see citing works
Teratogen update: Evaluation of the reproductive and developmental risks of caffeine
Christian, M. S., & Brent, R. L. (2001) · Teratology · doi:10.1002/tera.1047 · Cited by 173 · see citing works
Dietary cravings and aversions during pregnancy
Hook, E. (1978) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/31.8.1355 · Cited by 172 · see citing works
Pharmacokinetics of caffeine during and after pregnancy
Brazier, J. L., Ritter, J., Berland, M., Khenfer, D., & Faucon, G. (2017) · Developmental Pharmacology and Therapeutics · doi:10.1159/000457332 · Cited by 155 · see citing works
Dietary cravings and aversions during pregnancy.
Wijewardene, K., Fonseka, P., & Goonaratne, C. (1995) · PubMed · Cited by 151 · see citing works
Nausea and vomiting of early pregnancy and pregnancy outcome. A meta‐analytical review
Weigel, R. M., & Weigel, M. M. (1989) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1989.tb03229.x · Cited by 149 · see citing works
Nausea and vomiting in early pregnancy
Vellacott, I. D., Cooke, E. J. A., & James, C. (1988) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(88)90088-4 · Cited by 139 · see citing works
The methylxanthine beverages and foods: Chemistry, consumption, and health effects
(1985) · Food and Chemical Toxicology · doi:10.1016/0278-6915(85)90114-0 · Cited by 135 · see citing works
Λάγιου, Π. (2003) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(02)02730-8 · Cited by 132 · see citing works
Reproductive Effects of Caffeine: A Review and Theoretical Analysis
Dlugosz, L., & Bracken, M. B. (1992) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036093 · Cited by 129 · see citing works
The effect of pregnancy on the pharmacokinetics of caffeine
Knutti, R., Rothweiler, H., & Schlatter, C. (1982) · Archives of Toxicology · doi:10.1007/978-3-642-68511-8_33 · Cited by 106 · see citing works
Measurement of coffee and caffeine intake: Implications for epidemiologic research
Schreiber, G. B., Maffeo, C. E., Robins, M., Masters, M. N., & Bond, A. P. (1988) · Preventive Medicine · doi:10.1016/0091-7435(88)90004-7 · Cited by 84 · see citing works
Stavrić, B., Klassen, R., Watkinson, B., Karpinski, K., Stapley, R., & Fried, P. A. (1988) · Food and Chemical Toxicology · doi:10.1016/0278-6915(88)90107-x · Cited by 82 · see citing works
Maternal caffeine use before, during and after pregnancy and effects upon offspring.
Watkinson, B., & Fried, P. A. (1985) · PubMed · Cited by 76 · see citing works
Miscarriage, caffeine, and the epiphenomena of pregnancy: the causal model.
STEIN, Z. A., & Susser, M. W. (1991) · PubMed · Cited by 70 · see citing works
A Survey of Pharmacokinetic Data from Pregnant Women
CUMMINGS, A. J. (1983) · Clinical Pharmacokinetics · doi:10.2165/00003088-198308040-00005 · Cited by 46 · see citing works
Pregnancy Hormone Metabolite Patterns, Pregnancy Symptoms, and Coffee Consumption
Lawson, C. C. (2002) · American Journal of Epidemiology · doi:10.1093/aje/kwf035 · Cited by 32 · see citing works
Self-citationDelayed elimination of caffeine by women in the last 2 weeks of pregnancy.
Parsons, W. D., & Pelletier, J. G. (1982) · PubMed Central · Cited by 29 · see citing works
A prospective study of the onset of symptoms of pregnancy
Sayle, A. E., Wilcox, A. J., Weinberg, C. R., & Baird, D. D. (2002) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(02)00402-x · Cited by 26 · see citing works
Carlsen, S. M., Vanky, E., & Jacobsen, G. W. (2003) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.2003.00008.x · Cited by 9 · see citing works
Does coffee consumption increase the risk of reproductive adversities?
Leviton, A. E. (1995) · PubMed · Cited by 7 · see citing works
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Temple, J. L., Bernard, C., Lipshultz, S. E., Czachor, J. D., Westphal, J. A., & Mestre, M. A. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00080 · Cited by 557 · see citing works
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Lockhart, S. M., Saudek, V., & O’Rahilly, S. (2020) · Endocrine Reviews · doi:10.1210/endrev/bnaa007 · Cited by 256 · see citing works
Environment, lifestyle, and female infertility
Bala, R., Singh, V., Rajender, S., & Singh, K. (2021) · Reproductive Sciences · doi:10.1007/s43032-020-00279-3 · Cited by 242 · see citing works
Lassi, Z. S., Imam, A. M., Dean, S. V., & Bhutta, Z. A. (2014) · Reproductive Health · doi:10.1186/1742-4755-11-s3-s6 · Cited by 186 · see citing works
Doepker, C., Lieberman, H. R., Smith, A. P., Peck, J. D., El-Sohemy, A., & Welsh, B. T. (2016) · Annual Review of Food Science and Technology · doi:10.1146/annurev-food-041715-033243 · Cited by 87 · see citing works
Pre-pregnancy caffeine and caffeinated beverage intake and risk of spontaneous abortion
Gaskins, A. J., Rich-Edwards, J. W., Williams, P. L., Toth, T. L., Missmer, S. A., & Chavarro, J. E. (2018) · European Journal of Nutrition · doi:10.1007/s00394-016-1301-2 · Cited by 55 · see citing works
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Study, N. B. D. P., Chen, L., Bell, E. M., Browne, M. L., Druschel, C. M., & Romitti, P. A. (2014) · Maternal and Child Health Journal · doi:10.1007/s10995-014-1483-2 · Cited by 40 · see citing works
Leviton, A. (2018) · Nutrients · doi:10.3390/nu10091152 · Cited by 27 · see citing works
- Authors
- Lawson, C. C., LeMasters, G. K., & Wilson, K. A.
- Affiliations
- University of Cincinnati (US)
- Corresponding author
- Lawson, Christina C
- ORCID
- Lawson, Christina C
- Venue
- Reproductive Toxicology
- Publisher
- Elsevier BV
- Published
- 2004-07
- Volume
- 18
- Issue
- 5
- Pages
- 625-633
- ISSN
- 0890-6238 (ISSN-L)
- OpenAlex
- W2037249143
- Cited by
- 54
- References
- 27
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 6 · 2018: 4 · 2017: 5 · 2016: 3 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Reproductive Toxicology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Environmental Health Sciences (P30ES006096, ESO6096-07)
- Topics
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- caffeine consumption, coffee consumption, early pregnancy, pregnancy symptoms, nausea and vomiting, appetite loss, first trimester, hormone metabolites
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Black or African American, Caffeine, Coffee, Female, Chorionic Gonadotropin, Hispanic or Latino, Humans, Nausea, Ohio, Pregnancy, Pregnancy Trimester, First, Prospective Studies, Surveys and Questionnaires, Vomiting, Prevalence, White People, Asian People
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