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Psychopharmacology (2005) 180: 539547

DOI 10.1007/s00213-005-2191-9

ORIGINA L IN VESTI GATION

Hiske van Duinen . Monicque M. Lorist .


Inge Zijdewind

The effect of caffeine on cognitive task performance


and motor fatigue

Received: 19 October 2004 / Accepted: 12 January 2005 / Published online: 19 February 2005
# Springer-Verlag 2005

Abstract Rationale: In everyday life, people are usually on motor parameters (absolute force, endurance time or
capable of performing two tasks simultaneously. Howev- electromyographic amplitude). Conclusions: Caffeine im-
er, in a previous study we showed that during a fatiguing proved cognitive performance. This effect also extends
motor task, cognitive performance declined progressive- under demanding situations, as was shown by the perfor-
ly. There is extensive literature on the (positive) effects of mance during the dual task, even during progressive motor
caffeine on cognitive and motor performance. These effects fatigue.
are most pronounced under suboptimal conditions, for ex-
ample during fatigue. However, little is known about the Keywords Caffeine . Cognitive performance . Fatigue .
effects of caffeine on cognitive performance during a fatigu- Dual task . Maximal voluntary contraction . Submaximal
ing motor task. Objective: This study was aimed to inves- contractions . Reaction time . Accuracy
tigate whether a moderate dose of caffeine could attenuate
the decline in cognitive performance during a fatiguing
motor task. Methods: The study consisted of a placebo and Introduction
a caffeine (3 mg/kg) session. A total of 23 subjects com-
pleted these sessions in a semi-randomized and double-blind Coffee is a widely consumed beverage and it is estimated
order. In each session, subjects performed maximal volun- that about 90% of Dutch adults drink coffee regularly
tary contractions of the index finger, a choice reaction time (Hameleers et al. 2000). Coffee contains caffeine, which is
(CRT) task and a dual task consisting of a fatiguing motor known to have stimulatory effects on the central nervous
task concomitantly with the same CRT task. After the fa- system. The stimulating effects of caffeine are predom-
tiguing dual task, the CRT task was repeated. Results: Caf- inantly caused by an antagonistic action on adenosine re-
feine improved cognitive task performance, in both the ceptors. Hence, caffeine increases the levels of several
single and dual task, as shown by decreased reaction times neurotransmitters such as dopamine, acetylcholine and se-
together with unchanged accuracy. Cognitive performance rotonine (for review, see Fredholm et al. 1999). In daily
in the dual task deteriorated with increasing fatigue. How- life, caffeine is commonly used to suppress feelings of fa-
ever, the decrease in cognitive performance in the begin- tigue. Furthermore, after caffeine consumption, subjective
ning of the dual task, as observed in the placebo condition, feelings such as increased alertness, energy and ability to
was partly prevented by caffeine administration (i.e., no concentrate are often cited. The effects of caffeine are most
increase in reaction times). We found no effects of caffeine pronounced when subjects perform under suboptimal con-
ditions, characterized by fatigue or tediousness, or in tasks
placing high demands on the information processing
system (Lieberman et al. 1986; Lorist et al. 1994; Ruijter
H. van Duinen (*) . M. M. Lorist . I. Zijdewind et al. 1999). The simultaneous execution of two tasks is
Department of Medical Physiology, University of Groningen, a condition that places high demands on the processing
Groningen, The Netherlands
e-mail: h.van.duinen@med.umcg.nl system. Several studies showed that in a cognitive dual-task
Tel.: +31-50-3638735 condition, caffeine has a positive effect on performance
Fax: +31-50-3632751 (Brice and Smith 2002; Ruijter et al. 1999).
By using a dual-task paradigm, we previously showed a
M. M. Lorist
Department of Experimental and Work Psychology, mutual interference between motor and cognitive perfor-
University of Groningen, mance during a protocol that induced progressive amounts of
Groningen, The Netherlands muscle fatigue (Lorist et al. 2002). In this study, subjects
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performed submaximal contractions until they could no Materials and methods


