Caffeine as an Ergogenic Aid: A Literature Review of Mechanisms of Action, Performance Effects and Safety Thresholds
DOI:
https://doi.org/10.12775/QS.2025.43.61460Keywords
caffeine, ergogenic aid, mechanism of action, physical performance, safety, supplementationAbstract
Abstract
Background: Caffeine is the most widely consumed psychoactive substance worldwide, that can be found in coffee, tea, energy drinks, and dietary supplements. Numerous studies have confirmed caffeine’s potential to decrease fatigue and increase performance. However, optimal dosing strategies and safety profiles across diverse athletic populations remain under active investigation.
Aim: This study present the current knowledge on the prevalence of caffeine consumption, its physiological mechanisms, its impact on physical performance, and the potential risks associated with its use.
Material and methods. A literature review of studies published in the PubMed and Google Scholar databases was conducted, analyzing the prevalence of caffeine intake, its physiological mechanisms, effects on physical performance, and associated harms.
Results. Caffeine supplementation, ingested approximately 60 minutes before exercise enhance endurance performance. In strength assessments, caffeine has been found to enhance 1RM (bench press, squat, deadlift). However caffeine also has adverse effects, including tremors, tachycardia, gastrointestinal discomfort and in some cases, cardiac arrhythmias, that can occur at doses exceeding 7 mg/kg. Caffeine metabolism can affected by genetic polymorphism, hormonal modulators and age-related factors, influence caffeine’s half-life and risk of accumulation.
Conclusions. Caffeine supplementation at 3–6 mg/kg is an effective and generally safe ergogenic enhancer for increasing endurance and muscular strength. However, the narrow margin between optimal and toxic doses can be different at various population. Future research should focus on long-term safety of caffeine supplementation, the factors of inter-individual variability to caffeine safety and potential interactions with other performance-enhancing compounds.
References
Temple JL, Bernard C, Lipshultz SE, Czachor JD, Westphal JA, Mestre MA. The safety of ingested caffeine: a comprehensive review. Front Psychiatry. 2017;8:80. https://doi.org/10.3389/fpsyt.2017.00080
Frary CD, Johnson RK, Wang MQ. Food sources and intakes of caffeine in the diets of persons in the United States. J Am Diet Assoc. 2005;105(1):110–3. https://doi.org/10.1016/j.jada.2004.10.027
Ferré S. Mechanisms of the psychostimulant effects of caffeine: implications for substance use disorders. Psychopharmacology (Berl). 2016;233(10):1963–79. https://doi.org/10.1007/s00213-016-4212-2
Guest NS, VanDusseldorp TA, Nelson MT, Grgic J, Schoenfeld BJ, Jenkins NDM, et al. International society of sports nutrition position stand: caffeine and exercise performance. J Int Soc Sports Nutr. 2021;18(1):1. https://doi.org/10.1186/s12970-020-00383-4
Echeverri D, Montes FR, Cabrera M, Galán A, Prieto A. Caffeine’s vascular mechanisms of action. Int J Vasc Med. 2010;2010:834060. https://doi.org/10.1155/2010/834060
Mielgo-Ayuso J, Marques-Jiménez D, Refoyo I, Del Coso J, León-Guereño P, Calleja-González J. Effect of caffeine supplementation on sports performance based on differences between sexes: a systematic review. Nutrients. 2019;11(10):2313. https://doi.org/10.3390/nu11102313
Fisone G, Borgkvist A, Usiello A. Caffeine as a psychomotor stimulant: mechanism of action. Cell Mol Life Sci. 2004;61(7–8):857–72. https://doi.org/10.1007/s00018-003-3269-3
Cappelletti S, Daria P, Sani G, Aromatario M. Caffeine: cognitive and physical performance enhancer or psychoactive drug? Curr Neuropharmacol. 2015;13(1):71–88. https://doi.org/10.2174/1570159X13666141210215655
Reddy VS, Shiva S, Manikantan S, Ramakrishna S. Pharmacology of caffeine and its effects on the human body. Eur J Med Chem Rep. 2024;10:100138. https://doi.org/10.1016/j.ejmcr.2024.100138
Boularan C, Gales C. Cardiac cAMP: production, hydrolysis, modulation and detection. Front Pharmacol. 2015;6:203. https://doi.org/10.3389/fphar.2015.00203
