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image of Effect of Caffeine and Soda Consumption on the Level of Serum Electrolytes and Hepatic Enzymes in Healthy Population of Punjab: A Cross-Sectional Analysis

Abstract

Introduction

The habitual consumption of caffeine and soda drinks is very high among the global population and has increased substantially in Pakistan in the last few decades.

Objective

The effect of caffeine and soda drink consumption on the levels of various hepatic enzymes (AST, ALT, and ALP) and serum electrolytes (calcium and phosphorus) was estimated in the healthy population of Punjab.

Methods

The cross-sectional analysis included 174 healthy caffeine and soda drink consumers, whose caffeine and soda consumption were determined using a food-frequency questionnaire. The serum levels of electrolytes (calcium and phosphorus) and hepatic enzymes (ALT, AST, ALP) were assessed using kits. Regression analyses were performed to establish the effect of caffeine and sodas on serum parameters.

Results

Serum phosphorus (3.24 mg/dl ± 1.193) and ALP (198.5 U/L ± 67.3) levels decreased with increased caffeine consumption, whereas higher soda intake elevated serum phosphorus (3.26 mg/dL ± 1.149) and ALP (198.9 U/L ± 67.7) levels. Serum calcium, AST and ALT activities were unaffected by the increased consumption of caffeine and sodas. However, the combined intake of soda and caffeine consumption showed a positive correlation (<0.039) with the serum ALP activity.

Conclusion

The findings of the current study suggest that increased caffeine and soda consumption may impact metabolic pathways and may result in altered serum electrolytes or hepatic enzymes. However, cohort or longitudinal studies with large sample populations must be carried out for more precise conclusion that can be projected to dietary guidelines and can be used as a benchmark for public health policy.

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2025-05-15
2025-09-29
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References