longer maintain the contraction at the desired force levels.
Concomitantly with this fatiguing motor task, the subjects Participants
had to execute a choice reaction time (CRT) task. The
reaction times and the number of errors served as a measure A total of 24 healthy adults (mean age 246 years, 11
of cognitive performance. The growing amount of fatigue males, 13 females) participated in this study. All subjects
was accompanied by an increase in both reaction times and were right-handed and non-smokers; they usually drank
number of errors. We attributed the progressive decline in three to six cups of coffee per day (or an equivalent of that
cognitive performance to an increasing demand on central amount of caffeine from other dietary sources). The sub-
resources by the motor task. Thus, fewer resources were jects had normal or corrected-to-normal vision and intact
available for the cognitive task performance. As caffeine hearing. Each subject signed a written informed consent
seems to have an effect on the availability of central re- prior to the study. All procedures were undertaken with the
sources, the investigation of this interferencebetween motor approval of the local ethics committee (METc, Academic
fatigue and cognitive task performanceseems to be a logical Hospital Groningen) and were performed in accordance
direction for further research. with the standards set out in the Declaration of Helsinki.
Aside from its beneficial effects on cognitive perfor-
mance, caffeine is also known to affect motor performance.
The effects of caffeine on short-term exercise, however, are Experimental set-up
not consistent. Some studies show an increase in endurance
time after caffeine consumption (Jackman et al. 1996; Each participant sat at an experimental table; the lower
Kalmar and Cafarelli 1999; Plaskett and Cafarelli 2001), arms rested on the table with the elbows in an angle of
while others show no effect (Lopes et al. 1983; Williams 135. The right hand was positioned halfway between
et al. 1987). In addition, the effects of caffeine consump- pronation and supination. The hand and lower arm were
tion on muscle force are contradictory. Several studies fail immobilized with pressure plates and Velcro tape. To mea-
to show significant ergogenic effects (Lopes et al. 1983; sure the abduction force of the first dorsal interosseus
Williams et al. 1987); however, in two well-controlled muscle (FDI) of the right hand, the proximal interphalan-
studies, Cafarelli et al. (Kalmar and Cafarelli 1999; Plaskett geal joint of the index finger was inserted (slightly ab-
and Cafarelli 2001) found an increase in muscle force after ducted) in a snugly fitting ring that was rigidly connected to
caffeine administration. an isometric force transducer (for details, see Zijdewind
The use of caffeine in studies is not very consistent. There and Kernell 1994). Electromyographic (EMG) recordings
are differences in duration of caffeine abstinence, dose, and were obtained from the FDI of both hands with a surface
way of administration. In some studies, subjects have to electrode (diameter, 4 mm) placed over the muscle belly
abstain from coffee for just 1 h before the experiment, while and a reference electrode placed at the metacarpophalan-
other studies demand abstinence from caffeine for several geal joint of the index finger. A band-shaped earth elec-
days. Since it was shown that caffeine has a positive effect in trode was placed around the right wrist. EMG and force
subjects who had only been minimally deprived of caffeine recordings were amplified, filtered (EMG, 10 Hz1 kHz;
(Christopher et al. 2005; Warburton 1995; Warburton et al. force, DC-500), and sampled via a PC equipped with a
2001), we decided to allow the participants to drink their data-acquisition interface (1401+, Cambridge Electronic
morning cup of coffee. In this way, the detrimental effects of Design, Cambridge, UK). The sampling rates were 2,000
caffeine withdrawal symptoms were prevented and the daily and 500 Hz for EMG and force recordings, respectively.
ritual of subjects would not be affected (Lane and Phillips- Off-line analysis was performed with custom-made scripts
Bute 1998; Rogers et al. 2003). In previous studies, the doses (Spike2, Cambridge Electronic Design, Cambridge, UK).
used varied from a single dose of 32 mg (Lieberman et al.
1987) up to 1,400 mg of caffeine (Streufert et al. 1997), or
body weight-related doses of 1 (Yeomans et al. 2002) to 13 Tasks
mg/kg (Pasman et al. 1995). According to Graham (2001),
the optimal dose of caffeine is between 3 and 6 mg/kg body The subjects performed three tasks: a motor task, a cog-
weight. To mimic everyday life as much as possible, we used nitive task, and a dual task.
a dose of 3 mg/kg (equivalent to about two cups of coffee) The motor task consisted of voluntary abductions of the
and dissolved the caffeine in decaffeinated coffee. right index finger. The contractions could either be maxi-
We conducted this study to investigate the effect of a mal (MVC) or submaximal (30% cMVC). At the start of
moderate dose of caffeine on performance during a cog- the experiment, subjects performed three maximal volun-
nitive task and on motor parameters, force and endurance tary contractions (MVCs; 4 s) of the index finger (ab-
