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Kim Y, Oh H. Food-Related Online Media (Mukbang and Cookbang) Exposure and Dietary Risk Behaviors in Korean Adolescents. J Nutr 2024; 154:2807-2817. [PMID: 38992471 DOI: 10.1016/j.tjnut.2024.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Revised: 06/29/2024] [Accepted: 07/05/2024] [Indexed: 07/13/2024] Open
Abstract
BACKGROUND Studies have shown that prolonged smartphone use is associated with dietary risk behaviors among adolescents. However, little is known about whether the exposure to food-related online media contents, such as mukbang (eating broadcast) and cookbang (cooking broadcast), is associated with unhealthy dietary behaviors, independent of overall duration of smartphone use. OBJECTIVES This study investigated the associations between the frequency of mukbang/cookbang watching and dietary risk behaviors among Korean adolescents, using nationally representative survey data. METHODS In this cross-sectional study, we examined the data from 50,044 middle and high school students in the Korea Youth Risk Behavior Web-based Survey 2022. Participants reported their frequency of mukbang/cookbang watching, mean duration of smartphone use, frequency of breakfast eating, frequency of nighttime eating, and intakes of fast foods, sugar-sweetened beverages (SSBs), and high-caffeine drinks. We performed multivariable logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between mukbang/cookbang watching and dietary risk behaviors, accounting for complex survey sampling and adjusting for potential confounders. RESULTS Frequent mukbang/cookbang watching (≥5 times/wk compared with never) was positively associated with dietary risk behaviors, including frequent breakfast skipping (OR: 1.20; 95% CI: 1.13, 1.28), frequent nighttime eating (OR: 1.43; 95% CI: 1.33, 1.54), and frequent intakes of fast foods (OR: 1.69; 95% CI: 1.58, 1.80), SSBs (OR: 1.47; 95% CI: 1.30, 1.66), and high-caffeine drinks (OR: 1.41; 95% CI: 1.33, 1.50), adjusting for duration of smartphone use. All mukbang/cookbang viewers, including those who perceived that mukbang/cookbang videos had "no influence" on their dietary behavior, had higher prevalence of dietary risk behaviors than nonviewers (perceived "no influence" compared with nonviewers-OR: 1.18; 95% CI: 1.10, 1.26, breakfast skipping; OR: 1.15; 95% CI: 1.06, 1.24, nighttime eating; OR: 1.40; 95% CI: 1.30, 1.50, fast foods; OR: 1.22; 95% CI: 1.07, 1.38, SSBs; OR: 1.28; 95% CI: 1.20, 1.37, high-caffeine drinks). CONCLUSIONS Our findings suggest that frequent mukbang/cookbang watching may be associated with unhealthy dietary behaviors among Korean adolescents.
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Affiliation(s)
- Yujin Kim
- Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea
| | - Hannah Oh
- Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea; Department of Health Policy and Management, College of Health Sciences, Korea University, Seoul, Republic of Korea.
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Fernandes L, Mokwena K, Ntuli B. Case report on energy drink consumption among Health Sciences University students in Gauteng Province, South Africa. Public Health Rev 2020; 41:9. [PMID: 32435519 PMCID: PMC7222305 DOI: 10.1186/s40985-020-00129-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 04/27/2020] [Indexed: 11/21/2022] Open
Abstract
Background There are claims that energy drink (ED) consumption can bring about an improvement in mental functioning in the form of increased alertness and enhanced mental and physical energy. These claims address the lifestyle of a student of sleep deprivation and academic pressure with ED consumption becoming a popular practice amongst students. The study’s objectives were to determine the prevalence, reasons for, and patterns of ED and alcohol mixed with ED (AmED) consumption amongst university students. Case presentation Registered students of the Health Sciences University, Gauteng Province, South Africa, formed the study population where this quantitative cross-sectional survey conveniently collected data by means of previous validated self-administered questionnaires from 490 students representing the diverse demographics of the university. Questions on the socio-demographic profile of the participants; pattern of alcohol use; reasons, pattern, and preferred types of EDs use; and the pattern, reason, and experience of AmED use during the past 12 months were asked. Frequency and percentages of distributions were determined, and the possible factors contributing to ED consumption were computed using the chi-square test. Results indicated that a total of 58% of students were consuming EDs mainly to stay awake (31%), to be more alert (14%), and to help with concentration (15%), 69% were consuming alcohol, and 16% were consuming AmEDs. Conclusion There is an urgent need for an appropriate public health prevention intervention so that ED consumers can make informed choices when indulging in these health behaviors before the seemingly harmless consumption of ED amongst students becomes a public health issue.
