Center for Food Safety and Applied Nutrition, US Food and Drug Administration, Office of Analytics and Outreach, Division of Public Health Informatics and Analytics, Harvey W. Wiley Building (CPK 1), 5001 Campus Drive, 2C-103, College Park, MD20740, USA.
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Public Health Nutr. 2023 Jul;26(7):1424-1435. doi: 10.1017/S1368980022001902. Epub 2022 Oct 10.
Energy drinks are consumed for a variety of reasons, including to boost mental alertness and energy. We assessed associations between demographic factors and various high-risky behaviours with energy drink consumption as they may be linked to adverse health events.
We conducted cross-sectional analysis including basic descriptive and multivariable-adjusted logistic regression analyses to characterise demographic and behavioural factors (including diet quality, binge drinking and illicit drug use, among others obtained via questionnaires) in relation to energy drink consumption.
We used data from two large US-based cohorts.
46 390 participants from Nurses' Health Study 3 (NHS3, 37 302; ages 16-31) and Growing Up Today Study (GUTS, 9088, ages 20-55).
Of the 46 390 participants, 13·2 % reported consuming ≥ 1 energy drink every month. Several risky behaviours were associated with energy drink use, including illegal drug use (pooled OR, pOR: 1·45, 95 % CI: 1·16, 1·81), marijuana use (pOR: 1·49, 95 % CI: 1·28, 1·73), smoking (pOR: 1·88. 95 % CI: 1·55, 2·29), tanning bed use (pOR: 2·31, 95 % CI: 1·96, 2·72) and binge drinking (pOR: 2·53, 95 % CI: 2·09, 3·07). Other factors, such as high BMI, e-cigarette use and poor diet quality were found to be significantly associated with higher energy drink consumption ( values < 0·001).
Our findings show that energy drink consumption and high-risk behaviours may be related, which could potentially serve as not only as a talking point for providers to address in outreach and communications with patients, but also a warning sign for medical and other health practitioners.
人们出于各种原因饮用能量饮料，包括提神醒脑和补充能量。我们评估了人口统计学因素与各种高危行为之间的关联，因为这些行为可能与不良健康事件有关，而这些高危行为与能量饮料的消费有关。
我们进行了横断面分析，包括基本描述性和多变量调整的逻辑回归分析，以描述与能量饮料消费有关的人口统计学和行为因素（包括饮食质量、狂饮和非法药物使用等，通过问卷获得）。
我们使用了来自两个大型美国队列的数据。
护士健康研究 3 期（NHS3，37302 人；年龄 16-31 岁）和今日成长研究（GUTS，9088 人，年龄 20-55 岁）的 46390 名参与者。
在 46390 名参与者中，13.2%的人报告每月至少饮用 1 次能量饮料。几种高危行为与能量饮料的使用有关，包括非法药物使用（合并 OR，pOR：1.45，95%CI：1.16，1.81）、大麻使用（pOR：1.49，95%CI：1.28，1.73）、吸烟（pOR：1.88，95%CI：1.55，2.29）、日光浴床使用（pOR：2.31，95%CI：1.96，2.72）和狂饮（pOR：2.53，95%CI：2.09，3.07）。其他因素，如高 BMI、电子烟使用和不良饮食质量也与更高的能量饮料消费显著相关（p 值均<0.001）。
我们的研究结果表明，能量饮料的消费和高危行为可能相关，这不仅可以作为提供者在与患者沟通时的一个话题，也可以作为医疗和其他健康从业者的一个警示信号。
