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How Caffeine Can Kill

5/30/2017

3 Comments

 
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by David Hagenbuch, founder of Mindful Marketing & author of Honorable Influence

“Teen died from drinking too much.”  Unfortunately, this recent, tragic headline from USA Today probably didn’t surprise many.   Underage drinking is linked to the deaths of thousands of young people each year.  This situation was different, however, because the teen wasn’t drinking alcohol.  His death was caused by caffeine.
 
Davis Allen Cripe was a 16-year-old student at Spring Hill High School in South Carolina, who was described as a great son and a passionate person who loved music.  He also had no known health problems.  On April 26, Davis drank a McDonald’s café latte, a large diet Mountain Dew, and an energy drink within a two-hour timeframe.  Soon after, he collapsed in a classroom.

Sean Cripe, Davis’s father, blamed the energy drink for his son’s death:
"Like all parents, we worry about our kids as they grow up. We worry about their safety, their health, especially once they start driving. But it wasn't a car crash that took his life. Instead, it was an energy drink."

It’s understandable for Davis’s father to be heart-broken over his son’s terrible and untimely death.  It’s also reasonable for him to want to lay blame for his son’s senseless passing.  However, is Sean Cripe justified in levying that level of responsibility squarely on the energy drink maker, particularly given that his son drank two other caffeinated drinks in a relatively short period of time?  
 
Energy drinks in the U.S. represent a multibillion dollar market that is expected to hit $61 billion in sales by 2020.  According to 2015 revenue reports, the leading players are Red Bull ($4.55 billion), Monster ($3.69 billion), and Rockstar ($820 million).
 
Among the reasons so many people purchase energy drinks are that they provide fast caffeine delivery, they come in a variety of flavors, they’re cold, refreshing, and convenient (they don’t need to be heated, like coffee), and they come in zero-calorie options.  The previous stats and these benefits suggest that millions of people enjoy energy drinks with little or no ill effect, but that’s not the whole story.

According to the Mayo Clinic, most healthy adults can consume up to 400 milligrams of caffeine a day: the equivalent of 10 cans of cola, four cups of brewed coffee, or two “energy shot” drinks.  By comparison, a 1.6 oz. Hershey’s Milk Chocolate Bar contains just 9 mg of caffeine, and a 12 oz. Mountain Dew has 55 mg.  Several of the energy drinks with the highest caffeine content come close to the 400 mg limit, for example:
  • Rage Inferno – (24 oz.) 375 mg of caffeine
  • Spike Energy Drink – (16 oz.) 350 mg of caffeine
  • Wired X344 Energy Drink – (16 oz.) 344 mg of caffeine

Consuming too much caffeine can result in side effects like migraines, insomnia, nervousness, irritability, muscle tremors, and fast heartbeat.  Caffeine overconsumption also can lead to stroke, cardiac arrest, and death.  According to the coroner who examined Davis Cripe, he died from “a caffeine-induced lethal cardiac arrhythmia.”

But, maybe Davis’s death was an anomaly.  Are there really that many others who suffer serious consequences from energy drinks?  Unfortunately, the answer is ‘yes.’  In 2016, “there were more than 20,000 emergency room visits attributable to the ingestion of energy drinks,” which represented a doubling of the number of reported cases over the last decade.  In other words, the problem is increasing.
 
What makes matters worse is that young people disproportionately endure the negative impact, partly because energy drink makers often target younger demographics, as evidenced by the use of neon colors, sensational names (Rockstar, Full Throttle), and edgy promotion (“Red Bull Gives You Wings”).
 
It’s estimated that 30 to 50 percent of children, adolescents, and young adults consume energy drinks and that “almost one-third of teens between 12 and 17 years drink them regularly.”  They are “the most popular dietary supplement consumed by American teens and young adults” next to multivitamins.
 
Of course, young people are physically and developmentally different than fully-grown adults, meaning added risks from consuming energy drinks, which have no nutritional value and are high in calories and sugar.  In fact, “the World Health Organization has stated that energy drinks ‘may pose a danger to public health,’ and the American Academy of Pediatrics has recommended that ‘children should not consume’ these drinks.'”

