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Dr. Michael J. Breus

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Energy Drinks Elevate Blood Pressure

Posted: 05/10/2012 12:32 pm

Those fun, harmless-looking energy drinks in the colorful bottles that you see everywhere these days? Those beverages with "natural" ingredients, marketed to all of us -- especially our kids -- as an alternative to soda? Turns out these drinks aren't so harmless.

Concerns about the effects of energy drinks are continuing to grow, as new research shows these drinks can cause blood pressure to rise, as well as bringing about heart palpitations and arrhythmias, anxiety, and insomnia.

Researchers in Poland conducted a small study with 18 healthy young adults ages 20-35. The young adults were asked to consume one of two energy drinks: one contained 120 milligrams of caffeine and the other contained 360 milligrams of caffeine. (A regular 8-ounce cup of brewed coffee has between 100-200 milligrams of caffeine.) A third group drank a placebo, which contained no caffeine or other stimulants. Researchers then took measurements of blood pressure and heart rate at 15, 30 and 90 minutes after consumption.

They found that the less-caffeinated drink did not significantly affect either blood pressure or heart rate compared with the placebo group. The more highly-caffeinated drink, on the other hand, had a significant effect on both. Among those who consumed the 360 milligram caffeine energy drink:

• Blood pressure went up by an average of nine points for both systolic and diastolic pressure.

• Heart rate went up by an average of five beats per minute.

• Members of this group also developed irregular heartbeats, racing heartbeats, anxiety and insomnia.

This study isn't the first to find a link between high-caffeine, high-sugar energy drinks and elevated blood pressure, cardiac disturbances, anxiety and sleep disturbances. Other recent research has returned similarly disturbing results:

A study conducted at the University of Arkansas examined the effects of energy drinks on blood pressure among healthy, non-smoking adults ages 18-45. The results reported blood pressure was significantly elevated in those who drank one serving of Red Bull, which contained 80 milligrams of caffeine and 1,000 milligrams of taurine, an amino acid commonly found in energy drinks.

An Australian research project collected information about the health hazards of energy drinks by analyzing data associated with consumption of energy drinks and calls to a poison information hotline. Between 2004 and 2010, the poison hotline took a total of 297 phone calls from people who reported having consumed energy drinks.

•Over the six-year study period, the number of calls per year increased significantly, from 12 in 2004 to 65 in 2010.

•100 callers also reported consuming other substances along with the energy drinks, most often alcohol or another product containing caffeine.

•87 percent of those who called reported some type of symptom. Common symptoms were palpitations, feelings of agitation, tremors, and upset stomachs.

•7 percent of callers reported more serious symptoms, including hallucinations, seizures and irregular heartbeats.

•Of the 297 callers, 128 were hospitalized. This included 57 people who only consumed energy drinks without other substances such as alcohol or additional caffeine.

•The median age of the callers was 17 years old.

At the University of Massachusetts, a review of research related to the health complications from energy drinks found frequent reports of adverse affects among adolescents and concluded that the health concerns posed called for "urgent research on the safety of energy drinks in children and adolescents."

We're still in the early days of learning about the full range of effects of these drinks on physical and mental health, as well as sleep. There is an abundance of research that shows how too much caffeine can affect blood pressure and heart rate, create anxiety, and disrupt sleep. We know much less about the short- and long-term effects of some of the other ingredients that are often found in energy drinks, including taurine, the vitamins niacin and pyridoxine, and sugars such as inositol.

Here's what is clear. People who have or are at risk for conditions such as heart disease, hypertension, and diabetes need to strictly limit -- or better yet avoid altogether -- these energy drinks. Parents need to educate their kids about the serious risks of over-consumption of energy drinks and closely monitor their children's consumption if they choose to allow them to have these drinks at all. Unfortunately, kids and teenagers are among the most likely consumers of these beverages. Energy drinks are heavily-marketed to young people, who are less likely to be aware of the possible dangers of these beverages.

It's also time for the Food and Drug Administration (FDA) to get involved, and for these drinks to be subjected to greater regulation, including regulating the amount of caffeine that can be included in a single serving. Historically, energy drinks have been classified -- and marketed -- as dietary supplements, which are subject to only the most minimal regulation. Canada recently reclassified energy drinks as foods, opening them up to more comprehensive regulation. It's time for a serious look by the FDA at doing the same thing in the U.S.

