Association between frequency of energy drink consumption and bone tissue quality in Slovak young adults
DOI:
https://doi.org/10.52905/hbph2025.1.91Keywords:
Bone mineral density, physical activity, energy drinks, quantitative ultrasound, bioimpedance analysisAbstract
Background The study of bone health in younger individuals is less explored than in older populations but may offer insights into preventing future bone conditions.
Objectives This study analyzes the link between bone quality and energy drink consumption while considering factors like physical activity and body composition.
Sample and Methods The sample comprised 911 Slovaks, male and female, aged 18–30 (21.53 ± 2.27). Bone mineral density was measured using a quantitative ultrasound device (Sunlight MiniOmni™), yielding speed of sound (SOS; m/s) data. Body composition variables, including Lean Body Mass (LBM; kg) and Percent Body Fat (PBF; %), were assessed with the bioimpedance analyzer InBody 770. Additional behavioural factors were gathered via a questionnaire based on the WHO Steps 2014.
Results Sex was found to be a significant predictor of SOS [F(11,899 = 4.01), p < 0.001, R2 = 0.047], with females showing higher SOS than males (p < 0.001), whereas physical activity (p = 0.594) was not a significant predictor. Although energy drink consumption did not show a direct impact on SOS according to the Saint Nicholas House Analysis (SNHA), it was a significant predictor in those who drank 1–2 days/week (p = 0.009) and those who drank less than once a month (p=0.023) with these individuals exhibiting lower SOS than non-consumers, thus poorer bone tissue quality.
Conclusion In summary, energy drinks consumed 1–2 days/week and less than once a month are associated with bone tissue quality in young adults, albeit not directly posing a potential adverse effect on bone health.
References
AL-Hadrawy, S. M. J./Jawad, S. M. A. (2022). Harmful effects of chronic consumption of soft drinks on the bone metabolism of laboratory female rats. Journal of Natural Science, Biology and Medicine 13 (1). Available online at https://jnsbm.org/menuscript/index.php/submissions/article/view/135 (accessed 9/1/2024).
Arman (2021). The InBody Test - InBody USA. Available online at https://inbodyusa.com/general/inbody-test/ (accessed 1/22/2025).
Attila, S./Çakir, B. (2011). Energy-drink consumption in college students and associated factors. Nutrition 27 (3), 316–322. https://doi.org/10.1016/j.nut.2010.02.008. DOI: https://doi.org/10.1016/j.nut.2010.02.008
Berman, N. K./Honig, S./Cronstein, B. N./Pillinger, M. H. (2022). The effects of caffeine on bone mineral density and fracture risk. Osteoporosis International 33 (6), 1235–1241. https://doi.org/10.1007/s00198-021-05972-w. DOI: https://doi.org/10.1007/s00198-021-05972-w
Birlik, M./Kazancioglu, H. O./Aydin, M. Ş./Aksakalli, S./Ezirganli, S. (2017). Effect of Energy Drink on Bone Formation in the Expanded Inter-Premaxillary Suture. Journal of Craniofacial Surgery 28 (1), 285–289. https://doi.org/10.1097/SCS.0000000000003244. DOI: https://doi.org/10.1097/SCS.0000000000003244
Byerley, L. O. (2016). Energy Drink Consumption by Online College Students. The FASEB Journal 30 (S1). https://doi.org/10.1096/fasebj.30.1_supplement.898.7. DOI: https://doi.org/10.1096/fasebj.30.1_supplement.898.7
Conlisk, A. J./Galuska, D. A. (2000). Is Caffeine Associated with Bone Mineral Density in Young Adult Women? Preventive Medicine 31 (5), 562–568. https://doi.org/10.1006/pmed.2000.0742. DOI: https://doi.org/10.1006/pmed.2000.0742
Correa-Rodríguez, M./Rueda-Medina, B./González-Jiménez, E./Correa-Bautista, J. E./Ramírez-Vélez, R./Schmidt-RioValle, J. (2018). Dietary inflammatory index, bone health and body composition in a population of young adults: a cross-sectional study. International Journal of Food Sciences and Nutrition 69 (8), 1013–1019. https://doi.org/10.1080/09637486.2018.1446915. DOI: https://doi.org/10.1080/09637486.2018.1446915
Dane, C./Dane, B./Cetin, A./Erginbas, M. (2008). The role of quantitative ultrasound in predicting osteoporosis defined by dual-energy X-ray absorptiometry in pre- and postmenopausal women. Climacteric 11 (4), 296–303. https://doi.org/10.1080/13697130802178471. DOI: https://doi.org/10.1080/13697130802178471
Docaj, A./Carriero, A. (2024). Bone health: Quality versus quantity. Journal of the Pediatric Orthopaedic Society of North America 7, 100054. https://doi.org/10.1016/j.jposna.2024.100054. DOI: https://doi.org/10.1016/j.jposna.2024.100054
Groth, D. (2023). GitHub - mittelmark/snha: St. Nicolas House Algorithm implementation in R - predicting correlation networks using association chains. Available online at https://github.com/mittelmark/snha (accessed 1/22/2025).
