Energy Drinks Consumption amongst Medical Students and Interns from Three Colleges in Jeddah, Saudi Arabia

Nahla Khamis Ragab Ibrahim^{1, 2,} , Rahila Iftikhar¹, Manal Murad¹, Hashim Fida¹, Bahaa Abalkhaeil¹ and Jawaher Al Ahmadi¹

¹Family and Community Medicine Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

²Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt

Cite this paper:
Nahla Khamis Ragab Ibrahim, Rahila Iftikhar, Manal Murad, Hashim Fida, Bahaa Abalkhaeil and Jawaher Al Ahmadi. Energy Drinks Consumption amongst Medical Students and Interns from Three Colleges in Jeddah, Saudi Arabia. Journal of Food and Nutrition Research. 2014; 2(4):174-179. doi: 10.12691/jfnr-2-4-7

Abstract

Background: Consumption of energy drink represents an escalating global public health problem especially among adolescents and young adults. Energy drink contains stimulants mainly caffeine that marketed as mental and physical stimulator although there are many safety concerns against use. Objectives: To determine the prevalence, pattern and predictors of energy drink consumption among medical students and interns in medical colleges, Jeddah, Saudi Arabia. Materials and methods: A cross-sectional study was conducted at three medical colleges (the governmental medical college of King Abdulaziz University and other two private colleges). A multistage stratified random sample technique was used with selection of 610 medical students & interns. Data was collected using a validated, confidential & self-administered questionnaire. SPSS version 21 was used for statistical analysis. Results: More than one-half of the participants (52.6%) had "ever" tried energy drinks, while 33.4% consumed it regularly during the two months preceded the study. Friends, advertisement and curiosity were the inspirations for starting. Among regular users, the commonest reasons for consumption were enjoying leisure time with friends (57.5%), boosting energy for studying (56.4%), and staying awake for long hours (50.5%). However, 31.6% of regular energy drinks consumers experienced adverse effects as palpitation, insomnia and frequent micturition. In bivariate analysis, regular consumption of energy-drink was significantly associated with male gender, students from private colleges and smokers. After controlling of confounding factors smoking was the only predictor of energy drinks consumption (aOR= 3.68; 95% CI: 2.36-5.71). Conclusion: Consumption of energy drinks is rather common among medical students and interns despite of high prevalence of adverse effects. Smoking is the most important predictor. Implementation of educational awareness campaigns, especially in medical colleges, about healthy dietary habits, potential benefits, side effects and correction of wrong perceptions about energy drinks is urgently needed. Policies for energy drinks consumption and smoking control programs are also recommended.

Keywords:
energy drinks prevalence predictors medical students

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References:

