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Caffeine Conundrum: The Need for FDA Regulation
Perusing the shelves of any large grocery store reveals an abundance of caffeinated
products; ones with caffeine occurring naturally, such as coffee, tea and chocolate, as well those
as with the substance added. Within the past several years products containing added caffeine
have expanded from including not just carbonated beverages and supplements, but also water,
waffles, beef jerky, pancake syrup, cosmetics, personal hygiene products, candies, gums, and
other food and non-food items. Although caffeine is officially classified as a safe supplement,
much is still unknown about its effects both physically and psychologically. Due to the
overabundance of caffeine and recent studies linking certain disorders to its use, the Food and
Drug Administration (FDA) should update its policies regarding caffeine as a supplemental
additive. Caffeine needs to be regulated for the health and safety of the consumer.
This paper is broken into four sections, a description of caffeine and its effects, the
reasons caffeine should be regulated, ways that caffeine could be regulated, and the impact
regulation might have upon society.
1. Caffeine and its effects
According to a report by the FDA, the average American consumes approximately 150
milligrams of caffeine per day (Somogyi, 48). Considering not all Americans consume caffeine
regularly, the distribution of caffeine among adults who do consume caffeine likely indicates
individual Americans consume much higher daily levels than the national average suggests.
Recently, caffeine consumption has been linked to increased incidents of hospitalization, yet
revised regulations have not been seriously considered. The Substance Abuse and Mental Health
Administration (SAMHSA) reported in its Jan. 10, 2013 edition of the publication The DAWN
Report that from 2007 to 2011, the number of emergency visits linked to the consumption of
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energy drinks doubled from 10,000 to 20,000. Out of these emergency room visits, over half
involved energy drinks alone, with no other drug influences. The report concludes,
“Consumption of energy drinks is a rising public health problem because medical and behavioral
consequences can result from excessive caffeine intake” (Substance Abuse, 1).
A compound summary found on the website for the National Center for Biotechnology
Information, describes caffeine as a central nervous system stimulant. The substance is listed as
proven to increase alertness, produce agitation, relax smooth muscle tissue, stimulate the cardiac
muscle, encourage diuresis and treat headaches (Caffeine Compound Summary). Although
caffeine has many proven medical uses, its uses are not limited to medical purposes. In a
pamphlet Medicines in My Home, the FDA describes caffeine to be both a drug and a food
additive. As a result of being classified as a food additive, caffeine may be added to food and
beverage products, as well as non-food items, with little federal regulation.
As a recreational stimulant, adults and children consume caffeine because it functions as an
appetite suppressant, may aid in concentration and help people feel more awake, aid in athletic
performance and provide a feeling of excitement. Yet, despite its relative safety and non-
prescriptive status, Mayo Clinic lists that caffeine should never be consumed without the
supervision of a medical doctor (Micromedex Drug Information).
Caffeine was first approved as an additive for colas in the 1950s after research showed
coca, a medicinal herb previously added to cola, to be harmful upon repeated consumption.
When the FDA banned adding coca to beverages, cola companies responded by demanding
another substance be added in its place. Due to the addictive nature and enhancement qualities of
caffeine, cola companies chose it as the new additive. Since the 1950s, the FDA has done little to
reconsider its blanket approval of added caffeine and has not updated federal regulations to
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reflect the conclusions of modern scientific research (Consumer Update, 2).
2. The need for regulation
A letter written on March 19, 2013 by a group of medical professionals in Maryland to
the Honorable Margaret A. Hamburg, MD, Commissioner of the Food and Drug Administration
of Maryland, urges the FDA to look deeper into creating regulations on caffeine as a food
additive. The letter states three reasons that caffeine should be regulated as a food additive, even
though it is not regulated in coffee (Arria, O'Brian, Griffiths, and Crawford).
The letter explains how beverages with supplemented caffeine (such as energy drinks)
differ from coffee in both their intention and method. The letter first notes that the caffeine in
coffee occurs naturally, whereas the caffeine in energy drinks has been added by the
manufacturer and should therefore be regulated more closely as a food additive. Second the letter
notes that many energy drinks contain caffeine levels which exceed the caffeine concentration of
even the most highly caffeinated coffee. Third, the letter notes, “coffee is typically served hot,
tastes bitter, and is consumed slowly by sipping. By contrast, energy drinks are typically
carbonated, sweetened drinks that are served cold and consumed more rapidly.” The letter
concludes that coffee and energy drinks differ because coffee is not typically marketed in a
manner intended to appeal to adolescents (Arria, O'Brian, Griffiths, and Crawford).
As mentioned briefly in the letter to the commissioner, a major reason caffeine should be
regulated is that caffeinated products are most often marketed to minors. Products such as energy
drinks, candies and gums are marked to youth by being given trendy names, attractive bottles
and sugary flavors. According to a market research study published in Comprehensive Reviews
in Food Science and Safety, energy drinks were initially marketed to athletes, but when the drink
market found its niche, the majority of energy drinks became marketed to teenagers and young
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adults because that demographic has an active life-style and is intrigued by the creative names
and youthful marketing campaigns of the beverages (Heckman, Sherry, and Gonzalez De Mejia).
Energy drinks appeal to adolescents because many young adults look for ways to compensate for
a lack of sleep or enjoy using the drinks as a mixer for alcohol.