Unfortunately, the Food and Drug Administration (FDA) does not regulate or even evaluate the safety of energy drinks because most manufacturers don’t label them as food but rather as dietary supplements, sidestepping the agency’s scrutiny.  It’s shocking to realize that for these reasons there are no health warnings, and “energy drink companies don’t even have to reveal how much caffeine each drink can contains.”
 
What’s worse, energy drink makers often position their products alongside exercise and other physically demanding activities, which is especially enticing to active and competitive young people.  In reality, energy drinks and exercise don’t mix, as the highly-caffeinated beverages have a diuretic effect that causes dehydration.  Even worse, energy drinks’ have a propensity to increase one’s heart rate and blood pressure at the same time that high caffeine levels “may reduce arteries’ ability to increase the blood flow necessary to bring more oxygen and nutrients to the heart.”  Teaming such outcomes with exercise can be fatal.
 
Another potentially lethal energy drink additive is alcohol, which, of course, impairs judgment.  Diminished sobriety is always dangerous, but that risk is magnified when an intoxicated person also feels an extra rush of adrenalin.  A lack of life experience may make the energy drink/alcohol combination an even more volatile cocktail for young people, thereby putting themselves and others at risk.

Although extremely high, the caffeine content of energy drinks is not always the highest among commonly consumed beverages.  For instance, several Starbucks’ coffees contain over 300 mg of caffeine, and one specific brew is especially egregious: A Starbucks Blonde Roast, venti (20 oz.), has a whopping 475 mg of caffeine.

So, energy drinks aren’t the only offenders, but a major difference, again, is that their makers often target young people and position the drinks as complements to strenuous physical activity, without offering adequate warning of the potential risks.

Davis’s dad is justified, therefore, in implicating an energy drink in his son untimely passing.  Optimistically, energy drink makers will do some serious soul-searching related to their roles in such tragedies.  More realistically, regulatory agencies need to intervene and exert their influence on this very serious “Single-Minded Marketing.”


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3 Comments
Joey Tyrrell
10/15/2017 05:55:07 pm

The arguments against the consumption of energy drinks are strong, but arguments I believe to be futile in the end. In America, the obesity rate is nearing 40% for adults, a shocking number. What does this have to do with the consumption of energy drinks? In my opinion, a lot. If nothing else, this figure shows that many Americans simply do not care about their physical health. That is a broad generalization, which is in some cases untrue, as there are some people working hard to fight obesity, but the fact remains that a large majority of Americans are considered obese. The consumption of too much caffeine can be dangerous, but so can a couple of cheeseburgers. The ease of access, and cheap price of both unhealthy food and energy drinks cause problems like this. While Davis's dad does have a genuine argument against the energy drink company, the fact of the matter is that people choose what they put into their bodies. Eating too much junk food can cause death, just as the consumption of too much caffeine can.

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Moriah Cunningham
10/22/2017 09:13:06 pm

I agree that drinking caffeine can be a slippery slope as it is something that teenagers and young adults often use as a crutch to get through the day.  You can easily get hooked on drinking your one or two cups of coffee a day, however caffeinated energy drinks have more dangerous side effects.  Most healthy adults can consume up to 400 milligrams of caffeine a day.  But by overdrinking these beverages you can consume much more than what is recommended. Consumers want a cheap and easy option to get energy fast, sometimes regardless of how unhealthy it may be. While Davis's dad does make a case against the energy drink company, the consumer makes the decision to purchase the product, therefore they are the ones at fault.

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Tu Truong
10/24/2017 02:21:44 am

Caffeine is a drug to me, whether or not people see it that way, drugs do kill. That is why there's such a thing called coffee drinker sand energy drink lovers. It doesn't help that these energy drink companies are specifically targeting the youth, the uninformed, and the unknowledgeable demographics to be the consumers of their drinks, those people are the victims really. More PSA's need to be out there so that these poor students and workers know that caffeine is still really harmful even when it comes in the form of coffee. I personally I would never let any drugs or substances take control of me and refraining from consuming them is always my first priority.

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