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Affiliation(s)
- Lucy Fernandes
- Department of Public Health, Sefako Makgatho Health Sciences University, P.O. Box 215, Medunsa 0204, Pretoria, South Africa
| | - Kebogile Mokwena
- Department of Public Health, Sefako Makgatho Health Sciences University, P.O. Box 215, Medunsa 0204, Pretoria, South Africa
| | - Busisiwe Ntuli
- Department of Public Health, Sefako Makgatho Health Sciences University, P.O. Box 215, Medunsa 0204, Pretoria, South Africa
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Masengo L, Sampasa-Kanyinga H, Chaput JP, Hamilton HA, Colman I. Energy drink consumption, psychological distress, and suicidality among middle and high school students. J Affect Disord 2020; 268:102-108. [PMID: 32157999 DOI: 10.1016/j.jad.2020.03.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 01/11/2020] [Accepted: 03/02/2020] [Indexed: 12/29/2022]
Abstract
BACKGROUND Previous research has found links between energy drink consumption and mental health outcomes in youth. However, little is known about the factors that could moderate these relationships. The present study examined the associations between energy drink consumption and psychological distress, suicidal thoughts, and suicide attempts among adolescents, and tested whether sex and school type (i.e. middle vs. high school) would moderate these associations. METHODS Data on students in grades 7 through 12 was obtained from the 2017 Ontario Student Drug Use and Health Survey (N = 5,538). Multivariable Poisson regression analyses were used to examine associations between energy drink consumption and mental health outcomes. Analyses were weighted and adjusted for the complex survey design. RESULTS Energy drink consumption was associated with greater risk of moderate to serious (adjusted incidence rate ratio (IRR) 1.19, 95% confidence interval (CI) 1.03-1.37) and serious (IRR: 1.45, 95% CI: 1.13-1.86) levels of psychological distress, suicidal thoughts (IRR: 1.98, 95% CI: 1.62-2.42), and suicide attempts (IRR: 3.67, 95% CI: 2.26-5.95). The association between energy drink consumption and mental health outcomes was much stronger among boys and middle school students. LIMITATIONS The cross-sectional nature of the data precludes causal inferences and there is possibility of bias related to self-reports. CONCLUSIONS Energy drink consumption among adolescents is strongly and differentially associated with mental health problems among male and female middle and high school students. Future research is necessary to replicate and disentangle the observed differences in more detail to inform the development of tailored interventions.
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Affiliation(s)
- Lydie Masengo
- Department of Psychology, Carleton University, Ottawa, Ontario, Canada
| | | | - Jean-Philippe Chaput
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada; Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Hayley A Hamilton
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Ian Colman
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada; Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
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Kim SY. Health Related Nutritional Knowledge and Dietary Behavior Regarding Caffeine Intake among High School Students in Yongin Region. Osong Public Health Res Perspect 2018; 9:299-308. [PMID: 30584493 PMCID: PMC6296809 DOI: 10.24171/j.phrp.2018.9.6.03] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objectives We aimed to examine health-related nutritional knowledge and dietary behavior related to caffeine intake among high school students (n = 310) in the Yongin region of Korea. Methods Data were collected using a face-to-face survey, and analyzed using chi-square test, t- test, and logistic regression analysis. Results The level of caffeine intake in respondents was divided into low (< 30 mg/d; n = 208) and high caffeine intake groups (> 30 mg/d; n = 102). Total nutritional knowledge related to bone disease was higher in the low intake group (score 2.75) than the high intake group (score 2.39; p < 0.05). The high intake group had lower scores for nutritional knowledge (score 0.70; p < 0.05) related to how caffeinated beverages affect sleep and for dietary behavior (score 3.25; p < 0.001), based on “I avoid caffeinated foods before sleep,” than the low intake group (nutritional knowledge score, 0.80; dietary behavior score, 3.76). Conclusion In the overall analysis, the low caffeine intake group had better nutritional knowledge related to bone and sleep health, and healthier dietary behavior related to sleep health compared with the high intake group.
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Affiliation(s)
- Seong Yeong Kim
- Nutrition Education, Graduate School of Education, Kyonggi University, Suwon, Korea
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Affiliation(s)
- Hae-Wol Cho
- Osong Public Health and Research Perspectives, Korea Centers for Disease Control and Prevention, Cheongju, Korea
- College of Medicine, Eulji University, Daejeon, Korea
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Kim JS, Kim K, Seo Y. Associations Between Korean Adolescents' Energy Drink Consumption and Suicidal Ideation and Attempts. Arch Psychiatr Nurs 2018; 32:331-336. [PMID: 29784210 DOI: 10.1016/j.apnu.2017.11.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2017] [Revised: 11/01/2017] [Accepted: 11/02/2017] [Indexed: 01/02/2023]
Abstract
PURPOSE This study examined associations between caffeinated energy drink consumption patterns and (1) participant characteristics and health-risk behaviors and (2) suicidal ideation and attempts in Korean adolescents. METHODS Participants included 8961 adolescents who consumed the drinks more than once weekly. Data were analyzed via logistic regression. RESULTS Rates of suicidal ideation and attempts in participants who consumed the drinks more than once daily were higher relative to those for participants who consumed the drinks 3-6 and 1-2 times weekly. CONCLUSIONS Further research is required to establish causality in these relationships.
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Affiliation(s)
- Ji-Su Kim
- Professor, Department of Nursing, Chung-Ang University, 84 Heukseok-ro Dongjak-Gu, 06974 Seoul, Republic of Korea
| | - Kyunghee Kim
- Professor, Department of Nursing, Chung-Ang University, 84 Heukseok-ro Dongjak-Gu, 06974 Seoul, Republic of Korea
| | - Yeji Seo
- Graduate Student, Department of Nursing, Graduate School, Chung-Ang University, 84 Heukseok-ro Dongjak-Gu, 06974 Seoul, Republic of Korea.