time. Furthermore, we used a dual-task paradigm to in- duction) at approximately 1-min intervals (Enoka et al.
vestigate whether a moderate dose of caffeine could atten- 1989; Fuglevand et al. 1993; Zijdewind and Kernell 1994).
uate the decline in cognitive performance observed during a If the difference between the peak forces of two
fatiguing motor task. The preliminary results were pre- consecutive MVCs exceeded 5%, a subsequent trial was
sented in abstract form (van Duinen et al. 2003). performed. The strongest contraction was used as the
control MVC (cMVC). During the cognitive tasks (see
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below), the subjects executed an MVC after each 60-s condition, subjects received decaffeinated coffee. In the
period (see Fig. 1). caffeine condition, subjects received decaffeinated coffee
The cognitive task involved an auditory choice reaction in which caffeine (3 mg/kg body weight) was dissolved.
time (CRT) task. The stimuli (500- or 900-Hz pure tones; Subjects were allowed to use milk and/or sugar, and they
duration, 50 ms; intensity, 70 dB) were presented binau- could not distinguish between caffeinated and decaffein-
rally through speakers. Random sequences of frequent ated coffee. Since there is evidence that withdrawal effects
(70% occurrence; high probability) and infrequent (30%; may play a role in the observed caffeine effects (Rogers
low probability) stimuli were presented in blocks of 50 et al. 2003), subjects were allowed to consume one cup of
stimuli (a period lasting 60 s). The inter-tone interval coffee before 10 A.M. If they drank their morning coffee,
varied randomly between 1,100 and 1,300 ms. Subjects they had to do so on both experimental days.
responded to the auditory stimulus by pressing one of two
response buttons with the middle or index finger of their
left hand, as fast and accurately as possible. Half of the General procedure
subjects were instructed to respond with their middle finger
to frequent stimuli and with their index finger to infrequent Figure 1 shows a schematic drawing of the procedure that
stimuli. The other subjects received opposite instructions. was followed throughout both experimental sessions.
For half of the subjects in each group, 500-Hz tones were These sessions were identical except for the caffeine treat-
frequent stimuli; for the other half, these tones served as ment; the sessions were conducted at least 1 week apart.
infrequent stimuli. As a result, there were four different Each session started at 1:30 P.M., and lasted 1.52 h; a
versions of the CRT task: (1) frequent stimuli 500 Hz, session started with the participants drinking a cup of coffee
middle finger response; (2) frequent stimuli 900 Hz, middle (with or without caffeine, see Caffeine administration).
finger response; (3) frequent stimuli 500 Hz, index finger In order to attribute the influence of performing a con-
response; and (4) frequent stimuli 900 Hz, index finger current motor task on CRT performance, we started with a
response. The presentation of stimuli and the collection of single CRT task. The difference in performance between
the subjects responses were controlled by Micro Experi- the single task and the start of the dual task gives an in-
mental Laboratory Professional Software (MEL v2.0; dication of the additional demands of the motor task. The
Schneider 1988) in conjunction with the MEL Serial Re- long-term effects of fatigue were studied by repeating the
sponse Box. single CRT task. The difference in performance between
The dual task consisted of a motor task at 30% cMVC the pre- and post-fatigue CRT tasks gives an indication of
(right index finger) that was performed in combination with these long-term effects. Hence, the order of the execut-
a cognitive task (left hand; see Fig. 1). The subjects looked ed tasks was as follows:
at a dual-beam oscilloscope in front of them; one beam
(1) Practice; one block of 150 CRT stimuli was followed
continually displayed the isometric force production of the
by three blocks of 50 CRT trials (ca. 60 s), each block
subject, and the second beam indicated the desired level of
was followed by an MVC;
contraction force (30% cMVC). The task started with: (1)
(2) Three MVC measurements; this part started 45 min
the submaximal contraction at 30% cMVC maintained for
after caffeine administration;
60 s, followed by (2) an MVC for 4 s and (3) 4 s rest.
(3) Single CRT task (pre-fatigue); 14 blocks of 50 stimuli,
Concomitantly with the submaximal contraction, the sub-
each block was followed by an MVC;
jects had to execute the same CRT task described above.
(4) Dual task; a submaximal contraction combined with
This sequence [(1)(3)] was repeated until the subject
the CRT task, continued until the subject could no
could no longer maintain the target force.
longer sustain the target force level for more than 2 s.
(5) Single CRT task (post-fatigue); 14 blocks of 50 stimuli,
each block was followed by an MVC [see item (3)].
Caffeine administration
Since accurate force measurements require fixation in
Subjects completed a placebo and a caffeine session in a the experimental set-up, which would be uncomfortable for
semi-randomized and double-blind order. In the placebo

