1. Are they Worth the ENERGY ? Energy drinks

2. OBJECTIVES Recognize common drinks containing caffeine Know the amount of caffeine vs coffee/soda Understand physiologic effects of caffeine Be able to explain potential dangers of caffeine Recognize caffeine product marketing

3. Julie’s Story 1st visit: Needs to cut weight – Extreme dieting ‘just not hungry’ – Food journal, restrictions 2nd visit ‘vitamin supplement’ – ‘just vitamins & minerals’

4. Julie’s Story A bucket of powder 2 scoops into water bottle before competition – Does this w/3 bottles in a row Supplement contains vitamins, minerals and caffeine Supplement was recommended by coach

5. Caffein Do you recognize these?

6. Caffeine Drinks Contain carbohydrates Contain salts Contain stimulants – Potentially dehydrating Sports Drinks Contain carbohydrates Contain salts Does not contain stimulants – Potentially hydrating

7. What is caffeine Blocks adenosine receptors (usually adenosine slows cellular activity) – Release of epinephrine – Increased levels dopamine Fat soluble – easily crosses into the organs from the blood

8. Where does caffeine come from Guarana 2-3x Kola nut Yerbamate 0.1-3x Coffee beans 1x Cocoa bean Tea leaves

9. Caffeine Why do we like it? ‘Naturally’ occurring Most commonly used stimulant worldwide Enhance Cognitive Performance* Enhance Physical Performance* Marketing promotes feeling of wellness Marketing promotes sense of strength & rebellion Enjoy the taste of the drink it comes in

10. Physiologic Effects of Caffeine

11. How much caffeine does it have? Amp, Red Bull

12. 6x the caffeine of soda

13. How much is too much? Response to caffeine & rate of metabolism is individual Generally fatal doses considered to be 150-200mg/kg body weight

14. Increase blood pressure Increase heart rate Disrupts sleep Induce reliance ‘addiction’ Aggravate psychiatric conditions ‘hallucinations’ & mania May cause dehydration Bad for your teeth (sugar) Excess calories

16. Caffeine Intoxication Fast heartbeat tachycardia/SVT Nausea & Vomiting Seizure Diuresis Electrolyte abnormality Increased intracranial pressure Cerebral edema Stroke Death

17. CAFFEINE marketing Who- – Who does it? Coca cola, Sport drink companies – To who? adults, young adults, teens, children What- Products: beverages, tablets, melts How

19. This is what they claim or say: Firepower Productivity Unleash the beast It takes BAWLS to be unstoppable gives wings to people who want to be mentally and physically active and have a zest for life

20. Red Bull Website Red Bull Energy Drink is a functional beverage. Thanks to a unique combination of high quality ingredients Red Bull Energy Drink vitalizes body and mind. Numerous scientific studies on the product and the individual ingredients prove that Red Bull Energy Drink: Increases performance Red Bull Energy Drink has been developed for people who want to have a clear and focused mind, perform physically, are dynamic and performance-oriented whilst also balancing this with a fun and active lifestyle. In short, Red Bull gives wings to people who want to be mentally and physically active and have a zest for life.

21. What they claim, what they do Enhance Cognitive Performance-studies have shown that, when compared against placebo (sugar-free lemonade), consuming energy drinks had no significant positive effect on concentration, reasoning, or aptitude. [6]6 Enhance Athletic Performance-Consumption of energy drinks by both recreational and competitive athletes has increased dramatically in recent years. – Department of Exercise Science at Creighton University sugar-free Red Bull offered no improvement or enhancement of one repetition bench press performance. [7]7 – Utah State University determined that a low-calorie caffeine-taurine energy drink did NOT enhance the sprint performance and anaerobic power of the 20 NCAA Division I football players who participated in the research. [8]8

22. Not FDA regulated Caffeine content of soda is regulated because it is a ‘food’ Caffeine content of energy drinks is not regulated because it is a ‘dietary supplement’ Other ingredients in energy drinks also not regulated (guarana, taurine)

23. No age requirement for purchase Availability Money spent – Limited resources

24. Cocktails with Caffeine ? Apple Phucker (Cocktail) Apple Pucker, Cranberry Juice, Lime, Red Bull Energy Drink, White Rum Apple Phucker Breakfast Shot (Shooter) Absolut Mandarin Vodka, Jagermeister, Red Bull Energy Drink Breakfast Shot

25. Cocktails with Caffeine upper (caffeine) with a downer (alcohol)= a lot more alcohol consumption with less fatigue or drowsiness

26. Caffeine+Alcohol More alcohol with less drowsiness & fatigue More alcoholMore caffeine

28. Are they Worth the ENERGY ?