Evidence map›Paper›PMID 25833779›Full record

ArticleThe Journal of nutrition2015

Urine excretion of caffeine and select caffeine metabolites is common in the U.S. population and associated with caffeine intake.

Michael E Rybak, Maya R Sternberg, Ching-I Pao, Namanjeet Ahluwalia, Christine M Pfeiffer

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  19. Quantification of pharmaceuticals in the sealant fluids of actively used waterless urinals.Water environment research : a research publication of the Water Environment Federation · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Michael E RybakNational Center for Environmental Health, CDC, Atlanta, GA; and mrybak@cdc.gov.
Maya R SternbergNational Center for Environmental Health, CDC, Atlanta, GA; and.
Ching-I PaoNational Center for Environmental Health, CDC, Atlanta, GA; and.
Namanjeet AhluwaliaNational Center for Health Statistics, CDC, Hyattsville, MD.
Christine M PfeifferNational Center for Environmental Health, CDC, Atlanta, GA; and.
National Center for Environmental Health · USNational Center for Health Statistics · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundCaffeine is a widely consumed psychoactive stimulant and is of epidemiologic interest. Major sources of caffeine are challenging to standardize, and the use of biomarkers is proposed as an alternative means of assessing intake.

objectiveWe described urine caffeine and caffeine metabolite concentrations (n = 2466) and excretion rates (n = 2261) in the US population ≥6 y by age, sex, race-ethnicity, and caffeine intake (from foods, beverages, and dietary supplements).

methodsWe measured caffeine and 14 of its metabolites in spot urine samples from the cross-sectional NHANES 2009-2010 by use of LC-tandem mass spectrometry.

resultsCaffeine and its metabolites were detectable in the urine of most persons, generally at concentrations ≥1 μmol/L. Median concentrations (95% CI) ranged from 0.560 (0.497, 0.620) μmol/L to 58.6 (48.6, 67.2) μmol/L; median excretion rates from 0.423 (0.385, 0.468) nmol/min to 46.0 (40.7, 50.2) nmol/min. Urine concentrations and excretion rates for 9 analytes (caffeine, theophylline, paraxanthine, 1-methylxanthine, 1-methyluric acid, 1,3-dimethyluric acid, 1,7-dimethyluric acid, 1,3,7-trimethyluric acid, and 5-acetylamino-6-amino-3-methyluracil) had moderate correlations with caffeine intake (Spearman ρ = 0.55-0.68, P < 0.0001); the remaining analytes had low correlations (ρ = 0.15-0.33, P < 0.0001). We observed larger differences in geometric mean concentrations and excretion rates between the highest vs. lowest quartiles of caffeine intake for these 9 compounds than the rest. Consistent with dietary caffeine intake, we observed that urine concentrations and excretion rates for most compounds were significantly (P < 0.05) higher in men than women, non-Hispanic whites than Hispanics and non-Hispanic blacks, and highest in persons aged 40-59 y.

conclusionExcretion of caffeine and its metabolites in urine is common in the US population. According to the observed associations between spot urine concentrations or excretion rates with caffeine intake, several of these compounds show promise as potential biomarkers of caffeine intake.

Indexed as

AdolescentAdultBiomarkersBlack or African AmericanCaffeineChildChromatography, LiquidCross-Sectional StudiesFemaleHispanic or LatinoHumansMaleMiddle AgedNutrition SurveysTandem Mass SpectrometryTheophylline1,3,7-trimethyluric acid1,3-dimethyluric acid1,7-dimethyluric acid1,7-dimethylxanthine1-methyluric acid1-methylxanthine5-acetylamino-6-amino-3-methyluracilBiomarkersCaffeineTheophyllineUracilUric AcidXanthinesbiomarkerscaffeinedietary intakeLC-MS/MSmetabolitesNHANESphenotypingurine

Identifiers

PMID25833779
PMCPMC5724768
OpenAlexW2077328922

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.