The Relationship Between Coffee and Weight Management

Research Article
Open access

The Relationship Between Coffee and Weight Management

Xiang-Yun Chien 1*
  • 1 Kang Chiao International School    
  • *corresponding author julie.ya.886@gmail.com
Published on 26 December 2024 | https://doi.org/10.54254/2753-8818/2024.LA18887
TNS Vol.74
ISSN (Print): 2753-8826
ISSN (Online): 2753-8818
ISBN (Print): 978-1-83558-815-4
ISBN (Online): 978-1-83558-816-1

Abstract

Coffee, as the most popular beverage, contains a large number of bioactive compounds, particularly caffeine and chlorogenic acids, which have an impact on metabolism. It is widely known that black coffee can aid in weight management, and current research supports this claim through various mechanisms. This paper explores the complex relationship between coffee consumption and weight management, focusing on how bioactive compounds in coffee, particularly caffeine and chlorogenic acids, influence metabolic efficiency, appetite regulation, and body composition. Research suggests that coffee can enhance energy expenditure and fat oxidation, thereby supporting stable body weight management. Additionally, coffee's impact on glucose metabolism and nutrient absorption may play a role in modulating insulin sensitivity and overall metabolic health. The influence of coffee on gut microbiota is also examined, highlighting its potential to improve digestive health and nutrient utilization. This review synthesizes current findings to provide a comprehensive understanding of how regular coffee consumption can contribute to effective weight management strategies.

Keywords:

Coffee, weight management, caffeine, metabolic efficiency

Chien,X. (2024). The Relationship Between Coffee and Weight Management. Theoretical and Natural Science,74,128-135.
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1. Introduction

Coffee, a popular beverage worldwide, is recognized not only for its rich aroma and energizing benefits, but also for its possible effect on multiple facets of human health. Central to its effects are the bioactive compounds, particularly caffeine and chlorogenic acids, which have been the subject of extensive research. These compounds influence metabolic processes, weight management, nutrient absorption, and gut health, making coffee more than just a morning pick-me-up. Studies have shown that caffeine can boost metabolic efficiency by increasing energy expenditure and fat oxidation, contributing to stable body weight management. Furthermore, chlorogenic acids regulate glucose metabolism and nutrient absorption, which has consequences for the sensitivity of insulin and the overall health of the metabolism. Beyond metabolism, coffee's influence extends to the gut microbiota, promoting the development of beneficial bacteria and improving digestive health and nutrient utilization. This paper discusses these complex relationships between coffee, metabolism, and health in detail, aiming to provide readers with valuable insights and practical guidance for making informed choices.

2. Coffee and Chemical Reaction

2.1. Caffeine metabolism

Caffeine (C8H10N4O2) is a commonly used psychoactive substance found in beverages such as coffee, chocolate, and many soft drinks. Its metabolism is predominantly carried out in the liver, in which it is metabolized by the cytochrome P450 1A2 (CYP1A2) enzyme. The major metabolic process involves the demethylation of caffeine into 3 key metabolites: theobromine, paraxanthine, and theophylline, each with its own physiological effects. The primary metabolic reactions can be summarized by the following chemical equations:

C8H10N4O2 + O2 → C7H8N4O2 + CH4O + CO2.

These metabolites are produced through N-demethylation reactions catalyzed by CYP1A2. Paraxanthine is the most prevalent metabolite, 80% of the metabolism of caffeine is accounted for by it, and it is important for stimulating the central nervous system [1]. Theobromine and theophylline are responsible for diuretic effects and smooth muscle relaxation, respectively. The rate of caffeine metabolism varies significantly among individuals, largely due to genetic differences in the CYP1A2 gene. Variants such as CYP1A21A and CYP1A21F influence how quickly caffeine is broken down in the body [1]. Rapid metabolizers convert caffeine into its metabolites more efficiently, leading to a shorter duration of caffeine's effects, while slow metabolizers may retain caffeine in their system longer, increasing the potential for side effects like insomnia or anxiety. Environmental factors also influence caffeine metabolism. For example, smoking induces CYP1A2 enzyme activity, accelerating caffeine metabolism, whereas oral contraceptives inhibit this enzyme, slowing down the process and extending caffeine’s half-life [2]. The implications of these metabolic differences are significant. For instance, long-term exposure to high caffeine intake may put slow metabolizers at risk for cardiovascular problems, but rapid metabolizers may be less vulnerable to these dangers.