The fact these drinks are marketed to adolescents predisposes caffeine to greater levels of
abuse than if energy drinks were marketed to adults, who typically have developed stronger
systems for measuring cause and effect. Adults have a greater ability to foresee long-term side
effects of using the drinks as a replacement for healthy meals or regular sleep. Adults also have a
larger body mass and a greater capacity to physiologically process caffeine. According to Mayo
Clinic’s online page on caffeine, “[Caffeine] is used to help restore mental alertness when
unusual tiredness or weakness or drowsiness occurs. Caffeine's use as an alertness aid should be
only occasional. It is not intended to replace sleep and should not be used regularly for this
purpose” (Micromedex Drug Information).
Data on the influence of caffeine in youth is not conclusive enough to label the substance
as completely safe for consumption by young people. According to KidsHealth website’s article
Caffeine and Your Child, children are recommended to consume no more than 44 milligrams of
caffeine daily, about the average amount in one can of soda (KidsHealth). Not only may children
experience the same negative effects of caffeine as adults (nervousness, trouble sleeping,
headache, increased blood pressure, etc.), the website also suggests children are more susceptible
than adults to experiencing life-threatening heart disorders because children often have not had
heart screenings and do not know they are at risk, whereas at-risk adults are typically aware of
their sensitivity (KidsHealth).
Not only can caffeine lead to physical problems in children, it can also affect them
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psychologically. A study on school behavior published in the Journal of School Health indicates
that with increased levels of caffeine consumption in students between fifth and tenth grade
comes higher levels of depressive behavior. The study also indicates that caffeine can interfere
with students’ ability to concentrate in school by causing an inability to sleep at night therefore
resulting in daytime tiredness (Luebbe, 380-87). Children also typically have a smaller body
mass than do adults, therefore, levels of caffeine that may be inconsequential for adults may
produce undesirable results in children.
Another reason caffeine needs to be regulated is that an abundance of caffeinated products
leads to unintentional over-consumption. In the United States, companies are not currently
required to disclose the amounts of added caffeine contained in their products. Because of this,
consumers may not be aware how much caffeine they have consumed during the course of a day.
This problem is becoming even more common with items not intended for consumption being
added to the market, due to the difficulty of measuring the amount of caffeine absorbed into the
body from nonfood sources.
For example, with the advent of more diverse caffeine sources, a person is now able to
integrate caffeine into nearly every step of getting ready for work in the morning. A person could
wake up and then shower with caffeinated shampoo and body wash, drink coffee, eat caffeinated
waffles with caffeinated syrup, apply caffeinated eye cream to their under eye circles and then
take a caffeinated pain killer to ease the headache that comes after the first caffeine begins to
wear off. Then if that person consumes a mid-afternoon energy drink and a second cup of coffee
with dinner, the FDA’s guidelines for a safe and moderate level of caffeine consumption,
approximately 100-200 milligrams (Medicines in My Home) will be more than surpassed. Yet, if
this person were surveyed on the amount of coffee that is consumed the answer would be two
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cups, which is well within the safety limits.
The problem with caffeine consumption is that the number of products containing caffeine
allows over-consumption to be a nearly thoughtless process. Without intervention on which
products may contain added caffeine, people are unlikely to be fully aware of their total daily
consumption.
A fourth reason caffeine should be regulated is that it is not safe for all people. Those with
predisposed medical conditions, such as high blood pressure, heart defects, mental conditions
and those who take certain prescription medications are advised to stay away from caffeine. Yet,
without strict regulation, it is becoming more difficult for consumers with these conditions to
know what to avoid. For example, previously if a person with a sensitivity to caffeine were
advised to avoid it, that person would know exactly what to stay away from: coffee, tea,
chocolate and sodas (except for those which are clear). Now with more items containing the
substance, it is becoming more difficult for individuals to avoid caffeine. Suppose a person who
is to avoid caffeine is also elderly, with less than perfect eyesight; this person may not
understand the buzzword “energizing” on a package of a new orange flavored low calorie
beverages equals caffeinated and may not check the ingredient list to be sure it is safe. Caffeine
should not be added to products people do not traditionally expect to be caffeinated because it
poses a health risk to the caffeine sensitive.
The final reason caffeine should be regulated is that companies use caffeine as part of an
ethically questionable marketing strategy. A research study conducted by Buffalo University and
published in the Journal of Psychopharmacology indicates that although soda companies claim
to add caffeine as a flavor enhancer, the true purpose of the substance is to increase dependency
on the product (Temple, 176-201). The research study introduced fifth and tenth graders who
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were not accustomed to consuming caffeine to sodas of novel flavors and cited which flavors
each subject liked best. Then subjects in the test group were given those same sodas for a period
of six days, except caffeine had been added to some of the sodas. Each subject noted on the first
day consuming the soda with the added caffeine that those sodas tasted more bitter and his or her
liking of them decreased. Then each day following, the subjects noted that they liked the
caffeinated products more than each previous day. The study concluded that since the subject
noted an initial decrease in liking the caffeinated products, as well as an unsavory bitter taste,
that caffeine is not likely added to the products as a flavor enhancement. Yet, because the
subjects noted their favorite flavors by the end of the study were the most highly caffeinated
ones, the scientists concluded that the mental and physiological effects of caffeine caused the
subjects to crave the caffeinated flavors over the non-caffeinated flavors. The subjects in the
control group did not change their opinions of which flavors they most favored from the
beginning to the end of the study (Temple, 176-201). Even if the intent of using the addictive
qualities of caffeine as a marketing ploy to exploit consumers into purchasing a product is
difficult to prove, the fact that companies could possibly practice this method without notifying
the consumer warrants a greater level of federal regulation.
