Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform
Abstract
Caffeine acutely increases blood pressure and peripheral vascular resistance, in part because of sympathetic stimulation. Its effects on large artery properties are largely unknown. In a double-blind crossover study, 7 healthy subjects 26+/-2.6 years of age (mean+/-SEM) were studied for 90 minutes while in the supine position on 2 occasions separated by a week in random order after ingestion of 250 mL caffeinated (150 mg) and decaffeinated (<2 mg) coffee. Compared with baseline, arterial stiffness measured by carotid femoral pulse wave velocity increased progressively from 7.2+/-0.41 to 8.0+/-0.6 m/s (P<0.05) at 90 minutes after caffeine intake, an effect that may be independent of changes in blood pressure. In addition, arterial wave reflection, measured by applanation tonometry from the aortic pressure waveform, also increased from -5.7+/-7.6% to 5.28%+/-5.6 (P<0.01). No such changes were seen with decaffeinated coffee intake. Although the integral of the brachial systolic and diastolic blood pressure values over the 90 minutes was larger (P<0.05) after caffeinated than decaffeinated coffee intake, the effect on aortic systolic and diastolic blood pressures was more pronounced (P<0.05) than on the brachial artery. These results show a significant effect of caffeine intake on arterial tone and function and suggest that caffeine acutely increases arterial stiffness.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
5 of 31 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Tolerance to caffeine's hemodynamic effects rapidly develops.
“In short-term studies, it has been shown to increase blood pressure and peripheral vascular resistance, but tolerance rapidly develops. 4”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [4] 4. Robertson D, Wade D, Workman R, Woolsey RL, Oates JA. Tolerance to the humoral and hemodynamic effects of caffeine in man. J Clin Invest . 1981;67:1111-1117. source
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Caffeine acutely increases blood pressure.
“In short-term studies, it has been shown to increase blood pressure and peripheral vascular resistance, but tolerance rapidly develops. 4”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [4] 4. Robertson D, Wade D, Workman R, Woolsey RL, Oates JA. Tolerance to the humoral and hemodynamic effects of caffeine in man. J Clin Invest . 1981;67:1111-1117. source
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Caffeine acutely increases peripheral vascular resistance.
“In short-term studies, it has been shown to increase blood pressure and peripheral vascular resistance, but tolerance rapidly develops. 4”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [4] 4. Robertson D, Wade D, Workman R, Woolsey RL, Oates JA. Tolerance to the humoral and hemodynamic effects of caffeine in man. J Clin Invest . 1981;67:1111-1117. source
The Results report an acute rise in systolic blood pressure, and the Discussion says tolerance to that rise develops with continued caffeine use. The paper does not report an increase in peripheral vascular resistance; its Discussion instead says a direct effect on vascular resistance is unlikely to explain the pressor response (page not available in our copy). (LLM, conf=0.88)
Experimental — accuracy not yet measured
- Findingown data§ Acute Effects of Caffeine on PWV · p. 2
After caffeinated coffee intake, PWV increased progressively from 7.2 ± 0.4 to 8.0 ± 0.6 m/s at 90 minutes (P<0.05).
“After caffeinated coffee intake, PWV increased progressively from 7.2 6 0.4 to 8.0 6 0.6 m/s at the end of 90 minutes ( P , 0.05).”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on Blood Pressure and Heart Rate · p. 2
Aortic systolic and diastolic blood pressures increased significantly with time after caffeinated but not decaffeinated coffee ingestion (P<0.05).
“Aortic systolic and diastolic blood pressures increased significantly with time after caffeinated but not decaffeinated coffee ingestion ( P , 0.05).”
Quote in the paperSubstantial claim
- Findingown data§ Acute Effects of Caffeine on Arterial Wave Reflection · p. 2
The AI% increased from -5.1% ± 7.6 to 5.28% ± 5.6 after caffeine intake over 90 minutes (P<0.01).
“The AI% increased from 2 5.1% 6 7.6 to 5.28% 6 5.6 after caffeine intake over 90 minutes ( P , 0.01).”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on PWV · p. 2
No correlation was found between change in PWV and increase in blood pressure.
“No correlation was found between a change in PWV and the increase in blood pressure.”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on Blood Pressure and Heart Rate · p. 2
The integrated change in blood pressure (area under systolic and diastolic BP-time curve) was greater after caffeinated than decaffeinated coffee (P<0.05).
“However, the integrated change in blood pressure, represented by the area under the systolic and diastolic blood pressuretime curve, was greater after intake of caffeinated than decaffeinated coffee ( P , 0.05).”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on Arterial Wave Reflection · p. 3
There was no correlation between the increase in AI% and the increase in blood pressure.
“There was no correlation between the increase in AI% and the increase in blood pressure.”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on Blood Pressure and Heart Rate · p. 2
The effect of caffeine was more pronounced on aortic blood pressure than brachial systolic pressure (P<0.05).
“Moreover, the effect of caffeine was more pronounced on aortic blood pressure than brachial systolic pressures ( P , 0.05) as shown by a larger increase in the area under the blood pressure-time curve for aortic than brachial blood pressure (Figure 1).”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on PWV · p. 2
No change in PWV was seen with decaffeinated coffee.
“No change was seen with decaffeinated coffee (Figure 2).”
Quote in the paperSubstantial claim - Findingown data§ Acute Effects of Caffeine on Blood Pressure and Heart Rate · p. 2
There was no significant change in heart rate after intake of either caffeinated or decaffeinated coffee.
“There was no significant change in heart rate after intake of either caffeinated or decaffeinated coffee.”
Quote in the paperNot a substantial claim - Findingown data§ Acute Effects of Caffeine on Arterial Wave Reflection · p. 3
The increase in AI% showed a trend to significance after adjustment for blood pressure at 60 minutes only.
“The increase in AI% showed a trend to significance after adjustment for blood pressure at 60 minutes ( P 5 0.056 for systolic, P 5 0.07 for diastolic) only.”
Quote in the paperNot a substantial claim - Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Caffeine is a nonselective antagonist of adenosine at both A1 and A2 receptors.
“Caffeine is a nonselective antagonist of adenosine at both A1 and A2 receptors.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [8] 8. Ohnishi A, Li P, Branch RA, Biaggioni IO, Jackson EK. Adenosine in renin-dependent renovascular hypertension. Hypertension . 1988;12: 152-161. source
- cites [9] 9. Smits P, Boekema P, De Abreu R, Thien T, Van't Laar A. Evidence for the antagonism between caffeine and adenosine in the human cardiovascular system. J Cardiovasc Pharmacol . 1987;10:136-143. source
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
A high AI% is closely related to aortic stiffness.
“A high AI% is closely related to aortic stiffness. 17”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [17] 17. O'Rourke M. Arterial stiffening and ventricular/vascular interaction. J Hum Hypertens . 1994;8(suppl 1):S1-S15.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
When a validated integral transfer function is applied, the aortic pressure waveform can be derived from radial artery pressure waveform.
“Radial artery pressure waveform is recorded noninvasively by applanation tonometry, 15 and when a validated integral transfer function is applied, 16 the aortic pressure waveform can be derived.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [16] 16. Karamanoglu M, O'Rourke MF, Avolio AP, Kelly RP. An analysis of the relationship between central aortic and peripheral upper limit pressure wave in man. Eur Heart J . 1993;14:160-167. source
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
The technique of pulse wave analysis can be used to assess aortic blood pressures noninvasively.
“The technique of pulse wave analysis can be used to assess aortic blood pressures noninvasively. 14”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [14] 14. O'Rourke MF, Gallagher DE. Pulse wave analysis. J Hypertens . 1996; 14(suppl 5):S147-S157.
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
The pressor effect of caffeine is predominantly due to its action on resistance vessels rather than an increase in cardiac output.
“The pressor effect of caffeine is predominantly due to its action on the resistance vessels rather than an increase in cardiac output. 5”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [5] 5. Pincomb GA, Lovallo WR, Passey RB, Whitsett TL, Silverstein SM, Wilson MF. Effects of caffeine on vascular resistance, cardiac output and myocardial contractility in young men. Am J Cardiol . 1985;56:119-112. source
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Adenosine A2 receptors have a direct vasodilatory effect.
“Adenosine A1 receptor stimulation inhibits the release of norepinephrine at the sympathetic smooth muscle junction, whereas A2 receptors have a direct vasodilatory effect. 8,9”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [8] 8. Ohnishi A, Li P, Branch RA, Biaggioni IO, Jackson EK. Adenosine in renin-dependent renovascular hypertension. Hypertension . 1988;12: 152-161. source
- cites [9] 9. Smits P, Boekema P, De Abreu R, Thien T, Van't Laar A. Evidence for the antagonism between caffeine and adenosine in the human cardiovascular system. J Cardiovasc Pharmacol . 1987;10:136-143. source
- Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Adenosine A1 receptor stimulation inhibits the release of norepinephrine at the sympathetic smooth muscle junction.
“Adenosine A1 receptor stimulation inhibits the release of norepinephrine at the sympathetic smooth muscle junction, whereas A2 receptors have a direct vasodilatory effect. 8,9”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [8] 8. Ohnishi A, Li P, Branch RA, Biaggioni IO, Jackson EK. Adenosine in renin-dependent renovascular hypertension. Hypertension . 1988;12: 152-161. source
- cites [9] 9. Smits P, Boekema P, De Abreu R, Thien T, Van't Laar A. Evidence for the antagonism between caffeine and adenosine in the human cardiovascular system. J Cardiovasc Pharmacol . 1987;10:136-143. source
- Premisecitation§ PWV Measurements · p. 2
The validity of the Complior has been established.
“The validity of the Complior has been established. 28”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [28] 28. Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, Target R, Levy BI. Assessment of arterial distensibility by automatic pulse wave velocity measurement: validation and clinical application studies. Hypertension . 1995;26:485-490. source
- Interpretationown data§ Discussion · p. 3
These results suggest an underestimation of the pressor effects of caffeine when the effects on aortic pressure are not specifically measured.
“These results also suggest an underestimation of the pressor effects of caffeine when the effects on aortic pressure are not specifically measured.”
Quote in the paperSubstantial claim - Interpretationown data§ Discussion · p. 3
The deterioration of elastic properties of the aorta (increased PWV and arterial wave reflection) may be one mechanism underlying the pressor effects of caffeine.
“The deterioration of the elastic properties of the aorta in this study as shown by increased PWV and arterial wave reflection may be one of the mechanisms underlying the pressor effects of caffeine that hitherto have been overlooked.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Discussion · p. 3
This action of coffee may contribute to its hypertensive effect.
“These results not only suggest the possibility that this action of coffee may contribute to its 'hypertensive effect' but also emphasize the importance of controlling caffeine intake in studies on vascular stiffness.”
Quote in the paperSubstantial claim - Study design and conductown data§ Results · p. 2
Baseline hemodynamic values did not differ significantly between the two study days.
“There was no significant difference in the baseline hemodynamic values for both study days.”
Quote in the paperSubstantial claim - Interpretationown data§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
Caffeine acutely increases arterial stiffness.
“These results show a significant effect of caffeine intake on arterial tone and function and suggest that caffeine acutely increases arterial stiffness.”
- Also stated in: § Discussion · p. 4 · plain
“The main novel finding in our study is that caffeine acutely stiffens the aorta and impedes the function of the peripheral muscular arteries, which may be an additional vascular mechanism for the hypertensive effect of caffeine.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · p. 4 · plain
- Interpretationown data§ Discussion · p. 3
The greater increase in aortic than brachial blood pressure suggests an effect additional to peripheral sympathetic vasoconstriction.
“Furthermore, the greater increase in aortic than in brachial blood pressure, as reflected by a comparison of the area under time-pressure curves, suggests an effect additional to peripheral sympathetic vasoconstriction.”
Quote in the paperSubstantial claim - Interpretationown data§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1
The effect of caffeine on arterial stiffness may be independent of changes in blood pressure.
“an effect that may be independent of changes in blood pressure”
Quote in the paperSubstantial claim - Interpretationreasoning§ Discussion · p. 3
Increased PWV and arterial wave reflection are the probable explanation for the greater aortic than brachial blood pressure increase.
“Increased PWV and arterial wave reflection are the probable explanation for this finding.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 10
- May combine two claims. 11
Classified as probably not a substantial claim. May combine two claims.
Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 2Aortic PWV is an independent risk factor for cardiovascular and all-cause mortality in hypertension and in renal disease.
“there is increasing evidence that aortic PWV is an independent risk factor for cardiovascular and all-cause mortality in hypertension 19,20 and in renal disease. 21”
Quote in the paperSubstantial claim1 of 3 sources checked- cites [19] 19. Blacher J, Asmar R, Djane S, London GM, Safar ME. Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients. Hypertension . 1999;33:1111-1117. source
- cites [20] 20. Laurent S, Boutouyrie P, Asmar R, Gautier I, Laloux B, Guize L, Ducimetiere P, Benetos A. Aortic stiffness is an independent predictor of all cause mortality in hypertensive patients. J Hypertens . 2000;18(suppl 2):S82. Abstract. source
- cites [21] 21. Blacher J, Guerin AP, Pannier B, Marchais SJ, Safar ME, London GM. Impact of aortic stiffness on survival in end-stage renal disease. Circulation . 1999;99:2434-2439. source
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Discussion · p. 4Aortic PWV is an independent risk factor for total and cardiovascular mortality.
“Epidemiological data now show that PWV is an independent risk factor for total and cardiovascular mortality. 21,23”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [21] 21. Blacher J, Guerin AP, Pannier B, Marchais SJ, Safar ME, London GM. Impact of aortic stiffness on survival in end-stage renal disease. Circulation . 1999;99:2434-2439. source
The Outcome and Prognostic Impact of Aortic PWV section reports that, after adjustment, aortic PWV predicted both all-cause and cardiovascular mortality. The study followed patients with end-stage renal disease undergoing hemodialysis, so it does not establish the unqualified claim for other populations; page numbers are not supplied in the passages. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [23] 23. Kreiser WR, Martin RA Jr. High-pressure liquid chromatographic determination of theobromide and caffeine in cocoa and chocolate produces: collaborative study. J Assoc Anal Chem . 1980;53:591-594. source
May combine two claims.
Findingown data§ Acute Effects of Caffeine on Blood Pressure and Heart Rate · p. 2There was a significant increase in brachial diastolic blood pressure but not brachial systolic blood pressure over 90 minutes.
“There was a significant increase in brachial diastolic blood pressure but not in brachial systolic blood pressure over 90 minutes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data§ Acute Effects of Caffeine on PWV · p. 2The increase in PWV remained significant after adjustment for changes in blood pressure at 30 minutes for systolic only and at 60 minutes for both systolic and diastolic, but not at 90 minutes.
“The increase in PWV, however, remained significant after adjustment for the changes in blood pressure at 30 minutes for systolic blood pressure only ( P 5 0.02 for systolic, P 5 0.06 for diastolic) and at 60 minutes ( P , 0.05) for both systolic and diastolic pressures but not at 90 minutes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingcitation§ Subjects · p. 2The caffeine content of the 250 mL coffee was 150 ± 5 mg for caffeinated and <2 mg for decaffeinated.
“The caffeine content of the 250 mL coffee determined by high-pressure liquid chromatography 23 was 150 6 5 and , 2 mg for caffeinated and decaffeinated coffee, respectively.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [23] 23. Kreiser WR, Martin RA Jr. High-pressure liquid chromatographic determination of theobromide and caffeine in cocoa and chocolate produces: collaborative study. J Assoc Anal Chem . 1980;53:591-594. source
Classified as probably not a substantial claim.
Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 1Radial artery pressure waveform is recorded noninvasively by applanation tonometry.
“Radial artery pressure waveform is recorded noninvasively by applanation tonometry, 15 and when a validated integral transfer function is applied, 16 the aortic pressure waveform can be derived.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [15] 15. Kelly R, Hayward C, Ganis J, Caley J, Avolio A, O'Rourke M. Noninvasive registration of the arterial pressure pulse waveform using highfidelity applanation tonometry. J Vasc Med Biol . 1989;1:142-149.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Discussion · p. 3Chronic arterial stiffness is associated particularly with increased systolic rather than diastolic pressure.
“Chronic arterial stiffness is associated particularly with increased systolic rather than diastolic pres-”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [11] 11. O'Rourke MF, Kelly RP. Wave reflection in the circulation and its implications in ventricular function. J Hypertens . 1993;11:327-337. source
- cites [12] 12. Breithaupt-Grogler K, Belz GG. Epidemiology of the arterial stiffness. Pathol Biol (Paris) . 1999;47:604-613.
- cites [13] 13. McVeigh GE, Morgan DJ, Finkelstein SM, Lemay LA, Cohn JN. Vascular abnormalities associated with long-term cigarette smoking identified by arterial waveform analysis. Am J Med . 1997;102:227-231. source
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Discussion · p. 4The cardiovascular effects of caffeine are mediated largely through blockade of both A1 and A2 adenosine receptors.
“The cardiovascular effects of caffeine are mediated largely through blockade of both A 1 and A2 adenosine receptors. 9,10,34”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [9] 9. Smits P, Boekema P, De Abreu R, Thien T, Van't Laar A. Evidence for the antagonism between caffeine and adenosine in the human cardiovascular system. J Cardiovasc Pharmacol . 1987;10:136-143. source
- cites [10]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [34] 34. Daniels JW, Mole PA, Shaffrath JD, Steblins CL. Effects of caffeine on blood pressure, heart rate, and forearm blood flow during dynamic exercise. J Appl Physiol . 1998;85:154-159. source
May combine two claims.
Interpretationreasoning§ Discussion · p. 3The increased PWV reflects an increase in aortic stiffness, whereas the effect on AI% may be due in part to both increased PWV and increased vascular smooth muscle tone of peripheral muscular arteries.
“The increased PWV is considered to reflect an increase in aortic stiffness, whereas the effect on AI% or arterial wave reflection may be due in part to both increased PWV and increased vascular smooth muscle tone of the peripheral muscular arteries.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown data§ Discussion · p. 3The effect of coffee can be attributed to caffeine because it was not seen with decaffeinated coffee.
“We believe this can be attributed to caffeine because the effect was not seen with decaffeinated coffee.”
Quote in the paperSubstantial claim- Rests on an assumption: Decaffeinated coffee is an appropriate control that does not itself affect arterial stiffness or blood pressure.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoning§ Statistical Analysis · p. 2The analysis adjusted for changes in blood pressure at the time they were measured.
“Because blood pressure influences arterial hemodynamic parameters, we made a complementary analysis on these variables from baseline over time, adjusting for changes in blood pressure at the time they were measured.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ PWV Measurements · p. 2The small margin of error in carotid-femoral PWV due to opposite flow direction in the carotid artery is insignificant.
“Because the direction of blood flow in the carotid artery is opposite that in the aorta, there is a small margin of error, which is considered insignificant. 27”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [27] 27. Asmar R. Arterial Stiffness and Pulse Wave Velocity: Clinical Applications . New York, NY: Elsevier; 1999:37-38.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform · p. 2Long-term coffee consumption may increase systolic blood pressure.
“A recent meta-analysis suggests that long-term coffee consumption may increase systolic blood pressure. 3”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] 3. Jee SH, He J, Whelton PK, Suh I, Klag MJ. The effect of chronic coffee drinking on blood pressure: a meta-analysis of controlled clinical trials. Hypertension . 1999;33:647-652. source
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown data§ Subjects · p. 2The study was randomized, double-blind, crossover.
“Subjects received 250 mL freshly brewed caffeinated or decaffeinated coffee in a randomized, double-blind, crossover protocol on 2 separate days $ 1 week apart.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown data§ Discussion · p. 4Caffeine acutely stiffens the aorta and impedes the function of peripheral muscular arteries, which may be an additional vascular mechanism for the hypertensive effect of caffeine.
“The main novel finding in our study is that caffeine acutely stiffens the aorta and impedes the function of the peripheral muscular arteries, which may be an additional vascular mechanism for the hypertensive effect of caffeine.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown data§ Discussion · p. 3This study demonstrates an acute effect of coffee on aortic waveform, blood pressure, and vascular stiffness.
“This study demonstrates an acute effect of coffee on aortic waveform, blood pressure, and vascular stiffness.”
Quote in the paperSubstantial claimMay combine two claims.
Premisecitation§ Deviation of the Aortic Pressure Waveform · p. 2The validity of the derived AI% has been confirmed by simultaneous direct central aortic measurements and is highly reproducible in both healthy and diseased populations.
“The validity of the derived AI% has been confirmed by simultaneous direct central aortic measurements and is highly reproducible in both healthy and diseased populations. 25,26”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [25] 25. Wilkinson IB, Fuchs SA, Jansen IM, Spratt JC, Murray GD, Cockroft JR, Webb DJ. Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis. J Hypertens . 1988;16(pt 2):2079-2084.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [26] 26. Siebenhofer A, Kemp CRW, Sutton AJ, Williams B. The reproducibility of central aortic blood pressure measurements in healthy subjects using source
May combine two claims.
Interpretationreasoning§ Discussion · p. 4The pressor effect on peripheral blood pressure was smaller than in some other studies, attributable largely to the 150 mg dose.
“We also noted a pressor effect on peripheral blood pressure, the magnitude of which is smaller than that seen in some other studies. This can be attributed largely to the dose (150 mg) administered.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown data§ Discussion · p. 4The results are internally consistent because surrogate markers of vascular stiffness were measured simultaneously by two independent methods, applanation tonometry and PWV.
“Furthermore, the results are internally consistent because the surrogate markers of vascular stiffness were measured simultaneously by 2 independent methods, applanation tonometry and PWV.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
The acute effects of caffeine on large artery properties are not described in the literature.
“The acute effects of caffeine on large artery properties, however, are not described.”
The paper relies on this without support.
Decaffeinated coffee is an appropriate control that does not itself affect arterial stiffness or blood pressure.
“We believe this can be attributed to caffeine because the effect was not seen with decaffeinated coffee.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Caffeine ingestion increases aortic systolic blood pressure, aortic diastolic blood pressure, augmentation pressure, augmentation index and augmentation index normalized at 75 bpm, and decreases time of the reflected wave.
“These changes include an increase in aortic systolic (ASBP), diastolic (ADBP) blood pressure, AP, AIx and AIx@75,15,17,19,21 as well as a decrease in the time of the reflected wave (Tr).15”
From The Effects of Caffeine and Resistance Exercise on Pulse Wave Reflection in Resistance-Trained Women (2025) · cites this paper as [17]
The Results (p. 2) report significant increases in aortic systolic and diastolic pressure and in augmentation index after caffeinated coffee. Our copy does not report increases in augmentation pressure or augmentation index normalized to 75 bpm, or a decrease in reflected-wave time. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCaffeine consumption alone has been reported to increase aortic blood pressure, even with variations in dosage and types of caffeine consumption.
“This result is intriguing such that even in the absence of acute RE, caffeine consumption alone has been reported to increase aortic BP, even with variations in dosage and types of caffeine consumption (i.e., caffeine supplement powder, caffeine gum, or coffee/espresso drinks).15,17,19,29”
From The Effects of Caffeine and Resistance Exercise on Pulse Wave Reflection in Resistance-Trained Women (2025) · cites this paper as [17]
The Acute Effects of Caffeine on Blood Pressure and Heart Rate section (p. 2) reports that aortic systolic and diastolic blood pressure rose after caffeinated coffee but not decaffeinated coffee. The study tested one caffeinated-coffee dose (150 mg; p. 1), so it does not establish the claim across varying doses or caffeine supplement powder, gum, and espresso. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAcute caffeine ingestion transiently increases aortic pulse wave velocity (PWV) and augmentation index (AIx), with peak effects typically occurring 30-60 min after ingestion.
“Vlachopoulos et al. [71] and Mahmud [72] showed that acute caffeine ingestion transiently increases aortic pulse wave velocity (PWV) and augmentation index (AIx), with peak effects typically occurring 30–60 min after ingestion.”
From Pre-Exercise Caffeine as a Modulator of Exercise-Induced Acute Cardiometabolic Responses: A Narrative Review (2026) · cites this paper as [72]
The Acute Effects sections (p. 2) report increases in carotid-femoral PWV and augmentation index after caffeinated coffee. But PWV increased progressively through the final measurement at 90 minutes, rather than peaking at 30–60 minutes. The study did not measure beyond 90 minutes to establish when the effects subsided. (LLM, conf=0.90)
Experimental — accuracy not yet measuredYoung, healthy women have an increased resting augmentation index normalized at 75 bpm and left ventricular wasted energy, with significantly reduced subendocardial viability ratio, compared to men.
“Furthermore, it has also been suggested that young, healthy women have an increased resting AIx@75 and ΔEw,16 with significantly reduced SEVR,17 compared to men.”
From The Effects of Caffeine and Resistance Exercise on Pulse Wave Reflection in Resistance-Trained Women (2025) · cites this paper as [17]
The Subjects section (p. 2) reports seven healthy volunteers, four female, but the Results section (p. 2) compares baseline values between study days, not between women and men. Searches for sex differences, heart-rate-normalized augmentation index, left ventricular wasted energy, and SEVR found no passage addressing the claimed differences. (LLM, conf=0.76)
Experimental — accuracy not yet measuredAll available studies in healthy individuals report a significant adverse effect of caffeine at doses of 100-250 mg on one or more measures of arterial compliance, denoting an increase in arterial stiffness, accompanied by a simultaneous increase in one or more measures of blood pressure.
“All studies available in healthy individuals (Mahmud and Feely, 2001;Vlachopoulos et al., 2003Vlachopoulos et al., , 2006;;Hartley et al., 2004;Karatzis et al., 2005;Swampillai et al., 2006) reported a significant adverse effect of caffeine (in supplements, coffee or tea) at doses of 100-250 mg on one or more measures of arterial compliance”
From Scientific Opinion on the safety of caffeine (2015) · cites this paper as Mahmud and Feely, 2001
Active and passive smoking and caffeine separately increase arterial stiffness and wave reflections.
