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能量饮料的不良反应及其潜在药物相互作用综述

The Review on Adverse Effects of Energy Drinks and Their Potential Drug Interactions.

作者信息

Dobrek Lukasz

机构信息

Department of Pharmaceutical Sciences, Jan Dlugosz University in Czestochowa, 42-200 Czestochowa, Poland.

Department of Nutrition and Drug Research, Institute of Public Health, Jagiellonian University Medical College, 31-066 Krakow, Poland.

出版信息

Nutrients. 2025 Jul 25;17(15):2435. doi: 10.3390/nu17152435.


DOI:10.3390/nu17152435
PMID:40806020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12348313/
Abstract

Energy drinks (EDs) are non-alcoholic, functional beverages sold worldwide in more than 165 countries. These products are very popular and often consumed by children, teenagers, and young adults to improve physical performance, reduce drowsiness, and improve memory and concentration with increased intellectual effort. However, their consumption is associated with an increased risk of various health consequences. The purpose of this non-systematic review was to discuss the components of EDs and their effects, summarize the AEs reported in the literature associated with the consumption of EDs, and briefly characterize the possible ED-related drug interactions. : Scientific evidence was extracted by searching the databases PubMed and Google Scholar. In addition, the reference lists of the retrieved papers were reviewed and cross-referenced to reveal additional relevant scientific evidence. The most common ingredients in EDs are caffeine, taurine, glucuronolactone, B vitamins, the vitamin-like compound inositol, and sweeteners (sugar, fructose, glucose-fructose syrup or artificial sweeteners). Although it is difficult to conclusively prove a cause-and-effect relationship between the consumption of EDs and the observed pathophysiological abnormalities, most scientific evidence (mostly clinical case reports) indicates that both occasional and especially chronic use of EDs is associated with the occurrence of numerous adverse effects (AEs). Among these, the best documented AEs are those on the cardiovascular system. It should also be noted that the components of EDs (primarily caffeine) may have drug interactions; therefore, EDs may be an important factor influencing the safety of pharmacotherapy in patients consuming EDs. Consuming energy drinks lead to various health problems and may interfere with pharmacotherapy due to the potential development of drug interactions. Due to the widespread availability of EDs, their suggestive advertising aimed at the youngest customers, and ambiguous regulations, new legislative policies are required to limit the widespread consumption of such products and their negative health effects.

摘要

能量饮料是在全球165多个国家销售的不含酒精的功能性饮料。这些产品非常受欢迎,儿童、青少年和年轻人经常饮用,以提高身体机能、减少困倦,并在增加脑力活动时改善记忆力和注意力。然而,饮用能量饮料会增加各种健康问题的风险。本非系统性综述的目的是讨论能量饮料的成分及其影响,总结文献中报道的与饮用能量饮料相关的不良事件,并简要描述可能与能量饮料相关的药物相互作用。通过检索PubMed和谷歌学术数据库提取科学证据。此外,还对检索到的论文的参考文献列表进行了审查和交叉引用,以揭示更多相关的科学证据。能量饮料中最常见的成分是咖啡因、牛磺酸、葡萄糖醛酸内酯、B族维生素、类维生素化合物肌醇和甜味剂(糖、果糖、葡萄糖 - 果糖糖浆或人工甜味剂)。尽管很难确凿地证明饮用能量饮料与观察到的病理生理异常之间存在因果关系,但大多数科学证据(主要是临床病例报告)表明,偶尔饮用尤其是长期饮用能量饮料与众多不良反应的发生有关。其中,记录最充分的不良反应是对心血管系统的影响。还应注意的是,能量饮料的成分(主要是咖啡因)可能会产生药物相互作用;因此,能量饮料可能是影响饮用者药物治疗安全性的一个重要因素。饮用能量饮料会导致各种健康问题,并且由于可能发生药物相互作用,可能会干扰药物治疗。由于能量饮料随处可得,其针对最年轻消费者的暗示性广告以及法规不明确,需要新的立法政策来限制此类产品的广泛消费及其对健康的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/747d526cc10e/nutrients-17-02435-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/59889f811a1d/nutrients-17-02435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/7d745d189c12/nutrients-17-02435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/6b26ce8cf160/nutrients-17-02435-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/5936ac411f3d/nutrients-17-02435-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/04129ecd5c09/nutrients-17-02435-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/67892e0b4b48/nutrients-17-02435-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/747d526cc10e/nutrients-17-02435-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/59889f811a1d/nutrients-17-02435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/7d745d189c12/nutrients-17-02435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/6b26ce8cf160/nutrients-17-02435-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/5936ac411f3d/nutrients-17-02435-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/04129ecd5c09/nutrients-17-02435-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/67892e0b4b48/nutrients-17-02435-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3daa/12348313/747d526cc10e/nutrients-17-02435-g007.jpg

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本文引用的文献

[1]
Antioxidant Capacity and Disease Resistance Enhanced by Dietary D-Glucuronolactone Supplementation in Chinese Soft-Shelled Turtles ().

Antioxidants (Basel). 2025-4-29

[2]
D-Glucuronolactone Supplementation Enhances Production Performance, Eggshell Quality, and Liver Health in Laying Hens.

Animals (Basel). 2025-5-1

[3]
Regulatory Efforts and Health Implications of Energy Drink Consumption by Minors in Poland.

Med Sci Monit. 2025-3-27

[4]
Common Questions and Misconceptions About Energy Drinks: What Does the Scientific Evidence Really Show?

Nutrients. 2024-12-27

[5]
Multifaced Nature of Yohimbine-A Promising Therapeutic Potential or a Risk?

Int J Mol Sci. 2024-11-29

[6]
Energy Drink Consumption Among Physically Active Polish Adolescents: Gender and Age-Specific Public Health Issue.

Int J Public Health. 2024

[7]
A scoping review of policies related to reducing energy drink consumption in children.

BMC Public Health. 2024-8-26

[8]
Coffee Consumption and Polymorphism Involvement in Type 2 Diabetes in a Romanian Population.

J Pers Med. 2024-7-3

[9]
Strict regulations on energy drinks to protect Minors' health in Europe - It is never too late to set things right at home.

Prev Med. 2024-3

[10]
B Vitamins, Glucoronolactone and the Immune System: Bioavailability, Doses and Efficiency.

Nutrients. 2023-12-20

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