Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Factors influencing high-caffeine drink intake in adolescents: using data from the 13th(2017) Korea Youth Risk Behavior Online Survey

청소년의 고카페인 음료섭취 영향요인 : 제13차(2017년) 청소년건강행태 온라인조사 통계를 이용하여

  • Kim, Dong-Ok (Department of Nursing, Gyeongbuk College of Health) ;
  • Lee, Haejin (Department of Nursing, Gyeongbuk College of Health)
  • 김동옥 (경북보건대학교 간호학부) ;
  • 이혜진 (경북보건대학교 간호학부)
  • Received : 2019.05.27
  • Accepted : 2019.08.02
  • Published : 2019.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study investigated the status of drinking highly caffeinated beverages by Korean adolescents, and we identified the factors influencing this behavior by Korean adolescents by using statistics from the 13th (2017) Survey on Youth Health Behavior Online Survey. The data was collected from 62,276 middle and high school students and the variables of this study included demographic factors, health behavioral factors, mental health factors and the availability of highly caffeinated beverages. The methods of data analysis included descriptive statistics, Chi-square tests and logistic regression analysis. This study found that the intake rate of highly caffeinated beverages was 1.9% for men and 1.5% for women, and these percentages increased with age (p<0.001). Current smoking and drinking, current drug usage and active people also had high intake of caffeinated beverages (p<0.001). A high level of stress, a low level of subjective sleep satisfaction and a feeling of happiness increased the rate of consuming highly caffeinated beverages. The factors of drinking highly caffeinated beverages were gender, age, smoking, physical activity, drug use, stress level, depression and suicidal ideation. Therefore, continuous discussion is needed to improve both the health behavior and mental health by managing the stress felt by Korean adolescents.

본 연구는 제13차(2017년) 청소년건강행태온라인조사 통계 자료를 이용하여 우리나라 청소년의 고카페인 음료 섭취 실태를 파악하고, 이에 대한 영향요인을 확인하기 위하여 시행되었다. 본 연구에서는 총 62,276명을 대상으로 인구 사회학적 요인, 건강행태 요인, 정신건강 요인과 고카페인 음료섭취를 조사하였다. 자료 분석은 카이제곱 검정 및 로지스틱 회귀분석을 사용하여 통계적 검정을 시행하였다. 연구 결과, 고카페인 음료섭취 비율은 남자에서 1.9%, 여자에서 1.5%로 나타났으며, 연령이 상승할수록 증가하였다(p<0.001). 현재 흡연과 현재 음주, 약물 사용을 하는 군과 신체활동이 많은 경우에서 고카페인 음료섭취 비율이 높았다(p<0.001). 스트레스 수준이 높고 주관적 수면 충족과 행복감 수준이 낮으며 우울감이나 자살 생각을 가졌던 경우에 고카페인 음료섭취의 비율이 높게 나타났다. 고카페인 음료섭취의 영향요인으로는 성별, 연령, 현재 흡연, 신체활동, 현재 약물 사용, 스트레스 수준, 우울감 경험, 자살 생각이었다. 따라서 청소년의 건강행태를 개선하고 스트레스 관리를 통해 정신건강을 증진시키기 위한 지속적인 논의가 필요할 것이다.