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Wham C, Rowe K, Ali A, Rutherford-Markwick K. Influences of Caffeine Consumption Among Adult New Zealanders: A Qualitative Study. JOURNAL OF CAFFEINE RESEARCH 2017. [DOI: 10.1089/jcr.2017.0020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Carol Wham
- College of Health, Massey University, Auckland, New Zealand
| | - Karli Rowe
- College of Health, Massey University, Auckland, New Zealand
| | - Ajmol Ali
- College of Health, Massey University, Auckland, New Zealand
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Dawodu A, Cleaver K. Behavioural correlates of energy drink consumption among adolescents: A review of the literature. J Child Health Care 2017; 21:446-462. [PMID: 29110525 DOI: 10.1177/1367493517731948] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Despite regulatory measures on the labelling of energy drinks (EDs), their consumption among adolescents continues to grow in popularity, but teachers increasingly report significant behavioural concerns among students who disclose habitual ED consumption. A review of papers published between January 2010 and October 2016 was undertaken to determine whether an association between adverse behaviour and consumption of ED exists. Findings indicate that ED consumption among adolescents is associated with alcohol and substance use, risky behaviours and psychological states including sensation seeking, depression and anxiety symptoms. ED consumption impacts negatively on executive functions and increases hyperactivity/inattention symptoms among adolescents. An inverse association between ED consumption and sleep duration exists. The findings highlight the need for greater awareness of the potential risk of ED consumption among adolescents.
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Affiliation(s)
- Ade Dawodu
- 1 Central London Community Healthcare NHS Trust (CLCH), Soho Centre for Health and Care, Soho, London, UK
| | - Karen Cleaver
- 2 Faculty of Education & Health, University of Greenwich, London, UK
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Abstract
OBJECTIVE The aims of the study were to determine the prevalence of energy drink consumption by adolescents, to identify associated clinical symptoms and adverse effects, and to gain an understanding to the motivation behind its consumption. METHODS A prospective, questionnaire-based study was conducted at 2 emergency departments from June 2011 to June 2013. The questionnaire was distributed to a convenience sample of adolescents aged 12 to 18 years. Stratification was performed on the basis of frequency of consumption: frequent consumption (at least once a month) and infrequent consumption (less frequent than once a month). RESULTS Data analysis was performed on 612 completed questionnaires. Two hundred two responders (33%) were considered frequent energy drink consumers. Frequent consumers were more likely to be involved in high-risk behaviors and more likely to consume other caffeinated drinks. In the previous 6 months, frequent energy drink consumers were more likely to report headache (76%), anger (47%), and increased urination (24%) and were more likely to require medical evaluation for headache (41%) and difficulty breathing (22%). Frequent energy drink consumers were more likely to believe that energy drinks "help me do better in school" (12%), "help me do better in sports" (35%), "are just for fun" (46%), "help me stay up at night" (67%), and "make me concentrate/focus better" (34%). CONCLUSIONS Clarifying common misconceptions associated with energy drink consumption, especially in high-risk adolescents and frequent energy drink consumers, may decrease the frequency of symptoms experienced by adolescents, such as headache and difficulty breathing, requiring medical evaluation.
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Milovanovic DD, Jakovljevic M, Scekic M, Djordjevic N. Caffeine consumption patterns and determinants among adolescents in Serbia. Int J Adolesc Med Health 2016; 30:/j/ijamh.ahead-of-print/ijamh-2016-0076/ijamh-2016-0076.xml. [PMID: 27740924 DOI: 10.1515/ijamh-2016-0076] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 08/14/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND The number of adolescents who use caffeine is constantly increasing. As juvenile age is vulnerable, it is reasonable to expect that they will differently perceive reason and react to caffeine use than adults, and be more prone to unwanted physiological and psychological consequences of its consumption. AIM Analysis of the scope and pattern of caffeine consumption among adolescents in Serbia. STUDY DESIGN The cross-sectional survey was implemented in the study population of 191 Serbian adolescents during 2010. RESULTS The median daily intake of caffeine was 95.6 mg. The major source of caffeine was brewed coffee, and the most common reasons for caffeine intake were leisure, peer influence, or habit. Only 57.6% of the subjects were aware that caffeine is present in consumed beverages. Sex affected the pattern, but not the overall level, of caffeine consumption. No association between caffeine consumption and smoking status, frequency of caffeine use in the family, or negative personal experience with caffeine effects was observed. CONCLUSION Our investigation provides first and rather detailed insight into caffeine-containing beverage consumption scope and pattern among Serbian adolescents. For accurate estimation and analysis of caffeine intake in this population, randomized studies with prospective longitudinal design, caffeine content measurement, and more subjects involved are warranted.
