Al-Shaar Laila, Vercammen Kelsey, Lu Chang, Richardson Scott, Tamez Martha, Mattei Josiemer
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Population Health Sciences Program, Graduate School of Arts and Sciences, Harvard University, Cambridge, MA, United States.
Front Public Health. 2017 Aug 31;5:225. doi: 10.3389/fpubh.2017.00225. eCollection 2017.
As energy drink consumption continues to grow worldwide and within the United States, it is important to critically examine the nutritional content and effects on population health of these beverages. This mini-review summarizes the current scientific evidence on health consequences from energy drink consumption, presents relevant public health challenges, and proposes recommendations to mitigate these issues. Emerging evidence has linked energy drink consumption with a number of negative health consequences such as risk-seeking behaviors, poor mental health, adverse cardiovascular effects, and metabolic, renal, or dental conditions. Despite the consistency in evidence, most studies are of cross-sectional design or focus almost exclusively on the effect of caffeine and sugar, failing to address potentially harmful effects of other ingredients. The negative health effects associated with energy drinks (ED) are compounded by a lack of regulatory oversight and aggressive marketing by the industry toward adolescents. Moreover, the rising trend of mixing ED with alcohol presents a new challenge that researchers and public health practitioners must address further. To curb this growing public health issue, policy makers should consider creating a separate regulatory category for ED, setting an evidence-based upper limit on caffeine, restricting sales of ED, and regulating existing ED marketing strategies, especially among children and adolescents.
随着全球以及美国境内能量饮料的消费量持续增长,审慎研究这些饮料的营养成分及其对大众健康的影响至关重要。本综述总结了目前关于饮用能量饮料对健康影响的科学证据,提出了相关的公共卫生挑战,并给出了缓解这些问题的建议。新出现的证据表明,饮用能量饮料与一系列负面健康后果有关,如冒险行为、心理健康不佳、心血管不良影响以及代谢、肾脏或牙齿问题。尽管证据具有一致性,但大多数研究采用横断面设计,或几乎只关注咖啡因和糖的影响,未能解决其他成分可能产生的有害影响。能量饮料行业缺乏监管监督以及对青少年的激进营销,加剧了与能量饮料相关的负面健康影响。此外,将能量饮料与酒精混合饮用的趋势不断上升,这是研究人员和公共卫生从业者必须进一步应对的新挑战。为了遏制这一日益严重的公共卫生问题,政策制定者应考虑为能量饮料设立单独的监管类别,设定基于证据的咖啡因上限,限制能量饮料的销售,并规范现有的能量饮料营销策略,尤其是针对儿童和青少年的策略。