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Energy Drinks and Youth Self-Reported Hyperactivity/Inattention Symptoms

Published:February 08, 2015DOI:https://doi.org/10.1016/j.acap.2014.11.006

      Abstract

      Objective

      To describe patterns in sweetened beverage consumption by race/ethnicity and sex, documenting both the amount and types of sweetened beverages consumed; and to examine the association of sweetened beverage consumption with hyperactivity/inattention symptoms among middle school students in a single urban school district.

      Methods

      Middle school students (n = 1649; 47% Hispanic and 38% black, non-Hispanic) from 12 schools, randomly selected out of 27 district schools, completed health behavior surveys in fall 2011. Students reported quantity and types of sweetened beverages consumed in the past 24 hours and completed the 5-item Hyperactivity/Inattention subscale of the Strengths and Difficulties Questionnaire to measure symptoms.

      Results

      Amount and variety of reported sweetened beverage consumption (including energy drinks) were greater among boys versus girls and among black and Hispanic versus white students. Risk of hyperactivity/inattention increased by 14% for each additional sweetened beverage consumed, adjusting for age, race/ethnicity, sex, school lunch eligibility, family structure, and sugary food consumption. Students reporting consumption of energy drinks were 66% more likely to be at risk for hyperactivity/inattention after adjusting for number of drinks, other types of drinks consumed, and other potential confounders.

      Conclusions

      Results support recommendations to limit consumption of sweetened beverages and to avoid consumption of energy drinks among children. Interventions to reduce sweetened beverage consumption should explicitly focus on energy drinks and other emerging sweetened beverages such as sports and sweetened coffee drinks. More research is needed to understand the direction of effects and the mechanisms behind the association between sweetened beverages and hyperactivity/inattention symptoms.

      Keywords

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      References

      1. Centers for Disease Control and Prevention. Beverage consumption among high school students—United States, 2010. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6023a2.htm. Accessed February 5, 2013.

      2. Reuters. Update 2—US soda consumption fell faster in 2011. March 20, 2012. Available at: http://www.reuters.com/article/2012/03/20/drinks-idUSL1E8EK1P620120320. Accessed February 5, 2013.

      3. Energy drink sales get a jolt. Available at: http://www.bevindustry.com/articles/84825-energy-drink-sales-get-a-jolt. Accessed February 5, 2013.

        • Simon M.
        • Mosher J.
        Alcohol, Energy Drinks, and Youth: A Dangerous Mix.
        Marin Institute, San Rafael, Calif2007 (Available at:) (Accessed December 5, 2014)
        • Park S.
        • Blanck H.M.
        • Sherry B.
        • et al.
        Factors associated with sugar-sweetened beverage intake among United States high school students.
        J Nutr. 2012; 142: 306-312
        • Ogden C.L.
        • Kit B.K.
        • Carroll M.D.
        • et al.
        Consumption of Sugar Drinks in the United States, 2005–2008.
        National Center for Health Statistics, Hyattsville, Md2011 (NCHS Data Brief 71)
        • Wang Y.C.
        • Bleich S.N.
        • Gortmaker S.L.
        Increasing caloric contribution from sweetened beverages and 100% fruit juices among US children and adolescents, 1988–2004.
        Pediatrics. 2008; 121: e1604-e1614
        • Lasater G.
        • Piernas C.
        • Popkin B.M.
        Beverage patterns and trends among school-aged children in the US, 1989–2008.
        Nutr J. 2011; 10: 103
        • Grandner M.A.
        • Knutson K.L.
        • Troxel W.
        • et al.
        Implications of sleep and energy drink use for health disparities.
        Nutr Rev. 2014; 72: 14-22
        • Kohlboeck G.
        • Heitmueller D.
        • Neumann C.
        • et al.
        Is there a relationship between hyperactivity/inattention symptoms and poor oral health? Results from the GINIplus and LISAplus study.
        Clin Oral Investig. 2013; 17: 1329-1338
        • Lien L.
        • Lien N.
        • Heyerdahl S.
        • et al.
        Consumption of soft drinks and hyperactivity, mental distress, and conduct problems among adolescents in Oslo, Norway.
        Am J Public Health. 2006; 96: 1815-1820
        • Barry T.D.
        • Lyman R.D.
        • Klinger L.G.
        Academic underachievement and attention-deficit/hyperactivity disorder: the negative impact of symptom severity on school performance.
        J Sch Psychol. 2002; 40: 259-283
        • Strine T.W.
        • Lesesne C.A.
        • Okoro C.A.
        • et al.
        Emotional and behavioral difficulties and impairments in everyday functioning among children with a history of attention-deficit/hyperactivity disorder.
        Prev Chronic Dis. 2006; 3: A52
        • Schwebel D.C.
        • Roth D.L.
        • Elliott M.N.
        • et al.
        Association of externalizing behavior disorder symptoms and injury among fifth graders.
        Acad Pediatr. 2011; 11: 427-431
        • Merrell C.
        • Tymms P.B.
        Inattention, hyperactivity and impulsiveness: their impact on academic achievement and progress.
        Br J Educ Psychol. 2001; 71: 43-56
        • Klinteberg af B.
        • Andersson T.
        • Magnusson D.
        • et al.
        Hyperactive behavior in childhood as related to subsequent alcohol problems and violent offending: a longitudinal study of male subjects.
        Pers Individ Dif. 1993; 15: 381-388
        • Miller T.W.
        • Higg J.D.
        • Miller R.L.
        Attention deficit hyperactivity disorder in African American children: what can be concluded from the past ten years?.
        Clin Psychol Rev. 2009; 29: 77-86
        • Eiraldi R.
        • Diaz Y.
        Use of treatment services for attention-deficit/hyperactivity disorder in Latino children.
        Curr Psychiatry Rep. 2010; 12: 403-408
        • Morgan P.L.
        • Staff J.
        • Hillemeier M.M.
        • et al.
        Racial and ethnic disparities in ADHD diagnosis from kindergarten to eighth grade.
        Pediatrics. 2013; 132: 85-93
        • Raynor H.A.
        • Jelalian E.
        • Vivier P.M.
        • et al.
        Parent-reported eating and leisure-time activity selection patterns related to energy balance in preschool-and school-aged children.
        J Nutr Educ Behav. 2009; 41: 19-26
        • Vostanis P.
        Strengths and difficulties questionnaire: research and clinical applications.
        Curr Opin Psychiatry. 2006; 19: 367-372
        • Goodman R.
        Psychometric properties of the strengths and difficulties questionnaire.
        J Am Acad Child Adolesc Psychiatry. 2001; 40: 1337-1345
      4. Youth In Mind. Scoring the SDQ. 2010. Available at: http://www.sdqinfo.org/py/sdqinfo/c0.py. Accessed February 5, 2013.

