Skip to main content
Log in

Effects of caffeine on alertness as measured by infrared reflectance oculography

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

Caffeine is a well-known stimulant that can be used to increase alertness and performance especially in low arousal situations such as monotonous highway driving or after sleep deprivation. The effects of caffeine in rested, alert, participants are less clear, and this may be attributable to difficulties in objectively assessing small changes in alertness.

Objectives

The present study examined the effects of caffeine in non-sleep-deprived participants with methods that have previously been shown to be sensitive to changes in alertness. In order to avoid confounding results, low, or non-users of caffeine, were sought as participants.

Materials and methods

Twelve subjects participated in a within-subjects double-blind placebo-controlled design study and were administered either a capsule containing 200 mg of caffeine or placebo on two separate days. Ten-minute long tests of vigilance were performed at baseline and then at 30, 60, 120, 180, and 240 min after swallowing the capsule. During vigilance tests, eye blink variables were measured using infrared reflectance oculography and converted into a drowsiness score, Johns Drowsiness Scale (JDS).

Results

Caffeine significantly reduced JDS scores (drowsiness) and reaction times, and these changes persisted for 3 to 4 h. Self reports of sleepiness were not as sensitive, with Karolinska Sleepiness Scale scores only being significantly lower in the caffeine compared to placebo condition at 30 min post capsule administration.

Conclusions

The results demonstrated that despite being well rested, administration of caffeine significantly increased alertness and enhanced performance, and these changes were able to be detected with the JDS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Abernethy DR, Todd EL (1985) Impairment of caffeine clearance by chronic use of low-dose oestrogen-containing oral contraceptives. Eur J Clin Pharmacol 28:425–428

    Article  PubMed  CAS  Google Scholar 

  • Akerstedt T, Gilberg M (1990) Subjective and objective sleepiness in the active individual. Int J Neurosci 52:29–37

    Article  PubMed  CAS  Google Scholar 

  • Arnaud MJ (1987) The pharmacology of caffeine. Prog Drug Res 31:273–313

    PubMed  CAS  Google Scholar 

  • Beaumont M, Batejat D, Pierard C, Coste O, Doireau P, Van Beers P, Chauffard F, Chassard D, Enslen M, Denis JB, Lagarde D (2001) Slow release caffeine and prolonged (64-h) continuous wakefulness: effects on vigilance and cognitive performance. J Sleep Res 10:265–276

    Article  PubMed  CAS  Google Scholar 

  • Bocca ML, Denise P (2006) Total sleep deprivation effect on disengagement of spatial attention as assessed by saccadic eye movements. Clin Neurophysiol 117:894–9

    Article  PubMed  Google Scholar 

  • Bonnet MH, Balkin TJ, Dinges DF, Roehrs T, Rogers N, Wesensten NJ (2005) The use of stimulants to modify performance during sleep loss: a review by the sleep deprivation and stimulant task force of the American Academy of Sleep Medicine. Sleep 28:1163–1187

    PubMed  Google Scholar 

  • Caffier PP, Erdman U, Ullsperger P (2003) Experimental evaluation of eye-blink parameters as a drowsiness measure. Eur J Appl Physiol 89:319–325

    Article  PubMed  Google Scholar 

  • Food Standards Australia New Zealand (2006) Caffeine

  • Fredholm BB (1995) Astra award lecture: adenosine, adenosine receptors and the actions of caffeine. Pharmacol Toxicol 76:93–101

    Article  PubMed  CAS  Google Scholar 

  • Fredholm BB, Battig K, Holmen J, Nehlig A, Zvartau EE (1999) Actions of caffeine in the brain with special reference to factors that contribute to its widespread use. Pharmacol Rev 51:83–133

    PubMed  CAS  Google Scholar 

  • Heitmann A, Guttkuhn R, Aguirre A, Trutschel U, Moore-Ede M (2001) Technologies for the monitoring and prevention of driver fatigue. In: Proceedings of the First International Driving Symposium on Human Factors in Driver Assessment, Training and Vehicle Design. Aspen, CO, USA, pp 81–86

  • Horne JA, Reyner LA (1996) Counteracting driver sleepiness: effects of napping, caffeine, and placebo. Psychophysiology 33:306–309

    Article  PubMed  CAS  Google Scholar 

  • James JE, Rogers PJ (2005) Effects of caffeine on performance and mood: withdrawal reversal is the most plausible explanation. Psychopharmacology 182:1–8

