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Journal of Community Health

, Volume 37, Issue 5, pp 976–981 | Cite as

Energy Drink Use and Adverse Effects Among Emergency Department Patients

  • Sean Patrick Nordt
  • Gary M. Vilke
  • Richard F. Clark
  • F. Lee Cantrell
  • Theodore C. Chan
  • Melissa Galinato
  • Vincent Nguyen
  • Edward M. Castillo
Original Paper

Abstract

Energy drink usage is common and contains caffeine or other stimulants. We evaluated demographics, prevalence, reasons and adverse effects with consuming energy beverages. Cross-sectional study of a convenience sample of patients recruited from two San Diego Emergency Departments from January to December 2009. One-thousand-two-hundred-ninety-eight subjects participated of which 52.6% were male. Ethnicity: Caucasian 48.3%, African American 17%, Hispanic 18%, Other 16.7%. Age ranges: 18–29 years (38.4%), 30–54 years (49.6%) and greater than 55 years (12%). Reasons for use: 57% to “increase energy”, 9.5% for studying/work projects, 2.4% while prolonged driving, improve sports performance 2%, with ethanol 6.3%, “other” reasons 22.1%. Adverse reactions reported by 33.5% (429) patients. Two-hundred-eighty report feeling “shaky/jittery”, insomnia 136, palpitations 150, gastrointestinal upset 82, headache 68, chest pain 39, and seizures in 6. Eighty-five patients reported co-ingestion with illicit “stimulants” including cocaine and methamphetamine. We identified one-third of patients reported at least one adverse effect. Whilst most were not severe, a small number were serious e.g., seizures. In addition, some report purposely ingesting with illicit drugs.

