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Energy drink consumption, health complaints and late bedtime among young adolescents

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

Energy drinks contain large amounts of caffeine. Their effects on adolescent well-being are poorly known. We examined the relationship of energy drink consumption with health complaints and late bedtime among 13-year-olds.

Methods

A classroom survey was conducted on all 7th graders in the Helsinki metropolitan region, Finland (73 % responded; n = 9446). Logistic regression analysis and structural equation modeling (SEM) were used.

Results

The prevalence of health complaints increased as energy drink consumption increased from non-consumers to several times/day. Late bedtime (≥11 PM) increased correspondingly. Those consuming energy drinks several times/day exhibited increased odds of experiencing daily health complaints compared with non-consumers: headache OR (adjusted) = 4.6 (2.8–7.7), sleeping problems OR = 3.6 (2.2–5.8), irritation OR = 4.1 (2.7–6.1), tiredness/fatigue OR = 3.7 (2.4–5.7), and late bedtime OR = 7.8 (5.7–10.9). In SEM, energy drink consumption had a direct effect on health complaints and late bedtime and an indirect effect on health complaints via late bedtime.

Conclusions

Energy drinks, late bedtime, and health complaints form a behavior pattern that is worth considering in schools, home and clinical settings when adolescents complain about headaches, problems with sleeping and corresponding symptoms.

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References

  • Brand S, Kirov R (2011) Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions. Int J Gen Med 4:425–442

    Article  PubMed  PubMed Central  Google Scholar 

  • Bryant Ludden A, Wolfson AR (2010) Understanding adolescent caffeine use: connecting use patterns with expectancies, reasons, and sleep. Health Educ Behav 37:330–342

    Article  PubMed  Google Scholar 

  • Bulut B, Beyhun NE, Topas M, Can G (2014) Energy drink use in university students and associated factors. J Community Health 39:1004–1011

    Article  PubMed  Google Scholar 

  • Calamaro CJ, Mason TBA, Ratcliffe SJ (2009) Adolescents living the 24/7 lifestyle: effects of caffeine and technology on sleep duration and daytime functioning. Pediatrics 123:e1005–e1010

    Article  PubMed  Google Scholar 

  • Carskadon MA (2011) Sleep in adolescents. The perfect storm. Pediatr Clin N Am 58:637–647

    Article  Google Scholar 

  • Currie C, Zanotti C, Morgan A et al (2012) Social determinants of health and well-being among young people. Key findings from the Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. WHO, Copenhagen

  • Darchia N, Cervena K (2014) The journey through the world of adolescent sleep. Rev Neurosci 25:585–604

    Article  PubMed  Google Scholar 

  • Dunwiddie TV, Masino SA (2001) The role and regulation of adenosine in the central nervous system. Annu Rev Neurosci 24:31–55

    Article  CAS  PubMed  Google Scholar 

  • Fakhouri TH, Kit BK, Ogden CL (2012) Consumption of diet drinks in the United States 2009–2010. NCHS Data Brief 109:1–8

    PubMed  Google Scholar 

  • Gradisar M, Gardner G, Dohnt H (2011) Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med 12:110–118

    Article  PubMed  Google Scholar 

  • Hagenauer MH, Perryman JI, Lee TM, Carskadon MA (2009) Adolescent changes in the homeostatic and circadian regulation of sleep. Dev Neurosci 31:276–284

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hughes JR, Hale KL (1998) Behavioral effects of caffeine and other methylxanthines on children. Exp Clin Psychopharmacol 6:87–95

    Article  CAS  PubMed  Google Scholar 

  • Huhtinen H, Rimpelä A (2013) Nuorison energiajuomien käyttö ja kofeiiniin liittyvät oireet. [Energy drink consumption and caffeine-induced health complaints in adolescents]. English abstract. Suomen Lääkärilehti 68:2451–2455

    Google Scholar 

  • Juliano LM, Griffiths RR (2004) A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features. Psychopharmacology 176:1–29

    Article  CAS  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Kronholm E, Puusniekka R, Jokela J, Villberg J, Urrila AS, Paunio T, Välimaa R, Tynjälä J (2011) Trends in self-reported sleep problems, tiredness and related school performance among Finnish adolescents from 1984 to 2011. J Sleep Res 24:3–10

    Article  Google Scholar 

  • Kumar G, Park S, Onufrak S (2015) Perceptions about energy drinks are associated with energy drink intake among U.S. Youth. Am J Health Promot 29:238–244

    Article  PubMed  Google Scholar 

  • Liu X, Zhou H (2002) Sleep duration, insomnia and behavioral problems among Chinese adolescents. Psychiatry Res 111:75–85

    Article  PubMed  Google Scholar 

  • Liu X, Liu L, Owens JA, Kaplan DL (2005) Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics 115(1 Suppl):241–249