Therefore, caffeine metabolism involves complex biochemical pathways influenced by both genetic and environmental factors. The inclusion of chemical equations illustrates the metabolic transformations that occur, emphasizing the importance of individualized approaches to caffeine consumption based on metabolic variations.

2.2. The effects of caffeine on the body

Caffeine, as a central nervous system, stimulants affect various physiological processes in the body. Its main effects are on the cardiovascular system, where it increases blood pressure and heart rate by inhibiting adenosine receptors. The antagonistic activity of caffeine on both A1 and A2A receptors for adenosine, which typically cause vasodilation and lower neuronal excitability, is what causes this reaction.

Caffeine's influence on insulin sensitivity is particularly noteworthy. Research indicates that caffeine can acutely impair insulin sensitivity, potentially leading to higher blood glucose levels. A study published in Diabetes Care found that caffeine ingestion resulted in a 15% reduction in insulin sensitivity among healthy subjects, suggesting that caffeine may interfere with glucose uptake by cells [3]. The proposed mechanism involves caffeine-induced catecholamine release, which elevates plasma-free fatty acid levels, subsequently impairing insulin's effectiveness. Caffeine also stimulates metabolic rate and thermogenesis, which can promote fat oxidation and weight loss. It achieves this by increasing the release of catecholamines like adrenaline, which initiates lipolysis, the process that breaks down stored fat to free fatty acids. A study in The American Journal of Clinical Nutrition showed that caffeine can increase resting metabolic rate by 3-11% over 3 hours, depending on the dose and individual metabolic factors [3]. Caffeine is frequently found in supplements designed to help people lose weight because of its thermogenic effect. Caffeine is widely recognized for its ability to enhance cognitive function, particularly by improving alertness, attention, and reaction time. It does this by inhibiting the brain's adenosine receptors, delaying the onset of sleepiness, and boosting the release of neurotransmitters like norepinephrine and dopamine [4]. However, a person's baseline alertness and caffeine tolerance may have an impact on how well they perform cognitively.

Caffeine has a mild diuretic effect, which can lead to increased urine production. This is due to its action on the kidneys, where it inhibits sodium reabsorption, promoting fluid excretion. Additionally, long-term caffeine use has been connected to an increased risk for osteoporosis, especially in postmenopausal women, due to its ability to decrease calcium absorption and increase calcium excretion.

3. Coffee and Appetite

3.1. Physiological mechanism of coffee and appetite regulation

One of the most popular drinks in the world, coffee has been the subject of much research due to its impact on a number of physiological systems, including the regulation of appetite. The active compounds in coffee, particularly caffeine, chlorogenic acids, and other bioactive molecules interact with the body’s metabolic pathways and hormonal systems to influence hunger and satiety. It is commonly recognized that caffeine stimulates the central nervous system by blocking adenosine receptors. Catecholamines like noradrenaline and adrenaline are released more often as a result of this activity, which may enhance fat oxidation and energy expenditure. However, caffeine's role in appetite regulation appears to be more complex. Several studies suggest that caffeine may suppress appetite temporarily, leading to reduced food intake. This is thought to be mediated by its impact on the hypothalamus, a region of the brain that regulates hunger and energy balance.

The secretion of several hormonal peptides, including ghrelin, leptin, and peptide YY (PYY), which are involved in the regulation of appetite, is also influenced by coffee consumption. Ghrelin, often referred to as the "hunger hormone," is typically suppressed following caffeine intake, leading to a decrease in hunger signals [5]. On the other hand, leptin, which promotes satiety, may not be directly affected by caffeine but can be influenced by coffee's other bioactive compounds. PYY, a hormone that signals satiety to the brain, has been shown to increase following coffee consumption, particularly after meals, which may contribute to a prolonged feeling of fullness [5]. Chlorogenic acids, another major component of coffee, also play a significant role in appetite regulation. These compounds have been shown to slow down glucose absorption in the intestine, leading to lower postprandial blood glucose levels. This reduction in blood glucose can stabilize insulin levels, potentially reducing hunger and food intake. A study published in Wiley found that individuals consuming coffee enriched with chlorogenic acids experienced a reduced appetite and a lower desire to eat compared to those who consumed regular coffee [6]. Coffee drinking also affects the gut-brain axis, a two-way communication link between the central nervous system and the gastrointestinal tract. Coffee has been demonstrated to affect the gut flora and influence gut hormones, both of which can affect how appetite is regulated [6]. The bitter compounds in coffee may stimulate receptors in the gut that influence the release of appetite-regulating hormones, thus contributing to the overall feeling of fullness and reduced food intake.