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Affiliation(s)
- Dragana Dragas Milovanovic
- Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Serbia
| | - Mihajlo Jakovljevic
- Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Serbia
| | - Milica Scekic
- Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Serbia
| | - Natasa Djordjevic
- Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, 34 000 Kragujevac, Serbia, Phone: +381 34 306 800 ext. 223, Fax: +381 34 306 800
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Polak K, Dillon P, Koch JR, Miller WG, Thacker L, Svikis D. Energy drink use is associated with alcohol and substance use in eighth, tenth, and twelfth graders. Prev Med Rep 2016; 4:381-4. [PMID: 27547720 PMCID: PMC4986046 DOI: 10.1016/j.pmedr.2016.06.019] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Accepted: 06/27/2016] [Indexed: 11/27/2022] Open
Abstract
The increasing prevalence of energy drink (ED) use and its link with negative behaviors and adverse health outcomes has garnered much attention. Use of EDs combined with alcohol among college students has been of particular interest. It is unclear if these relationships develop in the context of college, or if similar associations exist in younger individuals. The present study examined associations between ED consumption patterns and other substance use in an adolescent, school-based sample. Participants were N = 3743 students attending 8th, 10th or 12th grade in a suburban central Virginia public school system who completed a prevention needs assessment survey in 2012. Chi-square analyses and logistic regressions were used to compare rates of alcohol, tobacco and other drug use across three ED use groups: moderate/heavy (12.6%), light (30.5%), and non-users (57%). Over 40% of the sample reported recent (past month) ED use, with males more likely to report moderate/heavy ED use than females (14.0% and 11.1%, respectively; p = 0.02). After adjusting for gender and grade, ED use group predicted lifetime alcohol, tobacco and other drug use (all p < 0.001). Moderate/heavy ED users were most likely and ED non-users were least likely to report using each of the 13 substances in the survey, with light ED users intermediate to the other two groups. Moderate/heavy ED users were consistently most likely to report licit and illicit substance use. Additional research is needed to better understand which adolescents are at greatest risk for adverse health behaviors associated with ED use.
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Affiliation(s)
- Kathryn Polak
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States
| | - Pamela Dillon
- Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, VA, United States
| | - J Randy Koch
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States; Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, VA, United States
| | - Willis G Miller
- School of Education, Virginia Commonwealth University, Richmond, VA, United States
| | - Leroy Thacker
- School of Nursing, Virginia Commonwealth University, Richmond, VA, United States
| | - Dace Svikis
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States; Institute for Women's Health, Virginia Commonwealth University, Richmond, VA, United States
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Marmorstein NR. Energy Drink and Coffee Consumption and Psychopathology Symptoms Among Early Adolescents: Cross-Sectional and Longitudinal Associations. JOURNAL OF CAFFEINE RESEARCH 2016; 6:64-72. [PMID: 27274416 PMCID: PMC4892225 DOI: 10.1089/jcr.2015.0018] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Background: Little is known about possible links between energy drink use and psychopathology among youth. This study examined cross-sectional and longitudinal associations between energy drink consumption and psychopathology among early adolescents. In addition, associations between psychopathology and coffee consumption were examined to assess whether findings were specific to energy drinks or also applied to another commonly used caffeinated beverage. Methods: One hundred forty-four youth who participated in the Camden Youth Development Study (72 males; mean age 11.9 at wave 1; 65% Hispanic, 30% African American) were assessed using self-report measures of frequency of energy drink and coffee consumption and depression, anxiety, conduct disorder (CD) symptoms, and teacher reports of attention-deficit hyperactivity disorder (ADHD). Youth (92%) were reassessed 16 months later. Results: Concurrently, energy drink and coffee consumption were associated with similar psychopathology symptoms; when the other beverage was adjusted for, energy drinks remained associated with CD and coffee remained associated with panic anxiety. Initial energy drink consumption predicted increasing ADHD and CD over time, though the association with CD dropped to a trend level of significance when coffee was adjusted for. Initial levels of hyperactive ADHD predicted increasing coffee consumption over time; this association remained when energy drinks were controlled. Social anxiety was associated with less increase in energy drink consumption over time, controlling for coffee. Conclusion: Energy drink and coffee consumption among early adolescents are concurrently associated with similar psychopathology symptoms. Longitudinally, the associations between these beverages and psychopathology differ, indicating that these substances have differing implications for development over time.
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Factors influencing young people's use of alcohol mixed with energy drinks. Appetite 2016; 96:408-415. [DOI: 10.1016/j.appet.2015.09.037] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Revised: 08/28/2015] [Accepted: 09/30/2015] [Indexed: 11/24/2022]
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Bonar EE, Cunningham RM, Polshkova S, Chermack ST, Blow FC, Walton MA. Alcohol and energy drink use among adolescents seeking emergency department care. Addict Behav 2015; 43:11-7. [PMID: 25528143 PMCID: PMC4305014 DOI: 10.1016/j.addbeh.2014.11.023] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Revised: 10/06/2014] [Accepted: 11/19/2014] [Indexed: 12/15/2022]
Abstract
Emergency department (ED) visits due to energy drinks rose drastically from 2007 to 2011. Consuming alcohol mixed with energy drinks by young people is particularly concerning. Among youth (aged 14-20 years) in the ED reporting past-year alcohol use, we assessed frequency, reasons, and medical consequences of consuming alcohol and energy drinks in the same beverage or on the same occasion, and relationships with other risk behaviors. The sample included 439 youth (M(age)=18.6 years, SD=1.4; 41% male; 73% Caucasian): those who drank alcohol, but not energy drinks (Non-Users; 41%, n=178), those who drank alcohol and energy drinks on separate occasions (Separate; 23%, n=103), and those who combined alcohol and energy drinks in the same beverage or on the same occasion (Combined; 36%, n=158). Common reasons for combining energy drinks and alcohol were hiding the flavor of alcohol (39%) and liking the taste (36%). Common consequences were feeling jittery (71%) and trouble sleeping (46%). Combined users had the highest rates of risk behaviors (e.g., drug use, sexual risk behaviors, driving after drinking) and alcohol use severity. Multinomial logistic regression indicated that men, those who had sex after substance use, those who had used drugs, and those with higher alcohol severity were more likely to be Combined users than Non-Users. Those with higher alcohol severity were also more likely to be Combined users than Separate users. Combining energy drinks and alcohol is associated with higher rates of other risk behaviors among young drinkers. Future studies are needed to determine longitudinal relationships of energy drink use on substance use problem trajectories.
