Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2015 | Research article

Awareness of energy drink intake guidelines and associated consumption practices: a cross-sectional study

Authors: Amy Peacock, Nicolas Droste, Amy Pennay, Peter Miller, Dan I. Lubman, Raimondo Bruno

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Despite concern regarding harms of energy drink (ED) consumption, no research has been conducted to determine awareness and compliance with ED intake guidelines displayed on product packaging in Australia (a novel approach internationally).

Methods

A convenience sample of 1922 people completed an online survey. Participants reported their knowledge of maximum recommended daily ED intake according to Australian guidelines.

Results

Guideline awareness was reported by 38, 23 and 19 % of past year consumers, lifetime, and non-consumers, respectively. Amongst past year consumers, ‘accurate estimators’ reported greater ED intake and were more likely to exceed intake guidelines and consume alcohol mixed with ED (AmED). After controlling for demographics and frequency of use, guideline awareness predicted increased likelihood of exceeding guidelines in ED sessions, but was not associated with exceeding ED guidelines in AmED sessions.

Conclusions

Australia is considered to have the most stringent regulatory approach to EDs internationally. However, advisory statements are not associated with greater awareness and compliance with intake guidelines. Failure to comply with standards for efficacious product labelling, and absence of broader education regarding guidelines, needs to be addressed.
Appendix
Available only for authorised users
Literature
1.
go back to reference Trapp GS, Allen KL, O’Sullivan T, Robinson M, Jacoby P, Oddy WH. Energy drink consumption among young Australian adults: associations with alcohol and illicit drug use. Drug Alcohol Depend. 2014;134:30–7.PubMedCrossRef Trapp GS, Allen KL, O’Sullivan T, Robinson M, Jacoby P, Oddy WH. Energy drink consumption among young Australian adults: associations with alcohol and illicit drug use. Drug Alcohol Depend. 2014;134:30–7.PubMedCrossRef
4.
go back to reference Substance Abuse and Mental Health Service Administration. The DAWN report: Emergency department visits involving energy drinks. Rockville: MD: Center for Behavioral Health Statistics and Quality; 2011. Substance Abuse and Mental Health Service Administration. The DAWN report: Emergency department visits involving energy drinks. Rockville: MD: Center for Behavioral Health Statistics and Quality; 2011.
5.
go back to reference Substance Abuse and Mental Health Service Administration. 1 in 10 energy-drink related emergency department visits results in hospitalization. In: The DAWN report. 2014. Substance Abuse and Mental Health Service Administration. 1 in 10 energy-drink related emergency department visits results in hospitalization. In: The DAWN report. 2014.
6.
7.
go back to reference Malinauskas BM, Aeby VG, Overton RF, Carpenter-Aeby T, Barber-Heidal K. A survey of energy drink consumption patterns among college students. Nutr J. 2007;6(35):1–7. Malinauskas BM, Aeby VG, Overton RF, Carpenter-Aeby T, Barber-Heidal K. A survey of energy drink consumption patterns among college students. Nutr J. 2007;6(35):1–7.
8.
go back to reference Nordt SP, Vilke GM, Clark RF, Lee Cantrell F, Chan TC, Galinato M, et al. Energy drink use and adverse effects among emergency department patients. J Community Health. 2012;37(5):976–81.PubMedCrossRef Nordt SP, Vilke GM, Clark RF, Lee Cantrell F, Chan TC, Galinato M, et al. Energy drink use and adverse effects among emergency department patients. J Community Health. 2012;37(5):976–81.PubMedCrossRef
9.
go back to reference Stasio MJ, Curry K, Wagener AL. Revving up and staying up: energy drink use associated with anxiety and sleep quality in a college sample. Coll Stud J. 2011;45(4):738. Stasio MJ, Curry K, Wagener AL. Revving up and staying up: energy drink use associated with anxiety and sleep quality in a college sample. Coll Stud J. 2011;45(4):738.
10.
go back to reference Berger AJ, Alford K. Cardiac arrest in a young man following excess consumption of caffeinated “energy drinks”. Med J Aust. 2009;190(1):41–3.PubMed Berger AJ, Alford K. Cardiac arrest in a young man following excess consumption of caffeinated “energy drinks”. Med J Aust. 2009;190(1):41–3.PubMed
11.
go back to reference Cerimele JM, Stern AP, Jutras-Aswad D. Psychosis following excessive ingestion of energy drinks in a patient with schizophrenia. Am J Psychiatr. 2010;167(3):353.PubMedCrossRef Cerimele JM, Stern AP, Jutras-Aswad D. Psychosis following excessive ingestion of energy drinks in a patient with schizophrenia. Am J Psychiatr. 2010;167(3):353.PubMedCrossRef
12.