“We and others have previously shown that active and passive smoking (13)(14)(15) and caffeine (16 -19) increase arterial stiffness and wave reflections.”
From Smoking and caffeine have a synergistic detrimental effect on aortic stiffness and wave reflections (2004) · cites this paper as [19]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
PWV calculation has the inverse of its stated units
MinorThe described calculation divides a time delay by a distance, producing time per distance. The paper reports PWV in distance per time (m/s).
“measuring the time delay of successive records from the foot of each wave divided by the measured surface distance between the transducers.”
“Carotid-femoral PWV (m/s)”
Age uncertainties do not agree
MinorWith seven subjects, an age SEM of 2.6 years implies an SD of about 6.9 years, not the reported 6 years. Rounding the SD to a whole year does not account for the difference.
“7 healthy subjects 26 6 2.6 years of age (mean 6 SEM)”
“Seven healthy volunteers (4 female) 26 6 6 years of age (mean 6 SD)”
Different baseline augmentation-index values
MinorThe abstract gives the baseline augmentation index as −5.7%, while the Results section gives −5.1% for the same change over 90 minutes.
“arterial wave reflection, measured by applanation tonometry from the aortic pressure waveform, also increased from 2 5.7 6 7.6% to 5.28% 6 5.6”
“The AI% increased from 2 5.1% 6 7.6 to 5.28% 6 5.6 after caffeine intake over 90 minutes”
Cites
McDonald's blood flow in arteries; theoretical, experimental and clinical principles
(1992) · General Pharmacology The Vascular System · doi:10.1016/0306-3623(92)90079-y · Cited by 2,394 · see citing works
Impact of Aortic Stiffness on Survival in End-Stage Renal Disease
Blacher, J., Guerin, A. P., Pannier, B., Marchais, S. J., Safar, M. E., & London, G. M. (1999) · Circulation · doi:10.1161/01.cir.99.18.2434 · Cited by 2,138 · see citing works
Is Pulse Pressure Useful in Predicting Risk for Coronary Heart Disease?
Franklin, S. S., Khan, S. A., Wong, N. D., Larson, M. G., & Levy, D. A. (1999) · Circulation · doi:10.1161/01.cir.100.4.354 · Cited by 1,756 · see citing works
Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients
Blacher, J., Asmar, R., Djane, S., London, G. M., & Safar, M. E. (1999) · Hypertension · doi:10.1161/01.hyp.33.5.1111 · Cited by 1,493 · see citing works
Asmar, R., Benetos, A., Topouchian, J., Laurent, P., Pannier, B., Brisac, A.-M., Target, R., & Levy, B. I. (1995) · Hypertension · doi:10.1161/01.hyp.26.3.485 · Cited by 1,376 · see citing works
Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis
Wilkinson, I. B., Fuchs, S. A., Jansen, I. M., Spratt, J., Murray, G. D., Cockcroft, J. R., & Webb, D. J. (1998) · Journal of Hypertension · doi:10.1097/00004872-199816121-00033 · Cited by 921 · see citing works
KARAMANOGLU, M., O'ROURKE, M. F., AVOLIO, A. P., & KELLY, R. P. (1993) · European Heart Journal · doi:10.1093/eurheartj/14.2.160 · Cited by 873 · see citing works
O’Rourke, M. F., Pauca, A. L., & Jiang, X. (2001) · British Journal of Clinical Pharmacology · doi:10.1046/j.0306-5251.2001.01400.x · Cited by 640 · see citing works
Tolerance to the humoral and hemodynamic effects of caffeine in man.
Robertson, D., Wade, D., Workman, R., Woosley, R. L., & Oates, J. A. (1981) · Journal of Clinical Investigation · doi:10.1172/jci110124 · Cited by 501 · see citing works
Coffee, caffeine and blood pressure: a critical review
Nurminen, M.-L., Niittynen, L., Korpela, R., & Vapaatalo, H. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600899 · Cited by 351 · see citing works
(1996) · PubMed · Cited by 330 · see citing works
Coffee, caffeine, and cardiovascular disease in men.
Grobbee, D. E., Rimm, E. B., Giovannucci, E., Colditz, G., Stampfer, M., & Willett, W. (1990) · New England Journal of Medicine · doi:10.1056/nejm199010113231504 · Cited by 322 · see citing works
Wave reflection in the systemic circulation and its implications in ventricular function
O??Rourke, M. F., & Kelly, R. P. (1993) · Journal of Hypertension · doi:10.1097/00004872-199304000-00001 · Cited by 278 · see citing works
Jee, S. H., He, J., Whelton, P. K., Suh, I., & Klag, M. J. (1999) · Hypertension · doi:10.1161/01.hyp.33.2.647 · Cited by 276 · see citing works
Clinical value of aortic pulse-wave velocity measurement
Lehmann, E. D. (1999) · The Lancet · doi:10.1016/s0140-6736(99)00179-8 · Cited by 219 · see citing works
Hjemdahl, P., & Friberg, P. (1996) · Journal of Hypertension · doi:10.1097/00004872-199602000-00001 · Cited by 196 · see citing works
Hypertension risk status and effect of caffeine on blood pressure
Hartley, T. R., Sung, B. H., Pincomb, G. A., Whitsett, T. L., Wilson, M. F., & Lovallo, W. R. (2000) · Hypertension · doi:10.1161/01.hyp.36.1.137 · Cited by 156 · see citing works
Siebenhofer, A., Kemp, C., Sutton, A., & Williams, B. (1999) · Journal of Human Hypertension · doi:10.1038/sj.jhh.1000887 · Cited by 149 · see citing works
Effects of caffeine on vascular resistance, cardiac output and myocardial contractility in young men
Pincomb, G. A., Lovallo, W. R., Passey, R. B., Whitsett, T. L., Silverstein, S. M., & Wilson, M. F. (1985) · The American Journal of Cardiology · doi:10.1016/0002-9149(85)90578-8 · Cited by 137 · see citing works
Daniels, J. W., Molé, P. A., Shaffrath, J. D., & Stebbins, C. L. (1998) · Journal of Applied Physiology · doi:10.1152/jappl.1998.85.1.154 · Cited by 130 · see citing works
Evidence for an Antagonism Between Caffeine and Adenosine in the Human Cardiovascular System
Smits, P., Boekema, P., Abreu, R. D., Thien, T., & vanʼt Laar, A. (1987) · Journal of Cardiovascular Pharmacology · doi:10.1097/00005344-198708000-00002 · Cited by 128 · see citing works
McVeigh, G. E., Morgan, D. J., Finkelstein, S. M., Lemay, L. A., & Cohn, J. N. (1997) · The American Journal of Medicine · doi:10.1016/s0002-9343(96)00454-8 · Cited by 95 · see citing works
Robertson, D., Hollister, A. S., Kincaid, D., Workman, R. J., Goldberg, M. R., Tung, C., & Smith, B. (1984) · The American Journal of Medicine · doi:10.1016/0002-9343(84)90435-2 · Cited by 87 · see citing works
Caffeine-Induced Diuresis and Atrial Natriuretic Peptides
Nussberger, J., Mooser, V., Maridor, G., Juillerat, L., Waeber, B., & Brunner, H. R. (1990) · Journal of Cardiovascular Pharmacology · doi:10.1097/00005344-199005000-00001 · Cited by 79 · see citing works
Mahmud, A., & Feely, J. (2000) · Journal of Human Hypertension · doi:10.1038/sj.jhh.1001053 · Cited by 73 · see citing works
Self-citationAcute blood pressure elevations with caffeine in men with borderline systemic hypertension
Pincomb, G. A., Lovallo, W. R., McKey, B. S., Sung, B. H., Passey, R. B., Everson‐Rose, S. A., & Wilson, M. F. (1996) · The American Journal of Cardiology · doi:10.1016/s0002-9149(97)89392-7 · Cited by 66 · see citing works
The role of epinephrine in the circulatory effects of coffee
Smits, P., Pieters, G., & Thien, T. (1986) · Clinical Pharmacology and Therapeutics · doi:10.1038/clpt.1986.203 · Cited by 60 · see citing works
Additive Pressor Effects of Caffeine and Stress in Male Medical Students at Risk for Hypertension
Shepard, J. D., Al’Absi, M., Whitsett, T. L., Passey, R. B., & Lovallo, W. R. (2000) · American Journal of Hypertension · doi:10.1016/s0895-7061(99)00217-4 · Cited by 58 · see citing works
AORTIC STIFFNESS IS AN INDEPENDENT PREDICTOR OF ALL-CAUSE MORTALITY IN HYPERTENSIVE PATIENTS: 3B.8
Laurent, S., Boutouyrie, P., Asmar, R., Gautier, I., Laloux, B., Guize, L., Ducimetiere, P., & Benetos, A. (2000) · Journal of Hypertension · doi:10.1097/00004872-200006001-00271 · Cited by 39 · see citing works
(1999) · PubMed · Cited by 38 · see citing works
Superko, H. R., Myll, J., DiRicco, C., Williams, P. T., Bortz, W. M., & Wood, P. D. (1994) · The American Journal of Cardiology · doi:10.1016/0002-9149(94)90881-8 · Cited by 30 · see citing works
Adenosine in renin-dependent renovascular hypertension.
