Tuesday, 14 April 2015

Re: Post-exercise Consumption of Caffeine and Green Coffee Bean Extract Has No Effect on Blood Glucose or Insulin Concentrations


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  • Coffee (Coffea arabica, Rubiaceae)
  • Caffeine
  • Glucose
  • Insulin
Date: 04-15-2015 HC# 031561-518
Re: Post-exercise Consumption of Caffeine and Green Coffee Bean Extract Has No Effect on Blood Glucose or Insulin Concentrations
Beam JR, Gibson AL, Kerksick CM, Conn CA, White AC, Mermier CM. Effect of post-exercise caffeine and green coffee bean extract consumption on blood glucose and insulin concentrations. Nutrition. February 2015;31(2):292-297.
Coffee (Coffea arabica, Rubiaceae) is consumed throughout the world, and caffeine supplementation, a compound found in coffee, has been shown to improve exercise performance. However, it has also been reported to decrease the exercise-induced insulin sensitivity and glucose transport. Chlorogenic acid, a polyphenol compound found in green coffee beans, has been previously shown to have beneficial effects on glucose metabolism, such as elevated glucose disposal in humans, increased glucose delivery to skeletal muscle in vivo, and inhibition of liver gluconeogenesis. These mechanisms may result in the modulation of blood glucose concentrations. This randomized, double-blind, placebo-controlled clinical trial investigated the impact of ingesting dextrose together with either caffeine or green coffee bean extract (CoffeeGenic®; Life Extension; Fort Lauderdale, Florida) on glucose and insulin concentrations following a bout of submaximal cycling exercise.
This study enrolled 10 healthy male subjects ranging from 19 to 34 years old with an average maximum oxygen consumption (VO2 peak) of 55.9 ± 8.4 ml/kg/min and 5 ± 4 years of cycling experience. Subjects consumed caffeine regularly, with the weekly consumption of 2 coffee or tea (Camellia sinensis, Theaceae) drinks with caffeine, 5 or more soft drinks with caffeine, or any combination of these. Those under 18 or over 44 years old or with systemic or chronic diseases were excluded. Cycling experiments were conducted in triplicate following an overnight fast (12 hours), with a 1-2 week separation between each experiment. Subjects cycled for 30 minutes at 60% of peak power output or highest workload of exercise, and upon completion consumed 75 g of dextrose (NOW® Foods; Bloomingdale, Illinois) along with either 5 mg/kg body weight of caffeine (NuSci Institute & Corp.; Walnut, California), 10 mg/kg body weight of CoffeeGenic, or 5 mg/kg body weight of dextrose as a placebo.
VO2 peak was calculated at baseline with a cycling test. The protocol consisted of "70 [sic] W" and was then ramped up by 30 or 35 W/min. Heart rate and gas exchange were monitored, and when cycling decreased to 50 revolutions per minute, the test was stopped. Subjects were told to maintain fasting 12 hours before experimental tests (water excepted), record diet and exercise within 24 hours of the tests, maintain the same diet before each test to ensure consistency, maintain regular caffeine consumption, and refrain from alcohol usage and any extreme exercise (> 80% of maximum heart rate) within 24 hours of the test.  
Following the collection of a resting blood sample, a 5-minute warmup at 50% peak power was conducted. Subjects then cycled for 30 minutes at 60% peak power, and heart rate was measured. Blood was collected again after exercise was completed, and subjects were administered treatments or placebo along with the 75 g of dextrose mixed with 500 ml of water at room temperature. During the first hour following treatment, blood was collected from subjects in a sitting position every 15 minutes. Blood was collected every 30 minutes during the second hour. Blood samples were used for the measurement of glucose and insulin concentrations. Water consumption was allowed as needed, and cycling was done in a room maintained at 20-23°C with 20-30% humidity.
All subjects completed the study. The average age of subjects was 26.5 ± 5 years, average weight was 77.6 ± 13.3 kg, average body mass index was 24.0 ± 4.3 kg/m2, and average VO2 peak was 55.9 ± 8.4 ml/kg/min. During each test, the average power expended was 235 ± 30 W or 60% ± 2% of peak power expenditure. The heart rates among subjects were not significantly different. No differences were observed in glucose or insulin concentrations among groups, including no significant effect of time × treatment or area under the curve (AUC).
This study did not observe any significant effects on blood glucose or insulin concentrations as a result of green coffee bean extract or caffeine consumption. This is in agreement with previous studies that examined the effect of caffeine and carbohydrate consumption after exercise and also found no effect. However, the authors admit to several limitations, including the small sample size, caffeine content in the green coffee bean extract (~12 mg per 400 mg capsule), and the timing of treatment administration. The authors also mention that measurement of glycogen stores in skeletal muscle samples would have strengthened the results. Other stated confounding factors include variation of impacts on fitness among individuals and effects of dextrose consumption on glucose and insulin concentrations; however, as all subjects consumed dextrose, presumably any effects would be uniform among groups. Additionally, further research is needed to establish if a more real-life test protocol, such as removal of the 12-hour fast prior to extreme exercise, would offer different results. In conclusion, neither treatment resulted in a statistically significant effect on glucose or insulin concentrations within 2 hours following exercise.
Amy C. Keller, PhD