go back to reference Machado-Vieira R, Iviale CI, Kapczinski F. Mania associated with an energy drink: the possible role of caffeine, taurine, and inositol. Can J Psychiatr. 2001;46:454–5. Machado-Vieira R, Iviale CI, Kapczinski F. Mania associated with an energy drink: the possible role of caffeine, taurine, and inositol. Can J Psychiatr. 2001;46:454–5.
13.
go back to reference Arria AM, O’Brien MC. The “high” risk of energy drinks. J Am Med Assoc. 2011;305(6):600–1.CrossRef Arria AM, O’Brien MC. The “high” risk of energy drinks. J Am Med Assoc. 2011;305(6):600–1.CrossRef
14.
go back to reference Griffiths K, Juliano LM, Chausmer A. Caffeine pharmacology and clinical effects. In: Graham A, Schultz T, Mayo-Smith M, Ries R, Wilford B, editors. Principles of addiction medicine. 3rd ed. Chevvy Chase: MD: American Society of Addiction Medicine; 2003. p. 193–224. Griffiths K, Juliano LM, Chausmer A. Caffeine pharmacology and clinical effects. In: Graham A, Schultz T, Mayo-Smith M, Ries R, Wilford B, editors. Principles of addiction medicine. 3rd ed. Chevvy Chase: MD: American Society of Addiction Medicine; 2003. p. 193–224.
16.
go back to reference Health Canada. Category specific guidance for temporary marketing authorization: caffeinated energy drinks. In: Food directorate health products and food branch. 2012. Health Canada. Category specific guidance for temporary marketing authorization: caffeinated energy drinks. In: Food directorate health products and food branch. 2012.
17.
go back to reference European Commission Regulation. Regulation (EU) No 1169/2011 of the european parliament and of the council on the provision of food information to consumers. In: Official journal of the European Union. 2011. European Commission Regulation. Regulation (EU) No 1169/2011 of the european parliament and of the council on the provision of food information to consumers. In: Official journal of the European Union. 2011.
19.
go back to reference Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2224–60.PubMedPubMedCentralCrossRef Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2224–60.PubMedPubMedCentralCrossRef
20.
go back to reference Costa BM, Hayley A, Miller P. Young adolescents’ perceptions, patterns, and contexts of energy drink use. A focus group study. Appetite. 2014;80:183–9.PubMedCrossRef Costa BM, Hayley A, Miller P. Young adolescents’ perceptions, patterns, and contexts of energy drink use. A focus group study. Appetite. 2014;80:183–9.PubMedCrossRef
21.
go back to reference Mason MJ, Scammon DL. Unintended consequences of health supplement information regulations: the importance of recognizing consumer motivations. J Consum Aff. 2011;45(2):201–23.CrossRef Mason MJ, Scammon DL. Unintended consequences of health supplement information regulations: the importance of recognizing consumer motivations. J Consum Aff. 2011;45(2):201–23.CrossRef
22.
go back to reference Argo JJ, Main KJ. Meta-analyses of the effectiveness of warning labels. J public policy market. 2004;23(2):193–208.CrossRef Argo JJ, Main KJ. Meta-analyses of the effectiveness of warning labels. J public policy market. 2004;23(2):193–208.CrossRef
23.
go back to reference Lovatt M, Eadie D, Meier PS, Li J, Bauld L, Hastings G, et al. Lay epidemiology and the interpretation of low risk drinking guidelines by adults in the United Kingdom. Addiction. 2015;110(12):1912–9.PubMedCrossRef Lovatt M, Eadie D, Meier PS, Li J, Bauld L, Hastings G, et al. Lay epidemiology and the interpretation of low risk drinking guidelines by adults in the United Kingdom. Addiction. 2015;110(12):1912–9.PubMedCrossRef
24.
go back to reference Hammond D. Health warning messages on tobacco products: a review. Tob Control. 2011;20(5):327–37.PubMedCrossRef Hammond D. Health warning messages on tobacco products: a review. Tob Control. 2011;20(5):327–37.PubMedCrossRef
25.
go back to reference Hammond D, Fong GT, McNeill A, Borland R, Cummings KM. Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: findings from the international tobacco control (ITC) four country survey. Tob Control. 2006;15 suppl 3:iii19–25.PubMedPubMedCentral Hammond D, Fong GT, McNeill A, Borland R, Cummings KM. Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: findings from the international tobacco control (ITC) four country survey. Tob Control. 2006;15 suppl 3:iii19–25.PubMedPubMedCentral
26.
go back to reference Coomber K, Martino F, Barbour IR, Mayshak R, Miller PG. Do consumers ‘Get the facts’? a survey of alcohol warning label recognition in Australia. BMC Public Health. 2015;15(1):816.PubMedPubMedCentralCrossRef Coomber K, Martino F, Barbour IR, Mayshak R, Miller PG. Do consumers ‘Get the facts’? a survey of alcohol warning label recognition in Australia. BMC Public Health. 2015;15(1):816.PubMedPubMedCentralCrossRef
27.
go back to reference Stockwell T. A review of research into the impacts of alcohol warning labels on attitudes and behaviour. In: Centre for addictions research of BC. 2006. Stockwell T. A review of research into the impacts of alcohol warning labels on attitudes and behaviour. In: Centre for addictions research of BC. 2006.