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Affiliation(s)
- Erin E Bonar
- University of Michigan, Department of Psychiatry, Ann Arbor, MI, USA.
| | - Rebecca M Cunningham
- University of Michigan, Department of Emergency Medicine, Ann Arbor, MI, USA; University of Michigan, Injury Center, Ann Arbor, MI, USA; University of Michigan, School of Public Health, Ann Arbor, MI, USA
| | - Svitlana Polshkova
- University of Michigan, Department of Psychiatry, Ann Arbor, MI, USA; Ukrainian Scientific Research Institute of Social and Forensic Psychiatry and Narcology, Department of Psychosomatic Medicine and Psychotherapy, Kyiv, Ukraine
| | - Stephen T Chermack
- University of Michigan, Department of Psychiatry, Ann Arbor, MI, USA; Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Department of Veterans Affairs, National Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA
| | - Frederic C Blow
- University of Michigan, Department of Psychiatry, Ann Arbor, MI, USA; Department of Veterans Affairs, National Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA
| | - Maureen A Walton
- University of Michigan, Department of Psychiatry, Ann Arbor, MI, USA; University of Michigan, Injury Center, Ann Arbor, MI, USA
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Affiliation(s)
- Lois Gerber
- Lois Gerber is guardian ad litem for the state of Florida's foster children
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17
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An emerging adolescent health risk: caffeinated energy drink consumption patterns among high school students. Prev Med 2014; 62:54-9. [PMID: 24502849 DOI: 10.1016/j.ypmed.2014.01.019] [Citation(s) in RCA: 117] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2013] [Revised: 01/21/2014] [Accepted: 01/27/2014] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To examine the prevalence, patterns, and correlates of energy drink use among adolescents, and determine whether more frequent use of energy drinks is associated with poorer health and behavioral outcomes. METHODS Data were from a 2012 cross-sectional survey of 8210 students in grades 7, 9, 10 and 12 attending public schools in Atlantic Canada. Multinomial logistic regression analysis was used to examine correlates of energy drink use patterns, including substance use, sensation seeking, risk of depression, and socioeconomic status. RESULTS Nearly two-thirds of survey respondents (62%) reported consuming energy drinks at least once in the previous year, with about 20% reporting use once or more per month. Sensation seeking, depression, and substance use were all higher among energy drink users relative to non-users, and in higher frequency users relative to lower frequency users. CONCLUSIONS The prevalence of energy drink consumption among high school students was high. The association of energy drinks with other potential negative health and behavioral outcomes suggests that use of these products may represent a marker for other activities that may negatively affect adolescent development, health and well-being.
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Faris MAIE. Patterns of Caffeinated Energy Drinks Consumption among Adolescents and Adults in Hail, Saudi Arabia. ACTA ACUST UNITED AC 2014. [DOI: 10.4236/fns.2014.52021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Jeffers AJ, Vatalaro Hill KE, Benotsch EG. Energy drinks, weight loss, and disordered eating behaviors. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2014; 62:336-342. [PMID: 24635529 DOI: 10.1080/07448481.2014.902838] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE The present study examined energy drink consumption and relations with weight loss attempts and behaviors, body image, and eating disorders. PARTICIPANTS/METHODS This is a secondary analysis using data from 856 undergraduate students who completed the American College Health Association-National College Health Assessment II confidentially online during February 2012. RESULTS This study revealed that the majority reported lifetime consumption of energy drinks (68.4%) and a substantial minority (30.2%) reported past-30-day consumption. Chi-square and t test results suggest that consumption is associated with concerns about personal appearance, weight loss attempts, and disordered eating behaviors (eg, vomiting). Hierarchical logistic regressions revealed that after controlling for demographics, the relations between energy drink consumption and the act of trying to lose weight, the use of diet pills, and the use of vomiting/laxatives remained significant. CONCLUSIONS The current findings suggest that energy drink consumption is associated with weight loss attempts, poor body image, and unhealthy weight loss behaviors. Future research should examine the prevalence of energy drink consumption for the purpose of weight loss.