Keywords

References

  1. D. Turnbull, J. V. Rodricks, G. F. Mariano, F. Chowdhury, "Caffeine and cardiovascular health", Regulatory Toxicology and Pharmacology, Vol.89, pp.165-185, 2017. DOI: http://dx.doi.org/10.1016/j.yrtph.2017.07.025
  2. M. A. Heckman, J. Weil, E. G. Mejia, "Caffeine (1, 3, 7-trimethylxanthine) in foods: a comprehensive review on consumption, functionality, safety, and regulatory matters",Journal of Food Science, Vol.75, No.3, pp.77-87, 2010. DOI: http://dx.doi.org/10.1111/j.1750-3841.2010.01561.x
  3. P. Nawrot, S. Jordan, S. Eastwood, J., Rotstein, A. Hugenholtz, M. Feeley, "Effects of caffeine on human health", Food Additives and Contaminants, Vol.20, No.1, pp.1-30, 2003. DOI: http://dx.doi.org/10.1080/0265203021000007840
  4. M. S. Butt, M. T. Sultan, "Coffee and its consumption: benefits and risks", Critical Review in Food Science and Nutrition, Vol.51, No.4, pp.363-373. 2011. DOI: https://doi.org/10.1080/10408390903586412
  5. A. Floegel, T. Pischon, M. M. Bergmann, B. Teucher, R. Kaaks, H. Boeing, "Coffee consumption and risk of chronic disease in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Germany study", The American Journal of Clinical. Nutrition, Vol.95, No.4, pp.901-908, 2012. DOI: https://doi.org/10.3945/ajcn.111.023648
  6. M. L.Nurminen, L. Niittynen, R. Korpela, H. Vapaatalo, "Coffee, caffeine and blood pressure: a critical review", European Journal of Clinical Nutrition, Vol.53, No.11, pp.831-839, 1996. DOI: https://doi.org/10.1038/sj.ejcn.1600899
  7. A. E. Mesas, L. M. Leon-Munoz, F. Rodriguez-Artalejo, E. Lopez-Garcia, "The effect of coffee on blood pressure and cardiovascular disease in hypertensive individuals: a systematic review and meta-analysis", The American Journal of Clinical. Nutrition, Vol.94, No.4, pp.1113-1126, 2011. DOI: https://doi.org/10.3945/ajcn.111.016667
  8. T. M. McLellan, J. A. Caldwell, H. R.. Lieberman, "A review of caffeine's effects on cognitive, physical and occupational performance", Neuroscience and Biobehavioral Reviews, Vol.71, pp.294-312, 2016. DOI: http://dx.doi.org/10.1016/j.neubiorev.2016.09.001
  9. Korea Consumer Agency, Research on the Actual Condition of Energy Drinks Intake, 2013, Available From: http://www.kca.go.kr/brd/m_32/view.do?seq=1521&multi_itm_seq=2 (accessed Feb. 28, 2019)
  10. Ministry of Food and Drug Safety, Caffeine Intake Assessment Results, 2015, Available From: http://www.mfds.go.kr/brd/m_99/view.do?seq=28091 (accessed Feb. 28, 2019)
  11. E. McMahon, I. VanderElst, Y. Dufresne, Changes in the regulation of energy drinks in canada, Torys on Food and Drug Regulatory, 2011, Retrieved February 28, 2019, from https://www.torys.com/insights/publications/2011/10/changes-in-the-regulation-of-energy-drinks-in-canada.
  12. S. Zucconi, C. Volpato, F. Adinolfi, E. Gandini, E. Gentile, A. Loi, L. Fioriti, Gathering consumption data on specific consumer groups of energy drinks. An external scientific report. European Food Safety Authority, 2013. DOI: https://doi.org/10.2903/sp.efas.2013.En-394
  13. F. Ali, H. Rehman, Z. Babayan, D. Stapleton, J. Divya-Devi, "Energy drinks and their adverse health effects: a systematic review of the current evidence", Postgraduate Medicine, Vol.127, No.3, pp.308-322, 2015. DOI: http://dx.doi.org/10.1080/00325481.2015.1001712.
  14. S. Azagba, D. Langille, M. Asbridge, "An emerging adolescent health risk: caffeinated energy drink consumption patterns among high school students", Preventive Medicine, Vol.62, pp.54-59, 2014. DOI: https://doi.org/10.1016/j.ypmed.2014.01.019
  15. N. Larson, M. N. Laska, M. Story, D. Neumark-Sztainer, "Sports and energy drink consumption are linked to health-risk behaviours among young adults", Public Health Nutrition, Vol.18, No.15, pp.2794-2803, 2015. DOI: http://dx.doi.org/10.1017/S1368980015000191
  16. N. L. Tran, L. M. Barraj, X. Bi, M. M. Jack, "Trends and patterns of caffeine consumption among US teenagers and young adults, NHANES 2003-2012", Food and Chemical Toxicology, Vol.94, pp.227-242, 2016. DOI: http://dx.doi.org/10.1016/j.fct.2016.06.007