3. Methods of regulation
Caffeine could be regulated in several ways that would address the issues presented in the
previous section.
To combat the concern that caffeine is marketed to adolescents, age restrictions could be
placed on the purchase of highly caffeinated products. These age regulations could either be on
all caffeinated products or just on certain products containing over a set amount of caffeine. If
this method of regulation were chosen, adults could still have access to the caffeinated products
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to which they are accustomed and children would not have access to those products unless an
adult purchased them. This type of regulation would help increase the level of supervision under
which children consume caffeine. An adult would better be able to monitor the effects of caffeine
on an individual child and parental precautions could be taken to prevent each child from
consuming beyond the level which his or her body is able to handle effectively.
A reason age regulations may not be the ideal method of regulation would be that similar
regulations are already ineffective at preventing children from consuming other substances, such
as alcohol and tobacco, which present a much greater health risk than caffeine. The
ineffectiveness of age regulations could partly be due to adults thinking it is unimportant to
monitor their child’s caffeine intake. These adults will continue to purchase caffeinated products
for their child to consume potentially unsupervised. Children would still be able to consume
products that adults have purchased for their own consumption. Because an age restriction could
be easily ignored and does not fully address all the aspects of the caffeine issue, on its own it
would not be the best method of regulation.
To deal with the issue of accidental over-consumption, regulations could focus on
designating which products may contain caffeine. With this type of regulation soda might be
allowed to continue to contain the same levels of caffeine which it contains now, yet energy
drinks would have their caffeine levels lowered to establish a consistent measure of caffeine
allowance per fluid ounce. Other products, such as food, candies and non-consumables, might
not be allowed to contain caffeine at all. This type of regulation would allow for products which
people are accustomed to containing caffeine to continue to have it, while preventing additional
products from being introduced to the market and reducing levels of caffeine found in certain
products. This regulation would also remove or alter the components of some products already
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being marketed. The benefit to this method of regulation would be that people could still access
many of the forms of caffeine that they are accustomed to consuming, but consumption levels
would not likely increase at the same rate they would if additional caffeinated products were to
be added to the market. Regulating which products could contain caffeine could stimulate
caffeine awareness in consumers, since they would be receiving caffeine from a limited number
of items and could more easily self-regulate their own consumption. The drawback of regulating
what types of items may contain caffeine would be that children would still have access to
caffeinated sodas.
Regulations could focus on setting a maximum legal amount for added caffeine.
Currently the only product that has a maximum allowance for caffeine levels is soda, because it
is classified as a beverage. Energy drinks and foods do not need to adhere to the caffeine cap
level because they are classified as supplements. Other products, such as non-consumables, do
not need to adhere to the caffeine level cap because they are not intended for internal use and the
amount of caffeine absorbed into the body from these products is difficult to measure. A benefit
to regulating caffeine in this manner would be that it is the most fair to the companies that
produce items containing added caffeine. Every product would be subject to the same guidelines
and certain products would not need to be pulled from the market or have all the caffeine
removed from them; companies would simply need to ensure each product adheres to the new
regulations.
A problem with regulating caffeine in this manner would be that consumers could still
easily overdose on caffeine by consuming multiple caffeinated products and might be unaware of
the total amount of caffeine they are consuming through those multiple products.
All three forms of caffeine restriction mentioned allow for a greater amount of caffeine to
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be accessible to the consumer than is ideal. Therefore, the best method of caffeine restriction
would be to administer a combination of all three methods. The amount of caffeine available in
certain products, such as soda, energy drinks and non-prescription medications could be limited,
while also restricting the type of products to which caffeine may be added. Products such as
candies, mints, gums, foods and certain cosmetic items would not have caffeine added to them
because many consumers are unaware of the amount of caffeine they are exposed to when using
these products in combination with other sources of caffeine. Enforcing an age restriction would
be difficult; therefore, the best way to reduce the amount of caffeine consumed by children
would be to regulate marketing these items to children. Highly caffeinated items could be
removed from vending machines and concessions stands where children are the main customers.
Energy drinks could be repositioned in stores so that they are not sold next to juice or lower-
caffeine content sodas. Marketing agencies for energy drinks could remove youth oriented
activities, such as extreme sports from their advertisements, as well as display their ads in places
where and during television times when children are not the main audience. By implementing
these methods of restriction, caffeine could be both accessible by responsible adults while also
being downplayed for consumption by children.
4. Possible impact of regulation
Those who oppose caffeine regulation could argue that regulating products with added
caffeine would be detrimental to companies producing those products. While initially products
impacted by the change may experience decline in sales, companies who are proactive in their
marketing strategies would not have long-term difficulty re-marketing healthier versions of their
products. According to the Journal of William & Mary Business Law Review, regulating amounts
of caffeine or types of products containing added caffeine would not impact long-term sales
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because even without that type of regulation, the market is always changing therefore only
progressive marketing companies will be able to continue or increase sales. The article stated
that companies are always in need of reworking marketing ideas, hence a change such as the
regulation of caffeine will have no effect on companies that possess an understanding of their
market and how it is constantly changing. Any company which is unable to keep up with that
type of regulation would not likely have been able to keep up with the ever-changing market and
would have been in the same failing position regardless of the caffeine restrictions (Parikh, 644-
66).
