The top five selling UK energy drinks: implications for dental and general health

To review the effects, adverse consequences, and extent of energy drink consumption among children, adolescents, and young adults. We searched PubMed and Google using "energy drink," "sports drink," "guarana," "caffeine," "taurine," "ADHD," "diabetes," "children," "adolescents," "insulin," "eating disorders," and "poison control center" to identify articles related to energy drinks. Manufacturer Web sites were reviewed for product information. According to self-report surveys, energy drinks are consumed by 30% to 50% of adolescents and young adults. Frequently containing high and unregulated amounts of caffeine, these drinks have been reported in association with serious adverse effects, especially in children, adolescents, and young adults with seizures, diabetes, cardiac abnormalities, or mood and behavioral disorders or those who take certain medications. Of the 5448 US caffeine overdoses reported in 2007, 46% occurred in those younger than 19 years. Several countries and states have debated or restricted energy drink sales and advertising. Energy drinks have no therapeutic benefit, and many ingredients are understudied and not regulated. The known and unknown pharmacology of agents included in such drinks, combined with reports of toxicity, raises concern for potentially serious adverse effects in association with energy drink use. In the short-term, pediatricians need to be aware of the possible effects of energy drinks in vulnerable populations and screen for consumption to educate families. Long-term research should aim to understand the effects in at-risk populations. Toxicity surveillance should be improved, and regulations of energy drink sales and consumption should be based on appropriate research.

The purpose of this study was to determine the effect of acidic food and drinks (Cola soft drink, drinking yogurt, orange juice, sports drink, Tom-yum soup) on surface hardness of various substrates (enamel, dentine, universal composite, microfilled composite, conventional glass ionomer, resin-modified glass ionomer, polyacid-modified resin composite). Specimens (n = 10) were alternately immersed, 5 s each, in food or drinks and in artificial saliva for 10 cycles. Baseline and post-immersion Vickers hardness were compared using paired t-test. The difference in hardness between the groups was analysed with one-way ANOVA followed by a least significant different (LSD) test. Cola soft drink significantly reduced surface hardness of enamel, dentine, microfilled composite, and resin modified glass ionomer (p < 0.05). Orange juice and sports drink significantly reduced surface hardness of enamel (p < 0.05). Drinking yogurt and Tom-yum soup did not reduce surface hardness of any substrate. This in vitro study confirms the erosive potential of certain acidic food and drinks that public should be aware of.