  17. J. L.Reid, C. McCrory, C. M. White, C. Martineau, P. Vanderkooy, N. Fenton, D, Hammond, "Consumption of Caffeinated Energy Drinks Among Youth and Young Adults in Canada", Preventive Medicine Reports, Vol.5, pp.65-70, 2017. DOI: http://dx.doi.org/10.1016/j.pmedr.2016.11.012
  18. D. C. Mitchell, C. A. Knight, J. Hockenberry, R. Teplansky, T. J. Hartman, "Beverage caffeine intakes in the U.S", Food and Chemical Toxicology, Vol.63, pp.136-142, 2014. DOI: http://dx.doi.org/10.1016/j.fct.2013.10.042
  19. I. Y. Ahn, J. Y. Seo, D. Y. Lee, S. J. Lee, B. S. Cha, "The Relationship Among Highly Caffeinated Beverage Intake and Depressive Symptoms, Suicide in Adolescents", Korean Journal of Psychosomatic Medicine, Vol.24, No.2, pp.191-199, 2016. from: http://www.koreascience.kr/journal/JSSCBG/v24n2.kr?volissCtrlNo=v24n2&pubDt=2016
  20. N. Y. Kim, W. K. Shin, Y. K. Kim, "Study on Relevance of High-Caffeine Drink Intake Frequency to Mental Health of Adolescents", The Journal of Korean Society of Food Culture, Vol.32, No.1, pp.66-74, 2017. DOI:http://www.jfc.or.kr/journal/article.php?code=50919 https://doi.org/10.7318/KJFC/2017.32.1.066
  21. M. J. Jin, C. H. Yoon, H. J. Ko, H. M. Kim, A. S. Kim, H. N. Moon, S. P. Jung, "The Relationship of Caffeine Intake with Depression, Anxiety, Stress, and Sleep in Korean Adolescents", Korean Journal of Family Medicine, Vol.37, pp.111-116, 2016. DOI: http://dx.doi.org/10.4082/kjfm.2016.37.2.111
  22. Centers for Disease Control and Prevention, Disability and Health Data System (DHDS) Data Guide Health Risks & Behaviors, 2018, Retrieved February 28, 2019, from https://www.cdc.gov/ncbddd/disabilityandhealth/dhds/data-guide/health-topics-risks.html#smoking
  23. S. H. Gwon, S. Y. Jeong, "Factors Influencing Adolescent Lifetime Smoking and Current Smoking in South Korea: Using Data from the 10th (2014) Korea Youth Behavior Web-Based Survey", The Journal of Korean Academy of Nursing, Vol.46, No.4, pp.552-561, 2016. DOI: http://dx.doi.org/10.4040/jkan.2016.46.4.552
  24. J. E. Kim, B. H. Cho, "The Impact of Social Relationships on Adolescents'Smoking Behavior", Studies on Korean Youth, Vol.23, No.1, pp.57-87, 2012. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01793740
  25. T. P. Carmody, C. S. Brischetto, J. .O Matarazzo, J. R. P. O'Donnell, W. E. Connor, "Co-occurrent use of cigarettes, alcohol, and coffee in healthy, community-living men and women", Health Psychology, Vol.4, No.4, pp.323-335, 1985. https://doi.org/10.1037/0278-6133.4.4.323
  26. J. Kaprio, M. Koskenvuo, "A prospective study of psychological and socioeconomic characteristics, health behavior and morbidity in cigarette smokersprior to quitting compared to persistent smokers and non-smokers", Journal of Clinical Epidemiology, Vol.41, No.2, pp.139-150, 1988. DOI: https://doi.org/10.1016/0895-4356(88)90088-1
  27. J. A. Fulkerson, N. E. Sherwood, C. L. Perry, D. Neumark-Sztainer, M. Story, "Depressive symptoms and adolescent eating and health behaviors: a multifaceted view in a population-based sample", Preventive Medicine, Vol.38, No.6, pp.865-875, 2004. DOI: https://doi.org/10.1016/j.ypmed.2003.12.028
  28. T. H. Kim, J. Y. Choi, H. H Lee, Y. Park, "Associations between dietary pattern and depression in Korean adolescent girls", Journal of Pediatric and Adolescent Gynecology, Vol.28, No.6, pp.533-537, 2015. DOI: https://doi.org/10.1016/j.jpag.2015.04.005
  29. A. Tanskanen, J. Tuomilehto, H. Viinamaki, E. Vartiainen, J. Lehtonen, P. Puska, "Heavy coffee drinking and the risk of suicide", European Journal of Epidemiology, Vol.16, No.9, pp.789-791, 2000. DOI: https://link.springer.com/article/10.1023/A%3A100761414579
  30. R. R. Edwards, M. T. Smith, I. Kudel, J. Haythornthwaite, "Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain", Pain, Vol.126, No.1, pp.272-279, 2006. DOI: https://doi.org/10.1016/j.pain.2006.07.004
  31. H. B. Mash, C. S. Fullerton, H. J. Ramsawh, T. H. H. Ng, L. Wang, R. C. Kessler, M. B. Stein, R. J. Ursano, "Risk for suicidal behaviors associated with alcohol and energy drink use in the US Army", Social Psychiatry and Psychiatric Epidemiology, Vol.49, No.9, pp.1379-1387, 2014. DOI: https://doi.org/10.1007/s00127-014-0886-0