• YAKHAK HOEJI
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• v.57 no.2
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• pp.110-118
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• 2013

High-caffeine energy drink consumption has been increasing in young adults, frequently causing the most common symptoms such as tremor, insomnia, anxiety, and nervousness and rarely leading to serious adverse effects like seizure, acute mania, and stroke due to caffeine overdose. There have been little current studies regarding analysis of high-caffeine energy drink consumption and its adverse effects in Korea. This study was to examine high-caffeine consumption patterns, associated factors, and adverse effects based on responses from 231 college students in a University through survey. About 88.3% (n=204) of total respondents reported that they had energy drinks. College students mostly consumed energy drinks to keep awake (46%) when studying and to recover fatigue (27%). Approximately 44% respondents mainly reported palpitation (73.9%) and insomnia (72.8%) regarding adverse effect questionnaire. Current reports on the risk of recreational use, co-ingestion of alcohol and energy drink as well as energy drink consumption among children and adolescents are increasing, requiring further long-term research and awareness of these issues.

• Korean Journal of Community Nutrition
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• v.23 no.4
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• pp.289-301
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• 2018

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.

• Journal of Nutrition and Health
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• v.50 no.5
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• pp.460-471
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• 2017

Purpose: The purpose of this cross-sectional study was to investigate intake-related factors of energy drinks and educational needs regarding energy drinks in female high school students. Methods: Subjects were 340 female high school students in Incheon, and data were collected using self-administered questionnaires. Statistical analysis was performed using the SPSS 20.0 program. Results: Subjects who had drunk energy drinks were 74.3% (249 subjects) of all subjects. The first time they drank an energy drink was significantly associated with grade (p < 0.05). In 75.1% of 249 subjects who had drunk energy drinks, the places for buying energy drinks were supermarkets and convenience stores near their homes. For the effects of energy drink intake, sleeplessness (44.6%) and no effect (41.7%) were cited, and 24.5% experienced side effects such as palpitation, tremors, etc. The scores for self-diagnosis of caffeine addiction were significantly higher in the low weight group compared to the overweight group (p < 0.05). The degree of caffeine addiction was significantly associated with effects of energy drink intake (p < 0.001) and type of side effects (p < 0.001). Willingness to stop consuming energy drinks (p < 0.001) and necessity of nutrition education about energy drinks (p < 0.05) were significantly lower in the caffeine addiction group compared to the general group. About 75.0% of subjects wanted to be educated about the side effects of energy drinks and caffeine. Conclusion: This study shows that female high school students need proper education about the effects of intake of energy drinks. Therefore, guidelines and a nutrition education program right intake of energy drinks should be provided as well as campaigns concerning the side effects of energy drinks and caffeine in female high school students.

• Journal of Food Hygiene and Safety
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• v.29 no.2
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• pp.105-116
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• 2014

Surveys on the consumption of caffeinated beverages by high school students (n=886) were performed. Of the students, 97.0% consumed a variety of caffeinated beverages, including carbonated drinks (90.0%), processed milk and cocoa (79.0%), coffee (63.0), teas (52.1), energy drinks (16.4%) and nourishment drinks (15.5%). The frequency of intake per student was 8.2 times per week. Caffeine intake through the caffeinated beverages was 41.53 mg/day, which was accounted for by coffee (51.5%), carbonated drinks (19.6%), processed milk and cocoa (11.5%), teas (11.4%), energy drinks (5.0%) and nourishment drinks (1.1%). Students with high levels of stress, those who consumed snacks twice a day, and those who used a computer (or smart phone) for more than 3 hours per day showed significantly higher caffeine intake. The groups with high caffeine intake experienced heart palpitations, insomnia and pollakiuria. Students indicated that they consumed the caffeinated beverages for the taste (57.9%), waking up (18.0%), thirst (13.2%), etc. (10.9%). They tended to consume drinks with a high content of caffeine to sleep less. In addition, they rarely checked the label, and showed a lack of awareness of the caffeine contents in the beverages, which calls for education.

• Journal of the Korean Society of School Health
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• v.29 no.2
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• pp.71-80
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• 2016

Purpose: The purpose of this study is to examine the association between consuming high-caffeine energy drinks and suicidal ideation in Korean adolescents. Methods: This study used data drawn from the 2015 Korea Youth Risk Behavior Web_Based Survey. The data of 66,068 students in total (33,374 middle school students and 32,694 high school students) were included in the analysis. The $x^2$ test, univariate and multivariate logistic regressions were conducted with the use of SAS 9.3. Results: Adjusted for the variables associated with suicidal ideation, multivariate logistic regression revealed that consuming highly caffeinated energy drinks had a significant effect on suicidal ideation (middle school students, 1~2 times per week: OR=1.24, 3~4 times per week: OR=1.88, 5~6 times per week: OR=2.20, everyday: OR=2.66, high school students, 1~2 times per week: OR=1.26, 3~4 times per week: OR=1.84, 5~6 times per week: OR=2.42, everyday: OR=3.89). Conclusion: This study strongly suggests adolescents be provided with health education and information about consuming an adequate amount of high-caffeine energy drink and the drink's side effects. In addition, regulations and polices on high-caffeine drink intake should be implemented.