Keywords

Energy drink Energy beverage Sports drink Caffeine Guarana 

References

  1. 1.
    Heckman, M. A., Sherry, K., & Gonzalez de Mejia, E. (2010). Energy drinks: An assessment of their market size, consumer demographics, ingredient profile, functionality, and regulations in the United States. Comprehensive Reviews in Food Science and Food Safety, 9, 303–317.CrossRefGoogle Scholar
  2. 2.
    Boyle, M., & Castillo, V. D. (2006). Monster on the loose. Fortune, 154, 116–122.Google Scholar
  3. 3.
    Higgins, J. P., Tuttle, T. D., & Higgins, C. L. (2010). Energy beverages: Content and safety. Mayo Clinic Proceedings, 85, 1033–1041.PubMedCrossRefGoogle Scholar
  4. 4.
    Clauson, K. A., Shields, K. M., McQueen, C. E., et al. (2008). Safety issues associated with commercially available energy drinks. Journal of the American Pharmacists Association, 48, e55–e63.PubMedCrossRefGoogle Scholar
  5. 5.
  6. 6.
    Malinauskas, B. M., Aeby, V. G., Overton, R. F., et al. (2007). A survey of energy drink consumption patterns among college students. Nutrition Journal, 6, 1–7.CrossRefGoogle Scholar
  7. 7.
    Oteri, A., Salvo, F., Caputi, A. P., et al. (2007). Intake of energy drinks in association with alcoholic beverages in cohort students of the school of medicine of the University of Medicine. Alcoholism, Clinical and Experimental Research, 10, 1677–1680.CrossRefGoogle Scholar
  8. 8.
    Iyadurai, S. J. P., & Chung, S. S. (2007). New onset seizures in adults: possible association with consumption of popular energy drinks. Epilepsy Behavior, 10, 504–508.PubMedCrossRefGoogle Scholar
  9. 9.
    Babu, K. M., Zuckerman, M. D., Cherkes, J. K., et al. (2011). First-onset seizure after use of 5-hour energy. Pediatric Emergency Care, 27, 539–540.PubMedCrossRefGoogle Scholar
  10. 10.
    Terlizzi, R., Rocchi, C., Serra, M., et al. (2008). Reversible postural tachycardia syndrome due to inadvertent overuse of Red Bull. Clinical Atomic Research, 18, 221–222.CrossRefGoogle Scholar
  11. 11.
  12. 12.
    Alford, C., Cox, H., & Wescott, R. (2001). The effects of red bull energy drink on human performance and mood. Amino Acids, 21, 139–150.PubMedCrossRefGoogle Scholar
  13. 13.
    Warburton, D. M., Bersellini, E., & Sweeney, E. (2001). An evaluation of a caffeinated taurine drink on mood, memory and information processing in healthy volunteers without caffeine abstinence. Psychopharmacology, 158, 322–328.PubMedCrossRefGoogle Scholar
  14. 14.
    Scholey, A. B., & Kennedy, D. O. (2004). Cognitive and physiological effects of an “energy drink”: An evaluation of the whole drink and of glucose, caffeine and herbal flavouring fractions. Psychopharmacology, 176, 320–330.PubMedCrossRefGoogle Scholar
  15. 15.
    Reissig, C. J., Strain, E. C., & Griffiths, R. R. (2009). Caffeinated energy drinks—A growing problem. Drug and Alcohol Dependence, 99, 1–10.PubMedCrossRefGoogle Scholar
  16. 16.
    Berger, A. J., & Alford, K. (2009). Cardiac arrest in a young man following excess consumption of caffeinated “energy drinks”. Medical Journal of Australia, 190, 41–43.PubMedGoogle Scholar
  17. 17.
    Cannon, M. E., Cooke, C. T., & McCarthy, J. S. (2011). Caffeine-induced cardiac arrhythmia: an unrecognised danger of healthfood products. Medical Journal of Australia, 174, 520–521.Google Scholar
  18. 18.
    Artin, B., Singh, M., Richeh, C., et al. (2010). Caffeine-related atrial fibrillation. American Journal of Therapeutics, 17, e169–e171.PubMedCrossRefGoogle Scholar
  19. 19.
    Kaplan, G. B., Greenblatt, D. J., Ehrenberg, B. L., et al. (1997). Dose dependent pharmacokinetics and psychomotor effects of caffeine in humans. Journal of Clinical Pharmacology, 37, 693–703.PubMedGoogle Scholar
  20. 20.
    Victor, B. S., Lubetsky, M., & Greden, J. F. (1981). Somatic manifestations of caffeinism. Journal of Clinical Psychiatry, 42, 185–188.PubMedGoogle Scholar
  21. 21.
  22. 22.
    Arria, A. M., & O’Brien, M. C. (2011). The “high” risk of energy drinks. JAMA, 305, 600–601.PubMedCrossRefGoogle Scholar
  23. 23.
    Weldy, D. L. (2010). Risks of alcoholic energy drinks for youth. The Journal of the American Board of Family Medicine, 23, 555–558.CrossRefGoogle Scholar
  24. 24.
    Committee on Nutrition and the Council on Sports Medicine and Fitness. (2011). Sports drinks and energy drinks for children and adolescents: Are they appropriate? Journal of Pediatrics, 127, 1182–1189.CrossRefGoogle Scholar
  25. 25.
    Miller, K. E. (2008). Energy drinks, race, and problem behaviors among college students. Journal of Adolescent Health, 43, 490–497.PubMedCrossRefGoogle Scholar
  26. 26.
    Velazquez, C. E., Poulos, N. S., & Latimer, L. A., et al. (2011). Associations between energy drink consumption and alcohol use behaviors among college students. Drug and Alcohol Dependence, 2011 December 2 [Epub ahead of print].Google Scholar
  27. 27.
    Ferreira, S. E., de Mello, M. T., Pompeia, S., et al. (2006). Effects of energy drink ingestion on alcohol intoxication. Alcoholism, Clinical and Experimental Research, 30, 598–605.PubMedCrossRefGoogle Scholar
  28. 28.
    Marczinski, C. A., & Fillmore, M. T. (2006). Clubgoers and their trendy cocktails: implications of mixing caffeine into alcohol on information processing and subjective reports of intoxication. Experimental and Clinical Psychopharmacology, 14, 450.s–458.s.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Sean Patrick Nordt
    • 1
  • Gary M. Vilke
    • 2
  • Richard F. Clark
    • 2
  • F. Lee Cantrell
    • 3
  • Theodore C. Chan
    • 2
  • Melissa Galinato
    • 4
  • Vincent Nguyen
    • 4
  • Edward M. Castillo
    • 2
  1. 1.Department of Emergency Medicine, Section of Toxicology, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.San Diego Department of Emergency MedicineUniversity of CaliforniaSan DiegoUSA
  3. 3.California Poison Control System—San Diego DivisionSan DiegoUSA
  4. 4.University of CaliforniaSan DiegoUSA

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