Society would benefit by regulation of caffeine because it would spur a return to receiving
energy from healthier sources, such as sleep, food and exercise. When Americans have access to
unlimited amounts of caffeine in an array of products, they may not take seriously the
importance of maintaining a healthy body through sustainable energy sources, such as a healthy
lifestyle, rather than through artificial energy supplements. Without being addicted to caffeine or
with a reduced level of caffeine addiction, adults may be able to function more clearly at work,
focus better when driving and sleep better at night. Certain health problems, which may be
linked to caffeine, could show a reduction of diagnoses, as well as improvement in those with
those problems.
Adults who wish to consume caffeine would be encouraged to receive that caffeine from
sources such as coffee or tea, which are linked to having health benefits such as antioxidants,
according to Harvard Health newsletter’s article on “Coffee Health Benefits,” as wells as the
University of Maryland Medical Center’s complementary and alternative medicine guide. Often
coffee and tea are consumed with less sugar than other caffeinated beverages, therefore it is
possible that those who switch their consumption could benefit from a reduced risk diabetes and
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obesity (“Coffee Health”). Children also would be unlikely to want to consume coffee and tea in
the amounts they wish to consume soda and energy drinks; therefore, they would naturally
consume less caffeine. They may still consume the same amount of carbonated beverages, but at
least the caffeine question would have been removed from the equation.
Caffeine needs to be regulated to ensure that Americans can make conscious and
educated decisions about the amount of caffeine they wish to consume. Regulation is important
because caffeine is used as a marketing ploy to draw children to purchasing their products.
People with certain medical conditions must be vigilant in avoiding all amounts of caffeine,
which without strict regulation and clear rules on packaging information can be difficult. Adults
who are not careful about caffeine intake may consume well above the recommended daily
amount due to so many sources containing the substance. Children often consume caffeinated
products, which is scientifically questionable.
The best methods for caffeine regulation would be to restrict how much caffeine is
allowed in certain products, ban other products from containing any caffeine and place
restrictions on marketing strategies for caffeinated items.
Once caffeine regulations come into effect public awareness would increase regarding
caffeine use and potential concerns thereof. Regulating caffeine would give Americans the
opportunity to make more informed choices regarding the inclusion of caffeine in their regular
diets.
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Works Cited
Arria, Amelia M., O'Brian, Mary Claire, Griffiths, Roland R., and Crawford, Patricia B."Re: The
Use of Caffeine in Energy Drinks." Letter to Margaret A. Hamburg. 19 Mar. 2013. MS.
Silver Spring, Maryland.
"Benefits of Tea." Complementary and Alternative Medicine Guide. University of Maryland
Medical Center, 21 July 2013. Web. 14 Nov. 2013.
"Caffeine Compound Summary." PubChem. National Center for Biotechnology Information.
Web. 12 Nov. 2013.
“Coffee Health Benefits: Coffee May Protect against Disease.” Harvard Health, Feb. 2006.
Web. 14 Nov. 2013.
Consumer Update: FDA to Investigate Added Caffeine. By Michael R. Taylor. Food and Drug
Administration, May 2013. Web. 12 Nov. 2013.
Heckman, M. A., Sherry, K., and Gonzalez De Mejia, E. "Energy Drinks: An Assessment of
Their Market Size, Consumer Demographics, Ingredient Profile, Functionality, and
Regulations in the United States." Comprehensive Reviews in Food Science and Food
Safety 9.3 (2010): 303-17. Print.
"KidsHealth." Caffeine and Your Child. N.p., n.d. Web. 13 Nov. 2013.
Luebbe, Aaron M., and Bell, Deborah J. "Mountain Dew® or Mountain Don’t: A Pilot
Investigation of Caffeine Use Parameters and Relations to Depression and Anxiety
Symptoms in 5th- and 10th-Grade Students." Journal of School Health 79.8 (2009): 380-
87. Print.
Medicines in My Home: Caffeine and Your Body. N.p.: Food and Drug Administration, 2007.
Print.
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Micromedex Drug Information Provided By: Mayo Clinic. Mayo Foundation for Medical
Education and Research, 01 Nov. 2011. Web. 12 Nov. 2013.
Parikh, Rakesh J. "America's Energy Dependency: Will Government Regulations of Caffeine
Bring the Caffeine Companies to a Crash?" William & Mary Business Law Review 7th
ser. 3.2 (2012): 644-66. William & Mary Law School Scholarship Repository, 2012.
Web. 13 Nov. 2013.
Somogyi, Laszlo P. Caffeine Intake by the U.S. Population. Rep. no. 70000073494. The Food
and Drug Administration, Sept. 2009. Web. 12 Nov. 2013.
Substance Abuse and Mental Health Services Administration, Center for Behavioral Health
Statistics and Quality. (January 10, 2013). The DAWN Report: Update on Emergency
Department Visits Involving Energy Drinks: A Continuing Public Health Concern.
