Secondary School Students and Caffeine: Consumption Habits, Motivations, and Experiences.

Adolescents may be particularly vulnerable to the effects of caffeine due to a lack of tolerance, their small size, changing brain physiology, and increasing independence. Concerns about adolescent caffeine consumption relate to potentially serious physiological and psychological effects following consumption. Motivations driving caffeine intake are not well understood among adolescents but are important to understand to reduce harmful behavioural patterns. This study explored caffeine consumption habits (sources, amount, frequency) of New Zealand adolescents; and factors motivating caffeine consumption and avoidance. The previously validated caffeine consumption habits questionnaire (CaffCo) was completed by 216 participants (15-18 years), with most (94.9%) consuming at least one caffeinated product daily. Chocolate, coffee, tea, and kola drinks were the most consumed sources. The median caffeine intake was 68 mg·day-1. Gender (boy) and being employed influenced the source, but not the quantity of caffeine consumed. One-fifth (21.2%) of adolescents consumed more than the recommended European Food Safety Authority (EFSA) safe level (3 mg·kg-1·day-1). Taste, energy, and temperature were the main motivators for consumption, and increased energy, excitement, restlessness, and sleep disturbances were reported effects following caffeine consumption. This study provides information on caffeinated product consumption among New Zealand adolescents, some of whom consumed caffeine above the EFSA safe level. Public health initiatives directed at adolescents may be important to reduce potential caffeine-related harm.

Development of a Caffeine Content Table for Foods, Drinks, Medications and Supplements Typically Consumed by the Brazilian Population.

BACKGROUND: The lack of a national table informing the caffeine contents in foods, drinks, dietary supplements, and medications sold in Brazil added to the noncompulsory disclosure of caffeine contents on labels of food products makes it difficult to estimate caffeine consumption in the Brazilian population. Therefore, this study aimed to develop the Brazilian Caffeine Content Table (BraCaffT). METHODS: A systematic search for caffeine levels in foods, drinks, recipes, supplements, and medications was performed through a literature review, afterward collecting data from the United States Department of Agriculture Food Data Central, information from manufacturers' and websites, and the Brazilian official medication guide. Subsequently, data systematization was performed in a spreadsheet with standardized values presented in mg of caffeine per 100 g or 100 mL of food or drink and a capsule or pill for medications and some dietary supplements. RESULTS: The BraCaffT presents 57 items, divided into 11 categories: coffees, teas and infusions, cocoa powder, chocolates, cocoa-based beverages, desserts, soft drinks, energy drinks, guaraná powder, dietary supplements, and medications. CONCLUSIONS: The BraCaffT emerges as an instrument of great relevance and wide applicability in clinical contexts, in academic research, and as a database for the Brazilian population to better understand the amounts of caffeine in foods, drinks, dietary supplements, and medications consumed daily favoring a safe intake.

Caffeine content of energy drinks marketed in Brazil.

Energy drinks represent a multibillionaire industry that has been growing continuously worldwide. These drinks are especially consumed by young people, athletes, and military personnel due to their claimed "boost" effects. However, there have been concerns about their consumption since incompatibilities regarding the accuracy of the declared caffeine content of these drinks have been reported. Therefore, in this study, we have developed a fast and simple method to quantify caffeine in energy drinks. Sample preparation consisted of a dilute-and-shoot process, and analyses were performed by gas chromatography with nitrogen-phosphorus detector (GC-NPD). The method was applied to quantify caffeine in 37 energy drinks marketed in Brazil. Compared with the labeled caffeine content, 84% of the tested drinks presented caffeine levels in accordance with the specifications. The determined caffeine concentrations ranged from 10 to 67 mg/100 ml, with an average value of 31 mg/100 ml. According to the recommended serving size, no drinks exceeded the safe caffeine daily intake for the general population (400 mg). These findings are more favorable than the results of similar studies. Nevertheless, to avoid caffeine intoxication, energy drink consumers should be aware of three aspects. First, they need to avoid consuming multiple serving doses in short periods of time. Additionally, some energy drinks are labeled as "nutritional supplements," so they may present much more caffeine than similar products commonly regulated as beverages. Finally, despite the growing interest in energy drinks, their consumption by children and early adolescents is being discouraged by the health authorities.

Energy drink consumption: a rising public health issue.

Energy drink (ED) consumption has become a growing public health issue over the past few decades. Despite claims of being safe and beneficial, EDs have been linked to particularly fatal outcomes associated with the cardiovascular system which include atrial and ventricular arrhythmias, myocardial infarctions, cardiomyopathies, and sudden cardiac death. Large quantities of caffeine, taurine, sugars, and B-vitamins may be contributing to these outcomes by increasing the heart rate, blood pressure (BP), and contractility of the heart in addition to prolonging the QTc. There is still a substantial amount of unknown information on EDs that warrants more research and a dire need for age regulations, transparency of ingredients, clear labeling of adverse effects, and most importantly, education of consumers.

Qualitative and quantitative analysis of energy drinks using 1H NMR and HPLC methods.