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Affiliation(s)
- Amy J Jeffers
- a Department of Psychology , Virginia Commonwealth University , Richmond , Virginia
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Aslam HM, Mughal A, Edhi MM, Saleem S, Rao MH, Aftab A, Hanif M, Ahmed A, Khan AMH. Assessment of pattern for consumption and awareness regarding energy drinks among medical students. ACTA ACUST UNITED AC 2013; 71:31. [PMID: 24351105 PMCID: PMC3976099 DOI: 10.1186/2049-3258-71-31] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2013] [Accepted: 11/18/2013] [Indexed: 11/10/2022]
Abstract
BACKGROUND Energy drink is a type of beverage which contains stimulant drugs chiefly caffeine and marketed as mental and physical stimulator. Coffee, tea, soft drinks and other caffeinated beverages are not considered as energy drinks. Purpose of our study was to evaluate the awareness of medical students regarding energy drinks and their pattern and reason of energy drinks consumption. METHODS This was a cross sectional and observational study conducted during the period of January - December 2012 at four Medical Colleges (Dow Medical College, Sindh Medical College, Jinnah Medical College and Liaquat National Medical College) of Karachi, Pakistan. Over all 900 M.B.B.S students were invited to participate after taking written consent but viable questionnaire was submitted by 866 students, estimated response rate of 96%. All data was entered and analyzed through SPSS version 19. RESULT Out of 866 participants, majority were females 614 (70.9%) and only 252 (28.5%) were males, with a mean age of 21.43 ± 1.51 years. Energy drinks users were 350 (42.89%) and non users were 516 (59.58%). Only 102 (29.3%) users and 159 (30.7%) non users know the correct definition of Energy drinks. Regarding awareness, mostly user and non users thought that usage of energy drinks had been on rise due to its usefulness in reducing sleep hours [users193 (43.9%), nonusers 247 (56.1%) (p < 0.05)], for studying or completing major projects [users184 (45.0%), nonusers 225 (55.0%) (p < 0.05)] and for refreshment purposes [users179 (44.9%), nonusers 220 (55.1%) (p < 0.05)]. Two main reasons of not using energy drinks by non-users were "awareness from its side effects" 247 (47.8%) and "have no specific reason" 265 (51.3%). Most common side effects reported by users were fatigue 111 (31.7%) and weight gain 102 (29.4%). CONCLUSION In sum, the fact that despite serious side effects of weight gaining and fatigue, practice of consuming energy drinks is highly prevalent among medical students, particularly because they are ever ready to boost their energy level and reduce sleep hours due to stress of exams and projects. This warrants the creation of continued public health awareness about the appropriate use of caffeinated beverages, their potential benefits, side effects and correction of wrong perceptions.
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Affiliation(s)
| | - Anum Mughal
- Dow Medical College, Dow University Of Health Sciences, Karachi, Pakistan
| | | | - Shafaq Saleem
- Dow Medical College, Dow University Of Health Sciences, Karachi, Pakistan
| | | | - Anum Aftab
- Dow Medical College, Dow University Of Health Sciences, Karachi, Pakistan
| | | | - Alina Ahmed
- Sindh Medical College, Jinnah Sindh Medical University, Karachi, Pakistan
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Musaiger A, Zagzoog N. Knowledge, attitudes and practices toward energy drinks among adolescents in Saudi Arabia. Glob J Health Sci 2013; 6:42-6. [PMID: 24576364 PMCID: PMC4825248 DOI: 10.5539/gjhs.v6n2p42] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Accepted: 11/14/2013] [Indexed: 11/19/2022] Open
Abstract
The objective of this study is to explore the knowledge, attitudes and intake of energy drinks among adolescents in Saudi Arabia. A multi-stage stratified sampling procedure was carried out to select 1061 school children aged 12-19 years, from Jeddah city, Saudi Arabia. A short self-reported questionnaire was administrated in order to collect the data. Of adolescents in the study, 45% drank energy drinks (71.3% males and 35.9% females; P<0.001). Advertisements were the main source of information on energy drinks (43%). The major reasons for consuming energy drinks were taste and flavour (58%), to 'try them' (51.9%) and 'to get energy' (43%), albeit with significant differences between genders (P<0.001). About half of the adolescents did not know the ingredients of these drinks, and 49% did not know that they contain caffeine (P-values <0.006 and <0.001 between genders, respectively). The greater majority (67%) considered energy drinks to be soft drinks. The study indicates the need for Saudi adolescents to be warned on the over-consumption of energy drinks. The study brings to attention the need for educational programmes related to increasing awareness in the community of the health effects related to high consumption of energy drinks.
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Burrows T, Pursey K, Neve M, Stanwell P. What are the health implications associated with the consumption of energy drinks? A systematic review. Nutr Rev 2013; 71:135-48. [PMID: 23452281 DOI: 10.1111/nure.12005] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
There is increasing interest regarding the potential health effects of energy drink (ED) consumption. The aim of the present review was to investigate the existing evidence on health outcomes associated with ED consumption. Studies published between 1966 and February 2011 were retrieved and included if they met the following criteria: were randomized or pseudo randomized control trials; studied a human population; reported a health-related measure; and investigated a whole ED (as opposed to individual ingredients). Study quality was evaluated and data extracted using standardized tools. Fifteen studies were identified, the majority of which had less than 30 participants and included a short term of follow-up (range: 30 min-3 h). The following outcome measures were included: cardiorespiratory effects, physiological measures, pathological measures, and body composition. The mean dosage of ED was 390 mL (range: 250-750 mL). Commercial ED funding and/or study associations were identified in six studies. Studies investigating long-term consumption and follow-up were lacking. The findings from this review do not allow definitive dietary recommendations to be made regarding safe levels of ED consumption; caution should be exercised when consuming these drinks until further high-quality research is undertaken to substantiate findings.
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Affiliation(s)
- Tracy Burrows
- School of Health Sciences, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, New South Wales, Australia.