        • Phillips M.A.
        • Montgomery D.H.
        Reproducibility of a school-based nutrition monitoring questionnaire in fourth grade elementary school students.
        J Am Diet Assoc. 1998; 98: A32
      5. Healthy eating, active communities student nutrition and physical activity survey. Available at: http://cwh.berkeley.edu/sites/default/files/primary_pdfs/HEAC%20survey%20form-2.pdf. Accessed February 5, 2013.

        • Harwell M.
        • LeBeau B.
        Student eligibility for a free lunch as an SES measure in education research.
        Educ Res. 2010; 39: 120-131
        • Dawson D.A.
        Family structure and children’s health and well-being: data from the 1988 national health interview survey on child health.
        J Marriage Fam. 1991; 53: 573-584
        • Thomas A.
        • Sawhill I.
        For love and money? The impact of family structure on family income.
        Future Child. 2005; 15: 57-74
        • Austin P.C.
        • Hoch J.S.
        Estimating linear regression models in the presence of a censored independent variable.
        Stat Med. 2004; 23: 411-429
      6. Youth In Mind. Normative SDQ data from the USA. 2004. Available at: http://www.sdqinfo.com/USNorm.html. Accessed February 5, 2013.

        • Seifert S.M.
        • Schaechter J.L.
        • Hershorin E.R.
        • et al.
        Health effects of energy drinks on children, adolescents, and young adults.
        Pediatrics. 2011; 127: 511-528
        • McCusker R.R.
        • Goldberger B.A.
        • Cone E.J.
        Caffeine content of energy drinks, carbonated sodas, and other beverages.
        J Anal Toxicol. 2006; 30: 112-114
        • Temple J.L.
        Caffeine use in children: what we know, what we have left to learn, and why we should worry.
        Neurosci Biobehav Rev. 2009; 33: 793-806
        • Giles G.E.
        • Mahoney C.R.
        • Brunyé T.T.
        • et al.
        Differential cognitive effects of energy drink ingredients: caffeine, taurine, and glucose.
        Pharmacol Biochem Behav. 2012; 102: 569-577
        • Babu K.M.
        • Church R.J.
        • Lewander W.
        Energy drinks: the new eye-opener for adolescents.
        Clin Pediatr Emerg Med. 2008; 9: 35-42
        • Pomeranz J.L.
        • Munsell C.
        • Harris J.L.
        Energy drinks: an emerging public health hazard for youth.
        J Public Health Pol. 2013; 34: 254-271
        • Walker L.R.
        • Abraham A.A.
        • Tercyak K.P.
        Adolescent caffeine use, ADHD, and cigarette smoking.
        Child Health Care. 2010; 39: 73-90
        • Gosliner W.
        • Madsen K.A.
        • Woodward-Lopez G.
        • et al.
        Would students prefer to eat healthier foods at school?.
        J Sch Health. 2011; 81: 146-151
        • Schneider M.B.
        • Benjamin H.J.
        Sports drinks and energy drinks for children and adolescents: are they appropriate?.
        Pediatrics. 2011; 127: 1182-1189