A comprehensive analysis of national dietary data has revealed a significant increase in the caloric content of coffee drinks consumed by U.S. adults over a 15-year period. From 2003 to 2018, the average daily calorie intake from coffee beverages surged by nearly 40%, rising from 43 to 60 calories per person. This surge occurred despite a remarkably stable consumption rate of coffee, with individuals continuing to drink approximately 13 ounces of coffee daily. The primary driver behind this escalating caloric load has been identified as nondairy coffee creamer, which has surpassed both sugar and dairy milk as the leading contributor to calories in coffee beverages.
The groundbreaking study, published on October 19th in the esteemed Journal of the Academy of Nutrition and Dietetics, utilized data from over 30,000 participants of the National Health and Nutrition Examination Survey (NHANES), a federally administered program. Researchers from Tufts University meticulously examined dietary recalls to pinpoint the sources of added calories in coffee drinks. Their findings illustrate a dramatic shift in consumer habits and product popularity, with profound implications for public health and nutrition.
The Rise of Nondairy Creamers: A Caloric Culprit
The study’s most striking revelation is the ascendance of nondairy coffee creamers as the dominant source of added calories. In 2018, these creamers contributed an average of approximately 19 calories per day to the average coffee drinker’s intake. This represents a substantial leap from 2003, when nondairy creamers accounted for only about 8 calories daily. In stark contrast, sugar and syrups contributed 16 calories per day in 2018, a slight decrease from previous levels, while dairy milk added a more modest 11 calories daily. This shift indicates a fundamental change in how Americans are augmenting their morning (and afternoon) brews.
"Coffee consumption has been associated with several health benefits," noted Fang Fang Zhang, a senior author of the study and a professor at Tufts University’s Friedman School of Nutrition Science and Policy. "However, coffee is often accompanied by the addition of sugar and cream, which can contribute to an increased consumption of calories from added sugar and saturated fat. The more we know about what people are consuming, the better we can understand the link between nutrition and overall health."

Yongyi Pan, the lead author of the study and a Ph.D. candidate at Tufts, further elaborated on the potential health ramifications. "Nondairy creamers can be high in saturated fat, which may help explain their growing contribution to calorie intake," Pan stated. This observation is particularly pertinent given the growing body of research linking high saturated fat intake to increased risk of cardiovascular disease and other metabolic disorders.
A Deep Dive into the Data: Shifting Consumption Patterns
The research team meticulously analyzed eight rounds of nationally representative federal nutrition survey data collected between 2003 and 2018. Participants provided detailed accounts of their food and beverage intake through two 24-hour dietary recalls. This method allowed researchers to accurately estimate the quantities and associated calories of various ingredients added to coffee.
While dairy milk remained the most commonly added ingredient by weight in 2018, averaging 21.4 grams per person daily, its caloric contribution did not significantly increase. Nondairy creamer followed at 8.1 grams daily, and sugar at 4.4 grams daily. However, the true transformation lay in the rate of increase for nondairy additions. Average daily nondairy creamer consumption more than doubled, rising from 3.37 grams in 2003 to approximately 8 grams in 2018. Similarly, nondairy milk consumption saw a substantial rise, climbing from a mere 0.27 grams to 2.45 grams per day. The researchers emphasized their distinction between nondairy creamers and nondairy milks, acknowledging that these categories may possess different nutritional profiles and consumer motivations for use.
Crucially, the consumption of traditional calorie sources like dairy milk and sugar did not exhibit significant changes over the study period. This underscores that the overall increase in coffee drink calories is not attributable to a greater reliance on traditional sweeteners or milk, but rather to the evolving popularity and formulation of nondairy alternatives.
Demographic Trends and Coffee Consumption

The study also shed light on demographic patterns associated with higher coffee consumption. Men, non-Hispanic White adults, and individuals with higher income levels tended to consume more coffee. Furthermore, adults reporting shorter sleep durations or longer working hours also demonstrated a propensity for increased coffee intake, suggesting that coffee’s role as a stimulant and a perceived productivity enhancer plays a significant part in its consumption. These demographic insights are critical for targeted public health messaging and intervention strategies.
Broader Implications for Health and Nutrition
The findings of this study align with a growing body of research that highlights the substantial impact of coffee additives on its overall nutritional profile and potential health benefits. Previous studies have indicated that while black coffee or coffee with minimal additions may be associated with positive health outcomes, the inclusion of sweeteners and high-fat ingredients can negate these benefits.
For instance, a 2026 study involving over 167,000 adults linked unsweetened coffee consumption to a reduced risk of cardiovascular disease, a benefit not observed in sweetened coffee. Similarly, research published in 2025 found that the addition of sugar or artificial sweeteners diminished coffee’s association with a reduced risk of type 2 diabetes. Another study from 2025, analyzing the dietary habits of over 46,000 U.S. adults, found that black coffee and coffee with minimal added sugar or saturated fat were associated with reduced mortality risk, a correlation not seen in coffees with higher amounts of these ingredients.
These prior investigations underscore the critical importance of what is added to coffee, not just the coffee itself. The current study provides concrete data demonstrating a significant shift towards calorie-dense nondairy creamers, which could have cascading effects on public health metrics related to obesity, cardiovascular disease, and diabetes.
Evolving Consumer Preferences and Market Trends

The shift towards nondairy creamers is likely influenced by a confluence of factors, including increasing consumer awareness of lactose intolerance, dietary preferences for plant-based options, and marketing efforts by creamer manufacturers highlighting novel flavors and textures. The widespread availability of a vast array of nondairy creamers, ranging from oat and almond to coconut and soy-based varieties, has undoubtedly contributed to their market penetration and adoption.
Recent retail data further supports the sustained growth of the coffee creamer market. According to sales data published by the Good Food Institute in 2025, plant-based coffee creamers experienced a 2% increase in both dollar and unit sales. Conventional creamers also saw robust growth, with a 4% rise in dollar sales and a 2% increase in unit sales. This indicates a dynamic and expanding market for coffee additives, with nondairy options carving out a significant and growing niche.
Limitations and Future Directions
It is important to acknowledge the limitations of the study. The researchers relied on self-reported dietary data, which can be subject to recall bias, incomplete reporting, and variations in daily consumption habits. Furthermore, the data collection concluded in 2018, meaning the findings do not capture any trends that may have emerged in the subsequent years. The COVID-19 pandemic, for instance, may have influenced at-home coffee consumption habits and the types of additives used.
The authors, Yongyi Pan, Bingjie Zhou, and Fang Fang Zhang, have declared no conflicts of interest related to their research. Their meticulous analysis provides a valuable snapshot of evolving dietary habits related to coffee consumption. Future research could benefit from longitudinal studies that track individual consumption patterns over longer periods, incorporate objective measures of intake, and directly correlate coffee additive consumption with specific health outcomes. Understanding the precise nutritional composition of various nondairy creamers and their impact on satiety, blood lipid profiles, and inflammatory markers would also be beneficial.
The study’s findings serve as a crucial reminder that the health benefits associated with coffee consumption can be easily overshadowed by the caloric density of added ingredients. As consumers continue to seek convenience and variety in their coffee experiences, awareness of the caloric implications of these choices becomes increasingly paramount for maintaining a balanced and healthy diet. The continued evolution of the coffee additive market necessitates ongoing research and public health initiatives to ensure that consumers are well-informed about the nutritional consequences of their daily brew.