Groth, D./Scheffler, C./Hermanussen, M. (2019). Body height in stunted Indonesian children depends directly on parental education and not via a nutrition mediated pathway – Evidence from tracing association chains by St. Nicolas House Analysis. Journal of Biological and Clinical Anthropology 76 (5), 445–451. https://doi.org/10.1127/anthranz/2019/1027. DOI: https://doi.org/10.1127/anthranz/2019/1027
Gutiérrez-Hellín, J./Varillas-Delgado, D. (2021). Energy Drinks and Sports Performance, Cardiovascular Risk, and Genetic Associations; Future Prospects. Nutrients 13 (3), 715. https://doi.org/10.3390/nu13030715. DOI: https://doi.org/10.3390/nu13030715
Higgins, J. P./Babu, K./Deuster, P. A./Shearer, J. (2018). Energy Drinks: A Contemporary Issues Paper. Current Sports Medicine Reports 17 (2), 65–72. https://doi.org/10.1249/JSR.0000000000000454. DOI: https://doi.org/10.1249/JSR.0000000000000454
Higgins, J. P./Tuttle, T. D./Higgins, C. L. (2010). Energy Beverages: Content and Safety. Mayo Clinic Proceedings 85 (11), 1033–1041. https://doi.org/10.4065/mcp.2010.0381. DOI: https://doi.org/10.4065/mcp.2010.0381
Hurt, R. T./Ebbert, J. O./Croghan, I./Nanda, S./Schroeder, D. R./Teigen, L. M./Velapati, S. R./Mundi, M. S. (2021). The Comparison of Segmental Multifrequency Bioelectrical Impedance Analysis and Dual‐Energy X‐ray Absorptiometry for Estimating Fat Free Mass and Percentage Body Fat in an Ambulatory Population. Journal of Parenteral and Enteral Nutrition 45 (6), 1231–1238. https://doi.org/10.1002/jpen.1994. DOI: https://doi.org/10.1002/jpen.1994
Kaufman, J. J./Einhorn, T. A. (1993). Perspectives: Ultrasound assessment of bone. Journal of Bone and Mineral Research 8 (5), 517–525. https://doi.org/10.1002/jbmr.5650080502. DOI: https://doi.org/10.1002/jbmr.5650080502
Kaur, A./Yousuf, H./Ramgobin-Marshall, D./Jain, R./Jain, R. (2022). Energy drink consumption: a rising public health issue. Reviews in Cardiovascular Medicine 23 (3), 83. https://doi.org/10.31083/j.rcm2303083. DOI: https://doi.org/10.31083/j.rcm2303083
Larson, N./DeWolfe, J./Story, M./Neumark-Sztainer, D. (2014). Adolescent Consumption of Sports and Energy Drinks: Linkages to Higher Physical Activity, Unhealthy Beverage Patterns, Cigarette Smoking, and Screen Media Use. Journal of Nutrition Education and Behavior 46 (3), 181–187. https://doi.org/10.1016/j.jneb.2014.02.008. DOI: https://doi.org/10.1016/j.jneb.2014.02.008
Liu, S. H./Chen, C./Yang, R. S./Yen, Y. P./Yang, Y. T./Tsai, C. (2011). Caffeine enhances osteoclast differentiation from bone marrow hematopoietic cells and reduces bone mineral density in growing rats. Journal of Orthopaedic Research 29 (6), 954–960. https://doi.org/10.1002/jor.21326. DOI: https://doi.org/10.1002/jor.21326
Lohman, Timothy G./Roche, Alex F./Martorell, Reynaldo (Eds.) (1988). Anthropometric standardization reference manual. Champaign, IL, Human Kinetics Books.
