Evidence shows wider range of risk associated with energy drinks in children. Experts ask how much more evidence is needed before action?

The most comprehensive study of its kind, published on the 15th January 2024 in the Public Health journal, has found that drinking energy drinks is associated with an increased risk of mental health issues among children and young people, including anxiety, stress, depression, and suicidal thoughts.

The researchers found that energy drink consumption was more common among boys than girls, and was also associated with increased risky behaviours such as substance use, violence, and unsafe sex.

It also links consumption of the drinks with an increased risk of poor academic performance, sleep problems, and unhealthy dietary habits.

Researchers from Fuse, the Centre for Translational Research in Public Health, at Teesside University and Newcastle University, looked at data from 57 studies of over 1.2 million children and young people from more than 21 countries.

The new study adds to the growing body of evidence that energy drinks are harmful to the health of children and young people. The researchers say it highlights the need for regulatory action to restrict the sale and marketing of energy drinks to children and young people.

Lead author Amelia Lake, Professor of Public Health Nutrition from Fuse, the Centre for Translational Research in Public Health at Teesside University, said: “Energy drinks are marketed to children and young people as a way to improve energy and performance, but our findings suggest that they are actually doing more harm than good.

“We have raised concerns about the health impacts of these drinks for the best part of a decade after finding that they were being sold to children as young as 10-years-old for as little as 25p. That is cheaper than bottled water.

“The evidence is clear that energy drinks are harmful to the mental and physical health of children and young people as well as their behaviour and education. We need to take action now to protect them from these risks.”

This is an update to a review in 2016. In 2017, the same researchers from Fuse, the Centre for Translational Research in Public Health, were the first to publish research exploring in-depth the views of children, as young as 10-years-old, on energy drinks. The academics called on the UK government to take action on the sale of energy drinks to under 16s after finding that they were being sold to young people cheaper than bottled water.

The research revealed that energy drinks were easily available in local shops; sold for as little as 25p (‘four for £1’ promotions); targeted at children through online adverts, computer games, television and sports sponsorship; and linked to extreme sports, gaming, sexuality, gender, and use of sexualised imagery.

Previous research had also found that up to a third of children in the UK consume caffeinated energy drinks on a weekly basis and that young people in the UK were the biggest consumers of energy drinks in Europe for their age group.

Professor Amelia Lake was involved in a national campaign, fronted by celebrity chef Jamie Oliver, to restrict the sale of energy drinks to teenagers, and gave evidence to the House of Commons Science and Technology Committee on the effects of energy drinks on young people’s mental and physical health. Many large UK supermarkets subsequently agreed to ban the sale of energy drinks to children.   

A number of countries have attempted to regulate energy drinks, including bans on sales to under 18s in Lithuania and Latvia. The UK government ran a consultation on ending the sale of energy drinks to children in England and also proposed this in their 2019 green paper ‘Advancing our health: prevention in the 2020s’. While 93% of respondents to the consultation supported restricting sales to under 16s, there has been no further action. In 2022, the devolved government in Wales launched its own consultation to ban the sales of energy drinks to under 16s.

The UK Food Standards Agency says that energy drinks are generally drinks with high levels of caffeine. They are usually marketed as giving a mental and physical 'boost' by providing more ‘energy’ than regular soft drinks. They are different to ‘sports drinks’ which might be used to replace electrolytes lost during exercise. Caffeine levels in a can of energy drink can vary between 80mg (equivalent to two cans of cola or a mug of instant coffee) and 200mg (equivalent to five cans of cola).

More than 40 health related organisations - including ASO - have joined the researchers in calling on government to finally restrict the sale and marketing of energy drinks to children and young people. 

Letter to the Rt Hon Victoria Atkins MP, Secretary of State for Health and Social Care.

Letter to Wes Streeting MP, Shadow Secretary of State for Health and Social Care.

Clinical Category
Food, Nutrition and Diet