Ohnishi, A., Li, P., Branch, R. A., Biaggioni, I. O., & Jackson, E. K. (1988) · Hypertension · doi:10.1161/01.hyp.12.2.152 · Cited by 28 · see citing works
kreiser, W. R., Martin, R. A., Collaborators:, Bigornia, R., Bond, R., Cummings, L. J., Teja, E. D. L., DeVries, J. W., Erwin, R. E., Heroff, J. C., et al. (1980) · Journal of AOAC INTERNATIONAL · doi:10.1093/jaoac/63.3.591 · Cited by 9 · see citing works
Flagged first, then by citations
Research works printed but not linked: 10
- 10.1161/hyp.33.2.647 · DOI
- Kelly R, Hayward C, Ganis J, Caley J, Avolio A, O’Rourke M. Non-invasive registration of the arterial pressure pulse waveform using high-fidelity applanation tonometry. J Vasc Med Biol. 1989; 1: 142–149.
- O’Rourke M. Arterial stiffening and ventricular/vascular interaction. J Hum Hypertens. 1994; 8 (suppl 1): S1–S15.
- 10.1161/circ.100.4.354 · DOI
- 10.1161/hyp.33.5.1111 · DOI
- 10.1161/circ.99.18.2434 · DOI
- Gilbert RM. Caffeine consumption.In: Siller GA ed. The Methyl-Xanthine Beverages and Foods: Chemistry Consumption and Health Effects. New York NY: Alan R Liss; 1984: 185–214.
- Asmar R. Arterial Stiffness and Pulse Wave Velocity: Clinical Applications. New York NY: Elsevier; 1999: 37–38.
- 10.1161/hyp.26.3.485 · DOI
- 10.1161/hyp.36.1.137 · DOI
Cited by
Sorted by citations
Changes in Arterial Stiffness and Wave Reflection With Advancing Age in Healthy Men and Women
Mitchell, G. F., Parise, H., Benjamin, E. J., Larson, M. G., Keyes, M. J., Vita, J. A., Vasan, R. S., & Levy, D. A. (2004) · Hypertension · doi:10.1161/01.hyp.0000128420.01881.aa · Cited by 1,507 · see citing works
Caffeine: Cognitive and Physical Performance Enhancer or Psychoactive Drug?
Cappelletti, S., Daria, P., Sani, G., & Aromatario, M. (2015) · Current Neuropharmacology · doi:10.2174/1570159x13666141210215655 · Cited by 631 · see citing works
“It has been reported that caffeine stimulates nitric oxide synthesis in the endothelium via the release of calcium from the endoplasmic reticulum by activating the ryanodine-sensitive calcium channel and inhibiting the breakdown of cGMP in the aorta: this results in the caffeineinduced increase of endothelium-dependen…”
BackgroundScientific Opinion on the safety of caffeine
EFSA Panel on Dietetic Products, N. A. A. (. (2015) · EFSA Journal · doi:10.2903/j.efsa.2015.4102 · Cited by 613 · see citing works
“All studies available in healthy individuals (Mahmud and Feely, 2001; Vlachopoulos et al., 2003, 2006; Hartley et al., 2004; Karatzis et al., 2005; Swampillai et al., 2006) reported a significant adverse effect of caffeine (in supplements, coffee or tea) at doses of 100–250 mg on one or more measures of arterial compl…”
BackgroundEffect of Smoking on Arterial Stiffness and Pulse Pressure Amplification
Mahmud, A., & Feely, J. (2003) · Hypertension · doi:10.1161/01.hyp.0000047464.66901.60 · Cited by 437 · see citing works
Self-citationEnergy Beverages: Content and Safety
Higgins, J. P., Tuttle, T. D., & Higgins, C. L. (2010) · Mayo Clinic Proceedings · doi:10.4065/mcp.2010.0381 · Cited by 411 · see citing works
Kallioinen, N., Hill, A., Horswill, M. S., Ward, H. E., & Watson, M. O. (2017) · Journal of Hypertension · doi:10.1097/hjh.0000000000001197 · Cited by 357 · see citing works
The impact of coffee on health
Cano-Marquina, A., Tarín, J. J., & Cano, A. (2013) · Maturitas · doi:10.1016/j.maturitas.2013.02.002 · Cited by 332 · see citing works
Pulse wave analysis and pulse wave velocity
Davies, J. I., & Struthers, A. D. (2003) · Journal of Hypertension · doi:10.1097/00004872-200303000-00004 · Cited by 292 · see citing works
Caffeine and cardiovascular health
Turnbull, D., Rodricks, J. V., Mariano, G. F., & Chowdhury, F. (2017) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2017.07.025 · Cited by 216 · see citing works
Effects of Acute Administration of Caffeine on Vascular Function
Umemura, T., Ueda, K., Nishioka, K., Hidaka, T., Takemoto, H., Nakamura, S., Jitsuiki, D., Soga, J., Goto, C., Chayama, K., et al. (2006) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2006.06.058 · Cited by 189 · see citing works
Acute and long-term cardiovascular effects of coffee: Implications for coronary heart disease
Riksen, N. P., Rongen, G. A. P. J. M., & Smits, P. (2008) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2008.10.006 · Cited by 166 · see citing works
“The drinking of caffeinated coffee, but not decaffeinated coffee, acutely increased pulse wave velocity in healthy subjects (Mahmud & Feely, 2001).”
BackgroundInfluentialEffect of Coffee on Endothelial Function in Healthy Subjects: The Role of Caffeine
PAPAMICHAEL, C. M., AZNAOURIDIS, K. A., KARATZIS, E. N., KARATZI, K. N., STAMATELOPOULOS, K. S., VAMVAKOU, G., LEKAKIS, J. P., & MAVRIKAKIS, M. E. (2005) · Clinical Science · doi:10.1042/cs20040358 · Cited by 161 · see citing works
Long‐term follow‐up of DYT1 dystonia patients treated by deep brain stimulation: An open‐label study
Cif, L., Vasques, X., González, V., Ravel, P., Biolsi, B., Collod‐Béroud, G., Tuffery‐Giraud, S., Fertit, H. E., Claustres, M., & Coubes, P. A. (2010) · Movement Disorders · doi:10.1002/mds.22802 · Cited by 157 · see citing works
Cardiovascular Manifestations of Substance Abuse
Frishman, W. H., Vecchio, A. D., Sanal, S., & Ismail, A. (2003) · Heart Disease · doi:10.1097/01.hdx.0000080713.09303.a6 · Cited by 139 · see citing works
Smoking and caffeine have a synergistic detrimental effect on aortic stiffness and wave reflections
Vlachopoulos, C., Kosmopoulou, F., Panagiotakos, D., Ioakeimidis, N., Alexopoulos, N., Pitsavos, C., & Stefanadis, C. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.07.049 · Cited by 135 · see citing works
The acute effect of green tea consumption on endothelial function in healthy individuals
Alexopoulos, N. A., Vlachopoulos, C. V., Aznaouridis, K. A., Baou, K., Vasiliadou, C., Pietri, P., Xaplanteris, P., Stefanadi, E., & Stefanadis, C. (2008) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3282f4832f · Cited by 131 · see citing works
The health effects of stimulant drinks
Finnegan, D. (2003) · Nutrition Bulletin · doi:10.1046/j.1467-3010.2003.00345.x · Cited by 131 · see citing works
Karatzis, E., Papaioannou, T. G., Aznaouridis, K., Karatzi, K., Stamatelopoulos, K., Zampelas, A., Papamichael, C., Lekakis, J., & Mavrikakis, M. (2005) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.11.013 · Cited by 116 · see citing works
Ulu, A., Harris, T. R., Morisseau, C. H. P., Miyabe, C. Y., Inoue, H., Schuster, G. U., Dong, H., Iosif, A., Liu, J., Weiss, R. H., et al. (2013) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0b013e318298e460 · Cited by 111 · see citing works
Acute Effects of Coffee on Endothelial Function in Healthy Subjects
Buscemi, S., Verga, S., Batsis, J. A., Donatelli, M., Tranchina, M. R., Belmonte, S., Mattina, A., Re, A., & Cerasola, G. (2010) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2010.9 · Cited by 110 · see citing works
“Short-term studies on the acute effects of coffee intake have generally reported detrimental cardiovascular and metabolic influences (Mahmud and Feely, 2001; Moisey et al., 2008; Riksen et al., 2009).”