Malinauskas, B. M./Aeby, V. G./Overton, R. F./Carpenter-Aeby, T./Barber-Heidal, K. (2007). A survey of energy drink consumption patterns among college students. Nutritional Journal 6, 35. https://doi.org/10.1186/1475-2891-6-35. DOI: https://doi.org/10.1186/1475-2891-6-35
Mazurek-Kusiak, A. K./Kobyłka, A./Korcz, N./Sosnowska, M. (2021). Analysis of Eating Habits and Body Composition of Young Adult Poles. Nutrients 13 (11). https://doi.org/10.3390/nu13114083. DOI: https://doi.org/10.3390/nu13114083
McGartland, C./Robson, P./Murray, L./Cran, G./Savage, M./Watkins, D./Rooney, M./Boreham, C. (2003). Carbonated Soft Drink Consumption and Bone Mineral Density in Adolescence: The Northern Ireland Young Hearts Project. Journal of Bone and Mineral Research 18 (9), 1563–1569. https://doi.org/10.1359/jbmr.2003.18.9.1563. DOI: https://doi.org/10.1359/jbmr.2003.18.9.1563
McMichan, L./Dick, M./Skelton, D. A./Chastin, S./Owen, N./Dunstan, D. W./Fraser, W. D./Tang, J./Greig, C. A./Agyapong-Badu, S./Mavroeidi, A. (2021). Sedentary behaviour and bone health in older adults: a systematic review. Osteoporos Int 32 (8), 1487–1497. https://doi.org/10.1007/s00198-021-05918-2. DOI: https://doi.org/10.1007/s00198-021-05918-2
Mubarak, B./Ahmed, M./Hussein, N./Ibrahim, M. E. E.-D. (2023). Vitamin D, calcium and caffeine intake relationship to bone mineral density. Arab Gulf Journal of Scientific Research. https://doi.org/10.1108/AGJSR-02-2023-0051.
National Institutes of Health (1996). Bioelectrical impedance analysis in body composition measurement: National Institutes of Health Technology Assessment Conference Statement. The American Journal of Clinical Nutrition 64 (3 Suppl), 524S-532S. https://doi.org/10.1093/ajcn/64.3.524S. DOI: https://doi.org/10.1093/ajcn/64.3.524S
Nowak, D./Jasionowski, A. (2015). Analysis of the Consumption of Caffeinated Energy Drinks among Polish Adolescents. International Journal of Environmental Research and Public Health 12 (7), 7910–7921. https://doi.org/10.3390/ijerph120707910. DOI: https://doi.org/10.3390/ijerph120707910
Nuss, T./Morley, B./Scully, M./Wakefield, M. (2021). Energy drink consumption among Australian adolescents associated with a cluster of unhealthy dietary behaviours and short sleep duration. Nutritional Journal 20 (1), 64. https://doi.org/10.1186/s12937-021-00719-z. DOI: https://doi.org/10.1186/s12937-021-00719-z
Pavlovic, N./Miskulin, I./Jokic, S./Kovacevic, J./Miskulin, M. (2023). Consumption of Energy Drinks among University Students in Eastern Croatia. Applied Sciences 13 (2), 1124. https://doi.org/10.3390/app13021124. DOI: https://doi.org/10.3390/app13021124
Poulos, N. S./Pasch, K. E. (2015). Energy drink consumption is associated with unhealthy dietary behaviours among college youth. Perspectives in Public Health 135 (6), 316–321. https://doi.org/10.1177/1757913914565388. DOI: https://doi.org/10.1177/1757913914565388