In conclusion, coffee affects appetite regulation through multiple physiological mechanisms, including the modulation of central and peripheral pathways, hormone secretion, and glucose metabolism. These effects suggest that coffee could be a beneficial tool for appetite control, though individual responses may vary based on genetic and environmental factors.

3.2. Coffee intake and eating behavior

Numerous studies have demonstrated that coffee use might affect meal plans and dietary preferences. Studies show that coffee's ability to suppress appetite can cause people to postpone eating and consume less calories overall. Caffeine's stimulation of the central nervous system, which raises thermogenesis and affects appetite hormones like ghrelin and leptin, is mostly responsible for these effects. By temporarily reducing the sensation of hunger, caffeine can alter meal composition and encourage healthier food choices.

Changes in dietary preferences have also been connected to coffee consumption. Several studies reported that individuals who consumed coffee exhibited a preference for lower-fat and lower-sugar food options compared to non-coffee drinkers. The stimulating effects of caffeine may enhance cognitive control over dietary choices, leading to more health-conscious food selections. Moreover, the bitter taste of coffee has been suggested to influence taste perception and subsequent food preference, potentially reducing the desire for sweet flavors.

Long-term coffee drinking has been demonstrated to have a variety of effects on eating habits and body weight management. According to a study that was published in the European Journal of Clinical Nutrition, drinking coffee on a regular basis lowers the chance of gaining weight and becoming obese over time [7]. According to the study, people who regularly drank coffee had a higher likelihood of maintaining a constant body weight than people who didn't. Caffeine and chlorogenic acids, two bioactive substances in coffee that might speed up metabolism and encourage fat oxidation, are partially responsible for this impact [7]. It has been discovered that caffeine, in particular, increases thermogenesis—the process by which the body burns calories and produces heat—thereby increasing total energy expenditure [8]. Furthermore, coffee’s potential to modulate appetite also plays a significant role in long-term weight management. The bitter taste of coffee and its stimulating effects may help reduce hunger, leading to lower caloric intake throughout the day. Some studies suggest that coffee can influence satiety hormones, such as ghrelin and leptin, which regulate feelings of hunger and fullness. This appetite-suppressing effect, combined with increased metabolic activity, makes coffee a potentially valuable component of a weight management strategy. However, it is crucial to remember that individual factors, such as genetic predisposition, lifestyle choices, and the overall quality of one's diet, might affect how coffee affects weight.

Beyond direct physiological effects, coffee consumption may influence eating behavior through behavioral and psychological interactions. For instance, coffee's stimulating effects can enhance alertness and mood, potentially leading to changes in eating behavior such as reduced impulsivity and improved dietary control [9]. Conversely, the high caffeine content in coffee may also lead to increased cravings for sweet and high-calorie foods, which could counteract its appetite-suppressing effects [10].

4. Coffee and Metabolic Efficiency

The main ingredient in coffee, caffeine, stimulates the central nervous system and has a significant impact on metabolic efficiency. An increased resting metabolic rate (RMR) is indicative of increased energy expenditure brought on by this stimulus. Because of the increased resting metabolic rate (RMR), the body burns more energy, which promotes increased fat oxidation. A seminal study published in The American Journal of Clinical Nutrition demonstrated that caffeine intake leads to significant increases in RMR and fat oxidation, a finding that holds true across both lean and obese individuals [11]. According to the study, these effects are caused by caffeine's capacity to promote thermogenesis, the body's process of producing heat, and to release stored fat in adipose tissue, allowing it to be used as an energy source. This process is particularly beneficial for those looking to manage or reduce body fat, as it promotes the utilization of fat stores rather than relying solely on carbohydrate metabolism [11]. Furthermore, caffeine's ability to enhance lipolysis—the breakdown of fats—contributes to its reputation as a potent ergogenic aid, often included in weight loss supplements. The thermogenic effect of caffeine, which can raise RMR by 3-11%, depending on the dose and individual metabolic factors, underscores its role in metabolic efficiency and fat loss.