Rockville, MD.
Temple, Jonathan D. “Influence of Caffeine.” Journal of Psychopharmacology. 102.4 (2010):
176-201. Print.

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caffeine paper

  • 1. Whitford   1   Caffeine Conundrum: The Need for FDA Regulation Perusing the shelves of any large grocery store reveals an abundance of caffeinated products; ones with caffeine occurring naturally, such as coffee, tea and chocolate, as well those as with the substance added. Within the past several years products containing added caffeine have expanded from including not just carbonated beverages and supplements, but also water, waffles, beef jerky, pancake syrup, cosmetics, personal hygiene products, candies, gums, and other food and non-food items. Although caffeine is officially classified as a safe supplement, much is still unknown about its effects both physically and psychologically. Due to the overabundance of caffeine and recent studies linking certain disorders to its use, the Food and Drug Administration (FDA) should update its policies regarding caffeine as a supplemental additive. Caffeine needs to be regulated for the health and safety of the consumer. This paper is broken into four sections, a description of caffeine and its effects, the reasons caffeine should be regulated, ways that caffeine could be regulated, and the impact regulation might have upon society. 1. Caffeine and its effects According to a report by the FDA, the average American consumes approximately 150 milligrams of caffeine per day (Somogyi, 48). Considering not all Americans consume caffeine regularly, the distribution of caffeine among adults who do consume caffeine likely indicates individual Americans consume much higher daily levels than the national average suggests. Recently, caffeine consumption has been linked to increased incidents of hospitalization, yet revised regulations have not been seriously considered. The Substance Abuse and Mental Health Administration (SAMHSA) reported in its Jan. 10, 2013 edition of the publication The DAWN Report that from 2007 to 2011, the number of emergency visits linked to the consumption of
  • 2. Whitford   2   energy drinks doubled from 10,000 to 20,000. Out of these emergency room visits, over half involved energy drinks alone, with no other drug influences. The report concludes, “Consumption of energy drinks is a rising public health problem because medical and behavioral consequences can result from excessive caffeine intake” (Substance Abuse, 1). A compound summary found on the website for the National Center for Biotechnology Information, describes caffeine as a central nervous system stimulant. The substance is listed as proven to increase alertness, produce agitation, relax smooth muscle tissue, stimulate the cardiac muscle, encourage diuresis and treat headaches (Caffeine Compound Summary). Although caffeine has many proven medical uses, its uses are not limited to medical purposes. In a pamphlet Medicines in My Home, the FDA describes caffeine to be both a drug and a food additive. As a result of being classified as a food additive, caffeine may be added to food and beverage products, as well as non-food items, with little federal regulation. As a recreational stimulant, adults and children consume caffeine because it functions as an appetite suppressant, may aid in concentration and help people feel more awake, aid in athletic performance and provide a feeling of excitement. Yet, despite its relative safety and non- prescriptive status, Mayo Clinic lists that caffeine should never be consumed without the supervision of a medical doctor (Micromedex Drug Information). Caffeine was first approved as an additive for colas in the 1950s after research showed coca, a medicinal herb previously added to cola, to be harmful upon repeated consumption. When the FDA banned adding coca to beverages, cola companies responded by demanding another substance be added in its place. Due to the addictive nature and enhancement qualities of caffeine, cola companies chose it as the new additive. Since the 1950s, the FDA has done little to reconsider its blanket approval of added caffeine and has not updated federal regulations to
  • 3. Whitford   3   reflect the conclusions of modern scientific research (Consumer Update, 2). 2. The need for regulation A letter written on March 19, 2013 by a group of medical professionals in Maryland to the Honorable Margaret A. Hamburg, MD, Commissioner of the Food and Drug Administration of Maryland, urges the FDA to look deeper into creating regulations on caffeine as a food additive. The letter states three reasons that caffeine should be regulated as a food additive, even though it is not regulated in coffee (Arria, O'Brian, Griffiths, and Crawford). The letter explains how beverages with supplemented caffeine (such as energy drinks) differ from coffee in both their intention and method. The letter first notes that the caffeine in coffee occurs naturally, whereas the caffeine in energy drinks has been added by the manufacturer and should therefore be regulated more closely as a food additive. Second the letter notes that many energy drinks contain caffeine levels which exceed the caffeine concentration of even the most highly caffeinated coffee. Third, the letter notes, “coffee is typically served hot, tastes bitter, and is consumed slowly by sipping. By contrast, energy drinks are typically carbonated, sweetened drinks that are served cold and consumed more rapidly.” The letter concludes that coffee and energy drinks differ because coffee is not typically marketed in a manner intended to appeal to adolescents (Arria, O'Brian, Griffiths, and Crawford). As mentioned briefly in the letter to the commissioner, a major reason caffeine should be regulated is that caffeinated products are most often marketed to minors. Products such as energy drinks, candies and gums are marked to youth by being given trendy names, attractive bottles and sugary flavors. According to a market research study published in Comprehensive Reviews in Food Science and Safety, energy drinks were initially marketed to athletes, but when the drink market found its niche, the majority of energy drinks became marketed to teenagers and young