BackgroundAcute effects of caffeine on heart rate variability
Sondermeijer, H. P., van Marle, A. G. J., Kamen, P., & Krum, H. (2002) · The American Journal of Cardiology · doi:10.1016/s0002-9149(02)02725-x · Cited by 99 · see citing works
Caffeine and cardiovascular diseases: critical review of current research
Zulli, A., Smith, R. M., Kubatka, P., Novák, J., Uehara, Y., Loftus, H., Qaradakhi, T., Pohanka, M., Kobyliak, N. M., Zagatina, A., et al. (2016) · European Journal of Nutrition · doi:10.1007/s00394-016-1179-z · Cited by 102 · see citing works
“Coffee drinking was shown to increase both pulse wave velocity [86, 87] and augmentation index [86, 88, 89], parameter reflecting increase in pulse wave reflections.”
Davies, J. I., Band, M. M., Pringle, S. D., Ogston, S. A., & Struthers, A. D. (2003) · Journal of Hypertension · doi:10.1097/00004872-200303000-00023 · Cited by 98 · see citing works
Electronic cigarettes: an aid in smoking cessation, or a new health hazard?
Farsalinos, K. E. (2017) · Therapeutic Advances in Respiratory Disease · doi:10.1177/1753465817744960 · Cited by 93 · see citing works
The Cardiovascular Effects of Methylxanthines
Riksen, N. P., Smits, P., & Rongen, G. A. P. J. M. (2010) · Handbook of experimental pharmacology · doi:10.1007/978-3-642-13443-2_16 · Cited by 89 · see citing works
Divergent effect of acute and chronic alcohol on arterial stiffness
Mahmud, A. (2002) · American Journal of Hypertension · doi:10.1016/s0895-7061(01)02315-9 · Cited by 90 · see citing works
Self-citationHolland, D. J., Sacre, J. W., McFarlane, S. J., Coombes, J. S., & Sharman, J. E. (2008) · American Journal of Hypertension · doi:10.1038/ajh.2008.253 · Cited by 86 · see citing works
Acute caffeine intake influences central more than peripheral blood pressure in young adults
Waring, W. (2003) · American Journal of Hypertension · doi:10.1016/s0895-7061(03)01014-8 · Cited by 84 · see citing works
Relations Between Dairy Food Intake and Arterial Stiffness
Crichton, G. E., Elias, M. F., Dore, G. A., Abhayaratna, W. P., & Robbins, M. A. (2012) · Hypertension · doi:10.1161/hypertensionaha.111.190017 · Cited by 82 · see citing works
Effect of Caffeine on Aortic Elastic Properties and Wave Reflection
Vlachopoulos, C., Hirata, K., & O'Rourke, M. F. (2003) · Journal of Hypertension · doi:10.1097/00004872-200303000-00022 · Cited by 79 · see citing works
Chronic coffee consumption has a detrimental effect on aortic stiffness and wave reflections
Vlachopoulos, C. V., Panagiotakos, D. B., Ioakeimidis, N., Dima, I., & Stefanadis, C. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.6.1307 · Cited by 79 · see citing works
Stability and reproducibility of brachial artery flow-mediated dilation
Welsch, M. A., Allen, J. D., & Geaghan, J. P. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200206000-00009 · Cited by 80 · see citing works
Adenosine A2A Receptors Modulate Acute Injury and Neuroinflammation in Brain Ischemia
Pedata, F., Pugliese, A. M., Coppi, E., Dettori, I., Maraula, G., Cellai, L., & Melani, A. (2014) · Mediators of Inflammation · doi:10.1155/2014/805198 · Cited by 76 · see citing works
“The increased risk might be related within hours after consumption to acute deleterious effects of the unselective A 1 /A 2A receptor antagonist, caffeine, that increases circulating norepinephrine [191], rises mean blood pressure [192], increases arterial stiffness [193], and impairs endotheliumdependent vasodilation…”
Coffee and acute ischemic stroke onset: The Stroke Onset Study
Mostofsky, E., Schlaug, G., Mukamal, K. J., Rosamond, W. D., & Mittleman, M. A. (2010) · Neurology · doi:10.1212/wnl.0b013e3181fb443d · Cited by 75 · see citing works
Shechter, M., Shalmon, G., Scheinowitz, M., Koren-Morag, N., Feinberg, M. S., Harats, D., Sela, B. A., Sharabi, Y., & Chouraqui, P. (2011) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2010.12.035 · Cited by 74 · see citing works
Coffee and Endothelial Function: A Coffee Paradox?
Higashi, Y. (2019) · Nutrients · doi:10.3390/nu11092104 · Cited by 75 · see citing works
“The elevation of peripheral vascular resistance induced by caffeine may involve several mechanisms, of which the most plausible is antagonism of adenosine, leading to vasoconstriction and increased total peripheral resistance [19,21].”
BackgroundMills, C. E., Flury, A., Marmet, C., Poquet, L., Rimoldi, S. F., Sartori, C. S., Rexhaj, E., Brenner, R., Allemann, Y., Zimmermann, D., et al. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2016.11.013 · Cited by 69 · see citing works
Farsalinos, K. E., Polosa, R., Cibella, F., & NIAURA, R. S. (2019) · Therapeutic Advances in Chronic Disease · doi:10.1177/2040622319877741 · Cited by 69 · see citing works
Blood Pressure in Relation to Coffee and Caffeine Consumption
Guessous, I., Eap, C. B., & Bochud, M. (2014) · Current Hypertension Reports · doi:10.1007/s11906-014-0468-2 · Cited by 67 · see citing works
Shiina, K., Tomiyama, H., Takata, Y., Yoshida, M., Kato, K., Saruhara, H., Hashimura, Y., Matsumoto, C., Asano, K., Usui, Y., et al. (2010) · Respiratory Medicine · doi:10.1016/j.rmed.2010.01.010 · Cited by 57 · see citing works
Dose-dependent effects of decaffeinated coffee on endothelial function in healthy subjects
Buscemi, S., Verga, S., Batsis, J. A., Tranchina, M. R., Belmonte, S., Mattina, A., Re, A., Rizzo, R., & Cerasola, G. (2009) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2009.51 · Cited by 55 · see citing works
“Finally, Mahmud and Feely (2001) demonstrate in only seven subjects the impact of both caffeinated and DC on arterial stiffness and not FMD.”
BackgroundAlcohol and Acute Ischemic Stroke Onset
Mostofsky, E., Burger, M. R., Schlaug, G., Mukamal, K. J., Rosamond, W. D., & Mittleman, M. A. (2010) · Stroke · doi:10.1161/strokeaha.110.580092 · Cited by 58 · see citing works
Guidelines for Treatment of Hypertension in the Elderly. 2002 Revised Version.
Ogihara, T., Hiwada, K., Morimoto, S., Matsuoka, H., Matsumoto, M., Takishita, S., Shimamoto, K., Shimada, K., Abe, I., Ouchi, Y., et al. (2003) · Hypertension Research · doi:10.1291/hypres.26.1 · Cited by 54 · see citing works
Caffeine increases aortic stiffness in hypertensive patients
Vlachopoulos, C. (2003) · American Journal of Hypertension · doi:10.1016/s0895-7061(02)03155-2 · Cited by 55 · see citing works
Association between coffee consumption and risk of hypertension
Palatini, P., Dorigatti, F., Santonastaso, M., Cozzio, S., Biasion, T., Garavelli, G., Pessina, A. C., & Mos, L. (2007) · Annals of Medicine · doi:10.1080/07853890701491018 · Cited by 48 · see citing works
“The detrimental effect on aortic stiffness and wave reflections described after acute (43) and chronic (44) coffee intake could be related to both the antagonism of adenosine and the release of catecholamines promoted by caffeine.”
BackgroundAcute effects of caffeine on arterial stiffness, wave reflections, and central aortic pressures
PAPAIOANNOU, T., Karatzi, K., Karatzis, E. N., Papamichael, C. M., & Lekakis, J. P. (2005) · American Journal of Hypertension · doi:10.1016/j.amjhyper.2004.08.017 · Cited by 50 · see citing works
Mangoni, A. A., Baghdadi, L. R., Shanahan, E. M., Wiese, M. D., Tommasi, S., Elliot, D. J., & Woodman, R. J. (2017) · Therapeutic Advances in Musculoskeletal Disease · doi:10.1177/1759720x17719850 · Cited by 49 · see citing works
Acute Effect of Black and Green Tea on Aortic Stiffness and Wave Reflections
Vlachopoulos, C., Alexopoulos, N., Dima, I., Aznaouridis, K., Andreadou, I., & Stefanadis, C. (2006) · Journal of the American College of Nutrition · doi:10.1080/07315724.2006.10719535 · Cited by 49 · see citing works
“However, as we [7–11] and others [12] have previously shown, caffeine results in an acute and chronic deterioration of arterial function with increased pulse wave velocity and wave reflections.”