Single CRT pre-fatigue Dual-task Single CRT post-fatigue

900 . ..... .. ...


..... . ..... .. ..... . ....
.... . . ..... . .... .
. ... .. .... . .. ...
. ... . ..... ... .....
CRT . ....... . ........ . ..... . .....
.. .. . .....
.. . . . ..... . .....
. .. . ........ .. . . ...
500

Force
Fig. 1 Schematic representation of the general procedure. Practice produced once every minute. After this task, the dual task is
and maximal voluntary contraction (MCV) measurements, which executed: a contraction at 30% cMVC in combination with the CRT
precede the single choice reaction time (CRT) task pre-fatigue, are task, followed by an MVC and 4-s rest. The dual task is followed by
not shown. During the single CRT task pre-fatigue, an MVC is the single CRT task post-fatigue
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long periods (>1.5 h), we did not perform baseline Results


measurements before coffee consumption.
Table 1 shows the mean age, weight, and caffeine amount
for all subjects who were used for analysis. In one (female)
Data reduction and statistical procedure subject, the recording of cognitive data failed at the start of
the dual task; therefore, data of this subject were excluded
Force and EMG data were analyzed using Spike2 for from the analysis.
Windows. EMG data were rectified and smoothed over a No significant differences were found between CRT
time constant of 100 ms. Peak values of force and EMG performance in the different test versions (frequent stimuli
were determined for the MVCs, while the mean amplitudes 500 or 900 Hz, middle or index finger response; RT:
of force and EMG and force variability (SD/mean) were F3,19=1.32, p=0.297; accuracy: F3,19=0.22, p=0.881). There-
determined for submaximal contractions. fore, data were pooled across the four CRT versions. Nei-
To study time-on-task effects, we grouped the behavioural ther did we find a significant interaction between gender
data into three equal time periods (beginning, t1; middle, t2; and caffeine on various cognitive and motor parameters
and end of task, t3) per task (dual task and single tasks). We (RT: F1,21=0.36; accuracy: F1,21=1.38; cMVC: F1,21=0.80;
calculated the mean force and EMG values for each time endurance: F1,21=0.35; all values are n.s.). Therefore, we
period. In the CRT tasks, the first two stimuli of each block pooled the data of male and female subjects. Figure 2 shows
were regarded as practice trials and were excluded from the the reaction times (RTs) and accuracy of the three tasks (pre-
analysis. For each subject, we determined mean accuracy fatigue single CRT, fatiguing dual task, and post-fatigue
percentages and trimmed mean (20%) reaction times (RTs) of single CRT).
correct responses per time period. Trimmed means were used In both the single and dual task, the reaction times were
to prevent large effects of outliers, without losing too much significantly shorter in the second session (F1,21=28.10,
data (in contrast to the median; Wilcox et al. 2000). The 20% p<0.001). To investigate the effect of caffeine on reaction
trimmed mean refers to a situation in which the fastest 20% times, we used session of caffeine administration as a be-
and the slowest 20% of the reaction times are removed; the tween-subjects variable. Significant interactions between
remaining reaction times are averaged. session and session of administration were found for re-
The cognitive data were analyzed via ANOVAs for action times of both frequent and infrequent stimuli
repeated measurements using the statistical package SPSS 10 (F1,21=9.48, p=0.006). This interaction suggests that caf-
for Windows. For reasons of clarity, we separated the feine has an additional impact on the effect of session.
statistical analysis for the single task and the dual task. Thus, Overall, subjects responded faster in the second session.
in the single-task condition both pre- and post-fatigue data However, subjects who received caffeine in the second
were combined, resulting in six time periods (t1t3 for pre- session were significantly faster, while subjects who received
fatigue values; and t4t6 for post-fatigue values). Since caffeine in the first session did not show an improvement in
caffeine was administrated in a semi-randomized order (in their reaction times. That is, in those subjects the effect of
session 1 or 2), we used session (two levels), frequency (two session (faster in session 2) and the effect of caffeine (faster
levels: frequent stimuli and infrequent stimuli), and time-on- in caffeine session 1) have contradicting effects on reaction
task (three: t1t3 or six: t1t6) as within-subjects factors and times. Since we are interested in the effect of caffeine, we
session of caffeine administration as between-subjects factor. will discuss the interaction between session and session of
Although subjects underwent a practice trial, training effects caffeine administration in more detail in the following
could still be induced by repeating the experiment. The paragraphs.
interaction between session and session of caffeine admin-
istration shows the effect of caffeine on this possible training
effect. Single task performance
We also used ANOVAs for repeated measurements to
analyze the motor parameters. For MVC data, within- As can be seen in Fig. 2, caffeine consumption signifi-
subject factors were session (two levels) and time-on-task cantly affected the difference in reaction times between
(three levels) and the between-subjects factor was session sessions 1 and 2 (F1,21=8.08, p=0.010; for frequent and
of caffeine administration. For absolute force and endur- infrequent stimuli together), but not accuracy (F1,21=0.25,
ance time, the within-subject factor was session and the
between-subjects factor was session of caffeine adminis-
Table 1 Physiological data and caffeine consumption for male and
tration. If the main analysis indicated a significant effect of female subjects
a factor or an interaction between factors, follow-up anal-
yses were performed, with adjustments of the significance Subjects Males (n=11) Females (n=12)
level for multiple comparisons according to Bonferroni. In
Age (years) 25.67.0 (1942) 21.32.1 (1824)
the text data are reported as meansSD and in figures as
Weight (kg) 78.89.5 (6397) 65.511.4 (4884)
meansSE.
Caffeine (mg) 236.528.5 (189291) 196.534.1 (144252)
For each parameter, meanSD and range (between brackets) are
given
543
Fig. 2 Reaction times and ac- Frequent stimuli Infrequent stimuli
curacy data. Reaction times are
shown for both frequent (a) and a 425
b 425
infrequent (b) stimuli; accuracy caffeine
data are shown in c (frequent) placebo
and d (infrequent stimuli). Data 375 375