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23
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Adolescent caffeine consumption and self-reported violence and conduct disorder. J Youth Adolesc 2013; 42:1053-62. [PMID: 23358888 DOI: 10.1007/s10964-013-9917-5] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2012] [Accepted: 01/20/2013] [Indexed: 10/27/2022]
Abstract
Caffeine is the most widely used psychoactive substance in the world and currently the only one legally available to children and adolescents. The sale and use of caffeinated beverages has increased markedly among adolescents during the last decade. However, research on caffeine use and behaviors among adolescents is scarce. We investigate the relationship between adolescent caffeine use and self-reported violent behaviors and conduct disorders in a population-based cross-sectional sample of 3,747 10th grade students (15-16 years of age, 50.2 % girls) who were enrolled in the Icelandic national education system during February 2012. Through a series of multiple regression models, while controlling for background factors, Attention Deficit Hyperactivity Disorder symptoms and current medication and peer delinquency, and including measures on substance use, our findings show robust additive explanatory power of caffeine for both violent behaviors and conduct disorders. In addition, the association of caffeine to the outcomes is significantly stronger for girls than boys for both violent behaviors and conduct disorders. Future studies are needed to examine to what extent, if at all, these relationships are causal. Indication of causal connections between caffeine consumption and negative outcomes such as those reported here would call into question the acceptability of current policies concerning the availability of caffeine to adolescents and the targeting of adolescence in the marketing of caffeine products.
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Campbell B, Wilborn C, La Bounty P, Taylor L, Nelson MT, Greenwood M, Ziegenfuss TN, Lopez HL, Hoffman JR, Stout JR, Schmitz S, Collins R, Kalman DS, Antonio J, Kreider RB. International Society of Sports Nutrition position stand: energy drinks. J Int Soc Sports Nutr 2013; 10:1. [PMID: 23281794 PMCID: PMC3538552 DOI: 10.1186/1550-2783-10-1] [Citation(s) in RCA: 114] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2012] [Accepted: 12/31/2012] [Indexed: 12/18/2022] Open
Abstract
Position Statement: The International Society of Sports Nutrition (ISSN) bases the following position stand on a critical analysis of the literature on the safety and efficacy of the use of energy drinks (ED) or energy shots (ES). The ISSN has concluded the following. 1. Although ED and ES contain a number of nutrients that are purported to affect mental and/or physical performance, the primary ergogenic nutrients in most ED and ES appear to be carbohydrate and/or caffeine. 2. The ergogenic value of caffeine on mental and physical performance has been well-established but the potential additive benefits of other nutrients contained in ED and ES remains to be determined. 3. Consuming ED 10-60 minutes before exercise can improve mental focus, alertness, anaerobic performance, and/or endurance performance. 4. Many ED and ES contain numerous ingredients; these products in particular merit further study to demonstrate their safety and potential effects on physical and mental performance. 5. There is some limited evidence that consumption of low-calorie ED during training and/or weight loss trials may provide ergogenic benefit and/or promote a small amount of additional fat loss. However, ingestion of higher calorie ED may promote weight gain if the energy intake from consumption of ED is not carefully considered as part of the total daily energy intake. 6. Athletes should consider the impact of ingesting high glycemic load carbohydrates on metabolic health, blood glucose and insulin levels, as well as the effects of caffeine and other stimulants on motor skill performance. 7. Children and adolescents should only consider use of ED or ES with parental approval after consideration of the amount of carbohydrate, caffeine, and other nutrients contained in the ED or ES and a thorough understanding of the potential side effects. 8. Indiscriminant use of ED or ES, especially if more than one serving per day is consumed, may lead to adverse events and harmful side effects. 9. Diabetics and individuals with pre-existing cardiovascular, metabolic, hepatorenal, and neurologic disease who are taking medications that may be affected by high glycemic load foods, caffeine, and/or other stimulants should avoid use of ED and/or ES unless approved by their physician.
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Affiliation(s)
- Bill Campbell
- Exercise and Performance Nutrition Laboratory, Dept. of Physical Education and Exercise Science, University of South Florida, 4202 E. Fowler Avenue, PED 214, Tampa, FL, 33620, USA
| | - Colin Wilborn
- Human Performance Laboratory, University of Mary Hardin-Baylor, Belton, TX, 76513, USA
| | - Paul La Bounty
- Department of Health, Human Performance, and Recreation, Baylor University, Box 97313, Waco, TX, 76798, USA
| | - Lem Taylor
- Human Performance Laboratory, University of Mary Hardin-Baylor, Belton, TX, 76513, USA
| | - Mike T Nelson
- Department of Health and Human Performance, University of St.Thomas, St. Paul, MN, 55105, USA
| | - Mike Greenwood
- Exercise & Sport Nutrition Lab, Department of Health & Kinesiology, Texas A&M University, College Station, Texas, TX, 77843-4243, USA
| | | | - Hector L Lopez
- The Center for Applied Health Sciences, Stow, OH, 44224, USA
| | - Jay R Hoffman
- Institute of Exercise Physiology and Wellness, Department of Sport and Exercise Science, University of Central Florida, Orlando, FL, 32816, USA
| | - Jeffrey R Stout
- Institute of Exercise Physiology and Wellness, Department of Sport and Exercise Science, University of Central Florida, Orlando, FL, 32816, USA
| | - Stephen Schmitz
- Medical Surveillance and Risk Management, Shire HGT, 300 Shire Way, Lexington, MA, 02421, USA
| | | | - Doug S Kalman
- Miami Research Associates, Endocrinology & Nutrition Department, 6141 Sunset Drive - Suite 301, Miami, FL, 33143, USA
| | - Jose Antonio
- Farquhar College of Arts and Sciences, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Richard B Kreider
- Exercise & Sport Nutrition Lab, Department of Health & Kinesiology, Texas A&M University, College Station, Texas, TX, 77843-4243, USA
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Abstract
Energy drinks have become very popular, yet they present health concerns and workplace safety issues related to mental and physical effects of the drinks, which are mainly related to the central nervous system and include heightened alertness, altered sleep patterns, arrhythmias and, rarely, seizures. In the workplace, any pharmacologic agent or substance, such as energy drinks, may present a risk to the delivery of health care, and the use energy drinks during pregnancy and lactation are a concern and patient education is warranted.