BackgroundApplied Aspects of Ultrasonography in Humans
Ainslie, P. (2012) · InTech eBooks · doi:10.5772/1113 · Cited by 48 · see citing works
Barutçu, İ., Esen, A. M., Değirmenci, B., et al. (2004) · Circulation Journal · doi:10.1253/circj.68.1127 · Cited by 44 · see citing works
Carotid distensibility, baroreflex sensitivity, and orthostatic stress
Steinback, C. D., O’Leary, D. D., Bakker, J. T. D., et al. (2005) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01248.2004 · Cited by 43 · see citing works
LI, H., SRINIVASAN, S., Chen, W., et al. (2005) · American Journal of Hypertension · doi:10.1016/j.amjhyper.2004.10.005 · Cited by 40 · see citing works
Bloomer, R. J., Harvey, I. C., Farney, T. M., Bell, Z. W., & Canale, R. E. (2011) · The Physician and Sportsmedicine · doi:10.3810/psm.2011.09.1927 · Cited by 39 · see citing works
Kanbay, M., Siriopol, D. C., Çöpür, S., Tapoi, L. C., Benchea, L.-C., Kuwabara, M., Rossignol, P., Ortíz, A., Covic, A. C., & Afşar, B. (2020) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2020.08.004 · Cited by 40 · see citing works
Electromechanical and structural alterations in the aging rabbit heart and aorta
Cooper, L. L., Odening, K. E., Hwang, M., et al. (2012) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00960.2011 · Cited by 37 · see citing works
Heart Rate, Blood Pressure and Repolarization Effects of an Energy Drink as Compared to Coffee
Brothers, R. M., Christmas, K. M., Patik, J. C., & Bhella, P. S. (2017) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12357 · Cited by 34 · see citing works
“…by John Wiley & Sons Ltd 37, 6, 675–681 consensus is that caffeine causes slight increases in systolic, diastolic and mean blood pressure on the order of 2– 10 mmHg (Ammar et al., 2001), an effect that is likely related to the increased peripheral vascular resistance (Mahmud & Feely, 2001).”
BackgroundCaffeine and Activation Theory
(2006) · CRC Press eBooks · doi:10.1201/9781420006568 · Cited by 33 · see citing works
Energy drinks: Getting wings but at what health cost?
Ibrahim, N. K., & Iftikhar, R. (2014) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.306.5396 · Cited by 31 · see citing works
Orthostatic Systolic Hypotension and the Reflection Pressure Wave
Tabara, Y., Nakura, J., Kondo, I., Miki, T., & Kohara, K. (2005) · Hypertension Research · doi:10.1291/hypres.28.537 · Cited by 31 · see citing works
“A change in brachial BP does not accurately reflect that in central BP in several conditions, such as smoking (12), caffeine intake (13) and alcohol intake (14).”
BackgroundRepurposing existing drugs for cardiovascular risk management: a focus on methotrexate
Mangoni, A. A., Tommasi, S., Zinellu, A., Sotgia, S., Carru, C., Piga, M., & Erre, G. L. (2018) · Drugs in Context · doi:10.7573/dic.212557 · Cited by 27 · see citing works
Vlachopoulos, C., Vyssoulis, G. P., Alexopoulos, N. A., Zervoudaki, A., Pietri, P. G., Aznaouridis, K., & Stefanadis, C. (2006) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602577 · Cited by 27 · see citing works
“On the other hand, it has been shown that caffeine exerts an acute detrimental effect on aortic stiffness and wave reflections both in normotensive and in hypertensive subjects (Vlachopoulos et al., 2001, 2003a, 2003b, 2004a; Mahmud and Feely, 2001; Karatzis et al., 2005).”
BackgroundBoos, C. J., Lane, D. A., Karpha, M., Beevers, D. G., Haynes, R., & Lip, G. Y. H. (2007) · CHEST Journal · doi:10.1378/chest.07-0428 · Cited by 27 · see citing works
Methotrexate and cardiovascular prevention: an appraisal of the current evidence
Mangoni, A. A., Sotgia, S., Zinellu, A., Carru, C., Pintus, G., Damiani, G. B., Erre, G. L., & Tommasi, S. (2023) · Therapeutic Advances in Cardiovascular Disease · doi:10.1177/17539447231215213 · Cited by 30 · see citing works
“…significant increase in arterial stiffness and blood pressure following the pharmacological inhibition of the adenosine receptors, A 1 and A 2A.191,192 There is also evidence that adenosine A 2B receptor activation prevents the formation of atherosclerotic lesions and reduces the plasma…”
BackgroundLim, D., Chang, J.-U., Ahn, J., & Kim, J. (2020) · Processes · doi:10.3390/pr8040438 · Cited by 26 · see citing works
“Increase peripheral resistance Sympathetic stimulation [31]”
BackgroundLi, P., Mandilaras, G., Jakob, A., Dalla‐Pozza, R., Haas, N. A., & Oberhoffer, F. S. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11082087 · Cited by 26 · see citing works
“Caffeine is thought to increase peripheral vascular resistance through sympathetic stimulation and consequently effect arterial stiffness [18,22].”
BackgroundPhillips, A. A., Bredin, S. S. D., Coté, A. T., Drury, C. T., & Warburton, D. E. R. (2012) · European Journal of Applied Physiology · doi:10.1007/s00421-012-2489-3 · Cited by 26 · see citing works
Jatoi, N.-A., Kyvelou, S.-M., & Feely, J. (2014) · Artery Research · doi:10.1016/j.artres.2014.02.002 · Cited by 25 · see citing works
Self-citationGreater Coffee Intake in Men Is Associated With Steeper Age-Related Increases in Blood Pressure
Giggey, P. P., Wendell, C. R., Zonderman, A. B., & Waldstein, S. R. (2010) · American Journal of Hypertension · doi:10.1038/ajh.2010.225 · Cited by 23 · see citing works
van Trijp, M. J. C. A., Bos, W. J. W., van der Schouw, Y. T., Muller, M., Grobbee, D. E., & Bots, M. L. (2005) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2005.08.019 · Cited by 22 · see citing works
Díaz‐López, A., Paz‐Graniel, I., Ruiz-García, V., Toledo, E., Becerra‐Tomás, N., Corella, D., Castañer, O., Martínez, J. A., Alonso‐Gómez, Á. M., Wärnberǵ, J., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-88028-7 · Cited by 22 · see citing works
The Effects of Caffeine on Blood Platelets and the Cardiovascular System through Adenosine Receptors
Marcinek, K., Luzak, B., & Różalski, M. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25168905 · Cited by 21 · see citing works
“…eine has an acute e ff ect on both systolic and diastolic blood pressure, long-term consumption does not appear to have a chronic e ff ect [72,104,107]. only to affect blood pressure but also to increase systemic vascular The pressor effect of caffeine acts mainly by altering vessel resistance [109].”
BackgroundAzad, B. J., Heshmati, J., Daneshzad, E., & Palmowski, A. (2020) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2020.1750343 · Cited by 23 · see citing works
“Caffeinated and decaffeinated coffee led to significantly increased in PWV and AIx in non-habitual consumers, while just caffeinated coffee had a significant effect on AS factors in habitual consumers.”
InfluentialCoffee, nutritional status, and renal artery resistive index
Trovato, G. M., Pirri, C., Martines, G. F., Trovato, F. M., & Catalano, D. (2010) · Renal Failure · doi:10.3109/0886022x.2010.516853 · Cited by 21 · see citing works
Ioakeimidis, N., Tzifos, V., Vlachopoulos, C., Terentes-Printzios, D., Georgakopoulos, C., & Tousoulis, D. (2018) · International Journal of Food Sciences and Nutrition · doi:10.1080/09637486.2017.1422700 · Cited by 19 · see citing works
“…from measurements of pulse transit time and the distance travelled between two recording sites (PWV¼ distance [meters]/transit time [seconds] (Mahmud and Feely 2001; Vlachopoulos et al. 2003a, 2003b; Vlachopoulos et al. 2005a; Laurent et al. 2006; Vlachopoulos et al. 2007; Nichols et al.…”
InfluentialCardiovascular Sequelae of Tobacco Smoking
Rempher, K. J. (2006) · Critical Care Nursing Clinics of North America · doi:10.1016/j.ccell.2005.10.006 · Cited by 19 · see citing works
“Aortic elasticity and wave reflections are known determinants of left ventricular function and coronary artery blood flow [67–69].”
