Original article
Vol. 150 No. 2122 (2020)
Heavy energy drink consumption is associated with risky substance use in young Swiss men
- Richard Benkert
- Thomas Abel
Summary
OBJECTIVES
Heavy consumption of energy drinks appears to pose a public health problem among young adults. This paper examines (i) the prevalence of chronic heavy energy drink use (consuming energy drinks more than once a day) and (ii) its associations with sociodemographic and health behaviour-related factors, especially substance use.
METHODS
We used multiple logistic regression analyses to examine the relationships between chronic heavy energy drink use and sociodemographic and health behaviour-related factors, based on cross-sectional data from 18–21-year-old men who took part in the “Young Adult Survey Switzerland” (YASS) in 2010/2011 (n = 10,345) and 2014/2015 (n = 9761).
RESULTS
Prevalence of chronic heavy energy drink use was high in both data sets: 7.5% of young adult men in Switzerland in 2010/11, and 6.0% in 2014/15, consumed energy drinks more than once a day. Chronic heavy energy drink use followed a social gradient: people with a low level of education were more likely to consume energy drinks more than once a day. Multiple daily energy drink consumption was associated with other unhealthy behaviours, especially substance use (smoking, alcohol consumption, use of tranquilizers or sleeping pills, use of painkillers). Among the strongest associations were the use of painkillers (odds ratio [OR] 5.23, 95% confidence interval [95% CI] 3.51–7.79) and tranquilizers/sleeping pills (OR 4.07, 95% CI 2.66–6.25).
CONCLUSION
Chronic heavy energy drink consumers are a significant population subgroup in Switzerland and are relevant for public health due to the co-occurrence of unhealthy substance use. This link and the close relationship between chronic heavy energy drink use and social class indicate the role of lifestyle in the emergence and distribution of energy drink consumption. Interventions that encourage chronic heavy energy drink consumers to make positive lifestyle changes may contribute to the prevention of unhealthy substance use.
References
- German Federal Institute for Risk Assessment. Kinder und Jugendliche: Übermässiger Konsum von Energy Drinks erhöht Gesundheitsrisiko für Herz und Kreislauf. Stellungnahme Nr. 018/2019 des BfR vom 27. Mai 2019. 2019 [cited 2019 July 2019]. Available from https://www.bfr.bund.de/cm/343/kinder-und-jugendliche-uebermaessige-konsum-von-energy-drinks-erhoeht-gesundheitsrisiko-fuer-herz-und-kreislauf.pdf.
- Breda JJ, Whiting SH, Encarnação R, Norberg S, Jones R, Reinap M, 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
- Wassef B, Kohansieh M, Makaryus AN. Effects of energy drinks on the cardiovascular system. World J Cardiol. 2017;9(11):796–806. doi:.https://doi.org/10.4330/wjc.v9.i11.796
- EFSA Panel on Dietetic Products. Nutrition and Allergies. Scientific Opinion on the safety of caffeine. EFSA J. 2015;13(5):4102.
- Higdon JV, Frei B. Coffee and health: a review of recent human research. Crit Rev Food Sci Nutr. 2006;46(2):101–23. doi:.https://doi.org/10.1080/10408390500400009
- Wikoff D, Welsh BT, Henderson R, Brorby GP, Britt J, Myers E, 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
- Nawrot P, Jordan S, Eastwood J, Rotstein J, Hugenholtz A, Feeley M. Effects of caffeine on human health. Food Addit Contam. 2003;20(1):1–30. doi:.https://doi.org/10.1080/0265203021000007840
- Temple JL, Bernard C, Lipshultz SE, Czachor JD, Westphal JA, Mestre MA. The Safety of Ingested Caffeine: A Comprehensive Review. Front Psychiatry. 2017;8:80. doi:.https://doi.org/10.3389/fpsyt.2017.00080
- Espinosa Jovel CA, Sobrino Mejía FE. Cafeína y cefalea: consideraciones especiales [Caffeine and headache: specific remarks]. Neurologia. 2017;32(6):394–8. doi:.https://doi.org/10.1016/j.nrl.2014.12.016
- Flanagan RJ, Braithwaite RA, Brown SS, Widdop B, de Wolff FA. Basic analytical toxicology. Geneva: World Health Organization;1995.