Long-term coffee consumption has been increasingly associated with stable body weight management, a phenomenon attributed to the bioactive compounds present in coffee, particularly caffeine and chlorogenic acids. According to research published in Molecular Nutrition & Food Research, these compounds play a crucial role in weight control by influencing several physiological processes [12]. Caffeine, known for its thermogenic properties, enhances the body's ability to generate heat, thereby increasing energy expenditure even at rest. Chlorogenic acids, on the other hand, have been shown to influence glucose metabolism and fat absorption, further contributing to weight management [12]. The study highlights that regular coffee consumption not only modulates appetite but also enhances fat oxidation, helping individuals maintain a stable body weight over time. This is especially significant when it comes to preventing obesity, since the study discovered a link between regular coffee consumption and a decreased risk of obesity. The combination of increased thermogenesis, appetite modulation, and enhanced fat oxidation creates a multi-faceted approach to weight management, making coffee a valuable component of a weight control strategy. Additionally, the study suggests that these effects are more pronounced in individuals who incorporate coffee as a regular part of their diet, rather than those who consume it sporadically, pointing to the benefits of consistent coffee consumption for long-term weight control.

Coffee's impact on nutrient absorption and insulin sensitivity presents a complex interaction with significant implications for metabolic health. The chlorogenic acids found in coffee are particularly noteworthy for their role in modulating glucose metabolism [13]. It has been demonstrated that these substances slow down the intestinal absorption of carbs, causing the blood to release glucose into the bloodstream more gradually. This impact can lower the chance of insulin resistance, which is a prelude to type 2 diabetes, and help to normalize blood sugar levels. A study published in Diabetes Care explored this phenomenon, revealing that regular coffee consumption can lead to lower postprandial blood glucose levels and improved insulin sensitivity. This suggests that coffee may play a protective role against metabolic disorders, particularly in individuals at risk for diabetes [13]. However, the polyphenols in coffee also have a downside: they can bind to certain minerals, such as iron, reducing their bioavailability and potentially leading to deficiencies if consumed in large quantities over time. This dual effect underscores the importance of a balanced approach to coffee consumption, where its benefits in glucose metabolism must be weighed against its potential to interfere with nutrient absorption [13]. Furthermore, the research highlights that the influence of coffee on insulin sensitivity might differ among individuals based on characteristics including genetics, lifestyle, and dietary habits, indicating that this is a multifaceted field of study with noteworthy consequences for customized nutrition.

Influencing everything from immune system performance to nutrient absorption, the gut microbiota—a varied collection of bacteria living in the gastrointestinal tract—plays a critical role in overall metabolic health. It has been demonstrated that coffee use influences this microbiota's makeup in a good way, especially by raising the number of helpful bacteria like Lactobacilli and Bifidobacteria. A more varied and balanced gut flora is linked to coffee use, according to research published in the European Journal of Nutrition. This is important for preserving metabolic efficiency and general health. The study suggests that the polyphenols and dietary fibers present in coffee serve as prebiotics, nourishing these beneficial bacteria and promoting their growth [14]. Stronger immune responses, better nutrition absorption, and better digestion can all result from this alteration of the gut microbiota. Moreover, the positive impact on gut health extends to metabolic outcomes, as a healthy microbiota is associated with better regulation of blood sugar levels and reduced inflammation, both of which are key factors in preventing metabolic disorders [14]. The study also points out that the benefits of coffee on gut microbiota are most pronounced with regular, moderate consumption, indicating that consistent coffee intake can be an effective strategy for supporting gut health and, by extension, overall metabolic well-being.

In summary, coffee affects metabolic efficiency, weight management, nutrient absorption, gut microbiota, and fat metabolism through various mechanisms. Caffeine and chlorogenic acids play pivotal roles in enhancing metabolic rates, improving weight management, and influencing nutrient absorption. Coffee’s impact on gut microbiota contributes to overall metabolic health, while its effects on fat metabolism and post-exercise recovery highlight its potential benefits for physical performance. To completely comprehend these processes and maximize the health and metabolic efficiency benefits of coffee, more research is required.

5. Clinical trials and risk analysis

5.1. Coffee intake and body weight change experiment

Coffee consumption has been scrutinized in numerous clinical trials for its potential effects on body weight, revealing mixed outcomes. A key meta-analysis published in Obesity Reviews assessed how coffee intake influences body weight by reviewing multiple clinical trials. Coffee consumption is linked to minor weight loss or weight maintenance, according to this research. This association is mostly explained by caffeine's ability to increase metabolic rate and encourage fat burning [15]. The findings suggest that regular coffee intake could be beneficial for weight management, though the effects are generally modest and may vary among individuals.