• Journal of Digital Convergence
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• v.21 no.1
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• pp.29-34
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• 2023

The purpose of this study was to find out the relationship between the frequency of consumption of sports drinks and energy drinks and aerobic physical activity in the 6-29 year old group in the National Health and Nutrition Examination Survey. The sociodemographic characteristics, aerobic physical activity, and beverage intake of the subjects were calculated using composite sample descriptive statistics, and the mean difference between groups was analyzed by cross-tabulation, χ²-test, and binary logistic regression analysis. High-intensity aerobic activity was analyzed as an increase in the intake frequency of sports drinks(ionic drinks, vitamin drinks) and energy drinks(high-caffeine drinks) (p<0.05). Compared to moderate-intensity aerobic physical activity, high-intensity aerobic physical activity was analyzed as a factor influencing the increase in beverage intake frequency. The purpose of this study was to investigate the relationship between physical activity and beverage consumption, which is a critical issue for promoting health both now and in the future, and to developed an intervention program based on the findings. Through this study, we aimed to gather basic data that can help people live healthy lives, and raise both individual and societal awareness of the importance of making better beverage choices.

• Journal of the East Asian Society of Dietary Life
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• v.24 no.3
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• pp.407-420
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• 2014

A survey was carried out regarding university students' recognition of high-caffeine energy drinks in an effort to identify and improve problems as well as provide basic data. Most of the subjects had previous experience of energy drink consumption. Studies showed that most students consumed energy drinks when studying. Regarding frequency of energy drink consumption, most students' responded "1~6 times a year"; female students showed lower frequency of energy drink consumption than male students. Both male and female students used convenience stores to purchase energy drinks. In most cases, students became aware of energy drinks through advertisements on TV, radio, newspapers, and magazines. The most important factor affecting their energy drink purchase and consumption status was taste. The most frequent adverse effect they experienced after drinking an energy drink was unusual heart-pounding, whereas the biggest problem caused by energy drink consumption was addiction. This study indicates that students should have a better understanding of the problems associated with excessive and prolonged high-caffeine intake. In addition, instructions for proper purchasing and consumption of high-caffeine energy drinks should be provided as well as education and campaigns concerning symptoms caused by high-caffeine energy drink consumption so that students may refrain from excessive consumption. Further, civil organizations and the government need to devise effective measures for proper regulation of high-caffeine energy drink consumption.

• Journal of Korean Public Health Nursing
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• v.29 no.1
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• pp.102-114
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• 2015

Purpose: This study was conducted in order to identify consumption status, risk awareness and experience of adverse effects of high caffeine energy drink among university students. Methods: This study was a descriptive survey including 270 students in 2 universities and 7 colleges in D metropolitan city. Consumption Status, Risk Awareness and Experience of Adverse Effects of High-Caffeine Energy Drink tools were developed by literature review. Data analyzed using descriptive statistics and $x^2$-test. Results: In the results, 86.7% of the students had previous experience of energy drink consumption and male students and smokers had more experience of energy drink consumption than female students and nonsmokers. The reason of energy drink consumption was increasing alertness for studying. 45.7% of the students were aware of the risk of high caffeine energy drink and the first risk was sleep disturbance. 51.1% of students were experienced adverse effects, mainly palpitation and sleeplessness. Conclusion: The results suggest a need to increase awareness of adverse effects and potential risks of high caffeine energy drink consumption in university students. In addition, university and government should provide education and campaigns to prevent excessive high caffeine energy drink consumption.

• Korea Journal of Hospital Management
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• v.24 no.2
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• pp.12-22
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• 2019

Purposes: The purpose of this study was to examine the association between risk behaviors and smoking in Korean adolescents. Methods: This study used data from online survey of youth health behavior in 2017. Data from a total of 54,411 people (27,139 male, 27,272 female) were included in the analysis. chi-square test, simple logistic regression, multiple logistic regression were performed using SAS 9.4. Findings: Multiple logistic regression analysis showed that risk behaviors such as drinking alcohol experience, sexual experience, drug use experience and high caffeine energy drinks intake experience had a significant effect on smoking. Adolescents with drinking experience were more likely to smoking than those who had no experience(OR=8.58, 95% CI: 7.67~9.60). Adolescents with sexual experience were more likely to smoking than those who had no experience(OR=4.47, 95% CI: 3.91~5.11). Adolescents with drug use experience were more likely to smoking than those who had no experience(OR=2.32, 95% CI: 1.63~3.32). Also, adolescents with high-caffeine energy drinks intake experience were more likely to smoking than those who had no experience(OR=1.37, 95% CI: 1.23~1.53). Practical Implications: All the risk behaviors were significantly associated with smoking rates. Results of this study suggest that physicians and health workers in medical institutions and health centers should simultaneously serve education and consultation for the smoking cessation as well as for the prevention of risk behaviors.

• The Korean Journal of Food And Nutrition
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• v.31 no.1
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• pp.160-172
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• 2018

This study examined the intake status of energy drinks and related factors among university students in Yeungnam region, Korea. A total of 456 students participated in the study by a self-administered questionnaire. About 26% of the respondents never took energy drinks, whereas about 30% took them previously, but do not take them now. Almost 45% answered that they have taken them up to now. The reasons for first intake of energy drinks were 'necessity for myself' followed by 'curiosity', 'recommendation of friends', and 'seeing advertisement', and Chi-square test showed that there was a significant difference according to dwelling status. About half of the respondents took them since high school, and the main reason for energy drink intake was 'to stay awake'. About 45% of the respondents indicated that they increased study hours after taking energy drinks, whereas almost 40% answered that they had little effect on them. Over half of the respondents experienced side effects after energy drink intake. About one-fifth of the respondents mixed the energy drinks with alcoholic beverages to make them taste better. In addition, in the result for the multinomial logistic regression analysis, gender, grade, dwelling status, smoking status, alcohol drinking status, perception of effect of energy drinks on health, and perception of benefit level of caffeine were the predictors for the respondents who never took energy drinks in comparison with the respondents who have taken them up to now. On the other hand, for the respondents who took them previously but do not take them now compared with those of having taken them up to now, the predictors were dwelling status and smoking status. These results imply that dietary education from childhood regarding knowledge and side effects of energy drinks should be offered.