  • 4. Whitford   4   adults because that demographic has an active life-style and is intrigued by the creative names and youthful marketing campaigns of the beverages (Heckman, Sherry, and Gonzalez De Mejia). Energy drinks appeal to adolescents because many young adults look for ways to compensate for a lack of sleep or enjoy using the drinks as a mixer for alcohol. The fact these drinks are marketed to adolescents predisposes caffeine to greater levels of abuse than if energy drinks were marketed to adults, who typically have developed stronger systems for measuring cause and effect. Adults have a greater ability to foresee long-term side effects of using the drinks as a replacement for healthy meals or regular sleep. Adults also have a larger body mass and a greater capacity to physiologically process caffeine. According to Mayo Clinic’s online page on caffeine, “[Caffeine] is used to help restore mental alertness when unusual tiredness or weakness or drowsiness occurs. Caffeine's use as an alertness aid should be only occasional. It is not intended to replace sleep and should not be used regularly for this purpose” (Micromedex Drug Information). Data on the influence of caffeine in youth is not conclusive enough to label the substance as completely safe for consumption by young people. According to KidsHealth website’s article Caffeine and Your Child, children are recommended to consume no more than 44 milligrams of caffeine daily, about the average amount in one can of soda (KidsHealth). Not only may children experience the same negative effects of caffeine as adults (nervousness, trouble sleeping, headache, increased blood pressure, etc.), the website also suggests children are more susceptible than adults to experiencing life-threatening heart disorders because children often have not had heart screenings and do not know they are at risk, whereas at-risk adults are typically aware of their sensitivity (KidsHealth). Not only can caffeine lead to physical problems in children, it can also affect them
  • 5. Whitford   5   psychologically. A study on school behavior published in the Journal of School Health indicates that with increased levels of caffeine consumption in students between fifth and tenth grade comes higher levels of depressive behavior. The study also indicates that caffeine can interfere with students’ ability to concentrate in school by causing an inability to sleep at night therefore resulting in daytime tiredness (Luebbe, 380-87). Children also typically have a smaller body mass than do adults, therefore, levels of caffeine that may be inconsequential for adults may produce undesirable results in children. Another reason caffeine needs to be regulated is that an abundance of caffeinated products leads to unintentional over-consumption. In the United States, companies are not currently required to disclose the amounts of added caffeine contained in their products. Because of this, consumers may not be aware how much caffeine they have consumed during the course of a day. This problem is becoming even more common with items not intended for consumption being added to the market, due to the difficulty of measuring the amount of caffeine absorbed into the body from nonfood sources. For example, with the advent of more diverse caffeine sources, a person is now able to integrate caffeine into nearly every step of getting ready for work in the morning. A person could wake up and then shower with caffeinated shampoo and body wash, drink coffee, eat caffeinated waffles with caffeinated syrup, apply caffeinated eye cream to their under eye circles and then take a caffeinated pain killer to ease the headache that comes after the first caffeine begins to wear off. Then if that person consumes a mid-afternoon energy drink and a second cup of coffee with dinner, the FDA’s guidelines for a safe and moderate level of caffeine consumption, approximately 100-200 milligrams (Medicines in My Home) will be more than surpassed. Yet, if this person were surveyed on the amount of coffee that is consumed the answer would be two
  • 6. Whitford   6   cups, which is well within the safety limits. The problem with caffeine consumption is that the number of products containing caffeine allows over-consumption to be a nearly thoughtless process. Without intervention on which products may contain added caffeine, people are unlikely to be fully aware of their total daily consumption. A fourth reason caffeine should be regulated is that it is not safe for all people. Those with predisposed medical conditions, such as high blood pressure, heart defects, mental conditions and those who take certain prescription medications are advised to stay away from caffeine. Yet, without strict regulation, it is becoming more difficult for consumers with these conditions to know what to avoid. For example, previously if a person with a sensitivity to caffeine were advised to avoid it, that person would know exactly what to stay away from: coffee, tea, chocolate and sodas (except for those which are clear). Now with more items containing the substance, it is becoming more difficult for individuals to avoid caffeine. Suppose a person who is to avoid caffeine is also elderly, with less than perfect eyesight; this person may not understand the buzzword “energizing” on a package of a new orange flavored low calorie beverages equals caffeinated and may not check the ingredient list to be sure it is safe. Caffeine should not be added to products people do not traditionally expect to be caffeinated because it poses a health risk to the caffeine sensitive. The final reason caffeine should be regulated is that companies use caffeine as part of an ethically questionable marketing strategy. A research study conducted by Buffalo University and published in the Journal of Psychopharmacology indicates that although soda companies claim to add caffeine as a flavor enhancer, the true purpose of the substance is to increase dependency on the product (Temple, 176-201). The research study introduced fifth and tenth graders who
