Is caffeine a drug or a food?
Caffeine is the world’s most commonly abused brain
stimulant. Daily caffeine consumption by adolescents (ages 9 to 17
yrs) has been rapidly increasing most often in the form of soda, energy
drinks and coffee. A pair of studies have documented that caffeine
consumption in young adults directly correlates with increased illicit
drug use and generally riskier behaviors, however these correlational
studies never examined the long-term consequences of caffeine
consumption, i.e. does long-term coffee consumption during adolescence lead to riskier behaviors during adulthood?
How might caffeine consumption produce such long-lasting changes? The answer lies in understanding the actions of caffeine in the brain. In adults, caffeine appears to indirectly enhance the activity of dopamine
within the brain’s pleasure centers. Drinking coffee produces a mild
euphoria due to this effect and encourages the brain to crave more
coffee. Yes, coffee is addicting, but only mildly so as compared to
many other drugs of abuse such as tobacco and cocaine.
The adolescent brain responds differently to caffeine as compared to
the adult brain. Caffeine produces a more dramatic increase in motor
activity in adolescents. Long-term caffeine consumption produces more
tolerance faster as compared to adults suggesting that caffeine might
produce greater changes in brain chemistry in the developing adolescent
brain. This speculation was strengthened by the finding that long-term
caffeine consumption during adolescence leads to greater sensitivity to
amphetamine-like drugs that are commonly used to treat attention deficit
hyperactivity disorders. There is no evidence, currently, that
caffeine consumption leads to attention deficit hyperactivity disorders.
A recent study, published this month in the journal Neuropsychopharmacology
by neuroscientists University of Colorado at Boulder, investigated
whether long-term caffeine consumption during adolescence could enhance
the sensitivity of the adult brain to cocaine. They reported that
adolescent caffeine exposure heightens the sensitivity to
cocaine-induced euphoria and related behaviors via its parallel actions
on dopamine in the brain’s pleasure center. Adolescent consumption of
caffeine actually altered the brain’s neurochemistry so that the adult
brain’s response to cocaine was enhanced.
Interestingly, consuming caffeine as an adult for the same length of
time did not produce the same type of behavioral or neurochemical
alterations. This finding suggests that the developing adolescent brain
passes through a phase when it is vulnerable to the effects of caffeine
on dopamine signaling and that these changes can linger into adulthood
and influence the abuse potential of euphoria-producing drugs such as
cocaine. By any definition, caffeine is clearly a gateway drug. Thus, is
caffeine a food or a drug? Sometimes it is very hard to tell the
difference.
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