Another significant study published in the International Journal of Obesity investigated the impact of coffee consumption on weight management over an extended period. The research highlighted that regular coffee drinkers experienced a noticeable reduction in body weight compared to non-consumers [16]. Caffeine's capacity to raise energy expenditure and momentarily decrease hunger is linked to this weight loss, either through short-term weight loss or maintenance. The study does point out that a person's general lifestyle choices and baseline metabolic rate may have an impact on how much weight they lose. Risk analysis in these studies reveals important considerations. For instance, a long-term study published in Diabetes Care showed that although coffee consumption can help with weight management, too much of it might have negative effects like increased anxiety or disturbed sleep, which can have an indirect effect on weight [17]. The study also highlighted the possibility that individual differences, such as genetics and baseline metabolic rate, could impact the association between coffee consumption and weight change, highlighting the significance of customized dietary advice.

Overall, the results of clinical research indicate that moderate amounts of coffee may help with weight control; however, one should carefully evaluate the risk that comes with excessive use. To properly comprehend the long-term effects of coffee on body weight and to set safe intake standards, more research is needed.

5.2. The health problem of excessive consumption of coffee

Cardiovascular issues are a major health concern associated with excessive coffee use. Excessive caffeine intake has been linked to a higher risk of hypertension and cardiovascular disease, according to numerous research. High doses of caffeine can raise blood pressure momentarily, according to research, and may even have a role in the development of chronic hypertension [18]. This connection suggests that moderation is key to minimizing risks. The effect of excessive coffee drinking on digestive health is another significant worry. There is solid evidence linking excess consumption of coffee to gastrointestinal disorders such as peptic ulcers and acid reflux. The acidic nature of coffee and its stimulatory effect on gastric acid secretion can exacerbate these conditions, leading to discomfort and potential long-term health issues. This emphasizes the need to balance coffee consumption, especially for those prone to gastrointestinal problems.

Additionally, excessive coffee consumption can affect mental health. Anxiety, sleeplessness, and uneasiness were found to be correlated with high caffeine intake, according to a study published in the Journal of Psychopharmacology. Caffeine's stimulant effects can interfere with sleep cycles and raise stress and anxiety levels, all of which can be detrimental to one's general mental health [19]. Therefore, it's important to consider caffeine sensitivity when determining coffee intake levels. Furthermore, studies indicate that drinking too much coffee may cause problems with the health of your bones, such as a decrease in bone mineral density. Elevated doses of caffeine have been demonstrated to disrupt the absorption of calcium, which may elevate the risk of osteoporosis and fractures. This finding underlines the importance of considering long-term bone health when consuming large amounts of coffee.

In conclusion, while most people consider moderate coffee use to be harmless, excessive consumption can result in a number of health concerns, such as gastrointestinal disorders, cardiovascular disease, mental health issues, and possible effects on bone health. It is crucial to monitor and manage coffee consumption to mitigate these risks.

5.3. The safe amount that a particular group of people can ingest

Determining the safe amount of coffee consumption is crucial as it varies among different populations due to varying health conditions and physiological responses. Research highlights that while moderate coffee intake can be beneficial, excessive consumption may pose risks, particularly for certain groups.

For the general population, guidelines from the Dietary Guidelines for Americans suggest that up to 400 milligrams of caffeine per day, equivalent to about four 8-ounce cups of coffee, is considered safe for most adults. This quantity has been linked to a number of health advantages, such as enhanced cognitive performance and a lower chance of developing certain chronic illnesses. But each person's threshold for caffeine varies greatly.

Caffeine use during pregnancy should be kept to no more than 200 mg per day because of the possibility of miscarriage or problems with the fetus's growth. Excessive intake during pregnancy should be avoided to reduce these risks. For individuals with cardiovascular conditions, moderation is essential. While moderate coffee consumption is not linked to increased cardiovascular risk, excessive intake may worsen conditions such as hypertension or arrhythmias, especially in sensitive individuals. In elderly populations, concerns about bone health and potential interactions with medications highlight the importance of moderation. While moderate coffee drinking is generally safe, excessive consumption may negatively affect bone density and increase the risk of fracture.

In summary, while moderate coffee consumption is typically safe for most individuals, specific groups such as pregnant women, those with cardiovascular conditions, and the elderly should adhere to lower limits to avoid potential health risks. Personalized recommendations based on individual health status and lifestyle are essential for safe consumption.