  • 7. Whitford   7   were not accustomed to consuming caffeine to sodas of novel flavors and cited which flavors each subject liked best. Then subjects in the test group were given those same sodas for a period of six days, except caffeine had been added to some of the sodas. Each subject noted on the first day consuming the soda with the added caffeine that those sodas tasted more bitter and his or her liking of them decreased. Then each day following, the subjects noted that they liked the caffeinated products more than each previous day. The study concluded that since the subject noted an initial decrease in liking the caffeinated products, as well as an unsavory bitter taste, that caffeine is not likely added to the products as a flavor enhancement. Yet, because the subjects noted their favorite flavors by the end of the study were the most highly caffeinated ones, the scientists concluded that the mental and physiological effects of caffeine caused the subjects to crave the caffeinated flavors over the non-caffeinated flavors. The subjects in the control group did not change their opinions of which flavors they most favored from the beginning to the end of the study (Temple, 176-201). Even if the intent of using the addictive qualities of caffeine as a marketing ploy to exploit consumers into purchasing a product is difficult to prove, the fact that companies could possibly practice this method without notifying the consumer warrants a greater level of federal regulation. 3. Methods of regulation Caffeine could be regulated in several ways that would address the issues presented in the previous section. To combat the concern that caffeine is marketed to adolescents, age restrictions could be placed on the purchase of highly caffeinated products. These age regulations could either be on all caffeinated products or just on certain products containing over a set amount of caffeine. If this method of regulation were chosen, adults could still have access to the caffeinated products
  • 8. Whitford   8   to which they are accustomed and children would not have access to those products unless an adult purchased them. This type of regulation would help increase the level of supervision under which children consume caffeine. An adult would better be able to monitor the effects of caffeine on an individual child and parental precautions could be taken to prevent each child from consuming beyond the level which his or her body is able to handle effectively. A reason age regulations may not be the ideal method of regulation would be that similar regulations are already ineffective at preventing children from consuming other substances, such as alcohol and tobacco, which present a much greater health risk than caffeine. The ineffectiveness of age regulations could partly be due to adults thinking it is unimportant to monitor their child’s caffeine intake. These adults will continue to purchase caffeinated products for their child to consume potentially unsupervised. Children would still be able to consume products that adults have purchased for their own consumption. Because an age restriction could be easily ignored and does not fully address all the aspects of the caffeine issue, on its own it would not be the best method of regulation. To deal with the issue of accidental over-consumption, regulations could focus on designating which products may contain caffeine. With this type of regulation soda might be allowed to continue to contain the same levels of caffeine which it contains now, yet energy drinks would have their caffeine levels lowered to establish a consistent measure of caffeine allowance per fluid ounce. Other products, such as food, candies and non-consumables, might not be allowed to contain caffeine at all. This type of regulation would allow for products which people are accustomed to containing caffeine to continue to have it, while preventing additional products from being introduced to the market and reducing levels of caffeine found in certain products. This regulation would also remove or alter the components of some products already
  • 9. Whitford   9   being marketed. The benefit to this method of regulation would be that people could still access many of the forms of caffeine that they are accustomed to consuming, but consumption levels would not likely increase at the same rate they would if additional caffeinated products were to be added to the market. Regulating which products could contain caffeine could stimulate caffeine awareness in consumers, since they would be receiving caffeine from a limited number of items and could more easily self-regulate their own consumption. The drawback of regulating what types of items may contain caffeine would be that children would still have access to caffeinated sodas. Regulations could focus on setting a maximum legal amount for added caffeine. Currently the only product that has a maximum allowance for caffeine levels is soda, because it is classified as a beverage. Energy drinks and foods do not need to adhere to the caffeine cap level because they are classified as supplements. Other products, such as non-consumables, do not need to adhere to the caffeine level cap because they are not intended for internal use and the amount of caffeine absorbed into the body from these products is difficult to measure. A benefit to regulating caffeine in this manner would be that it is the most fair to the companies that produce items containing added caffeine. Every product would be subject to the same guidelines and certain products would not need to be pulled from the market or have all the caffeine removed from them; companies would simply need to ensure each product adheres to the new regulations. A problem with regulating caffeine in this manner would be that consumers could still easily overdose on caffeine by consuming multiple caffeinated products and might be unaware of the total amount of caffeine they are consuming through those multiple products. All three forms of caffeine restriction mentioned allow for a greater amount of caffeine to
  • 10. Whitford   10   be accessible to the consumer than is ideal. Therefore, the best method of caffeine restriction would be to administer a combination of all three methods. The amount of caffeine available in certain products, such as soda, energy drinks and non-prescription medications could be limited, while also restricting the type of products to which caffeine may be added. Products such as candies, mints, gums, foods and certain cosmetic items would not have caffeine added to them because many consumers are unaware of the amount of caffeine they are exposed to when using these products in combination with other sources of caffeine. Enforcing an age restriction would be difficult; therefore, the best way to reduce the amount of caffeine consumed by children would be to regulate marketing these items to children. Highly caffeinated items could be removed from vending machines and concessions stands where children are the main customers. Energy drinks could be repositioned in stores so that they are not sold next to juice or lower- caffeine content sodas. Marketing agencies for energy drinks could remove youth oriented activities, such as extreme sports from their advertisements, as well as display their ads in places where and during television times when children are not the main audience. By implementing these methods of restriction, caffeine could be both accessible by responsible adults while also being downplayed for consumption by children. 4. Possible impact of regulation Those who oppose caffeine regulation could argue that regulating products with added caffeine would be detrimental to companies producing those products. While initially products impacted by the change may experience decline in sales, companies who are proactive in their marketing strategies would not have long-term difficulty re-marketing healthier versions of their products. According to the Journal of William & Mary Business Law Review, regulating amounts of caffeine or types of products containing added caffeine would not impact long-term sales
