Caffeine metabolites in wastewater were investigated as potential biomarkers for assessing caffeine intake in a population. The main human urinary metabolites of caffeine were measured in the urban wastewater of ten European cities and the metabolic profiles in wastewater were compared with the human urinary excretion profile. A good match was found for 1,7-dimethyluric acid, an exclusive caffeine metabolite, suggesting that might be a suitable biomarker in wastewater for assessing population-level caffeine consumption. A correction factor was developed considering the percentage of excretion of this metabolite in humans, according to published pharmacokinetic studies. Daily caffeine intake estimated from wastewater analysis was compared with the average daily intake calculated from the average amount of coffee consumed by country per capita. Good agreement was found in some cities but further information is needed to standardize this approach. Wastewater analysis proved useful to providing additional local information on caffeine use.Key words: Caffeine; 1,7-dimethyluric acid; back-calculation; correction factor; wastewaterbased epidemiology; urinary biomarkers 4
INTRODUCTIONHistory suggests that caffeine has been used, in one form or another, since ancient times. In 2737 BC a Chinese Emperor used the leaves from a nearby bush to prepare a tea (Arab and Blumberg, 2008;Heckman et al., 2010). An old legend dates the use of coffee to the 9th century in the southern tip of the Arabian Peninsula when a shepherd noted euphoria and stimulating effects on his goats caused by eating wild coffee berries. He then decided to try them himself. Coffee later crossed to Africa and in the 1600s reached Europe becoming, over the centuries, the most commonly consumed beverage worldwide after water (Butt and Tauseef, 2011).Caffeine is a naturally occurring alkaloid found in beans, leaves and fruits of more than 60 plant species. The world's main sources are coffee beans (Coffea arabica and Coffea robusta) and tea leaves (Camellia siniensis). It is also naturally found in kola nuts (Cola acuminate), cocao beans (Theobroma cacao), yerba mate (Ilex paraguariensis) and guarana berries (Paullinia cupana). Most caffeine is consumed with beverages such as coffee, tea and soft drinks (including "energy drinks"), while products containing cocoa or chocolate, and medications such as some analgesic formulations and dietary supplements contribute small amounts to the diet (Heckman et al., 2010). Total daily intakes vary throughout the world although coffee usually contributes significantly more than other drinks to overall caffeine consumption (coffee 71%, soft drinks 16% and tea 12%), particularly among adults (Heckman et al., 2010;Mitchell et al., 2014). Carbonated Soft drinks are the main source of caffeine for children (Mitchell et al., 2014).Chocolate contains on average around 1.3% of theobromine, 0.75% of caffeine and theophylline in small amounts; cola nut between 2 and 3.5% of caffeine, theobromine (between 1 and 3.5%) and sm...