6. Conclusion

In conclusion, coffee can be an effective tool in managing body weight due to its bioactive compounds, particularly caffeine and chlorogenic acids. These compounds stimulate thermogenesis, increase energy expenditure, enhance fat oxidation, and suppress appetite, contributing to potential weight loss and improved metabolic efficiency. Research has indicated that consistent coffee consumption can result in a slight decrease in body weight and help sustain a healthy weight over an extended period of time. However, while coffee’s benefits are promising, caution is necessary, as excessive consumption may lead to undesirable side effects. High coffee intake has been associated with cardiovascular issues, such as increased blood pressure, gastrointestinal disturbances like acid reflux, and mental health concerns such as heightened anxiety and insomnia. Furthermore, people with pre-existing diseases and pregnant women should be especially careful about how much coffee they consume. Overall, moderation is key when incorporating coffee into a weight management strategy, balancing its potential benefits with the risks associated with overconsumption.


References

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[2]. Nehlig, Astrid. (2018). Interindividual Differences in Caffeine Metabolism and Factors Driving Caffeine Consumption. Pharmacol. Rev., 70(2), 384-411. https://doi.org/10.1124/pr.117.014407

[3]. Petrie HJ, et al. (2004). Caffeine Ingestion Increases the Insulin Response to an Oral-Glucose Tolerance Test in Obese Men before and after Weight Loss. Am. J. Clin. Nutr., 81(1), 22-8. https://doi.org/10.1093/ajcn/80.1.22

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[5]. Kevin J Acheson, et al. Metabolic Effects of Caffeine in Humans: Lipid Oxidation or Futile Cycling? Am. J. Clin. Nutr., 79(1), 40-6. https://doi.org/10.1093/ajcn/79.1.40

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Cite this article

Chien,X. (2024). The Relationship Between Coffee and Weight Management. Theoretical and Natural Science,74,128-135.

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ISBN:978-1-83558-815-4(Print) / 978-1-83558-816-1(Online)
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References

[1]. Cornelis, Marilyn C., et al. (2016). Genome-Wide Association Study of Caffeine Metabolites Provides New Insights to Caffeine Metabolism and Dietary Caffeine-Consumption Behavior. Hum. Mol. Genet., 25(24), 5472-82.https://doi.org/10.1093/hmg/ddw334

[2]. Nehlig, Astrid. (2018). Interindividual Differences in Caffeine Metabolism and Factors Driving Caffeine Consumption. Pharmacol. Rev., 70(2), 384-411. https://doi.org/10.1124/pr.117.014407

[3]. Petrie HJ, et al. (2004). Caffeine Ingestion Increases the Insulin Response to an Oral-Glucose Tolerance Test in Obese Men before and after Weight Loss. Am. J. Clin. Nutr., 81(1), 22-8. https://doi.org/10.1093/ajcn/80.1.22

[4]. Astrid Nehlig, et al. (1992). Caffeine and the Central Nervous System: Mechanisms of Action, Biochemical, Metabolic and Psychostimulant Effects. Brain Res. Rev., 17(2), 139-70. https://doi.org/10.1016/0165-0173(92)90012-B

[5]. Kevin J Acheson, et al. Metabolic Effects of Caffeine in Humans: Lipid Oxidation or Futile Cycling? Am. J. Clin. Nutr., 79(1), 40-6. https://doi.org/10.1093/ajcn/79.1.40

[6]. Parke Wilde. (2009). Self-regulation and the response to concerns about food and beverage marketing to children in the United States. Nutr. Rev., 67(3), 155-66. https://doi.org/10.1111/j.1753-4887.2009.00183.x

[7]. Margetts, B M. (2009). Nutrient Intake and Patterns in the European Prospective Investigation into Cancer and Nutrition Cohorts from 10 European Countries. Eur. J. Clin. Nutr., 63(4), S1-S2. https://doi.org/10.1038/ejcn.2009.122

[8]. Lin, X., et al. (2010). The Effects of Phytosterols Present in Natural Food Matrices on Cholesterol Metabolism and LDL-Cholesterol: A Controlled Feeding Trial. Eur. J. Clin. Nutr., 64, 1481-7. https://doi.org/10.1038/ejcn.2010.180

[9]. Lone Ayoob, Alnawah AK, et al. (2023). Coffee Consumption Behavior in Young Adults: Exploring Motivations, Frequencies, and Reporting Adverse Effects and Withdrawal Symptoms. Psychol. Res. Behav., 16, 3925-7. https://doi.org/10.2147/PRBM.S427867

[10]. Papakonstantinou, Emilia, et al. (2022). Effects of Diet, Lifestyle, Chrononutrition and Alternative Dietary Interventions on Postprandial Glycemia and Insulin Resistance. Nutrients. 14(4), 823. https://doi.org/10.3390/nu14040823

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