Rao YJ, Xi L. Pivotal effects of phosphodiesterase inhibitors on myocyte contractility and viability in normal and ischemic hearts. Acta Pharmacol Sin. 2008;30(1):1–24. https://doi.org/10.1038/aps.2008.1
Barcelos RP, Lima FD, Carvalho NR, Bresciani G, Royes LF. Caffeine effects on systemic metabolism, oxidative‐inflammatory pathways, and exercise performance. Nutr Res. 2020;80:1–17. https://doi.org/10.1016/j.nutres.2020.05.005
Acheson KJ, Gremaud G, Meirim I, Montigon F, Krebs Y, Fay LB, et al. Metabolic effects of caffeine in humans: lipid oxidation or futile cycling? Am J Clin Nutr. 2004;79(1):40–6. https://doi.org/10.1093/ajcn/79.1.40
Laurent D, Schneider KE, Prusaczyk WK, Franklin C, Vogel SM, Krssak M, et al. Effects of caffeine on muscle glycogen utilization and the neuroendocrine axis during exercise. J Clin Endocrinol Metab. 2000;85(6):2170–5. https://doi.org/10.1210/jcem.85.6.6655
Wang Z, Qiu B, Gao J, Del Coso J. Effects of caffeine intake on endurance running performance and time to exhaustion: a systematic review and meta-analysis. Nutrients. 2022;15(1):148. https://doi.org/10.3390/nu15010148
Southward K, Rutherfurd-Markwick KJ, Ali A. The effect of acute caffeine ingestion on endurance performance: a systematic review and meta‐analysis. Sports Med. 2018;48(8):1913–28. https://doi.org/10.1007/s40279-018-0939-8
Bilondi HT, Valipour H, Khoshro S, Jamilian P, Ostadrahimi A, Zarezadeh M. The effect of caffeine supplementation on muscular strength and endurance: a meta‐analysis of meta‐analyses. Heliyon. 2024;10(15):e35025. https://doi.org/10.1016/j.heliyon.2024.e35025
Grgic J, Lazinica B, Schoenfeld BJ, Pedisic Z. Test–retest reliability of the one-repetition maximum (1RM) strength assessment: a systematic review. Sports Med Open. 2020;6(1):1. https://doi.org/10.1186/s40798-020-00260-z
Szaflik P, Zadoń H, Michnik R, Nowakowska‐Lipiec K. Handgrip strength as an indicator of overall strength and functional performance—a systematic review. Appl Sci. 2025;15(4):1847. https://doi.org/10.3390/app15041847
Ferreira L, Forbes S, Barros M, Smolarek A, Enes A, Lancha-Junior A, et al. High doses of caffeine increase muscle strength and calcium release in the plasma of recreationally trained men. Nutrients. 2022;14(22):4921. https://doi.org/10.3390/nu14224921
Soós R, Gyebrovszki Á, Tóth Á, Jeges S, Wilhelm M. Effects of caffeine and caffeinated beverages in children, adolescents and young adults: short review. Int J Environ Res Public Health. 2021;18(23):12389. https://doi.org/10.3390/ijerph182312389
Willson C. The clinical toxicology of caffeine: a review and case study. Toxicol Rep. 2018;5:1140–52. https://doi.org/10.1016/j.toxrep.2018.11.002
Wierzejska RE, Gielecińska I. Evaluation of the caffeine content in servings of popular coffees in terms of its safe intake—can we drink 3–5 cups of coffee per day, as experts advise? Nutrients. 2024;16(15):2385. https://doi.org/10.3390/nu16152385
Rodak K, Kokot I, Kratz EM. Caffeine as a factor influencing the functioning of the human body—friend or foe? Nutrients. 2021;13(9):3088. https://doi.org/10.3390/nu13093088
Gahona CCT, Bharadwaj AK, Shah M, Bhagat U, Sterman P, Vasquez W. Treatment of lethal caffeine overdose with haemodialysis: a case report and review. J Crit Care Med. 2022;8(4):279–87. https://doi.org/10.2478/jccm-2022-0019
Yamamoto T, Yoshizawa K, Kubo S ichi, Emoto Y, Hara K, Waters B, et al. Autopsy report for a caffeine intoxication case and review of the current literature. J Toxicol Pathol. 2015;28(1):33–6. https://doi.org/10.1293/tox.2014-0044
WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016. Available from: https://pubmed.ncbi.nlm.nih.gov/28079998
Qian J, Chen Q, Ward SM, Duan E, Zhang Y. Impacts of caffeine during pregnancy. Trends Endocrinol Metab. 2020;31(3):218–27. https://doi.org/10.1016/j.tem.2019.11.004
Bracken MB. Association of maternal caffeine consumption with decrements in fetal growth. Am J Epidemiol. 2003;157(5):456–66. https://doi.org/10.1093/aje/kwf220
Shen JG, Brooks MB, Cincotta J, Manjourides JD. Establishing a relationship between the effect of caffeine and duration of endurance athletic time trial events: a systematic review and meta-analysis. J Sci Med Sport. 2019;22(2):232–8. https://doi.org/10.1016/j.jsams.2018.07.022
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