Energy drink consumption patterns and its adverse effects on adolescent health

e202211085

Authors

  • Paola Silva Maldonado Estudiante de Doctorado en Ciencias de los Alimentos y Salud Humana. Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo. San Agustín Tlaxiaca (Hidalgo). México.
  • Esther Ramírez Moreno Profesora Investigadora. Centro de Investigación Multidisciplinario, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo. San Agustín Tlaxiaca (Hidalgo). México.
  • José Arias Rico Profesor Investigador. Área Académica de Enfermería, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo. San Agustín Tlaxiaca (Hidalgo). México.
  • Trinidad Lorena Fernández Cortés Profesora. Área Académica de Nutrición, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo. San Agustín Tlaxiaca (Hidalgo). México.

Keywords:

Consumption patterns, Energy drinks, Adolescents, Effects, Health, Caffeine, Taurine

Abstract

BACKGROUND // Energy drinks generally contain caffeine and other stimulants, commercially aimed at young people. Previous research suggests that its effects on adolescents health are dangerous. The aim of the study was to evaluate the effect of taurine and caffeine consumption from energy drinks on adolescent health and to identify patterns of consumption and, their association with physiological symptoms.
METHODS // A cross-sectional study of a convenience sample of students (n=135) aged 16 to 17 years was conducted in the State of Hidalgo, Mexico. A self-administered online questionnaire was used from September to November 2020 to report energy drink consumption patterns, perceived effects, and psychophysiological symptoms. The statistical analysis of questionnaire content was made by interjudges evaluation. A concordance index (Cohen-Fleiss Kappa coefficient) was applied for consumption patterns, bivariate correlation tests, Pearson correlation coefficients for levels (very high, moderate, low) of caffeine and taurine were used in the items applied to the target population and Spearmans rho for physiological and psychological effects.
RESULTS // The participants (mean age: 16 years; 57.8% of women) reported having consumed energy drinks at least once. Only 26.7% of adolescents (n=36) reported that they had never consumed. The average consumption of energy drinks was once per month (24.4%). A statistically significant correlation was found between the consumption of drinks with taurine and the physical effects (tremors and chest pain) and caffeinated beverages with psychophysiological (fatigue, excessive urination, insomnia, and feeling of lack of rest).
CONCLUSIONS // The study findings indicate associations between energy drink consumption and the presence of adverse psychological and physical symptoms in adolescents.

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References

Al-Shaar L, Vercammen K, Lu C, Richardson S, Tamez M, Mattei J. Health Effects and Public Health Concerns of Energy Drink Consumption in the United States: A Mini-Review. Front Public Health, 2017;5:225. doi: https://doi.org/10.3389/fpubh.2017.00225

Market Analysis Report. Energy Drinks Market Size, Share and Trends Analysis Report By Product (Alcoholic, Non-Alcoholic), By Product Type, By Target Consumer, By Distribution Channel, By Region, And Segment Forecasts, 2018-2025. 2018. Disponible en: https://www.polarismarketresearch.com/industry-analysis/energy-drink-market

Temple JL. Review: Trends, Safety, and Recommendations for Caffeine Use in Children and Adolescents. J Am Acad Child Adolesc Psychiatry, 2019;58(1):36-45. doi: https://doi.org/10.1016/j.jaac.2018.06.030

Breda JJ, Whiting SH, Encarnação R et al. Energy drink consumption in europe: a review of the risks, adverse health effects, and policy options to respond. Front Public Health. 2014; 2:134. doi: https://doi.org/10.3389/fpubh.2014.00134

Sankararaman S, Syed W, Medici V, Sferra TJ. Impact of Energy Drinks on Health and Well-being. Curr Nutr Rep,2018; 7(3):121-130. doi: https://doi.org/10.1007/s13668-018-0231-4

Curran CP, Marczinski CA. (2017). Taurine, caffeine, and energy drinks: Reviewing the risks to the adolescent brain. Birth Defects Res, 109(20):1640-1648. doi: https://doi.org/10.1002/bdr2.1177

European Food Safety Authority (EFSA). Panel on Dietetic Products, Nutrition and Allergies. Scientific Opinion on the safety of caffeine, 2015;13(5):4102-412. doi: https://doi.org/10.2903/j.efsa.2015.4102

Utter J, Denny S, Teevale T, Sheridan J. Energy drink consumption among New Zealand adolescents: Associations with mental health, health risk behaviours and body size. J Paediatr Child Health,2018; 54(3):279-283. doi: https://doi.org/10.1111/jpc.1370

Zucconi S, Volpato C, Adinolfi F, Gandini E, Gentile E, Loi A, Fioriti L. Gathering consumption data on specific consumer groups of energy drinks. European Food Safety Authority, Supporting Publications, 2013;EN;394.

Chen X, Liu Y, Jaenicke E, Rabinowitz A. New concerns on caffeine consumption and the impact of potential regulations: the case of energy drinks. Food Policy,2019; 87:101746.

Kristjansson AL, Sigfusdottir ID, Mann MJ, James JE. Caffeinated sugar-sweetened beverages and common physical complaints in Icelandic children aged 10-12 years. Prev Med, 2014;58:40-44.

Galimov A, Hanewinkel R, Hansen J, Unger JB, Sussman S, Morgenstern M. Energy drink consumption among German adolescents: Prevalence, correlates, and predictors of initiation. Appetite, 2019;139:172-179. doi: https://doi.org/10.1016/j.appet.2019.04.016

Hasin DS, O’Brien CP, Auriacombe M et al. DSM-5 criteria for substance use disorders: recommendations and rationale. Am J Psychiatry, 2013;170(8):834-851. doi: https://doi.org/10.1176/appi.ajp.2013.12060782

Leal WE, Jackson DB. Energy drinks and escalation in drug use severity: An emergent hazard to adolescent health. Prev Med, 2018;111:391-396. doi: https://doi.org/10.1016/j.ypmed.2017.11.033

Holubcikova J, Kolarcik P, Geckova AM, Reijneveld SA, Van Dijk JP. Regular energy drink consumption is associated with the risk of health and behavioural problems in adolescents. Eur J Pediatr, 2017;176:599-605. doi: https://doi.org/10.1007/s00431-017-2881-4

Kim SY, Sim S, Choi HG. High stress, lack of sleep, low school performance, and suicide attempts are associated with high energy drink intake in adolescents. PLoS One, 2017;12(11):e0187759. doi: https://doi.org/10.1371/journal.pone.0187759

Del Ciampo L, Lopes I. Effects of energy drinks on adolescent health. Int J Adv Com Med, 2018;1(2):28-32.

Smith AP, Richards G. Energy drinks, caffeine, junk food, breakfast, depression and academic attainment of secondary school students. J Psychopharmacol, 2018;32(8):893-899. doi: https://doi.org/10.1177/0269881118783314

Caine JJ, Geracioti TD. Taurine, energy drinks, and neuroendocrine effects. Cleve Clin J Med, 2016;83(12):895-904. doi: https://doi.org/10.3949/ccjm.83a.15050

Wikoff D, Welsh BT, Henderson R et al. Systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children. Food Chem Toxicol, 2017;109(Pt 1):585-648. doi: https://doi.org/10.1016/j.fct.2017.04.002

Ehlers A, Marakis G, Lampen A, Hirsch-Ernst KI. Risk assessment of energy drinks with focus on cardiovascular parameters and energy drink consumption in Europe. Food Chem Toxicol,2019, 130:109-121. doi: https://doi.org/10.1016/j.fct.2019.05.028

Food and Drug Administration (FDA). Spilling the Beans: How Much Caffeine is Too Much? 2021; Disponible en: https://www.fda.gov/consumers/consumer-updates/spilling-beans-how-much-caffeine-too-much

Schaffer SW, Shimada K, Jong CJ, Ito T, Azuma J, Takahashi K. Effect of taurine and potential interactions with caffeine on cardiovascular function. Amino Acids, 2014; 46(5):1147-1157. doi: https://doi.org/10.1007/s00726-014-1708-0

Subaiea GM, Altebainawi AF, Alshammari TM. Energy drinks and population health: consumption pattern and adverse effects among Saudi population. BMC Public Health, 2019;19;1539. doi: https://doi.org/10.1186/s12889-019-7731-z

Heaton JA. Modifying the caffeine consumption questionnaire: impulsivity and expectancies as predictors of caffeine consumption. University of North Carolina Wilmington, 2012.

Richards G, Malthouse A, Smith A. The diet behaviour Scale (DABS): Testing a New Measure of Food and Drink Consumption in a cohort of secondary school Children from the south West of England. J Food Res, 2015;4(3);148-161. doi: https://doi.org/10.5539/jfr.v4n3p148

World Health Organization (WHO). The state of food security and nutrition in the world 2021. 2021, disponible en: http://www.fao.org/documents/card/en/c/cb4474en

Kerlinger F, Lee H. Investigación del comportamiento. Métodos de investigación en Ciencias Sociales. 2002; México: McGrawHill.

Juliano LM, Griffiths RR. A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features. Psychopharmacology (Berl), 2004; 176(1):1-29. doi: https://doi.org/10.1007/s00213-004-2000-x

Laboratorio PROFECO informa. Bebidas con cafeína, taurina y otros ingredientes. Revista del Consumidor, 2020;521, 22-31. Disponible en: https://issuu.com/profeco/docs/revistadelconsumidor_521_julio_2020

Marmorstein NR. Investigating associations between caffeinated beverage consumption and later alcohol consumption among early adolescents. Addict Behav, 2019; 90:362-368. doi: https://doi.org/10.1016/j.addbeh.2018.11.033

Miyake ER, Marmorstein NR. Energy drink consumption and later alcohol use among early adolescents. 2015; Addict Behav, 43:60-65. doi: https://doi.org/10.1016/j.addbeh.2014.12.009

Nawrot P, Jordan S, Eastwood J, Rotstein J, Hugenholtz A, Feeley M. (2003). Effects of caffeine on human health. Food Addit Contam, 2003;20(1):1-30

Park S, Lee Y, Lee JH. Association between energy drink intake, sleep, stress, and suicidality in Korean adolescents: energy drink use in isolation or in combination with junk food consumption. Nutr J, 2016; 15(1):87. doi: https://doi.org/10.1186/s12937-016-0204-7

Richards G, Smith AP. Caffeine Consumption and General Health in Secondary School Children: A Cross-sectional and Longitudinal Analysis. Front Nutr,2016; 3:52. doi: https://doi.org/10.3389/fnut.2016.00052

Schwartz DL, Gilstad-Hayden K, Carroll-Scott A et al. Energy drinks and youth self-reported hyperactivity/inattention symptoms. Acad Pediatr, 2015;15(3):297-304. doi: https://doi.org/10.1016/j.acap.2014.11.006

Visram S, Hashem, K. Energy drinks: what´s the evidence? Food Research Collaboration Policy Brief. 2016; (In Press). doi: https://doi.org/10.13140/RG.2.2.26386.56000

Published

2022-11-03

How to Cite

1.
Silva Maldonado P, Ramírez Moreno E, Arias Rico J, Fernández Cortés TL. Energy drink consumption patterns and its adverse effects on adolescent health: e202211085. Rev Esp Salud Pública [Internet]. 2022 Nov. 3 [cited 2025 May 18];96:21 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/280

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