RT (ms)
of both the caffeine (filled
triangle) and placebo (open 325 325
square) conditions are shown,
during the single task before 275 275
fatigue, the dual-task and the
single task after fatigue 225 225

c 100
d 100

90 90
Accuracy (%)

80 80

70 70

60 60

50 50

t1 t2 t3 t1 t2 t3 t4 t5 t6 t1 t2 t3 t1 t2 t3 t4 t5 t6
Single Fatiguing Single Single Fatiguing Single
CRT dual-task CRT CRT dual-task CRT
pre-fatigue post-fatigue pre-fatigue post-fatigue

n.s.). Subjects reacted significantly faster in the caffeine cMVC; F2,42=30.55, p<0.001). During the single CRT task
condition (29051 vs 29952 ms) without decreasing their after the fatigue test, MVC values increased approximately
accuracy (92.67.7 vs 92.47.9%). We found no interac- by 6%, indicating a small recovery from fatigue (t4: 67.7
tions between caffeine and frequency and/or time-on-task. 7.3% cMVC, t6: 74.18.9% cMVC; F2,42=53.63, p<
We also found that stimulus frequency had a significant 0.001). Caffeine affected neither the cMVC (F1,21=0.18,
effect on both reaction times and accuracy (RTs: F1,21= n.s.) nor the MVC values during the CRT tasks (F1,21=
286.16, p<0.001; accuracy: F1,21=121.83, p<0.001). In line 0.018, n.s.). In addition, no effect of caffeine was found
with a previous study (Lorist et al. 2002), subjects re-
sponded faster and more accurately to frequent stimuli (257
32 ms, 97.81.7%) compared to infrequent stimuli (333
caffeine
38 ms, 87.27.9%). Besides stimulus frequency, time-on- 100
task also had a significant effect on reaction times; this placebo
90
effect was caused by the reaction times of t4, which were
MVC (%-cMVC)

significantly faster than the reaction times in t2 and t3 80


(F5,105=3.40, p=0.007). Accuracy levels did not change
70
with time-on-task (F5,105=1.546, n.s.). Furthermore, there
was a significant interaction between the effect of stimulus 60
frequency and time-on-task for reaction times (F5,105=6.43, 50
p<0.001). Post hoc tests revealed that this interaction was
due to the data of the single CRT task pre-fatigue (t1t2: 40
F1,21=19.27, p<0.001; t2t3: F1,21=6.28, p=0.021). From
t1 to t2, reaction times of frequent stimuli slightly decreased,
t1 t2 t3 t1 t2 t3 t4 t5 t6
while reaction times of infrequent stimuli slightly increased;
conversely, from t2 to t3 reaction times of frequent stimuli Single Fatiguing Single
slightly increased, while those of infrequent stimuli slightly CRT dual-task CRT
decreased from t2 to t3 (as can be seen in Fig. 2a and b). pre-fatigue post-fatigue
During the single CRT tasks, subjects performed an
MVC after every block of 50 stimuli. Figure 3 shows the Fig. 3 MVC values (%) during pre-fatigue single task, dual-task
and the post-fatigue single task. Mean values were calculated for
change of MVC values with time. During the single CRT three equal time-periods per task. The MVC values in both the
task before the fatigue test, a small decline in MVC values caffeine (filled triangle) and placebo (open square) condition are
could be observed (t1: 95.03.3% cMVC, t3: 91.15.5% shown
544

on the time-course of the MVC values (caffeinecourse 800 caffeine


interaction of MVCs: F5,105=0.17, n.s.) nor on the accom- placebo
panying EMG values (during MVCs: F1,21=0.22, n.s.;
600
caffeinecourse interaction of EMG during MVCs: F5,105=

