What’s All The Buzz About??nettle.haverhill-ps.org/wp-content/uploads/sites/22/2014/...What’s...
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What’s All The Buzz About?? Lois Bisson BSN, RN Michelle Keith BSN, RN, NCSN Chris Mancini BSN, RN, NCSN Barbara Schuster BSN, RN, NCSN
What’s All The Buzz About??nettle.haverhill-ps.org/wp-content/uploads/sites/22/2014/...What’s All The Buzz About?? Lois Bisson BSN, RN Michelle Keith BSN, RN, NCSN Chris Mancini
Lois Bisson BSN, RN Michelle Keith BSN, RN, NCSN Chris Mancini BSN, RN, NCSN
Barbara Schuster BSN, RN, NCSN
What is an Energy Drink?
A beverage which typically contains an energy source and other substances marketed for the purpose of providing real or perceived enhanced physiological, and/or performance effects
Presenter
Presentation Notes
Energy Drinks- ED
Most Common Ingredients...
Ginseng
Guarana
Taurine
Carnitine
Sugar
Bitter Orange
Caffeine
Ginseng
A Chinese herb
Uses: (No scientific evidence to support these claims)
Improves physical and mental stamina
Enhances athletic performance
Anti-viral and anti-oxidant
Presenter
Presentation Notes
Increases effects of insulin, causing hypoglycemia—diabetics be careful Increases effects of caffeine Increases risk of bleeding—kids with bleeding disorders and those taking NSAID’s should be careful
Guarana A natural botanical found in
Brazilian rain forest
Uses:
CNS stimulant—contains 3 times as much caffeine as coffee beans, so increases marketing appeal for manufacturers
Aphrodisiac
May 2001—FDA banned guarana in foods
Presenter
Presentation Notes
2001 ban of guarana forced the withdrawal of a number of ED companies in USA market. Other countries are not so fortunate. -An Australian women died after drinking jus one can of guarana-containing drink that had the equivalent of 35 cups of coffee.
Taurine An amino acid naturally found in foods Uses: 1. Formation of bile salts. 2.Modulator of neuronal excitability Connection between taurine and mental
retardation???
Presenter
Presentation Notes
Estimated adult human daily intake (naturally) is 70g -The intake of taurine from ED’s is several times higher than normal daily intake -One study of healthy mentally retarded children showed excessively high levels of taurine in their urine, indicating there may be a connection between taurine and mental retardation.
Carnitine An amino acid involved in oxidation
of fatty acids
Uses:
1. End-stage renal failure
2. Dementia
3. Prevention of heart disease
4. ADHD
Presenter
Presentation Notes
Considering the vast amount of children on ADHD meds, Carnatine in an ED is concerning.
Sugar
Use: Major source of energy for the brain, muscles, red blood cells and other cells essential for the CNS
As much as 35grams in 8oz of ED
US guidelines recommend maximum of 32gms per day in 2,000 calorie diet
Presenter
Presentation Notes
Since the normal ED is 16oz or greater, the concentrations of sugars in one ED well exceeds the maximum recommended daily intake of sugar by two to three times.
Bitter Orange
A botanical
Uses:
1. CNS stimulant
Little scientific evidence shows Bitter Orange to be beneficial to health
Presenter
Presentation Notes
The average amount found in ED’s is below the therapeutic level than when used alone. However, when used in combination with caffeine, CNS effects may occur -Active components are structurally similar to epinephrine an norepinephrine -Possible that it holds similar adverse effects to ephedra which was removed from the market.
References Bramstedt, K. (2007). Caffeine use by children: the quest for enhancement. Information Healthcare, 42, 1237-1251. doi: 10.1080/10826080701208962 Burton, D. (n.d.). http://voices.yahoo.com/excessive-energy-drink-usage-teenagers-insight- 12106422.html?cat=5. http://www.huffingtonpost.com/2012/07/25/florida-school-board -vote_n_1702172.html. (2012). Campbell, B., Wilborn, C., La Bounty, P., Taylor, L., Nelson, M., Greenwood, M., Ziegenfuss, T., & Ziegenfuss, T. (2013). International society of sports nutrition position stand: energy drinks. Journal of the International Society of Sports Nutrition, 10, 1-16. Retrieved from www.jisn.com Committee on Nutrition and the Council on Sports Medicine and Fitness. (2011). Sports drinks and energy drinks for children and adolescents: Are they appropriate? Pediatrics, 127, 1182-1189. doi: 10.1542/peds.2011-0965 Crane, C. (2009). Energy overload. Scholastic Choices, 24(4), 22-25. Finnegan, D. (2003). The health effects of stimulant drinks. British Nutrition Foundation, 28, 147-155. Galemore, C. (2011). Sports drinks and energy drinks for children and adolescents- are they appropriate?: A summary of the clinical report. NASN School Nurse, 26(320). doi: 10.1177/1942602X11417310 Healthy People 2020. (2013). Retrieved from http://www.healthypeople.gov/2020/default.aspx
Presenter
Presentation Notes
Herbert-Ashton, M. (2002). Getting a handle on herbals. RN TNT, 16-23. Higgs, L. (2009). The dangers of caffeine in a can. Children and Young people now, 12, Higgins, J. P., Tuttle, T. D., & Higgins, C. L. (2010). Energy beverages: Content and safety. Mayo Clinic Proceedings, 85(11), 1033-1041. doi: 10.4065/mcp.2010.0381 Kristjansson, A., Sigfusdottir, I., Frost, S., & James, J. (2013). Adolescent caffeine consumption and self-reported violence and conduct disorder. Journal of Youth and Adolescence, 42(7), 1053-1062. Nalini, K., Aroor, R., & Rao, A. (1989). Urinary levels of taurine in mentally retarded children. Journal of Mental Deficiency Research, 33, 271-274. Nawrot, P., Jordan, S., Eastwood, J., Rotstein, J., Hugenholtz, A., & Feeley, M. (2003). Effects of caffeine on human health. Food Additives and Contaminants, 20(1), 1-30. doi: 10.1080/0265203021000007840 �Pennington, N., Johnson, M., Delaney, E., Blankenship, M., (2010). Energy drinks: A � new health hazard for adolescents. Journal of School Nursing, 26(5), 352-359.� doi: 10.1177/1059840510374188 � Rath, M. (2012). Energy drinks: what is all the hype? the dangers of energy drink consumption. Journal of the American Academy of Nurse Practitioners, 24, 70-76. doi: 10.1111/j.1745- 7599.2011.00689.x Seifert, S., Schaechter, J., Hershorin, E., & Lipshultz, S. (2013). Health effects of energy drinks on children, adolescents, and young adults. Pediatrics, 127(3), Simpson, E. (2013, 02). Retrieved from http://hamptonroads.com/2013/02/experts-energy-drinks-can -be-downer-teens. Substance Abuse and Mental Health Services Administration, (2011). Emergency � department visits involving energy drinks. The Dawn Report. Retrieved from� http://www.samhsa.gov/data/2k13/DAWN126/sr126-energy-drinks-use.htm The complete package. (n.d.). Retrieved from www.edrinks.net/energy-drinks/drink- packaging.aspx Theresa, H. Enhanced waters pour onto shelves. USA Today, p. 01b. Urist, J. (2013). Retrieved from http://www.forbes.com/sites/jacobaurist/2013/02/01/new-study-says -teens-and-energy-drinks-are-a-bad-combo/.