  • 11. Whitford   11   because even without that type of regulation, the market is always changing therefore only progressive marketing companies will be able to continue or increase sales. The article stated that companies are always in need of reworking marketing ideas, hence a change such as the regulation of caffeine will have no effect on companies that possess an understanding of their market and how it is constantly changing. Any company which is unable to keep up with that type of regulation would not likely have been able to keep up with the ever-changing market and would have been in the same failing position regardless of the caffeine restrictions (Parikh, 644- 66). Society would benefit by regulation of caffeine because it would spur a return to receiving energy from healthier sources, such as sleep, food and exercise. When Americans have access to unlimited amounts of caffeine in an array of products, they may not take seriously the importance of maintaining a healthy body through sustainable energy sources, such as a healthy lifestyle, rather than through artificial energy supplements. Without being addicted to caffeine or with a reduced level of caffeine addiction, adults may be able to function more clearly at work, focus better when driving and sleep better at night. Certain health problems, which may be linked to caffeine, could show a reduction of diagnoses, as well as improvement in those with those problems. Adults who wish to consume caffeine would be encouraged to receive that caffeine from sources such as coffee or tea, which are linked to having health benefits such as antioxidants, according to Harvard Health newsletter’s article on “Coffee Health Benefits,” as wells as the University of Maryland Medical Center’s complementary and alternative medicine guide. Often coffee and tea are consumed with less sugar than other caffeinated beverages, therefore it is possible that those who switch their consumption could benefit from a reduced risk diabetes and
  • 12. Whitford   12   obesity (“Coffee Health”). Children also would be unlikely to want to consume coffee and tea in the amounts they wish to consume soda and energy drinks; therefore, they would naturally consume less caffeine. They may still consume the same amount of carbonated beverages, but at least the caffeine question would have been removed from the equation. Caffeine needs to be regulated to ensure that Americans can make conscious and educated decisions about the amount of caffeine they wish to consume. Regulation is important because caffeine is used as a marketing ploy to draw children to purchasing their products. People with certain medical conditions must be vigilant in avoiding all amounts of caffeine, which without strict regulation and clear rules on packaging information can be difficult. Adults who are not careful about caffeine intake may consume well above the recommended daily amount due to so many sources containing the substance. Children often consume caffeinated products, which is scientifically questionable. The best methods for caffeine regulation would be to restrict how much caffeine is allowed in certain products, ban other products from containing any caffeine and place restrictions on marketing strategies for caffeinated items. Once caffeine regulations come into effect public awareness would increase regarding caffeine use and potential concerns thereof. Regulating caffeine would give Americans the opportunity to make more informed choices regarding the inclusion of caffeine in their regular diets.
  • 13. Whitford   13   Works Cited Arria, Amelia M., O'Brian, Mary Claire, Griffiths, Roland R., and Crawford, Patricia B."Re: The Use of Caffeine in Energy Drinks." Letter to Margaret A. Hamburg. 19 Mar. 2013. MS. Silver Spring, Maryland. "Benefits of Tea." Complementary and Alternative Medicine Guide. University of Maryland Medical Center, 21 July 2013. Web. 14 Nov. 2013. "Caffeine Compound Summary." PubChem. National Center for Biotechnology Information. Web. 12 Nov. 2013. “Coffee Health Benefits: Coffee May Protect against Disease.” Harvard Health, Feb. 2006. Web. 14 Nov. 2013. Consumer Update: FDA to Investigate Added Caffeine. By Michael R. Taylor. Food and Drug Administration, May 2013. Web. 12 Nov. 2013. Heckman, M. A., Sherry, K., and Gonzalez De Mejia, E. "Energy Drinks: An Assessment of Their Market Size, Consumer Demographics, Ingredient Profile, Functionality, and Regulations in the United States." Comprehensive Reviews in Food Science and Food Safety 9.3 (2010): 303-17. Print. "KidsHealth." Caffeine and Your Child. N.p., n.d. Web. 13 Nov. 2013. Luebbe, Aaron M., and Bell, Deborah J. "Mountain Dew® or Mountain Don’t: A Pilot Investigation of Caffeine Use Parameters and Relations to Depression and Anxiety Symptoms in 5th- and 10th-Grade Students." Journal of School Health 79.8 (2009): 380- 87. Print. Medicines in My Home: Caffeine and Your Body. N.p.: Food and Drug Administration, 2007. Print.
  • 14. Whitford   14   Micromedex Drug Information Provided By: Mayo Clinic. Mayo Foundation for Medical Education and Research, 01 Nov. 2011. Web. 12 Nov. 2013. Parikh, Rakesh J. "America's Energy Dependency: Will Government Regulations of Caffeine Bring the Caffeine Companies to a Crash?" William & Mary Business Law Review 7th ser. 3.2 (2012): 644-66. William & Mary Law School Scholarship Repository, 2012. Web. 13 Nov. 2013. Somogyi, Laszlo P. Caffeine Intake by the U.S. Population. Rep. no. 70000073494. The Food and Drug Administration, Sept. 2009. Web. 12 Nov. 2013. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (January 10, 2013). The DAWN Report: Update on Emergency Department Visits Involving Energy Drinks: A Continuing Public Health Concern. Rockville, MD. Temple, Jonathan D. “Influence of Caffeine.” Journal of Psychopharmacology. 102.4 (2010): 176-201. Print.