  1. Jahrami H. Al-Mutarid M. Penson P.E. Al-Islam Faris M. Saif Z. Hammad L. Intake of caffeine and its association with physical and mental health status among university students in Bahrain. Foods 2020 9 4 473 10.3390/foods9040473 32290044
    [Google Scholar]
  2. Manan A. Shahid B. Sultan A. Ahmed U.I. Consumer demand for beverages in Pakistan. Cercet. Agron. Mold. 2017 50 2 109 120 10.1515/cerce‑2017‑0020
    [Google Scholar]
  3. Datta B.K. Husain M.J. Carbonating the household diet: A pakistani tale. Public Health Nutr. 2020 23 9 1629 1637 10.1017/S1368980019004348 32192551
    [Google Scholar]
  4. Ruxton C.H.S. The impact of caffeine on mood, cognitive function, performance and hydration: A review of benefits and risks. Nutr. Bull. 2008 33 1 15 25 10.1111/j.1467‑3010.2007.00665.x
    [Google Scholar]
  5. Trevitt J. Kawa K. Jalali A. Larsen C. Differential effects of adenosine antagonists in two models of parkinsonian tremor. Pharmacol. Biochem. Behav. 2009 94 1 24 29 10.1016/j.pbb.2009.07.001 19602422
    [Google Scholar]
  6. Temple J.L. Bernard C. Lipshultz S.E. Czachor J.D. Westphal J.A. Mestre M.A. The safety of ingested caffeine: A comprehensive review. Front. Psychiatry 2017 8 80 10.3389/fpsyt.2017.00080 28603504
    [Google Scholar]
  7. Saldana T.M. Basso O. Darden R. Sandler D.P. Carbonated beverages and chronic kidney disease. Epidemiology 2007 18 4 501 506 10.1097/EDE.0b013e3180646338 17525693
    [Google Scholar]
  8. Ludwig I.A. Clifford M.N. Lean M.E.J. Ashihara H. Crozier A. Coffee: Biochemistry and potential impact on health. Food Funct. 2014 5 8 1695 1717 10.1039/C4FO00042K 24671262
    [Google Scholar]
  9. Wadhawan M. Anand A.C. Coffee and liver disease. J. Clin. Exp. Hepatol. 2016 6 1 40 46 10.1016/j.jceh.2016.02.003 27194895
    [Google Scholar]
  10. Zagorsky J.L. Smith P.K. Who drinks soda pop? Economic status and adult consumption of sugar-sweetened beverages. Econ. Hum. Biol. 2020 38 100888 10.1016/j.ehb.2020.100888 32408248
    [Google Scholar]
  11. Schulze M.B. Manson J.E. Ludwig D.S. Colditz G.A. Stampfer M.J. Willett W.C. Hu F.B. Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 2004 292 8 927 934 10.1001/jama.292.8.927 15328324
    [Google Scholar]
  12. Winkelmayer W.C. Stampfer M.J. Willett W.C. Curhan G.C. Habitual caffeine intake and the risk of hypertension in women. JAMA 2005 294 18 2330 2335 10.1001/jama.294.18.2330 16278361
    [Google Scholar]
  13. Tahmassebi J.F. BaniHani A. Impact of soft drinks to health and economy: A critical review. Eur. Arch. Paediatr. Dent. 2020 21 1 109 117 10.1007/s40368‑019‑00458‑0 31177478
    [Google Scholar]
  14. Chen L. Liu R. Zhao Y. Shi Z. High consumption of soft drinks is associated with an increased risk of fracture: A 7-year follow-up study. Nutrients 2020 12 2 530 10.3390/nu12020530 32092922
    [Google Scholar]
  15. Shimony M.K. Schliep K.C. Schisterman E.F. Ahrens K.A. Sjaarda L.A. Rotman Y. Perkins N.J. Pollack A.Z. Wactawski-Wende J. Mumford S.L. The relationship between sugar-sweetened beverages and liver enzymes among healthy premenopausal women: A prospective cohort study. Eur. J. Nutr. 2016 55 2 569 576 10.1007/s00394‑015‑0876‑3 25801628
    [Google Scholar]
  16. Amato D. Maravilla A. Montoya C. Gaja O. Revilla C. Guerra R. Paniagua R. Acute effects of soft drink intake on calcium and phosphate metabolism in immature and adult rats. Rev. Invest. Clin. 1998 50 3 185 189 9763881
    [Google Scholar]
  17. Tenenhouse H.S. Gauthier C. Martel J. Gesek F.A. Coutermarsh B.A. Friedman P.A. Na+ -phosphate cotransport in mouse distal convoluted tubule cells: Evidence for Glvr-1 and Ram-1 gene expression. J. Bone Miner. Res. 1998 13 4 590 597 10.1359/jbmr.1998.13.4.590 9556059
    [Google Scholar]
  18. Berman N.K. Honig S. Cronstein B.N. Pillinger M.H. The effects of caffeine on bone mineral density and fracture risk. Osteoporos. Int. 2022 33 6 1235 1241 10.1007/s00198‑021‑05972‑w 34981132
