Abstract
Objectives
The aim of this study was to examine the current status of consumption of energy drinks among college students and investigate the effects of general environmental factors, health behavior factors, caffeine knowledge levels, and perceived stress levels on consumption of energy drinks.
Methods
A survey was conducted among a total of 479 college students in Gwangju, using self-administered questionnaires. The questionnaire consisted of items about general environmental factors, health behavior, caffeine knowledge, perceived stress, and energy drink consumption behaviors.
Results
69.1% of participants experienced consumption of energy drinks, and specifically 82.8% of male students and 54.1% of female students experienced consumption of energy drinks (p<0.001). The reasons for drinking energy drinks were found to be recovery from fatigue, curiosity, taste, habit, thirst relief, and stress relief. In addition, 40.7% of participants experienced drinking energy drinks mixed with alcohol, and specifically 48.6% of male students and 27.4% of female students reported drinking energy drinks with alcohol (p<0.001). Moreover, 51.5% of participants responded that they experienced the effects of energy drinks, 31.9% reported experiencing adverse effects, and 41.1% were found to perceive the health risks. As a result of the assessment of caffeine knowledge, the participants showed a high level of knowledge of the arousal effect (77.7%) and the concentration increasing effect (70.8%) of caffeine, whereas they exhibited a low level of understanding of the health problems due to caffeine (32.6%) and adequate caffeine intake levels (24.4%). The higher levels of consumption experience of energy drinks was associated with higher body mass indexes (BMI) (p<0.01), higher academic years (p<0.01), lower levels of interest in health (p<0.05), smoking (p<0.001), alcohol consumption (p<0.05), and higher levels of perceived stress (p<0.05).
Conclusions
The risk groups related to consumption of energy drinks among college students were identified as male students rather than female students, students in the third or fourth year of study associated with increased stress levels, and students with negative health behaviors. Therefore, support for diverse health and nutrition education for college students is required along with the improvement of internal and external environments of schools in order for college students to manage increased stress levels due to the schoolwork and preparation for employment and maintain positive health behaviors.
References
1. Heckman MA, Sherry K, de Mejia EG. Energy drinks: an assessment of their market size, consumer demographics, ingredient profile, functionality, and regulations in the United States. Compr Rev Food Sci Food Saf. 2010; 9(3):303–317.
2. Consumer Injury Surveillance System. A survey on the safety of energy drinks [internet]. 2013. updated 2013 Nov 15. cited 2018 Jun 15. Available from: https://www.ciss.go.kr/www/selectBbsNttPrductView.do?key=101&pKnd=PRDUCT01&bKnd=ndata&nttNo=3191.
3. Lee YM. Energy drinks, emerged as a new blue ocean [internet]. Next economy;2010. updated 2010 Aug 24. cited 2018 Jun 15. Available from: http://www.nexteconomy.co.kr/news/articleView.html?idxno=6208.
4. Choi R, Park JK. The effects of a short-term cognitive restructuring training to improve stress response and dysfunctional attitude in undergraduate students in Korea. Cognitive Behav Ther Korea. 2010; 10(2):27–42.
5. Yoon SY, Choi YH, Kang JA, Kwak MK, Woo SJ, Lee YN. Relationship between intake of energy drinks and sleep quality among female university students. Ewha J Nurs Sci. 2013; 47:81–96.
6. Lee J, Huh W, Choi EJ. Pattern analysis of high-caffeine energy drink consumption and adverse effects among college students in a university. Yakhak Hoeji. 2013; 57(2):110–118.
7. Park JS, Lee EJ, Lee CY, Jung HS. Consumption status, risk awareness and experience of adverse effects of high-caffeine energy drink among university students. J Korean Public Health Nurs. 2015; 29(1):102–114.
8. Lee SJ, Kim HJ, Kim MR. Analysis on intake of energy drinks of high school students in Gyeoungbuk region. J East Asian Soc Diet Life. 2014; 24(6):924–932.
9. Ministry of Food and Drug Safety, Korea Health Industry Development Institute. Study for research on the actual condition and improvement labelling system about caffeine. 1st ed. Seoul: Ministry of Food and Drug Safety;2003. p. 34–48.
10. Kang MJ. A survey on the perception and intake of caffeinated beverage among high school students in Jeju [master's thesis]. Jeju University;2015.
11. Lee BH, Park YS, Kim JS, Yoo JH, Lee JK. Caffeine consumption and its related symptoms in university students. Korean J Fam Med. 2007; 28(1):9–16.
12. Jung ES, Park HJ. Effects on stress degree, study attitude, sleeping hours by intake degree of caffeinated drinks. J Digit Converg. 2014; 12(2):353–361.
13. Kim SH. Intake patterns and perception of caffeinated beverage among middle school students [master's thesis]. Inha University;2015.
14. Lee EN, Kim HJ, Lim JY, Kim JA, Park HY, Lyu JY. Survey of caffeine levels in the favorite diets of children. J Food Hyg Saf. 2007; 22(3):173–178.
15. Yun HS, Kim SH, Lee CY. An analysis of factors affecting energy drink consumption in college students. J Korean Soc Health Educ Promot. 2013; 30(3):1–12.
16. Ju HH, Ly SY. Daily intake levels for caffein from adolescence''s favorite beverage at Daejeon area. In : Proceedings of 2013 Summer Symposium of Korean Living Science Association; 2013 May 31; Daejeon. p. 214.
17. Kim SY. Correlation between caffeine intake level and perceived stress in high school students in Yongin region. J Korean Soc Food Sci Nutr. 2018; 47(2):176–185.
18. Lee SJ, Kim HC, Kim MR. Study on recognition knowledge, and intake behavior of foods containing caffeine of high school students in Gyeongbuk region. J Korean Home Econ Educ Assoc. 2014; 26(4):21–34.
19. Kim SH. Energy drinks risk taking more than twice a day [internet]. 2016. updated 2016 Feb 5. cited 2018 Jun 15. Available from: http://www.mdtoday.co.kr/mdtoday/index.html?no =264630.
20. Moon JY, Kim SW, Lee KE, Gwak HS. Correlation between aggression and health behaviors of Korean high school students. Korean J Clin Pharm. 2014; 24(2):144–153.
21. Lee CH, La SA. Energy drinks addiction and policy development: focusing on consumption patterns of teenagers and university students. Serv Mark J. 2014; 7(1):29–43.
22. Ministry of Food and Drug Safety. Sate level of caffeine intake in Korea- Result of caffeine intake evaluation [Internet]. 2015. updated 2015 Jun 30. cited 2018 Jun 15. Available from: http://www.mfds.go.kr/brd/m_99/view.do?seq=28091.
23. Yoo HS, Sim KH. Survey on the high-caffeine energy drink consumption status of university students in Seoul. J East Asian Soc Diet Life. 2014; 24(3):407–420.
24. Choi R, Park JK. The effects of a short-term cognitive restructuring training to improve stress response and dysfunctional attitude in undergraduate students in Korea. Cognitive Behav Ther Korea. 2010; 10(2):27–42.
25. Korean Dietetic Association. Manual of medical nutrition therapy. 3rd ed. Seoul: Korean Dietetic Association;2008. p. 247.
26. Park JH, Lee JW, Kim BR, Yoon SH, Lee D, Han JA, et al. A study on the actual energy drinks and the recognition of energy drinks in Seoul and Gyeonggi area. In : Proceedings of Spring Conference of J East Asian Soc Diet Life; 2015 May 9; Seoul. 218.
27. Moon HK. A study on the consumption patterns of functional beverages of high school students and university students in Daegu metropolitan city [master's thesis]. Yeungnam University;2013.