    Article  PubMed  CAS  Google Scholar 

  • Johns M (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14:540–545

    PubMed  CAS  Google Scholar 

  • Johns M (2003) Eyelid closure, visual suppression and hypovigilance in the drowsy state: lapses in performance with eyes open or closed. Sleep 26(Suppl):A52

    Google Scholar 

  • Johns M, Tucker A, Chapman R, Michael N, Beale C (2006) A new scale of drowsiness based on multiple characteristics of blinks: the Johns drowsiness scale. Sleep 29(suppl):A365

    Google Scholar 

  • Johns M, Tucker A, Chapman R, Crowley K, Michael N (2007) Monitoring eye and eyelid movements by infrared reflectance oculography to measure drowsiness in drivers. Somnologie 11:234–242

    Article  Google Scholar 

  • Liguori A, Hughes JR, Grass JA (1997) Absorption and subjective effects of caffeine from coffee, cola and capsules. Pharmacol Biochem Behav 58:721–726

    Article  PubMed  CAS  Google Scholar 

  • Lorist MM, Snel J, Kok A, Mulder G (1994) Influence of caffeine on selective attention in well-rested and fatigued subjects. Psychophysiology 31:525–534

    Article  PubMed  CAS  Google Scholar 

  • Morris TL, Miller JC (1996) Electrooculographic and performance indices of fatigue during simulated flight. Biol Psychol 42:343–360

    Article  PubMed  CAS  Google Scholar 

  • Minzhong Y, Russo M, Johnson D, Kamimori G (2004) Oculomotor measures over 30-hours of continuous wake with and without caffeine. Sleep 27(Suppl):A138

    Google Scholar 

  • Parsons WD, Neims AH (1978) Effect of smoking on caffeine clearance. Clin Pharmacol Ther 24:40–45

    PubMed  CAS  Google Scholar 

  • Patat A, Rosenzweig P, Enslen M, Trocherie S, Miget N, Bozon MC, Allain H, Gandon JM (2000) Effects of a new slow release formulation of caffeine on EEG, psychomotor and cognitive functions in sleep-deprived subjects. Hum Psychopharmacol 15:153–170

    Article  PubMed  CAS  Google Scholar 

  • Smith A, Brice C, Nash J, Nutt DJ (2003) Caffeine and central noradrenaline: effects on mood, cognitive performance, eye movements and cardiovascular function. J Psychopharmacol (Oxf) 17:283–292

    Article  CAS  Google Scholar 

  • Smith A, Sutherland D, Christopher G (2005) Effects of repeated doses of caffeine on mood and performance of alert and fatigued volunteers. J Psychopharmacol 19:620–626

    Article  PubMed  CAS  Google Scholar 

  • Stern JA, Walrath LC, Goldstein R (1984) The endogenous eye blink. Psychophysiology 21:23–33

    Article  Google Scholar 

  • Van Deventer G, Kamemoto E, Kuznicki JT, Heckert DC, Schulte MC (1992) Lower esophageal sphincter pressure, acid secretion, and blood gastrin after coffee consumption. Dig Dis Sci 37:558–569

    Article  PubMed  Google Scholar 

  • Van Orden KF, Jung T-P, Makeig S (2000) Combined eye activity measures accurately estimate changes in sustained visual task performance. Biol Psychol 52:221–240

    Article  PubMed  Google Scholar 

  • Vanderveen JE, Armstrong LE, Butterfield GE, Chenoweth WL, Dwyer JT, Fernstrom JD, Kanarek RB, Levander OA, Sternberg EM (2001) Caffeine for the sustainment of mental task performance: formulations for military operations. National Academy, Washington, DC

    Google Scholar 

  • Wesensten NJ, Killgore WDS, Balkin TJ (2005) Performance and alertness effects of caffeine, dextroamphetamine, and modafinil during sleep deprivation. J Sleep Res 14:255–266

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Dr Kate Crowley for critical review of this manuscript, the anonymous reviews for their feedback, and Dr Andy Tucker for performing additional post hoc statistical comparisons.

Sleep Diagnostics Pty Ltd is a Research and Development Company that provided financial support for this research by way of salaries for Dr Johns and for Miss Michael during the data collection and analysis phase. Dr Johns is also a share holder of the company.

Furthermore, this study was performed in compliance with the current laws of Australia.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Natalie Michael.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Michael, N., Johns, M., Owen, C. et al. Effects of caffeine on alertness as measured by infrared reflectance oculography. Psychopharmacology 200, 255–260 (2008). https://doi.org/10.1007/s00213-008-1202-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-008-1202-z

Keywords

Navigation