[1]	Ibrahim N, Al- Kharboush D, El-Khatib L, Al -Habib A, Asali D. Prevalence and predictors of anxiety and depression among female medical students in King Abdulaziz University, Jeddah, Saudi Arabia. Iranian Journal of Public Health 2013; 42 (7): 726-736.
[2]	Al-Turki YA. Smoking habits among medical students in Central Saudi Arabia. Saudi Med J. 2006; 27: 700-3.
[3]	Abdulghani HM, Alrowais NA, Alhaqwi AI, Alrasheedi A, Al-Zahir M, Al-Madani A, Al-Eissa A, Al-Hakmi B, Takroni R, Ahmad F. Cigarette smoking among female students in five medical and nonmedical colleges. Int J Gen Med 2013; 6: 719-27.
[4]	Bawazeer NA, AlSobahi NA. Prevalence and Side Effects of Energy Drink Consumption among Medical Students at Umm Al-Qura University, Saudi Arabia. The International Journal of Medical Students 2013; 1 (3): 104-108.
[5]	Clauson KA, Shields KM, McQueen CE, Persad N. Safety issues associated with commercially available energy drinks. J Am Pharm Assoc (2003) 2008; 48 (3): e55-63; quiz e64-7.
[6]	McGraw MM. Are energy drinks safe? Nursing 2013; 43 (3): 68.
[7]	Reissig CJ, Strain EC, Griffiths RR. Caffeinated energy drinks--a growing problem. Drug Alcohol Depend 2009; 99 (1-3): 1-10.
[8]	Aslam HM, Mughal A, Edhi MM, Saleem S, Rao MH, Aftab A, Hanif M, Ahmed A, Khan AM. Assessment of pattern for consumption and awareness regarding energy drinks among medical students. Arch Public Health 2013; 71 (1): 31.
[9]	Kamran B. Consumption’s Pattern and Knowledge of Athletes about Energy Drink in South of Iran (Shiraz). Journal of Nutrition & Food Sciences 2012; 2 (3): 1-7.
[10]	Alsunni AA, Badar A. Energy drinks consumption pattern, perceived benefits and associated adverse effects amongst students of University of Dammam, Saudi Arabia. J Ayub Med Coll Abbottabad 2011; 23 (3): 3-9.
[11]	Babu KM, Zuckerman MD, Cherkes JK, Hack JB. First-Onset Seizure After Use of an Energy Drink [corrected]. Pediatr Emerg Care 2011; 27 (6): 539-40.
[12]	Miller KE. Energy drinks, race, and problem behaviors among college students. J Adolesc Health 2008; 43 (5): 490-7.
[13]	Sepkowitz KA. Energy drinks and caffeine-related adverse effects. Jama 2013; 309 (3): 243-4.
[14]	Oteri A, Salvo F, Caputi AP, Calapai G. Intake of energy drinks in association with alcoholic beverages in a cohort of students of the School of Medicine of the University of Messina. Alcohol Clin Exp Res 2007; 31 (10): 1677-80.
[15]	Wang W. Clinical Epidemiology-Basic Principles and Practical Applications, 2012, 101, Beijing.
[16]	Pomeranz JL, Munsell CR, Harris JL. Energy drinks: an emerging public health hazard for youth. J Public Health Policy 2013; 34 (2): 254-71.
[17]	Bliss TJ, Depperschmidt CL. Energy Drink Consumption and its Effects on Student Pilots: Perceptions of Collegiate Flight Students. Collegiate Aviation Review 2011; 29 (2).
[18]	Bulut B, Beyhun NE, Topbas M, Can G. Energy Drink Use in University Students and Associated Factors. J Community Health 2014.
[19]	Rios JL, Betancourt J, Pagan I, Fabian C, Cruz SY, Gonzalez AM, Gonzalez MJ, Rivera-Soto WT, Palacios C. Caffeinated-beverage consumption and its association with socio-demographic characteristics and self-perceived academic stress in first and second year students at the University of Puerto Rico Medical Sciences Campus (UPR-MSC). P R Health Sci J 2013;3 2 (2): 95-100.
[20]	Attila S, Çakir B. Energy-drink consumption in college students and associated factors. Nutrition 2011; 27 (3): 316-22.
[21]	Buxton C, Hagan JE. A survey of energy drinks consumption practices among student -athletes in Ghana: lessons for developing health education intervention programmes. J Int Soc Sports Nutr 2012; 9 (1): 9.
[22]	Wimer DJ, Levant RF. Energy Drink Use and Its Relationship to Masculinity, Jock Identity, and Fraternity Membership Among Men. Am J Mens Health 2013.
[23]	Azagba S, Sharaf MF. Is alcohol mixed with energy drinks consumption associated with susceptibility to smoking? Prev Med 2014.
[24]	Azagba S, Langille D, Asbridge M. An emerging adolescent health risk: Caffeinated energy drink consumption patterns among high school students. Prev Med 2014; 62 c: 54-59.
[25]	Hidiroglu S, Tanriover O, Unaldi S, Sulun S, Karavus M. A survey of energy-drink consumption among medical students. J Pak Med Assoc 2013; 63 (7): 842-5.
[26]	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.
[27]	Gunja N, Brown JA. Energy drinks: health risks and toxicity. Med J Aust 2012; 196 (1):46-9.
[28]	Hoban M. American College Health Association National College Health Assessment spring 2006 reference group data report (abridged). Journal of American College Health 2007.