    [Google Scholar]
  19. Heaney R.P. Effects of caffeine on bone and the calcium economy. Food Chem. Toxicol. 2002 40 9 1263 1270 10.1016/S0278‑6915(02)00094‑7 12204390
    [Google Scholar]
  20. Reddy VS Shiva S Manikantan S Ramakrishna S Pharmacology of caffeine and its effects on the human body. Europ. J. Med. Chem. Rep. 2024 10 100138 10.1016/j.ejmcr.2024.100138
    [Google Scholar]
  21. Daneshvar-Ghahfarokhi S. Ayoobi F. Ahmadinia H. Vazirinejad R. Mohammadi-Shahrokhi V. Investigating the relationship between liver health status with coffee and tea consumption in participants referred to the Rafsanjan Cohort study in Iran. Sci. Rep. 2024 14 1 28461 10.1038/s41598‑024‑79929‑4 39557974
    [Google Scholar]
  22. Al-Othman A. Al-Musharaf S. Al-Daghri N.M. Yakout S. Alkharfy K.M. Al-Saleh Y. Al-Attas O.S. Alokail M.S. Moharram O. Sabico S. Kumar S. Chrousos G.P. Tea and coffee consumption in relation to vitamin D and calcium levels in Saudi adolescents. Nutr. J. 2012 11 1 56 10.1186/1475‑2891‑11‑56 22905922
    [Google Scholar]
  23. Emmanuel A. Majesty D. Benjamin A. Peter A. Princess U. Effect of caffeine on some selected biochemical parameters using rat model. Adv. Biol. 2017 2017 1 8 10.1155/2017/9303276
    [Google Scholar]
  24. Amah U.K. Analike A.R. Uzodinma S.S. Ogbodo C.E. Nnamdi C.J. Njoku C.M. Agudi C.C. Amah A.K. Obi-Ezeani C.N. Effect of coffee consumption on liver enzymes (alanine transaminase, aspartate transaminase and alkaline phosphatase), total and conjugated bilirubin levels among students in Nnewi. Int. J. Res. Med. Sci. 2020 8 10 3488 10.18203/2320‑6012.ijrms20204221
    [Google Scholar]
  25. Guth I. Matos-Pardal C.F. Ferreira-Lima R. Loureiro-Rebouças R. Sobral A.C. Moraes-Marques C.A. Kubrusly L.F. Caffeine attenuates liver damage and improves neurologic signs in a rat model of hepatic encephalopathy. Rev. Gastroenterol. Mex. 2022 87 2 159 169 10.1016/j.rgmxen.2022.03.004 35610169
    [Google Scholar]
  26. Aldaraji M. Al-Azzawi T. Rasheed M. Sarhan M. Jaber A. Saidani T. Rashid T. Investigating the effect of consuming soft drinks on the liver and kidney functions of a sample from the Iraqi community. Salam J. Eng. Tech. 2023 2 1 103 108 10.55145/ajest.2023.01.01.0012
    [Google Scholar]
  27. Lebda M.A. Tohamy H.G. El-Sayed Y.S. Long-term soft drink and aspartame intake induces hepatic damage via dysregulation of adipocytokines and alteration of the lipid profile and antioxidant status. Nutr. Res. 2017 41 47 55 10.1016/j.nutres.2017.04.002 28465000
    [Google Scholar]
  28. Nisar T. Lodhi A. Imran M. Khalil A.A. Gilani S.A. Ali S.W. Amir R.M. Effect of carbonated drinks on biochemical parameters of rat serum. J Environ Agr Sci 2018 14 31 38
    [Google Scholar]
  29. Raj A. Praveen K.V. Varghese S. Mukkadan J.K. Joseph P.K. Biochemical effects of feeding soft drink and ethanol. Indian J. Exp. Biol. 2009 47 5 333 337 19579797
    [Google Scholar]
  30. Lee J. Kim H. Kim J. Coffee consumption and the risk of obesity in Korean women. Nutrients 2017 9 12 1340 1352 10.3390/nu9121340 29292767
    [Google Scholar]
  31. Muhammad H.F.L. Sulistyoningrum D.C. Huriyati E. Lee Y.Y. Manan Wan Muda W.A. The interaction between coffee: Caffeine consumption, UCP2 gene variation, and adiposity in adults—A cross-sectional study. J. Nutr. Metab. 2019 2019 1 7 10.1155/2019/9606054 30719347
    [Google Scholar]
  32. Bouchard D.R. Ross R. Janssen I. Coffee, tea and their additives: Association with BMI and waist circumference. Obes. Facts 2010 3 6 345 352 10.1159/000322915 21196787
    [Google Scholar]
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  • Article Type:
    Research Article
Keywords: ALT ; Caffeine ; AST ; phosphorus ; soda drinks ; calcium ; alkaline phosphatase
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