Endurance (s)
0.97, n.s.).
400

Dual-task performance
200
During dual-task performance, the MVC values declined
significantly (see Fig. 3) (t1: 84.06.3% cMVC, t3: 46.1
11.1% cMVC; F2,42=147.10, p<0.001); this indicates that 0
fatigue was indeed induced by the submaximal motor task. 0 5 10 15 20 25
Moreover, in accordance with a previous study (Lorist Absolute target force t1 (Nm)
et al. 2002), subjects showed a significant decrease in cog-
nitive performance with increasing fatigue: reaction times Fig. 4 The relation between the (produced) target force (N m)
during t1 of the dual-task and the endurance time (s). Each point
increased and accuracy decreased progressively with time- represents data of a subject in the caffeine (filled diamond) and
on-task (RT: F2,42=23.14, p<0.001; accuracy: F2,42=30.08, placebo (open diamond) session. The correlation between force and
p<0.001). However, a significant interaction effect be- endurance was 0.397, p=0.006
tween session and session of caffeine administration was
found for reaction times (F1,21=5.52, p=0.029). This result
implies that caffeine administration improved the cogni- task differed significantly from the single CRT tasks (for
tive performance significantly in the dual task; in the caf- both RTs and accuracy: single CRT task pre-fatigue vs dual
feine condition, subjects showed faster responses (31967 task: p<0.001; dual task vs single CRT task post-fatigue:
vs 34378 ms) while maintaining their response accuracy p<0.001). However, in the dual task, performance was also
(80.717.2 vs 80.116.9%; F1,21=0.27, n.s.). We found no influenced by fatigue. Since fatigue has a deteriorating ef-
significant interactions between caffeine and stimulus fre- fect on dual task performance, the difference between the
quency and/or time-on-task. single CRT tasks and the dual task might have been caused
As expected, stimulus frequency significantly affected by fatigue. To exclude this effect of fatigue, we also com-
reaction times and accuracy. Subjects reacted faster and pared t3 of the single CRT task pre-fatigue vs t1 of the dual
more accurately to frequent stimuli than to infrequent stim- task. For reaction times, we found a significant interaction
uli (RT: 29464 vs 36962 ms; F1,21=148.06, p< 0.001; between task and caffeine (F1,21=6.46, p=0.019); that is,
accuracy: 90.110.0 vs 70.717.0%; F1,21=112.84, p<0.001). reaction times increased in the placebo condition but not
No significant effect of caffeine on the motor parameters in the caffeine condition, as can be seen in Fig. 2 (increase
was found; caffeine did not affect the amplitude of the MVC in reaction times: 1 ms in the caffeine condition, 22 ms in
values (F1,21=0.94, n.s.). Neither was the decline in MVC the placebo condition). For accuracy, there was a main
values affected by caffeine consumption (F2,42= 0.44, n.s.) effect of task (F1,21=19.90, p<0.001). This implies that,
nor the accompanying EMG values (F1,21= 0.037, n.s.; both in the caffeine and placebo conditions, accuracy was
caffeinetime interaction: F2,42=0.28, n.s.). However, in the lower in the dual task than in the pre-fatigue task (decrease
caffeine condition subjects had the tendency to produce of 6.6%), without an interaction between task and caffeine
slightly more force (30.93 vs 30.21% cMVC) during the (F1,21= 0.32, n.s.).
submaximal contraction (F1,21=3.35, p=0.081). Although
this effect was small and not significant, it could influence
the length of time at which the subjects could sustain the Discussion
fatiguing task. As shown in Fig. 4, a significant negative
correlation could be observed between absolute force at the In everyday life, motor and cognitive performance generally
start of the dual task (t1) and endurance time (r=0.378; occur together. Deterioration of cognitive functions, pro-
p=0.010). Endurance time and absolute force at the start of voked by motor fatigue, might lead to suboptimal func-
the dual task, however, were not affected by caffeine tioning in, e.g., work situations. As caffeine can improve
(F1,21=1.20, n.s.; F1,21=0.15, n.s., respectively). both cognitive and motor performance, we studied whether
caffeine also positively affects cognitive performance during
a fatiguing motor task. Indeed, the results show that caffeine
Single vs dual task performance improved cognitive performance even when the subjects
experienced motor fatigue. However, we observed no effect
Overall, cognitive performance in the dual task was inferior of caffeine on motor parameters (maximal force and en-
compared to performance in the single CRT tasks: reaction durance time).
times were longer and accuracy was lower in the dual task We found that subjects responded faster in the second
(effect of task: F2,42=45.87, p<0.001 for RT; F2,42=43.15, session than in the first session. Thus, repeating the same
p<0.001 for accuracy). Post hoc tests revealed that the dual test resulted in improved performance; subjects responded
545