- Seifert SM, Schaechter JL, Hershorin ER, Lipshultz SE. Health effects of energy drinks on children, adolescents, and young adults. Pediatrics. 2011;127(3):511–28. doi:.https://doi.org/10.1542/peds.2009-3592
- Zucconi S, Volpato C, Adinolfi F, Gandini E, Gentile E, Loi A, et al. Gathering consumption data on specific consumer groups of energy drinks. External Scientific Report for European Safety Authority. 2013;10(3):1–190. doi:.https://doi.org/10.2903/sp.efsa.2013.EN-394
- Nowak D, Jasionowski A. Analysis of the Consumption of Caffeinated Energy Drinks among Polish Adolescents. Int J Environ Res Public Health. 2015;12(7):7910–21. doi:.https://doi.org/10.3390/ijerph120707910
- Friis K, Lyng JI, Lasgaard M, Larsen FB. Energy drink consumption and the relation to socio-demographic factors and health behaviour among young adults in Denmark. A population-based study. Eur J Public Health. 2014;24(5):840–4. doi:.https://doi.org/10.1093/eurpub/cku003
- Arria AM, Caldeira KM, Kasperski SJ, O’Grady KE, Vincent KB, Griffiths RR, et al. Increased alcohol consumption, nonmedical prescription drug use, and illicit drug use are associated with energy drink consumption among college students. J Addict Med. 2010;4(2):74–80. doi:.https://doi.org/10.1097/ADM.0b013e3181aa8dd4
- Polak K, Dillon P, Koch JR, Miller WG, Jr, 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. doi:.https://doi.org/10.1016/j.pmedr.2016.06.019
- Attila S, Çakir B. Energy-drink consumption in college students and associated factors. Nutrition. 2011;27(3):316–22. doi:.https://doi.org/10.1016/j.nut.2010.02.008
- Miller KE. Energy drinks, race, and problem behaviors among college students. J Adolesc Health. 2008;43(5):490–7. doi:.https://doi.org/10.1016/j.jadohealth.2008.03.003
- Marczinski CA. Alcohol mixed with energy drinks: consumption patterns and motivations for use in U.S. college students. Int J Environ Res Public Health. 2011;8(8):3232–45. doi:.https://doi.org/10.3390/ijerph8083232
- Young Adult Survey Switzerland. Main and supplementary questionnaire 2010/11. 2010 [cited 2019 Feb 20]. Available from https://chx.mazzehosting.ch/sites/default/files/downloads/chx_yass-fb2010-2011_b_gesundheit-und-sport_d.pdf
- Young Adult Survey Switzerland. Main and supplementary questionnaire 2014/15. 2014 [cited 2019 Feb 20] Available from: https://chx.mazzehosting.ch/sites/default/files/downloads/02_chx_2014-15_b_gesundheit_deutsch.pdf
- Abel T, Hofmann K, Schori D. Social and regional variations in health status and health behaviours among Swiss young adults. Swiss Med Wkly. 2013;143:w13901. doi:.https://doi.org/10.4414/smw.2013.13901
- Hofmann K, Schori D, Abel T. Self-reported capabilities among young male adults in Switzerland: Translation and psychometric evaluation of a German, French and Italian version of a closed survey instrument. Soc Indic Res. 2013;114(2):723–38. doi:.https://doi.org/10.1007/s11205-012-0170-1
- Huber SG, ed. Young Adult Survey Switzerland. Bern: BBL/OFCL/UFCL;2016.
- UNESCO. International Standard Classfication of Education. ISCED 2011. Montreal, Quebec: UNESCO Institute for Statistics;2012.
- Swiss Federal Office of Public Health. [Key features to measure migration background in Swiss health surveys] Schlüsselmerkmale zur Erfassung des Migrationshintergrundes in schweizerischen Gesundheitsdatenerhebungen. 2016 [cited 2018 Nov 12]. Available from https://www.bag.admin.ch/dam/bag/de/dokumente/nat-gesundheitsstrategien/nat-programm-migration-und-gesundheit/forschung-migration-und-gesundheit/schluesselmerkmale-zur-erfassung-des-migrationshintergrunds/schluesselmerkmale-migrationshintergrund.pdf.download.pdf/schluesselmerkmale-migrationshintergrund.pdf.
