An interesting paper applying nutrigenetics to health effects of caffeine on blood pressure and cardio vascular disease risks. I quote some of the article's “practical implications”. A good example of going from research to practice:
Moving towards Specific Nutrigenetic Recommendation Algorithms: Caffeine, Genetic Variation and Cardiovascular Risk
http://www.ncbi.nlm....pubmed/27467525
“…Male subjects with the ADORA2A TT (rs5751876) or the ADRA2B II genotypes are more prone to acute surges in BP in response to caffeine-containing beverages. The amount of caffeine used in that study was 3 mg/kg, meaning 210 mg in a 70-kg average subject; for comparison, one small espresso cup yields about 80 mg of caffeine. In practical terms, drinking a double espresso would yield a sufficient amount of caffeine to differentiate the acute SBP increase in ADORA2A TT or ADRA2B II individuals from that of alternative genotypes. Although there are no data to state that these gene variants are associated with an increased cardiovascular risk, it would appear prudent that such individuals, especially if they are hypertensive, refrain from such amounts of acute coffee drinking (grade IIa, LOE B). No statement can be made for females, although prudent recommendations could be similar (grade IIa, LOE C)…”
“…Heavy coffee drinkers (>814 ml) with the low-activity COMT rs4680 AA genotype should be advised to limit their coffee drinking (grade IIb, LOE B)…”
“…Intake of coffee was associated with an increased risk of nonfatal MI only among individuals with slow caffeine metabolism. Findings appear applicable to both male and female, and both to younger and older individuals, perhaps with even greater effects among younger subjects. The risk of nonfatal MI appears to increase selectively in slow caffeine metabolizers already at a level of habitual intake of 2 cups per day. Therefore, slow caffeine metabolizers who are carriers of even one allele with an A>C substitution at position –163 (rs762551) in the CYP1A2 gene should refrain from drinking more than one cup of coffee per day…” (red mine)