faster without increasing their number of errors (see also Despite its effect on cognitive performance, caffeine had
Klapp 1995; Rabbit and Banerji 1989). This training effect no effect on motor parameters: absolute force, time course of
was observed although we did not find a time-on-task the MVCs or endurance time. One complication is that
effect in the first single task (single CRT t1t3). However, caffeine condition subjects tend to produce more force than
the fact that subjects responded faster on t4 (the first in the placebo condition. As shown by Rohmert (1960),
measurement after the dual task) showed that subjects subjects tend to become fatigued faster at higher force levels
could still improve their performance. Thus, despite a lack (see also Hunter and Enoka 2001). This could imply that in
of improvement during the experiment, a significant im- caffeine condition subjects tend to fatigue at a faster rate,
provement was seen when the test was repeated. which would consequently reduce endurance time. The dif-
The decrease in reaction times between the first and ference in force levels between the two conditions, how-
second experiments was influenced by caffeine consump- ever, was extremely small (0.72%). Thus, it is more likely
tion. Subjects who consumed caffeine in the second session that there are other and more important factors that could
were much faster in this session than in the first session, account for caffeines lack of effects on motor parameters.
while subjects who received caffeine in the first session did In this study we used 3 mg/kg, which is within the range of
not improve their reaction times. In the latter subjects, the optimal dosages as suggested in the review by Graham
accelerating effects of caffeine (first session) were obscured (2001). Moreover, it is a realistic amount of caffeine that
by the accelerating effect of practice in the second session. one would normally ingest from approximately two cups
In contrast, for the first group of subjects the accelerating of brewed coffee in the Netherlands. Some of the studies
effects of caffeine were added to the accelerating effects that show an effect of caffeine on force and endurance used
of practice in the second session. Overall, this interaction a dose of 6 mg/kg (Kalmar and Cafarelli 1999; Plaskett and
between session and session of caffeine administration Cafarelli 2001). However, in several other studies that used
showed that cognitive performance was more efficient in higher doses of caffeine, no effects were found. For ex-
the caffeine condition than in the placebo condition. The ample, in a recent study by Kalmar and Cafarelli (2004), no
positive effects of caffeine were observed for both frequent effect of caffeine (6 mg/kg) was found on maximal volun-
and infrequent stimuli. In general, the effect of caffeine is tary force or endurance time in an index finger abduction
most robust on tasks associated with attention or alertness task. Williams et al. (1987) used the dose of 7 mg/kg and
(Brice and Smith 2002; Lieberman et al. 2002; Warburton still did not find an effect on force and endurance during
1995). The accelerating effect of caffeine on reaction times a handgrip task. Lopes et al. (1983) applied 500 mg of
is consistent with this observation. In a dual-task paradigm, caffeine, but observed no effect on maximal force and
higher demands are placed on the information processing endurance time during a thumb-adduction task. In sum-
system (Wickens and Hollands 2000). Because the capac- mary, none of the studies on hand muscles found an ef-
ity of the information processing system is limited, per- fect of caffeine on the muscle force. On the other hand,
formance in one or both tasks of the dual-task paradigm studies using large muscle groups such as leg muscles did
would be expected to deteriorate. In our experiment, we show an effect of caffeine on force or endurance time (Bell
instructed our subjects to consider the motor task as the et al. 2001; Doherty 1998; Greer et al. 2000; Jackman et al.
primary task and therefore we expect to find changes in 1996; Kalmar and Cafarelli 1999; Plaskett and Cafarelli
the cognitive performance as an indication of increasing 2001; Tarnopolsky and Cupido 2000). Hence, it may be that
demands. In the placebo condition, we found a decline the intrinsic properties of the exercised muscle (group) or
in cognitive performance in the beginning of the dual task the motor task are important factors on the effect of caf-
(t3 of single CRT pre-fatigue vs t1 of dual task), indi- feine. For instance, the load upon the cardiovascular system
cating that the demands placed on the information pro- is significantly greater during exercise of large muscles
cessing system in the dual-task condition indeed exceeded (or groups) compared to small hand muscles. In addition,
the available capacity. However, in the caffeine condition the metabolic stress (e.g., lactate) after exercising hand
this decline was partially prevented, because there was no muscles will be much lower. Furthermore, evidence also
increase in reaction times in the beginning of the dual task, suggests that muscles differ in the ease with which they
indicating that caffeine did have an influence on the in- are activated maximally by the central nervous system
formation processing capacity. This result indicates that (Behm et al. 2002; Belanger and McComas 1981). Data
caffeine has an effect on the efficiency of the information obtained by Kalmar and Cafarelli (1999) suggest that the
processing system and/or the allocation of the available force increase after caffeine consumption could (partly) be
capacity. This result is consistent with the finding of en- explained by an enhancement of the central drive to the
hanced performance in a caffeine condition in experiments muscles. The fact that muscles differ in the ease with
using a cognitive dual-task paradigm (Brice and Smith which they are driven maximally implies that the effect
2002; Ruijter et al. 1999). In our study, the dual task con- of a potential enhancing stimulant, such as caffeine, also
sisted of a fatiguing motor task in combination with a varies across muscles. Since caffeine has an effect on
cognitive task. If the demands of the motor task increased several systems within the body (e.g., muscle, brain, and
during the development of fatigue, the performance on cardiovascular system), it is uncertain which effect could
the secondary cognitive task declined. However, the pos- be responsible for the apparent difference across various
itive effects of caffeine persisted, because no interaction muscles.
effect between caffeine and time-on-task was observed.
546