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Affiliation(s)
- Janis R Guilbeau
- College of Nursing and Allied Health Professions, University of Louisiana at Lafayette, Lafayette, LA, USA.
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Temple JL, Ziegler AM, Graczyk A, Bendlin A, O'Leary S, Schnittker YS. Influence of caffeine on the liking of novel-flavored soda in adolescents. Psychopharmacology (Berl) 2012; 223:37-45. [PMID: 22427020 DOI: 10.1007/s00213-012-2684-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2011] [Accepted: 02/27/2012] [Indexed: 11/25/2022]
Abstract
BACKGROUND Soda manufacturers claim that caffeine is added to soda as a flavor enhancer, but many researchers have speculated that caffeine is added to increase the hedonic and reinforcing properties of the soda. Studies in adults have demonstrated that caffeine can condition flavor preferences when added to novel-flavored beverages. OBJECTIVES The purpose of this study was to test the hypothesis that caffeine added to novel-flavored drinks would increase liking and preference in adolescents. METHODS Adolescents (n = 99) between the ages of 12 and 17 rated and ranked seven novel soda drinks. They were then randomly assigned to consume one of these beverages paired with either caffeine (1 or 2 mg/kg) or placebo over four consecutive days and rate liking. On the final visit, participants retasted the seven beverages and provided hedonic ratings and rankings. RESULTS Participants in the 2-mg/kg caffeine group increased the liking of the beverage over the exposure period after an initial decrease, but there was no change in liking for those in the placebo group or in the 1-mg/kg group. The increase in liking in the 2-mg/kg group was accompanied by a decrease in perceived bitterness, but no change in beverage ranking or consumption during the post-test. CONCLUSIONS Caffeine added to novel beverages results in a decrease in liking followed by an increase in liking with repeated exposures that may result from habituation to the bitterness of caffeine. Change in bitter perception may be the mechanism by which adolescents establish regular caffeine use.
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Affiliation(s)
- Jennifer L Temple
- Nutrition and Health Research Laboratory, Department of Exercise and Nutrition Sciences, School of Public Health and Health Professions, University at Buffalo, 3435 Main Street, 15 Farber Hall, Buffalo, NY 14214, USA.
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Peymani P, Maharlouei N, Joulaie H, Sadeghi E, Jahani P, Ahmadi SM, B. Lankara K. Consumption’s Pattern and
Knowledge of Athletes about Energy Drink in South of Iran (Shiraz). PAKISTAN JOURNAL OF NUTRITION 2012. [DOI: 10.3923/pjn.2012.768.773] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Verster JC, Aufricht C, Alford C. Energy drinks mixed with alcohol: misconceptions, myths, and facts. Int J Gen Med 2012; 5:187-98. [PMID: 22399863 PMCID: PMC3295617 DOI: 10.2147/ijgm.s29313] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Background Whilst energy drinks improve performance and feelings of alertness, recent articles suggest that energy drink consumption combined with alcohol may reduce perception of alcohol intoxication, or lead to increased alcohol or drug use. This review discusses the available scientific evidence on the effects of mixing energy drinks with alcohol. Methods A literature search was performed using the keywords “energy drink and Red Bull®” and consulting Medline/Pubmed, PsycINFO, and Embase. Results There is little evidence that energy drinks antagonize the behavioral effects of alcohol, and there is no consistent evidence that energy drinks alter the perceived level of intoxication of people who mix energy drinks with alcohol. No clinically relevant cardiovascular or other adverse effects have been reported for healthy subjects combining energy drinks with alcohol, although there are no long-term investigations currently available. Finally, whilst several surveys have shown associations, there is no direct evidence that coadministration of energy drinks increases alcohol consumption, or initiates drug and alcohol dependence or abuse. Conclusion Although some reports suggest that energy drinks lead to reduced awareness of intoxication and increased alcohol consumption, a review of the available literature shows that these views are not supported by direct or reliable scientific evidence. A personality with higher levels of risk-taking behavior may be the primary reason for increased alcohol and drug abuse per se. The coconsumption of energy drinks being one of the many expressions of that type of lifestyle and personality.
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Affiliation(s)
- Joris C Verster
- Utrecht University, Utrecht Institute for Pharmaceutical Sciences, Division of Pharmacology, Utrecht, The Netherlands
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