Do you rely on energy drinks to pep yourself up in the morning, to power you through the day, to avoid a mid-afternoon slump in energy? If so, there are better -- and safer -- ways to stay alert. Some even involve caffeine -- just moderate amounts.

•Start with a cup of coffee in the morning. Morning exercise is also a great energy booster.

•To avoid the midday slump, try eating a high-protein snack. Think a small serving of cheese with some fruit, or peanut butter on crackers or whole grain toast. This will boost your energy without making you feel too full or sluggish.

•If you're really dragging, try my Nap-a-Latte™ technique: Drink a small cup of coffee and follow it up with a 25-minute nap. The combination will curb drowsiness without overdoing it on the caffeine and risking disruption to your nighttime sleep. Make sure to do this before 3 p.m.

Best tip of all? Get a good night's sleep! Its one of the very best things you can do to avoid daytime fatigue and protect your overall health.

Sweet Dreams,

Sweet Dreams,
Michael J. Breus, PhD
The Sleep Doctorâ„¢
www.thesleepdoctor.com

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02:35 PM on 05/14/2012
Gotta have your Rock Star or Starbucks everyday? Just say No.

It's just another form of addiction. If you cannot survive your day without coffee or these energy drinks, then you may be an addict, no better than anyone else abusing legal amphetamines, or even methamphetamine for the same effect. I can see where the legal products have their benefits in moderation under appropriate conditions, but when people rely on them everyday merely to function in daily society, that makes them an addict by any definition.
11:35 AM on 05/14/2012
So basically it does what it's supposed to. Good cause that's what I thought. now back to my NOS.
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HUFFPOST SUPER USER
Craig Cheek
FEAR THE GOV'T THAT WANTS TO DISARM ITS CITIZENS
11:08 AM on 05/14/2012
FUNNY.......I'M 58 YEARS OLD AND USE ENERGY DRINKS ON A DAILY BASIS AT WORK. THEY DO HELP ME TO BE RPODUCTIVE AND ALERT....THEY DO NOT GIVE ME A BUZZ OR ANYTHING LIKE THAT.....AND I'VE HAD NONE OF THESE EFFECTS AT ALL......NOR HAVE I HEARD OF ANYONE HAVING THESE TYPES OF PROBLEMS!!!! FUNNY HOW YOU CAN MAKE THE "RESEARCH" SAY ANYTHING YOU WANT IT TO......WE SELL DOZENS OF THESE DRINKS EVERY DAY......AND SPARKS, FOUR LOKO AND OTHER DRINKS CONTAINING ALCOHOL ARE NOT SOLD TO MINORS, THEY ARE REGULATED LIKE ANY OTHER ALCOHOLIC BEVERAGE.......YES, I HAVE MINORS TRYING TO BUY SPARKS, BUT I ALSO GET MINORS TRYING TO BUY BUDWEISER......I AM POSITIVE THAT MORE PEOPLE HAVE PROBLEMS DUE TO ALCOHOL THAN ENERGY DRINKS......I JUST DON'T BELIEVE THAT THIS STUDY IS VALID......
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angry mom
10:55 AM on 05/14/2012
What is the big news from this study? We already know that caffeine can raise blood pressure and too much sugar is bad for you. Besides, not all energy drinks are the same. Some are even caffeine and/or sugar free. Some have large amounts of vitamins added. Others are just soda on steriods with lots of caffeine and sugar. This is why we have so much government control. Instead of reading the lables on the cans, people are asking the FDA add more regulations. The only change I would like, is information on how much caffeine is in a serving.
10:33 AM on 05/14/2012
There just finding this out now! I knew this 5-6 years ago when those drinks really started to become popular. That's why I never drank them. They're bad news, and the kid's who are drinking a ton of them now are going to regret it soon.
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360Dunk
Feeder of slot machines
09:58 AM on 05/14/2012
I chased a Viagra pill with a 5 hour energy drink, thinking I'd be 'up' for 9 hours. It might have worked had I not been watching C-SPAN.
02:09 PM on 05/14/2012
THANKS FOR A MID-DAY GIGGLE!
09:48 AM on 05/14/2012
Dear scientists,
We already know that energy drinks cause elevated (not high) blood pressure, and obviously insomnia and in some people elevated blood pressure isn’t good and create cardiac issues. now move along with your research on how to cure cancer, aids, creating alternative fuels, and the creation of that illusive money tree. thank you have a good time doing your job.
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covyzoo
here we go again......
09:46 AM on 05/14/2012