29.
go back to reference Mazis MB, Morris LA, Swasy JL. Longitudinal study of awareness, recall, and acceptance of alcohol warning labels. Appl Behav Sci Rev. 1996;4(2):111–20.CrossRef Mazis MB, Morris LA, Swasy JL. Longitudinal study of awareness, recall, and acceptance of alcohol warning labels. Appl Behav Sci Rev. 1996;4(2):111–20.CrossRef
30.
go back to reference Peacock A, Bruno R, Martin FH. Patterns of use and motivations for consuming alcohol mixed with energy drinks. Psychol Addict Behav. 2013;27(1):202–6.PubMedCrossRef Peacock A, Bruno R, Martin FH. Patterns of use and motivations for consuming alcohol mixed with energy drinks. Psychol Addict Behav. 2013;27(1):202–6.PubMedCrossRef
31.
go back to reference Lubman D, Peacock A, Droste N, Pennay A, Miller P, Bruno R, et al. Alcohol and energy drinks in NSW. 2013. Lubman D, Peacock A, Droste N, Pennay A, Miller P, Bruno R, et al. Alcohol and energy drinks in NSW. 2013.
33.
go back to reference National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. Canberra: National Health and Medical Research Council; 2009. National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. Canberra: National Health and Medical Research Council; 2009.
34.
go back to reference Pennay A, Cheetham A, Droste N, Miller P, Lloyd B, Pennay D, et al. An examination of the prevalence, consumer profiles, and patterns of energy drink Use, with and without alcohol, in Australia. Alcohol Clin Exp Res. 2015;39(8):1485–92.PubMedCrossRef Pennay A, Cheetham A, Droste N, Miller P, Lloyd B, Pennay D, et al. An examination of the prevalence, consumer profiles, and patterns of energy drink Use, with and without alcohol, in Australia. Alcohol Clin Exp Res. 2015;39(8):1485–92.PubMedCrossRef
35.
go back to reference Berger L, Fendrich M, Chen HY, Arria AM, Cisler RA. Sociodemographic correlates of energy drink consumption with and without alcohol: Results of a community survey. Addict Beh. 2011;36(5):516–9.CrossRef Berger L, Fendrich M, Chen HY, Arria AM, Cisler RA. Sociodemographic correlates of energy drink consumption with and without alcohol: Results of a community survey. Addict Beh. 2011;36(5):516–9.CrossRef
36.
go back to reference Martin-Moreno JM, Harris ME, Breda J, Møller L, Alfonso-Sanchez JL, Gorgojo L. Enhanced labelling on alcoholic drinks: reviewing the evidence to guide alcohol policy. Cent Eur J Public Health. 2013;23(6):1082–7.CrossRef Martin-Moreno JM, Harris ME, Breda J, Møller L, Alfonso-Sanchez JL, Gorgojo L. Enhanced labelling on alcoholic drinks: reviewing the evidence to guide alcohol policy. Cent Eur J Public Health. 2013;23(6):1082–7.CrossRef
37.
go back to reference Keller PA, Lehmann DR. Designing effective health communications: a meta-analysis. J Public Policy Market. 2008;27(2):117–30.CrossRef Keller PA, Lehmann DR. Designing effective health communications: a meta-analysis. J Public Policy Market. 2008;27(2):117–30.CrossRef
38.
go back to reference Wogalter MS, Conzola VC, Smith-Jackson TL. Research-based guidelines for warning design and evaluation. Appl Ergon. 2002;33(3):219–30.PubMedCrossRef Wogalter MS, Conzola VC, Smith-Jackson TL. Research-based guidelines for warning design and evaluation. Appl Ergon. 2002;33(3):219–30.PubMedCrossRef
39.
go back to reference Ringold DJ. Boomerang effects in response to public health interventions: Some unintended consequences in the alcoholic beverage market. J Consum Policy. 2002;25(1):27–63.CrossRef Ringold DJ. Boomerang effects in response to public health interventions: Some unintended consequences in the alcoholic beverage market. J Consum Policy. 2002;25(1):27–63.CrossRef
40.
go back to reference Miller PG. Scapegoating, self-confidence and risk comparison: the functionality of risk neutralisation and lay epidemiology by injecting drug users. Int J Drug Policy. 2005;16(4):246–53.CrossRef Miller PG. Scapegoating, self-confidence and risk comparison: the functionality of risk neutralisation and lay epidemiology by injecting drug users. Int J Drug Policy. 2005;16(4):246–53.CrossRef
41.
go back to reference Weinstein ND. What does it mean to understand a risk? Evaluating risk comprehension. 1999. Weinstein ND. What does it mean to understand a risk? Evaluating risk comprehension. 1999.
42.
go back to reference Australia Bureau of Statistics. Population by age and sex, regions of Australia, 2013. 2012. Australia Bureau of Statistics. Population by age and sex, regions of Australia, 2013. 2012.
Metadata
Title
Awareness of energy drink intake guidelines and associated consumption practices: a cross-sectional study
Authors
Amy Peacock
Nicolas Droste
Amy Pennay
Peter Miller
Dan I. Lubman
Raimondo Bruno
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2685-2

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue