Energy drink consumption among German adolescents: Prevalence, correlates, and predictors of initiation

Galimov, Artur; Hanewinkel, Reiner; Hansen, Júlia; Unger, Jennifer B.; Sussman, Steve; Morgenstern, Matthis

doi:10.1016/j.appet.2019.04.016

Cited by 28 publications

(39 citation statements)

References 49 publications

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“…Indeed, insufficient sleep and the desire to increase energy are the most common reasons for consuming ED. 2 Globally, the presence of these associations between ED consumption and other unhealthy behaviours is consistent with the Problem Behaviour Theory suggesting a clustering of unhealthy behaviours among some adolescents, 10,35 which should therefore be carefully monitored.…”

Section: Discussionsupporting

confidence: 80%

“…This is a crucial step to identify 'at-risk' adolescents and develop effective interventions and policy regulations. 10 Previous studies have consistently shown that male adolescents are more likely to consume ED, and in larger amounts, than females. 1 By contrast, positive associations, inverse associations and absence of association between ED consumption and age have been reported in the literature.…”

Section: Introductionmentioning

confidence: 96%

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Determinants of energy drink consumption in adolescents: identification of sex-specific patterns

et al. 2020

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Objectives: To investigate sex differences in sociodemographic and lifestyle correlates of frequent energy drink (ED) consumption in adolescents. Study design: This study was based on data collected among French-speaking Belgian adolescents aged 11e20 years (n ¼ 8137) within the 2018 Health Behaviour in School-aged Children study. Methods: Multiple logistic analyses stratified by sex were performed to estimate the associations between consuming EDs more than once a week, and various sociodemographic and lifestyle characteristics. Results: Overall, 14.0% of boys and 7.6% of girls consumed ED more than once a week. For both genders, the likelihood of consuming ED more than once a week was higher among adolescents consuming soft drinks daily (vs. < daily), alcohol weekly (vs. < weekly), spending at least 5 h/day in front of screens (vs. < 5 h/day), and going to bed later than 11:30 PM (vs. 10:00 PM). Among boys, adolescents reporting at least 1 h of moderate-to-vigorous physical activity (MVPA) daily (vs. < 1 h/day MVPA) were more likely to consume ED more than once a week (adjusted odd ratio (aOR) ¼ 1.49 (95% confidence interval [CI] 1.11e2.01)). Among girls, adolescents from low affluence families (vs. high affluence) (aOR ¼ 2.03 (95% CI 1.19e3.48)) and immigrants (vs. natives) (2nd generation: aOR ¼ 1.75 (95% CI 1.31 e2.32); 1st generation: aOR ¼ 1.90 (95% CI 1.20e3.03)) were more likely to consume ED more than once a week. Conclusions: We identified different patterns of ED consumption in boys and girls. These results suggest that sex-tailored interventions could be relevant to reduce ED consumption in adolescents.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 96%

Determinants of energy drink consumption in adolescents: identification of sex-specific patterns

et al. 2020

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“…Moreover, Scuri et al (2018) found the majority of the students who consumed EDs were aware of the active ingredient, but not aware of the side effects upon excessive consumption. Some participants who were aware of ED negative effects reported that they still consumed them to experience improved concentration and alertness (Scuri et al, 2018), a benefit often featured in ED advertisements (Galimov et al, 2019). Clearly, education programs are required to raise awareness among young people about the possible adverse effects linked with ED consumption and alternate, healthy ways to improve energy, concentration, and alertness levels, such as consuming a nutritious diet, participating in regular physical activity, and getting adequate amounts of sleep.…”

Section: Discussionmentioning

confidence: 99%

Consumption of energy drinks is associated with depression, anxiety, and stress in young adult males: Evidence from a longitudinal cohort study

et al. 2020

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Background Energy drinks (EDs) claim to boost mental performance, however, few studies have examined the prospective effects of EDs on mental health. This study examined longitudinal associations between ED use and mental health symptoms in young adults aged 20 years over a 2‐year period. Methods Data were drawn from Gen2 (Generation 2) of the Raine Study, a prospective population‐based study in Western Australia. Self‐report questionnaires assessed ED consumption and mental health symptoms (Depression Anxiety Stress Scale [DASS]‐21) when Gen2 participants were 20 and 22 years old. Changes in ED use and DASS‐21 scores over time were analyzed and results presented for the whole sample and by sex. Results For the whole sample (n = 429), participants who changed from being a non‐ED user to an ED user had an average increase in stress scores of 2.30 (95% confidence interval [CI] = 0.04, 4.55) across the 2‐year follow‐up. Males, but not females who changed from being a non‐ED user to an ED user had an average increase in depression, anxiety, and stress scores of 6.09 (95% CI = 3.36, 8.81), 3.76 (95% CI = 1.82, 5.70), and 3.22 (95% CI = 0.47, 5.97), respectively. Conclusion ED consumption may be a possible marker for mental health symptoms in young male adults. Practicing clinicians could consider screening for ED use in routine assessments of mental health, particularly for young males presenting with depression, anxiety, and stress symptoms.

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“…Evidence from past research studies has shown that energy drink consumption among adolescents is associated with substance use, such as alcohol, tobacco cigarette, cannabis, and nonmedical use of prescription drugs [12][13][14], suggesting that substance use behaviors tend to cluster within individuals. For example, Azagba et al [15] found that involvement in risky behaviors including tobacco, alcohol, marijuana, and other drugs and substances was higher among consumers of energy drinks relative to non-users, in a sample of Canadian students.…”

Section: Introductionmentioning

confidence: 99%

“…However, there still remains a lack of research investigating whether sex and grade level could moderate the link between energy drink consumption and substance use among adolescents. Previous research has either focused on one grade level (i.e., middle school only [27] or high school students only [15]) or combined both middle and high school students [13,14,16] in their analyses. Using middle school students in relation to high school students is important for several reasons.…”

Section: Introductionmentioning

confidence: 99%

Energy Drink Consumption and Substance Use among Middle and High School Students

Sampasa‐Kanyinga

Masengo

Hamilton

et al. 2020

IJERPH

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This study examined the association between energy drink consumption and substance use among adolescents and tested whether sex and/or grade level (i.e., middle vs. high school) moderate the association. Data were derived from the 2017 Ontario Student Drug Use and Health Survey, a representative survey of students in 7th to 12th grade. Analyses included 10,662 students who self-reported information on energy drink consumption and substance use. Poisson regression models were used with adjustments for important covariates. Energy drink consumption was associated with tobacco cigarette smoking (incidence rate ratio (IRR): 3.74; 95% confidence interval (CI): 3.22–4.35), cannabis use (IRR: 2.90; 95% CI: 2.53–3.32), binge drinking (IRR: 2.46; 95% CI: 2.05–2.96), opioid use (IRR: 2.23; 95% CI: 1.85–2.68), and alcohol use (IRR: 1.31; 95% CI: 1.26–1.36). The associations of energy drink consumption with tobacco cigarette smoking, cannabis use, and alcohol consumption were modified by grade level (two-way interaction terms p < 0.05). The association between energy drink consumption and substance use was generally much stronger among middle school students compared with high school students. The findings suggest that middle school students may be more vulnerable to the negative effects of energy drinks in relation with substance use.

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Energy drink consumption among German adolescents: Prevalence, correlates, and predictors of initiation

Cited by 28 publications

References 49 publications

Determinants of energy drink consumption in adolescents: identification of sex-specific patterns

Determinants of energy drink consumption in adolescents: identification of sex-specific patterns

Consumption of energy drinks is associated with depression, anxiety, and stress in young adult males: Evidence from a longitudinal cohort study

Energy Drink Consumption and Substance Use among Middle and High School Students

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