I've been an emergency nurse for over 20 years and in the past five years we've had many young people come for treatment for rapid heart rhythmns from these energy drinks. They needed medical intervention. We've also had several deaths. Deaths are more likely when the energy drinks are mixed with vodka. I don't understand why there isn't more media coverage regarding the hazardous outcomes of these drinks. There are reports of hundreds of deaths throughout the country due to these beverages.
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darkevolutonary
author/artist/jack-of-all-trades, master of none..
07:34 AM on 05/14/2012
The scary part for me is that most often I see kids with these who have no business drinking them. You can't tell me a 7th grader needs a Monster drink or a 5 hour energy tonic.
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psandysdad
The older you get, the more excuses you have.
07:00 AM on 05/14/2012
I tried one of those little bottles of liquid energy-----it's about one ounce or so-----just because someone gave me one. The taste alone was enough to put me off----it was horrid.
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HUFFPOST SUPER USER
darkevolutonary
author/artist/jack-of-all-trades, master of none..
07:36 AM on 05/14/2012
True, they are nasty. Loads of artificial sweetner with crummy aftertaste. I won't do that again either.
tccat4
We all have a right to our opinion, like it or not
06:36 AM on 05/14/2012
Not a big surprise.. suggest that they put warnings on the labels. Not that the young will read it, but it will give them a opt out if sued.
06:28 AM on 05/14/2012
I know someone that had a bad reaction to the niacin that was in a certain energy drink. These drinks are not good for anyone in the long run.
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sr25fullauto
Go get your own opinion if u don't like mine!
06:19 AM on 05/14/2012
Once their hearts give out at 40 years old (or younger) it will be too late for them. These energy drinks were marketed with full knowledge of them being addictive. If one cannot get through 1 day without an energy drink, they have them right where they want them. Like many others, I like my cup of coffee in the morning but I limit myself to 2 cups in the mornings.
09:40 AM on 05/14/2012
Stores also sell large bottles of liquer, large boxes of sugary cereal, and whole cakes. Consuming any of those in their entirety will give you adverse side effects as well. Is it Betty Crocker's fault if you eat the whole cake then go berserk on sugar or have a gut ache? If the contents on the label don't give you reason to investigate the product further, you're getting what you paid for. Teach your own kids about product hazards, the rest of us have enough to worry about.
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Tim Day
Am I waiting to Live or Waiting to Die.....
10:40 PM on 05/13/2012
I am watching right now on the Science Channel (not SyFy) the have taken 4 people who are heavy drug users...One who does Coke another Meth another Pot and finally a heroin addict,,,And they are putting them through a series of tasks to do...So far the girl who does heroin function well only when she is high...Robin Williams is the host of the show....this is the kind of studies they should be doing ...not 300 calls to poison control that tell people what they should already know
tccat4
We all have a right to our opinion, like it or not
06:43 AM on 05/14/2012
Agree with ya Tim.. its capitalism..... But young people have made it a success. Too bad they don't do the same warning labels on Energy drinks, as they do less harmful things..big money means they don't care who dies of heart failure.
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DirtyHarryPotterfan
08:27 AM on 05/14/2012
Talk about warning lables, there should be warning labels on alcohol as there is with cigs. Warning lables are all good, but its not a prevenative.
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FromBeyondUrAnus
My 214th fan will be forever cursed!
09:59 PM on 05/13/2012
To me this is obvious. I have a feeling though that many young people don't realize how dangerous drinking these things all of the time can be. What's really scary is the energy drinks like Sparks which contain alcohol. They are dirt cheap and I would be willing to bet a favorite of teens of all ages.
tccat4
We all have a right to our opinion, like it or not
06:47 AM on 05/14/2012
Young people dont care.. as many of us didnt. Warnings were for old square people. That weren't cool...lol
09:08 AM on 05/14/2012
Anybody here think energy drinks are worse than cigarettes? At least with these drinks you can actually be productive. Here's another idea: don't drink the whole thing at once. Pace yourself, it's especially easy with the small 5 Hour Energy. Taking in any substance in that high of a concentration usually isn't a good idea.