- Swiss Federal Commission for Alcohol Questions. [Guidelines for alcohol consumption – 2018] Orientierungshilfe zum Alkoholkonsum - 2018. 2018 [cited 2019 Feb 14]. Available from https://www.newsd.admin.ch/newsd/message/attachments/53054.pdf
- Bondy SJ, Rehm J, Ashley MJ, Walsh G, Single E, Room R. Low-risk drinking guidelines: the scientific evidence. Can J Public Health. 1999;90(4):264–70. doi:.https://doi.org/10.1007/BF03404129
- McCrae JC, Morrison EE, MacIntyre IM, Dear JW, Webb DJ. Long-term adverse effects of paracetamol - a review. Br J Clin Pharmacol. 2018;84(10):2218–30. doi:.https://doi.org/10.1111/bcp.13656
- Headache Classification Committee of International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629–808. doi:.https://doi.org/10.1177/0333102413485658
- Stata Corp. Stata Statistical Software: Release 14. StataCorp LP, College Station, TX;2015.
- Carrillo JA, Benitez J. Clinically significant pharmacokinetic interactions between dietary caffeine and medications. Clin Pharmacokinet. 2000;39(2):127–53. doi:.https://doi.org/10.2165/00003088-200039020-00004
- Cameron MD, Wen B, Roberts AG, Atkins WM, Campbell AP, Nelson SD. Cooperative binding of acetaminophen and caffeine within the P450 3A4 active site. Chem Res Toxicol. 2007;20(10):1434–41. doi:.https://doi.org/10.1021/tx7000702
- Swiss Federal Statistical Office. [Consumption of single drugs] Konsum einzelner Medikamente, excel file. 2019 [cited 2019 Mar 4]. Available from https://www.bfs.admin.ch/bfs/de/home/aktuell/neue-veroeffentlichungen.assetdetail.7567000.html
- Mann MJ, Smith ML, Kristjansson AL. Energy drink consumption and substance use risk in middle school students. Prev Med Rep. 2016;3:279–82. doi:.https://doi.org/10.1016/j.pmedr.2016.03.014
- Terry-McElrath YM, OʼMalley PM, Johnston LD. Energy drinks, soft drinks, and substance use among United States secondary school students. J Addict Med. 2014;8(1):6–13. doi:.https://doi.org/10.1097/01.ADM.0000435322.07020.53
- Arria AM, Caldeira KM, Kasperski SJ, Vincent KB, Griffiths RR, O’Grady KE. Energy drink consumption and increased risk for alcohol dependence. Alcohol Clin Exp Res. 2011;35(2):365–75. doi:.https://doi.org/10.1111/j.1530-0277.2010.01352.x
- Larson N, Laska MN, Story M, Neumark-Sztainer D. Sports and energy drink consumption are linked to health-risk behaviours among young adults. Public Health Nutr. 2015;18(15):2794–803. doi:.https://doi.org/10.1017/S1368980015000191
- O’Brien MC, McCoy TP, Rhodes SD, Wagoner A, Wolfson M. Caffeinated cocktails: energy drink consumption, high-risk drinking, and alcohol-related consequences among college students. Acad Emerg Med. 2008;15(5):453–60. doi:.https://doi.org/10.1111/j.1553-2712.2008.00085.x
- Bjørngaard JH, Nordestgaard AT, Taylor AE, Treur JL, Gabrielsen ME, Munafò MR, et al. Heavier smoking increases coffee consumption: findings from a Mendelian randomization analysis. Int J Epidemiol. 2017;46(6):1958–67. doi:.https://doi.org/10.1093/ije/dyx147
- Abel T. Measuring health lifestyles in a comparative analysis: theoretical issues and empirical findings. Soc Sci Med. 1991;32(8):899–908. doi:.https://doi.org/10.1016/0277-9536(91)90245-8
- Cockerham WC. Health lifestyle theory and the convergence of agency and structure. J Health Soc Behav. 2005;46(1):51–67. doi:.https://doi.org/10.1177/002214650504600105
- Dermota P, Wang J, Dey M, Gmel G, Studer J, Mohler-Kuo M. Health literacy and substance use in young Swiss men. Int J Public Health. 2013;58(6):939–48. doi:.https://doi.org/10.1007/s00038-013-0487-9
- Schori D, Hofmann K, Abel T. Social inequality and smoking in young Swiss men: intergenerational transmission of cultural capital and health orientation. Int J Public Health. 2014;59(2):261–70. doi:.https://doi.org/10.1007/s00038-013-0537-3
- Charitonidi E, Studer J, Gaume J, Gmel G, Daeppen JB, Bertholet N. Socio-economic status and substance use among young Swiss men. BMC Public Health. 2016;16:333. doi:.https://doi.org/10.1186/s12889-016-2949-5