Furthermore, data suggest that the effect of caffeine Hameleers PA, Van Boxtel MP, Hogervorst E, Riedel WJ, Houx PJ,
consumption can vary with the time of day (Miller et al. Buntinx F, Jolles J (2000) Habitual caffeine consumption and
its relation to memory, attention, planning capacity and psy-
1995). We measured all our subjects in the early afternoon chomotor performance across multiple age groups. Hum Psy-
starting at 1.30 P.M. Data obtained by Miller et al. (1995) chopharmacol 15:573581
showed a significant effect of caffeine on force production Hunter SK, Enoka RM (2001) Sex differences in the fatigability of arm
in the morning, while no such effect was observed in af- muscles depends on absolute force during isometric contractions.
J Appl Physiol 91:26862694
ternoon or evening sessions. This may also explain why we Jackman M, Wendling P, Friars D, Graham TE (1996) Metabolic
did not find an effect of caffeine on force production. In catecholamine, and endurance responses to caffeine during in-
most of the other experiments, the investigators did not tense exercise. J Appl Physiol 81:16581663
indicate at what time of the day the experiments were Kalmar JM, Cafarelli E (1999) Effects of caffeine on neuromuscular
function. J Appl Physiol 87:801808
performed. Kalmar JM, Cafarelli E (2004) Central fatigue and transcranial
In conclusion, caffeines positive effect on cognitive per- magnetic stimulation: effect of caffeine and the confound of
formance also extends under fatigue conditions. This in- peripheral transmission failure. J Neurosci Methods 138:1526
dicates that drinking coffee (or other caffeine-containing Klapp ST (1995) Motor response programming during sample and
beverages) might prevent unfavourable situations caused by choice reaction time: the role of practice. J Exp Psychol 21:
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This positive effect of caffeine is of importance in the field of vigilance performance and mood. Physiol Behav 65:171175
sports and in working situations in which subjects have to Lieberman HR, Spring BJ, Garfield GS (1986) The behavioral
make imperative decisions, as well as in situations in which effects of food constituents: strategies used in studies of
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Acknowledgements This work was supported under the frame- R (2002) Effects of caffeine, sleep loss, and stress on cognitive
work of the NWO Cognition Program with financial aid from the performance and mood during U.S. Navy SEAL training. Sea
Netherlands Organization for Scientific Research (NWO). AirLand. Psychopharmacology 164:250261
The authors would like to thank Dr. Rob Bakels for helpful Lopes JM, Aubier M, Jardim J, Aranda JV, Macklem PT (1983)
comments on the manuscript and, Nieske Brouwer and Evelyn Effect of caffeine on skeletal muscle function before and after
Wesseling for the caffeine administration. fatigue. J Appl Physiol 54:13031305
Lorist MM, Snel J, Kok A, Mulder G (1994) Influence of caffeine
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