    Article  PubMed  Google Scholar 

  • Lovato N, Gradisar M, Short M, Dohnt H, Micic C (2013) Delayed sleep phase disorder in an Australian school-based sample of adolescents. J Clin Sleep Med 9:939–944

    PubMed  PubMed Central  Google Scholar 

  • Matricciani LA, Olds TS, Blunden S, Rigney G, Williams MT (2012) Never enough sleep: a brief history of sleep recommendations for children. Pediatrics 129:548–556

    Article  PubMed  Google Scholar 

  • Micic G, Lovato N, Gradisar M, Ferguson SA, Burgess HJ, Lack LC (2015) The etiology of delayed sleep phase disorder. Sleep Med Rev 27:29–38

    Article  PubMed  Google Scholar 

  • Muthén LK, Muthén BO (2012) Mplus User's Guide, 7th edn. Muthén & Muthén, Los Angeles, p 1998–2012

    Google Scholar 

  • Nuutinen T, Roos E, Ray C, Villberg J, Välimaa R, Rasmussen M, Holstein B, Godeau E, Beck F, Leger D, Tynjala J (2014) Computer use, sleep duration and health symptoms: a cross-sectional study of 15-year olds in three countries. Int J Public Health 59:619–628

    Article  PubMed  Google Scholar 

  • Oddy WH, O’Sullivan TA (2009) Energy drinks for children and adolescents. BMJ 339:b5268

    Article  CAS  PubMed  Google Scholar 

  • Orbeta RL, Overpeck MD, Ramcharran D, Kogan MD, Ledsky R (2006) High caffeine intake in adolescents: associations with difficulty sleeping and feeling tired in the morning. J Adolesc Health 38:451–453

    Article  PubMed  Google Scholar 

  • Peach HD, Gaultney JF (2013) Sleep, impulse control, and sensation-seeking predict delinquent behavior in adolescents, emerging adults, and adults. J Adolesc Health 53:293–299

    Article  PubMed  Google Scholar 

  • Reissig CJ, Strain EC, Griffiths RR (2009) Caffeinated energy drinks—A growing problem. Drug Alcohol Depend 99:1–10

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ruxton CHS (2013) The suitability of caffeinated drinks for children: a systematic review of randomised controlled trials, observational studies and expert panel guidelines. J Hum Nutr Diet 27:342–357

    Article  PubMed  Google Scholar 

  • Seifert SM, Schaechter JL, Hershorin ER, Lipshultz SE (2011) Health effects of energy drinks on children, adolescents, and young adults. Pediatrics 127:511–528

    Article  PubMed  PubMed Central  Google Scholar 

  • Shochat T, Cohen-Zion M, Tzischinsky O (2014) Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev 18:75–87

    Article  PubMed  Google Scholar 

  • Simon M, Mosher J (2007) Alcohol, energy drinks, and youth: a dangerous mix. Marin Institute, California

    Google Scholar 

  • Touchette E, Petit D, Séguin JR, Boivin M, Trembla RE, Montplaisir JY (2007) Associations between sleep duration patterns and behavioral/cognitive functioning at school entry. Sleep 30:1213–1219

    PubMed  PubMed Central  Google Scholar 

  • Touitou Y (2013) Adolescent sleep misalignment: a chronic jet lag and a matter of public health. J Physiol Paris 107:323–326

    Article  PubMed  Google Scholar 

  • Whitehead R, Currie D, Inchley J, Currie C (2015) Educational expectations and adolescent health behaviour: an evolutionary approach. Int J Public Health 60:599–608

    Article  PubMed  Google Scholar 

  • Wolfson AR, Carskadon MA (2003) Understanding adolescents’ sleep patterns and school performance: a critical appraisal. Sleep Med Rev 7:491–506

    Article  PubMed  Google Scholar 

  • Zucconi S, Volpato C, Adinolfi F, Gandini E, Gentile E, Loi A, Fioriti L (2013) Gathering consumption data on specific consumer groups of energy drinks. Supporting Publications Report No: EN-394. European food safety authority

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Acknowledgments

The data collection was financially supported by the Academy of Finland (Skidi-Kids Research Program) and analyses by the Competitive Research Funding of the Tampere University Hospital (Grant 9N063). We thank MSc Liudmila Lipiäinen for consultation regarding SEM modeling and BA Lasse Pere for preparing the data.

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Correspondence to Leena Koivusilta.

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Koivusilta, L., Kuoppamäki, H. & Rimpelä, A. Energy drink consumption, health complaints and late bedtime among young adolescents. Int J Public Health 61, 299–306 (2016). https://doi.org/10.1007/s00038-016-0797-9

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  • DOI: https://doi.org/10.1007/s00038-016-0797-9

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