How coffee reshapes the gut-brain axis and lifts mood—even without caffeine

Published April 21, 2026Originally published on MedicalXpress Breaking News-and-Events


Key Takeaways

Key points summarized by the MDLinx Team.

  • Regular coffee (3–5 cups/day) alters gut microbiome composition with downstream effects on bile acid metabolism and GI defense, suggesting diet counseling may influence both gut health and mood via microbiome modulation.

  • Both caffeinated and decaf coffee improved perceived stress and depression scores, indicating non-caffeine components (eg, polyphenols) may have clinically relevant mood benefits; potential adjunct in patients with mild mood symptoms.

  • Divergent effects matter clinically: Decaf linked to improved learning/memory, while caffeine improved attention and reduced anxiety—supporting tailored recommendations (eg, decaf for cognition/sleep-sensitive patients, caffeine for alertness).

New research from APC Microbiome Ireland, a research center at University College Cork, has comprehensively explored the mechanisms behind coffee's positive effects on the gut–brain axis for the first time. The study published in Nature Communications reveals how regular consumption of both caffeinated and decaffeinated coffee can affect the gut microbiome, and in turn influence mood and stress levels.

The benefits of coffee for both digestion and mood have been widely studied, but the exact mechanisms behind these effects have remained unclear. This research investigated how coffee consumption affects the microbiota-gut-brain axis—the bidirectional communication between the gut microbiome and the brain—through a wide range of measures.

How the study was designed

Groups of 31 coffee drinkers and 31 non-coffee drinkers were closely studied through a series of psychological tests, caffeine and food diaries, and stool and urine samples to understand changes in their microbiome and perceived mood or stress. "Coffee drinkers" were set as those who regularly consumed 3–5 cups of coffee a day—defined by the European Food Safety Authority (EFSA) as a safe and moderate amount for most people.

Participants first abstained from coffee for two weeks, with regular psychological assessments, as well as stool and urine samples throughout. This period of abstinence for coffee drinkers corresponded with significant changes in metabolite profiles in the gut microbiome, compared to non-coffee drinkers.

Caffeinated versus decaffeinated findings

Coffee was reintroduced to regular drinkers on a blinded basis, with half of participants consuming decaffeinated coffee and the other half caffeinated coffee. Both groups reported lower perceived stress, depression and impulsivity scores, suggesting that drinking coffee significantly improved mood, regardless of caffeine content.

Bacteria such as Eggertella sp and Cryptobacterium curtum were notably increased in coffee drinkers compared to non-coffee drinkers. The former is thought to contribute to gastric and intestinal acid secretion, while the latter is thought to be involved in bile acid synthesis—both of which may play a role in eliminating unhealthy gut bacteria and stomach infections. Increased Firmicutes bacteria were also observed, which has been associated with positive emotions in females.

Cognitive, microbial and mood impacts

A notable improvement in learning and memory was found only in those who consumed decaffeinated coffee, suggesting that components other than caffeine, such as polyphenols, are responsible for these cognitive benefits. However, in this study, the researchers found that only caffeinated coffee was associated with reduced feelings of anxiety, as well as improved vigilance and attention. Caffeine was also linked to a reduced risk of inflammation.

Corresponding author of the study, Professor John Cryan, Principal Investigator at APC Microbiome Ireland, University College Cork, commented, "Public interest in gut health has risen hugely. The relationship between digestive and mental health is also increasingly being better understood, but the mechanisms behind coffee's effects on this gut-brain axis have remained unclear.

"Our findings reveal the microbiome and neurological responses to coffee, as well as their potential long-term benefits for a healthier microbiome. Coffee may modify what microbes do collectively, and what metabolites they use. As the public continues to think about dietary changes for the right digestive balance, coffee has the potential to also be harnessed as a further intervention as part of a healthy balanced diet.

"Coffee is more than just caffeine—it's a complex dietary factor that interacts with our gut microbes, our metabolism, and even our emotional well-being. Our findings suggest that coffee, whether caffeinated or decaffeinated, can influence health in distinct but complementary ways."

This article was originally published on MedicalXpress Breaking News-and-Events.


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