BackgroundCoffee and myocardial infarction: heterogeneity of an association in Portuguese men
Azevedo, A., & Barros, H. (2006) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/01.hjr.0000214604.53372.2b · Cited by 18 · see citing works
Vlachopoulos, C. V., Alexopoulos, N. A., & Stefanadis, C. (2007) · Artery Research · doi:10.1016/s1872-9312(07)70003-0 · Cited by 17 · see citing works
“The main vasoactive substance in coffee is caffeine which, as we [2-4] and others [5,6] have shown, exerts an acute detrimental effect on aortic stiffness and wave reflections, both in normal subjects and in hypertensives.”
BackgroundMartínez‐Sellés, M., Datino, T., Figueiras-Graillet, L. M., Gama, J. G., Jones, C., Franklin, R., & Fernández‐Avilés, F. (2012) · Clinical Drug Investigation · doi:10.1007/s40261-012-0032-2 · Cited by 17 · see citing works
Acute effects of caffeine and tobacco on arterial function and wave travel
Swampillai, J., Rakebrandt, F., Morris, K., Jones, C. J. H., & Fraser, A. G. (2006) · European Journal of Clinical Investigation · doi:10.1111/j.1365-2362.2006.01738.x · Cited by 17 · see citing works
Alkerwi, A., Sauvageot, N., Crichton, G. E., & Elias, M. F. (2015) · Nutrition Research · doi:10.1016/j.nutres.2015.05.004 · Cited by 16 · see citing works
“[14] Mahmud A, Feely J.”
BackgroundMukamal, K. J., Alert, M. D., Maclure, M., Muller, J. E., & Mittleman, M. A. (2006) · Journal of the American College of Nutrition · doi:10.1080/07315724.2006.10719561 · Cited by 16 · see citing works
“One review of short-term studies concluded that caffeine intake poses no substantial risk to patients with coronary heart disease [14], although it does appear to increase aortic stiffness in both experimental [15,16] and observational [17] studies.”
BackgroundHara, A., Ohide, H., Miyagawa, K., Takeuchi, T., Nakatani, Y., Yokoyama, H., & Amano, T. (2014) · Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences) · doi:10.5649/jjphcs.40.383 · Cited by 16 · see citing works
Lagier, D., Née, L., Guieu, R., Kerbaul, F., Fenouillet, E., Roux, N., Giorgi, R., Théron, A., Grisoli, D., Gariboldi, V., et al. (2018) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000000824 · Cited by 16 · see citing works
Dasgupta, K., Rosenberg, E., Daskalopoulou, S. S., & collaborators, F. T. S. (2014) · Cardiovascular Diabetology · doi:10.1186/1475-2840-13-7 · Cited by 16 · see citing works
“Using a previously validated generalized transfer function, the system software calculates an averaged radial artery waveform and derives a corresponding central pressure and other indices of pulse wave analysis, including the augmentation index and augmentation pressure [31,32,35,36].”
MethodAcute impact of drinking coffee on the cerebral and systemic vasculature
Washio, T., Sasaki, H., & Ogoh, S. (2017) · Physiological Reports · doi:10.14814/phy2.13288 · Cited by 14 · see citing works
Central Hemodynamics for Management of Arteriosclerotic Diseases
Hashimoto, J. (2017) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.40717 · Cited by 15 · see citing works
Mocciaro, G., Bresciani, L., Tsiountsioura, M., Martini, D., Mena, P. R., Charron, M., Brighenti, F., Bentley, S., Harvey, M., Collins, D., et al. (2019) · Journal of Functional Foods · doi:10.1016/j.jff.2019.103576 · Cited by 15 · see citing works
Ballard, T. L., Halaweish, F. T., Stevermer, C. L., Agrawal, P., & Vukovich, M. D. (2006) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.2006.04367.x · Cited by 15 · see citing works
Arterial compliance may be reduced by ingestion of red wine
Fantin, F., Bulpitt, C. J., Zamboni, M. M., et al. (2015) · Journal of Human Hypertension · doi:10.1038/jhh.2015.19 · Cited by 14 · see citing works
Acute effect of coffee consumption on arterial stiffness, evaluated using an oscillometric method
Echeverri, D., Pizano, A., Montes, F. R., & Forcada, P. J. (2017) · Artery Research · doi:10.1016/j.artres.2017.01.001 · Cited by 14 · see citing works
“This could explain the effects on the peripheral arteries, something different shown by Mahmud and Feely using the tonometric method.(68)”
Mangoni, A. A., Tommasi, S., Zinellu, A., Sotgia, S., Bassu, S., Piga, M., Erre, G. L., & Carru, C. (2019) · Current Pharmaceutical Design · doi:10.2174/1381612825666191112091700 · Cited by 14 · see citing works
Schumann, M., Feuerbacher, J. F., Heinrich, L., Olvera‐Rojas, M., Sclafani, A., Brønd, J. C., Grøntved, A., Caulfield, B., Ekelund, U., Bloch, W., et al. (2025) · Sports Medicine · doi:10.1007/s40279-024-02159-1 · Cited by 13 · see citing works
Ultrasonography and Tonometry for the Assessment of Human Arterial Stiffness
Graeme, J., Katharine, D., Maureen, J. C., & Neil, D. (2012) · InTech eBooks · doi:10.5772/39193 · Cited by 15 · see citing works
“Caffeine consumption (Mahmud & Feely, 2001), smoking (Mahmud & Feely, 2003), and resistance exercise (DeVan et al., 2005) have been shown to temporarily increase arterial stiffness, whereas alcohol consumption (Mahmud & Feely, 2002), food consumption (Ahuja et al., 2009), and aerobic exercise…”
BackgroundCoffee—Antihypertensive Drug Interaction: A Hemodynamic and Pharmacokinetic Study With Felodipine
Bailey, D. G., Dresser, G. K., Urquhart, B. L., Freeman, D. J., & Arnold, J. M. O. (2016) · American Journal of Hypertension · doi:10.1093/ajh/hpw081 · Cited by 16 · see citing works
Higgins, J., Liras, G., & Liras, I. N. (2018) · Beverages · doi:10.3390/beverages4010020 · Cited by 12 · see citing works
Clinical Assessment of Wave Reflection
O’Rourke, M. F., Avolio, A. P., & Qasem, A. (2003) · Hypertension · doi:10.1161/01.hyp.0000095611.09419.f2 · Cited by 12 · see citing works
Caffeine ingestion alters central hemodynamics following aerobic exercise in middle-aged men
Harber, M. P., McCurry, A., Carlini, N., Kistler, B., & Fleenor, B. S. (2021) · European Journal of Applied Physiology · doi:10.1007/s00421-020-04521-3 · Cited by 11 · see citing works
Muskat, J., Rayz, V. L., Goergen, C. J., & Babbs, C. F. (2021) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00198.2021 · Cited by 10 · see citing works
de Castro, F. B. D. A. L., Castro, F. G., Cunha, M. R., Pacheco, S., Freitas‐Silva, O., Neves, M. F., & Klein, M. R. S. T. (2024) · High Blood Pressure & Cardiovascular Prevention · doi:10.1007/s40292-024-00622-8 · Cited by 9 · see citing works
“Moreover, in previous studies that observed a significant acute increase in BP after caffeinated coffee compared to decaffeinated coffee, the caffeine content in the caffeinated coffee was similar (150 mg) [23, 24] or lower (80 mg [25] and 54 mg [26]) than the caffeine content in the present study.”
Caffeine Augments the Prothrombotic but Not the Fibrinolytic Response to Exercise
Nagelkirk, P. R., Sackett, J. R., Aiello, J. J., Fitzgerald, L. F., Saunders, M. J., Hargens, T. A., & Womack, C. J. (2018) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001815 · Cited by 8 · see citing works
- Authors
- Mahmud, A., & Feely, J.
- Affiliations
- St. James's Hospital (IE)
- ORCID
- Mahmud, Azra
- Venue
- Hypertension
- Published
- 2001-08
- Volume
- 38
- Issue
- 2
- Pages
- 227-231
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2163186610
- Cited by
- 192
- References
- 32
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 10 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 11 · 2019: 9 · 2018: 12 · 2017: 11 · 2016: 10 · 2015: 9 · 2014: 11 · 2013: 3 · 2012: 8
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- caffeine, arterial stiffness, pulse wave velocity, aortic pressure waveform, wave reflection, applanation tonometry, coffee, blood pressure, systemic vascular resistance, sympathetic stimulation, large artery function
- MeSH terms
- Adult, Aorta, Arteries, Blood Pressure, Brachial Artery, Caffeine, Carotid Arteries, Double-Blind Method, Female, Heart Rate, Humans, Kinetics, Male, Pulsatile Flow, Cross-Over Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-11.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-11.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review