, a 16% increase over the previous year. 2 Caffeine is the primary active ingredient in energy drinks, but the level of caffeine content varies widely across the many brands sold. 1,3 The caffeine content per 250 mL of an energy drink is usually 80-140 mg or the equivalent of two cans of cola or a 6-oz to 8-oz cup of coffee. [3][4][5] There are, however, energy drinks with caffeine content of up to 500 mg per can. 3,4 Additional ingredients include amino acid, vitamins, herbs, and other supplements purported to boost energy, alertness, and mental performance. 6 The short-and long-term health effects of many of these ingredients, and energy drink consumption in general, are for the most part unknown. 1,[7][8][9] Energy drinks are often aggressively marketed to adolescents through carefully crafted campaigns, including sponsorship of events that appeal to this age group (e.g., snowboarding), and product placement in video games and social media. 4,10,11 Easy access from a convenience store, appealing names (e.g., Red Bull®, Rockstar®, Full Throttle®), product claims of greater stamina, alertness and energy, 12 and perceptions of energy drinks as a "legal drug", 13 make these drinks particularly appealing to adolescents. Reports indicate that the main consumers of energy drinks are adolescents and young adults, 6,7 with between 30% and 50% of adolescents and young adults consuming energy drinks. 7,11 Yet, there is relatively little empirical data on the health and behavioural effects of energy drinks. There is research indicating that energy drink consumption helps to improve attention, maintain or improve performance on some difficult activities, and decrease reaction times. 14,15 There is also evidence of adverse consequences such as seizures, difficulty sleeping, cardiac arrhythmia, and even death. 1,6,7 In the US, there was a twofold increase in the number of visits to emergency departments between 2007 (10,068 visits) and 2011 (20,783 visits) that involved energy drinks, with 12-17 year olds accounting for 11.4% and 7.2% of those visits in 2007 and 2011, respectively. 16 In addition to questions about the health effects of energy drinks, there are questions about the demographic, social, and behavioural correlates of energy drink consumption among adolescents. The sparse research that has been conducted suggests that the consumption of energy drinks is correlated with heavy alcohol use, licit and illicit drug use, impulsivity, and risk-taking behaviours, including fighting and risky sexual behaviours. 7,10,[17][18][19] ABSTRACT OBJECTIVE: To examine energy drink consumption and its association with demographic characteristics, drug use, and injury among adolescents.
METHODS:Data on 4,342 adolescents were derived from the 2011 Ontario Student Drug Use and Health Survey, a province-wide school-based survey of students in grades 7 through 12. The survey was based on a two-stage cluster design and analyses include appropriate adjustments for the complex sample design.
RESULTS:Overall, 49.6% of adolescents had ...