Evidence map›Paper›PMID 34150383›Full record

ReviewCureus2021

The Neurophysiology of Caffeine as a Central Nervous System Stimulant and the Resultant Effects on Cognitive Function.

Brian Fiani, Lawrence Zhu, Brian L Musch, Sean Briceno, Ross Andel, Nasreen Sadeq, Ali Z Ansari

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
12.4field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. International journal of molecular sciences · 2025
    Pooled it
  4. Effect of Guarana (Nutrients · 2023
    Pooled it
  5. Neurovascular-immune mediator dynamics in migraine: State-dependent effects of caffeine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Curiositas - Medicine in the Kitchen.The Ulster medical journal · 2026
    Article
  11. Liberica Coffee (Molecules (Basel, Switzerland) · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Association between caffeine intake and fat free mass index: a retrospective cohort study.Journal of the International Society of Sports Nutrition · 2025
    Article
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

7 authors at 5 institutions in 1 country.

Brian FianiNeurosurgery, Desert Regional Medical Center, Palm Springs, USA.
Lawrence ZhuCollege of Osteopathic Medicine, New York Institute of Technology, Glen Head, USA.
Brian L MuschCollege of Osteopathic Medicine, William Carey University, Hattiesburg, USA.
Sean BricenoCollege of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Ross AndelSchool of Aging Studies, University of South Florida, Tampa, USA.
Nasreen SadeqCollege of Behavioral and Community Sciences, University of South Florida, Tampa, USA.
Ali Z AnsariCollege of Osteopathic Medicine, William Carey University, Hattiesburg, USA.
University of South Florida · USWilliam Carey University · USDesert Regional Medical Center · USLake Erie College of Osteopathic Medicine · USNew York Institute of Technology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caffeine is one of the world's most consumed drugs. According to the Washington Post (2015), two billion cups of coffee are consumed per day worldwide. Caffeine is classified as a central nervous system (CNS) stimulant and an organic molecule called methylxanthine. Caffeine has three notable mechanisms of action on the CNS that produce a psychostimulant effect. These effects are responsible for the effect that caffeine has on cognitive function. The effects of caffeine consumption on cognitive function have been demonstrated across several studies involving humans and animals. With the immense number of people consuming caffeine around the world, it is of vital importance to study the effects that this drug has on people's cognitive function. This literature review provides useful insights on this question through the analysis of caffeine's effects on cognitive function, along with information on caffeine's three modes of action. The findings of recent studies show mixed results regarding the effects of caffeine on mood, attention, processing speed, and memory. Current research suggests that if caffeine does have an effect on mood, the most significant changes may be anxiety. Studies did not support caffeine as having any significant effect on attention, but that it did play a role in enhancing processing speed. The majority of the studies reviewed suggest caffeine as having a significant positive effect on both short and long-term memory in adults and the elderly. Current findings warrant continued research on the association of caffeine and the resultant effects on cognitive function.

Indexed as

cognitive performancefluid intelligencemental alertnessmethylxanthinemood and anxietyreaction time

Identifiers

PMID34150383
PMCPMC8202818
OpenAlexW3161069401

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.