Kumar Gayathri Suresh, Park Sohyun, Onufrak Stephen
Epidemic Intelligence Service, Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Patient Educ Couns. 2014 Feb;94(2):250-4. doi: 10.1016/j.pec.2013.09.026. Epub 2013 Oct 14.
Possible adverse health consequences of excessive energy drink (ED) consumption have led to recommendations by the American Academy of Pediatrics discouraging ED intake by youth. However, limited information on ED counseling by health care providers exists.
Data was obtained from the 2011 YouthStyles Survey administered to youth aged 12-17 (n=815). The outcome variable was ED consumption (none vs. ≥1 time/week) and exposure variables were screening and counseling about ED (if doctor/nurse asked about ED consumption and if doctor/nurse recommended against ED consumption).
Approximately 8.5% of youth consumed energy drinks weekly, 11.5% reported being asked by their doctor/nurse about frequency of ED consumption, and 11.1% were advised by their doctor/nurse against ED intake. Multivariable logistic regression analysis revealed that the odds for drinking ED ≥1 time/week was significantly higher in youth who were asked how often they drank ED by their doctor/nurse (odds ratio=2.46) vs. those who were not asked.
About 1 in 9 youth reported receiving counseling discouraging ED consumption from their doctor/nurse, and a greater proportion of youth who were screened about ED also reported ED consumption.
Efforts by health care providers to educate youth about potential harms of consuming ED are needed.
过量饮用能量饮料（ED）可能对健康产生不良后果，因此美国儿科学会建议青少年不要饮用能量饮料。然而，关于医疗服务提供者提供能量饮料咨询的信息有限。
数据来自于对12至17岁青少年（n = 815）进行的2011年青少年生活方式调查。结果变量是能量饮料的饮用情况（从不饮用与每周≥1次），暴露变量是关于能量饮料的筛查和咨询（医生/护士是否询问过能量饮料的饮用情况以及医生/护士是否建议不要饮用能量饮料）。
约8.5%的青少年每周饮用能量饮料，11.5%的青少年报告医生/护士询问过他们饮用能量饮料的频率，11.1%的青少年被医生/护士建议不要饮用能量饮料。多变量逻辑回归分析显示，医生/护士询问过饮用频率的青少年每周饮用能量饮料≥1次的几率显著高于未被询问的青少年（优势比 = 2.46）。
约九分之一的青少年报告从医生/护士那里得到了不鼓励饮用能量饮料的咨询，而且接受过能量饮料筛查的青少年中报告饮用能量饮料的比例更高。
医疗服务提供者需要努力向青少年宣传饮用能量饮料的潜在危害。
