title: Energy Drink Use Linked to High-sugar Beverage Intake and BMI among Teens.
abstract: OBJECTIVE
  We assessed the relationship of energy drink, high-sugar, and low-sugar beverage consumption.
  
  
  METHODS
  Mann-Whitney U, Cohen's d and effect sizes were used to examine data from 1737 adolescents in the United States who participated in the 2014 FLASHE Study. Secondary analysis examined consumption of energy drinks, high- and low-sugar beverages, and adolescents' BMIs.
  
  
  RESULTS
  Among adolescents, 13.7% (N = 239) reported past 7-day energy drink consumption. Participants who did not consume energy drinks in the past 7 days were more likely to consume low-sugar beverages of water (p < .001) and milk (p = .046). Consumption of energy drinks was positively related to sweetened fruit drinks (p < .001), pure fruit juice (p = .008), soda (p < .001), and sports drinks (p < .001). Energy drink consumers also reported higher mean BMI (p = .004).
  
  
  CONCLUSIONS
  Adolescents who consume energy drinks during the past 7 days are more likely to also consume other high-sugar beverages. Whereas those who report no past 7-day use of energy drinks consume higher rates of low- or no-sugar beverages. Health education and prevention efforts to reduce adolescent energy drink consumption may lead to reductions in other high-sugar beverage intake and have a positive impact on obesity rates among adolescents.
authors.affiliation: Associate Professor, Texas State University, Department of Health and Human Performance, San Marcos, TX;, Email: ronwilliams@txstate.edu.
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Williams
authors.affiliation: Associate Professor, Texas State University, Department of Health and Human Performance, San Marcos, TX.
authors.forename: Jeff M
authors.initials: JM
authors.lastname: Housman
authors.affiliation: Assistant Professor, Texas State University, Department of Health and Human Performance, San Marcos, TX.
authors.forename: Mary
authors.initials: M
authors.lastname: Odum
authors.affiliation: Graduate Student, Texas State University, Department of Health and Human Performance, San Marcos, TX.
authors.forename: Alissa E
authors.initials: AE
authors.lastname: Rivera
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D061215:Energy Drinks / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D057566:Self Report; D000073893:Sugars / Q000008:administration & dosage*; D013549:Sweetening Agents / Q000008:administration & dosage*
chemical_list: D000073893:Sugars; D013549:Sweetening Agents