Protano, C./Valeriani, F./Giorgi, A. de/Marotta, D./Ubaldi, F./Napoli, C./Liguori, G./Romano Spica, V./Vitali, M./Gallè, F. (2023). Consumption patterns of energy drinks in university students: A systematic review and meta-analysis. Nutrition 107, 111904. https://doi.org/10.1016/j.nut.2022.111904. DOI: https://doi.org/10.1016/j.nut.2022.111904
Puupponen, M./Tynjälä, J./Välimaa, R./Paakkari, L. (2023). Associations between adolescents’ energy drink consumption frequency and several negative health indicators. BMC Public Health 23 (1), 258. https://doi.org/10.1186/s12889-023-15055-6. DOI: https://doi.org/10.1186/s12889-023-15055-6
Reissig, C. J./Strain, E. C./Griffiths, R. R. (2009). Caffeinated energy drinks—A growing problem. Drug and Alcohol Dependence 99 (1-3), 1–10. https://doi.org/10.1016/j.drugalcdep.2008.08.001. DOI: https://doi.org/10.1016/j.drugalcdep.2008.08.001
Somers, K. R./Svatikova, A. (2020). Cardiovascular and Autonomic Responses to Energy Drinks—Clinical Implications. Journal of Clinical Medicine 9 (2), 431. https://doi.org/10.3390/jcm9020431. DOI: https://doi.org/10.3390/jcm9020431
Souchek, J./Stamler, J./Dyer, A. R./Paul, O./Lepper, M. H. (1979). The value of two or three versus a single reading of blood pressure at a first visit. Journal of chronic diseases 32 (3), 197–210. https://doi.org/10.1016/0021-9681(79)90065-1. DOI: https://doi.org/10.1016/0021-9681(79)90065-1
Tambalis, K. D. (2022). The effect of electrolytes and energy drinks consumption on athletic performance – a narrative review. European Journal of Fitness, Nutrition and Sport Medicine Studies 3 (1). https://doi.org/10.46827/ejfnsm.v3i1.127. DOI: https://doi.org/10.46827/ejfnsm.v3i1.127
Wang, J.-P./Wei, C.-C./Peng, Y.-D./Wang, H.-Y./Hung, C.-H./Hong, Y.-H./Liou, Y.-F./Hou, C.-W. (2022). Dose caffeinated energy drink is a consideration issue for endurance performance. Frontiers in Physiology 13, 999811. https://doi.org/10.3389/fphys.2022.999811. DOI: https://doi.org/10.3389/fphys.2022.999811
Watts, A. W./Rydell, S. A./Eisenberg, M. E./Laska, M. N./Neumark-Sztainer, D. (2018). Yoga's potential for promoting healthy eating and physical activity behaviors among young adults: a mixed-methods study. Int J Behav Nutr Phys Act 15 (1), 42. https://doi.org/10.1186/s12966-018-0674-4. DOI: https://doi.org/10.1186/s12966-018-0674-4
Weiss, M./Koren-Michowitz, M./Segal, E./Ish-Shalom, S. (2003). Monitoring Response to Osteoporosis Therapy With Alendronate by a Multisite Ultrasound Device. Journal of Clinical Densitometry 6 (3), 219–224. https://doi.org/10.1385/JCD:6:3:219. DOI: https://doi.org/10.1385/JCD:6:3:219
WHO (2000). Obesity: preventing and managing the global epidemic. World Health Organization. Available online at https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/.
WHO (2016). WHO STEPwise approach to surveillance (STEPS) 2016. Available online at https://www.who.int/publications/m/item/standard-steps-instrument.
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