The blood pressure-elevating effect of red bull energy drink is mimicked by caffeine but through different hemodynamic pathways
Open accessAbstract
The energy drink Red Bull (RB) has recently been shown to elevate resting blood pressure (BP) and double product (reflecting increased myocardial load). However, the extent to which these effects can be explained by the drink's caffeine and sugar content remains to be determined. We compared the cardiovascular impact of RB to those of a comparable amount of caffeine, and its sugar-free version in eight young healthy men. Participants attended four experimental sessions on separate days according to a placebo-controlled randomized crossover study design. Beat-to-beat hemodynamic measurements were made continuously for 30 min at baseline and for 2 h following ingestion of 355 mL of either (1) RB + placebo; (2) sugar-free RB + placebo; (3) water + 120 mg caffeine, or (4) water + placebo. RB, sugar-free RB, and water + caffeine increased BP equally (3-4 mmHg) in comparison to water + placebo (P < 0.001). RB increased heart rate, stroke volume, cardiac output, double product, and cardiac contractility, but decreased total peripheral resistance (TPR) (all P < 0.01), with no such changes observed following the other interventions. Conversely, sugar-free RB and water + caffeine both increased TPR in comparison to the water + placebo control (P < 0.05). While the impact of RB on BP is the same as that of a comparable quantity of caffeine, the increase occurs through different hemodynamic pathways with RB's effects primarily on cardiac parameters, while caffeine elicits primarily vascular effects. Additionally, the auxiliary components of RB (taurine, glucuronolactone, and B-group vitamins) do not appear to influence these pathways.
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The European Commission's Scientific Committee of Food Safety Authority and Health Canada both recommend that women consume no more than 300 mg of caffeine/day during pregnancy.
“The European Commission’s Scientific Committee of Food Safety Authority and Health Canada both recommend that women consume no more than 300 mg of caffeine/day during pregnancy (121, 253).”
From The Safety of Ingested Caffeine: A Comprehensive Review (2017) · cites this paper as [253]
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“Furthermore, acute ingestion can result in increased systolic and diastolic blood pressure (Elitok et al., 2015; Franks et al., 2012; Grasser et al., 2014; Hajsadeghi et al., 2016; Majeed et al., 2017; Miles-Chan et al., 2015).”
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“Continuous Haemodynamic Monitoring Beat-to-beat cardiovascular recordings were performed using a Task Force Monitor (TFM) (CNSystems), with data sampled at a rate of 1000 Hz, as previously described (Girona et al., 2014; Miles-Chan et al., 2015).”
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“Mean arterial pressure (MAP) was calculated as MAP = diastolic blood pressure +0.33 (systolic blood pressure – diastolic blood pressure) (Miles-Chan et al. 2015).”
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- Authors
- Miles-Chan, J. L., Charrière, N., Grasser, E. K., Montani, J.-P., & Dulloo, A. G.
- Affiliations
- University of Fribourg (CH)
- Corresponding author
- Miles-Chan, Jennifer L.
- Venue
- Physiological Reports
- Publisher
- Wiley
- Published
- 2015-02
- Volume
- 3
- Issue
- 2
- Pages
- e12290
- ISSN
- 2051-817X (ISSN-L)
- PMC
- PMC4393199
- OpenAlex
- W2102054167
- Cited by
- 42
- References
- 41
- Citations by year
- 2024: 1 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 6 · 2016: 7 · 2015: 1
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Physiological Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Swiss National Science Foundation (122554)
- Topics
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Keywords
- caffeine, blood pressure, hemodynamics, systemic vascular resistance, cardiac output, stroke volume, heart rate, rate-pressure product, taurine, glucuronolactone, B vitamins
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