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The suitability of caffeinated drinks for children: a systematic review of randomised controlled trials,
1Nutrition Communications, Cupar, UK.
Insights
High caffeine intake in children poses risks like anxiety, but moderate amounts may aid cognition. Health authorities recommend limiting daily caffeine to 2.5 mg per kg body weight for children and adolescents.
Area of Science:
- Pediatric Nutrition
- Adolescent Health
- Behavioral Science
Background:
- Rising availability of caffeinated beverages prompts concern regarding appropriate caffeine consumption levels for children.
- The potential benefits and risks of caffeine intake in pediatric populations require thorough investigation.
Purpose of the Study:
- To systematically review evidence on the effects of caffeine on children's cognition, behavior, mood, and exercise performance.
- To evaluate randomized controlled trials and discuss observational studies and expert guidelines concerning pediatric caffeine consumption.
Main Methods:
- Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Inclusion of evidence from randomized controlled trials, observational studies, and expert panel guidelines.
Main Results:
- High caffeine intake (>5 mg/kg/day) is linked to increased anxiety and withdrawal symptoms in children.
- Moderate caffeine intake may offer cognitive and sports performance benefits, drawing parallels from adult studies.
- Recommended daily caffeine limit for children and adolescents is 2.5 mg/kg body weight, achievable through 1-2 cups of tea or a small coffee.
Conclusions:
- Further research is necessary to precisely define risky caffeine intake levels for children.
- Investigating potential benefits of moderate caffeine intake on alertness and sports performance in pediatric populations is warranted.
Background:
The increased availability of caffeinated drinks raises questions about the level of caffeine that is appropriate for children, as well as the benefits and risks associated with their consumption.
Methods:
Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, this systematic review evaluates evidence from randomised controlled trials investigating the effects of caffeine on cognition, behaviour, mood and exercise performance in children. Observational studies and expert panel guidelines are also discussed.
Results:
One hundred and nine studies were found, with 11 randomised controlled trials and 13 observational studies meeting the criteria. High caffeine intakes (e.g. >5 mg kg(-1) body weight day(-1)) were associated with an increased risk of anxiety and withdrawal symptoms. However, smaller amounts were not linked with such effects and may benefit cognitive function and sports performance based on adult studies. The evidence suggests that children and adolescents should limit daily caffeine consumption to 2.5 mg kg(-1) body weight day(-1), equating to one or two cups of tea or one small cup of coffee. Lower contributors of caffeine, such as tea, may be more appropriate for children because they contribute to daily fluid intakes and provide flavonoids. By contrast, caffeinated soft drinks may be less suitable options for children as a result of their acidity, higher caffeine content, presence of added sugar (in some cases) and absence of bioactive compounds.
Conclusions:
More studies are needed to determine the intakes that represent a risk and whether there may be benefits for alertness and sports performance with moderate intakes of caffeine.
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