Energy drinks (EDs) are widely consumed to stimulate psychomotor functions and improve the efficiency of the human body. They typically contain caffeine, taurine, sugars or sweeteners, vitamins and organic acids. EDs were selected for the study in terms of composition diversity, reflecting the variety of products available on the Polish market. The analysis of the composition of energy drinks was performed using 1H NMR spectroscopy, HPLC-DAD, titration and refractometric methods. Diagnostic signals in 1H NMR spectra of the citric acid, caffeine and niacinamide were used for quantitative analysis. The citric acid content in energy drinks ranged from 140 to 780 mg per 100 mL. The niacinamide content in the tested energy drinks varied from 3.4 to 9.7 mg per 100 mL and was usually higher than it was reported on the label. The amount of caffeine (from 19 to 40 mg) was slightly lower than labeled. Quantitative determinations by 1H NMR and HPLC are compatible and can be successfully used interchangeably. In the so-called "sugar-free" drinks, no simple sugars or sucrose were found, thus 1H NMR can easily and quickly recognize ED without the addition of sugar. Our studies showed that 1H NMR spectroscopy is a valuable tool for quality control of energy drinks.

Prevalence and Amounts of Common Ingredients Found in Energy Drinks and Shots.

BACKGROUND: Energy drinks are one of the most popular packaged beverage products consumed within the United States (US). Energy drinks are considered a functional beverage, a category that also includes sports drinks and nutraceutical beverages. PURPOSE: The focus of the current study was to examine the nutrition fact panels of the top selling commercially available energy drink and energy shot products within the US to characterize common ingredient profiles to help establish a standard definition and ingredient profile of energy drinks and energy shots for consumers, health care practitioners, and researchers. METHODS: The top 75 commercially available energy drinks and shots were identified and compiled from multiple commercial retail websites as of September 2021. For the purpose of this study, an energy drink must have met the following criteria: (A) marketed as an energy drink; (B) purported to improve energy, focus, or alertness; (C) not sold as a dietary supplement (no supplement fact panels); (D) manufactured as a pre-packaged and ready-to-drink beverage; and (E) contains at least three of (1) caffeine, (2) B-vitamins, (3) sugar, (4) taurine, (5) creatine, (6) quercetin, (7) guarana, (8) ginseng, (9) coenzyme Q10, or (10) branched chain amino acids. Energy shots must have met similar criteria to be included: (A) marketed as an energy shot; (B) purported to improve energy, focus, or alertness; (C) sold as a dietary supplement; (D) manufactured as a pre-packaged beverage with a small volume (<3.5 mL); and (E) contains at least three of the ingredients stated above. RESULTS: Twenty energy shots and fifty-five energy drinks were included in this analysis. The number of ingredients per product (mean ± SD) was 18.2 ± 5.7, with 15 products containing proprietary blends with undisclosed ingredient amounts. The relative prevalence and average amounts of the top ingredients were as follows: caffeine (100%; 174.4 ± 81.1 mg), vitamin B6 (72%; 366.9 ± 648.1 percent daily value (%DV)), vitamin B3 (67%; 121.44 ± 69.9% DV), vitamin B12 (67%; 5244.5 ± 10,474.6% DV), vitamin B5 (37.3%; 113.6 ± 76.6% DV), and taurine (37.3%; amounts undisclosed). CONCLUSIONS: Our findings suggest a high prevalence of caffeine and B-vitamins in these energy products, with many of the formulations containing well above the recommended daily value of B-vitamins.

Electrochemical sensor based on Ni-exchanged natural zeolite/carbon black hybrid nanocomposite for determination of vitamin B6.

The utilization of environmentally friendly nanoporous natural zeolite exchanged with Ni2+ ions (NiZ) and conductive carbon black (CB) in the fabrication of a novel and selective voltammetric sensor of vitamin B6 (VB6) is presented. The used clinoptilolite-rich zeolite material and CB were characterized in terms of morphology and textural properties. The superior properties of Ni-zeolite/carbon black modified glassy carbon electrode (NiZCB-GCE), arising from the synergistic effect of combining the unique features of zeolite and conductive carbon black, were confirmed by cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS) measurements. In the determination of VB6 with the use of differential pulse voltammetry (DPV), the optimization of the pH value of supporting electrolyte and instrumental parameters, as well as the interference study were performed. Under optimized conditions, the oxidation peak current at the potential +0.72 V vs. Ag | AgCl | 3 M KCl reference electrode was linear to the VB6 concentration in the range 0.050 to 1.0 mg L-1 (0.30-5.9 µmol L-1) (R = 0.9993). The calculated limit of detection (LOD, S/N = 3), equal to 15 µg L-1 (0.09 µmol L-1), was much better compared to chemically modified electrodes with other carbon-based materials. The RSD for 0.5 mg L-1 was in the range 2.5-5.4% (n = 4). The developed NiZCB-GCE was successfully applied to the determination of VB6 in commercially available multivitamin dietary supplements, food, and water samples. The obtained recoveries ranged from 95 to 106%.

Assessment of caffeine intake with food by Polish females and males.

Background: Caffeine is the most widespread psychoactive substance in the world. With long-term consumption of caffeinated beverages, there is a high probability of overtaking on caffeine. Objective: The aim of the study was to estimate the consumption of caffeine in the daily caffeine intake of Polish consumers, determine the caffeinated products in the intake of this substance. Materials and methods: The survey was completed by 433 respondents living in Poland. The research tool was the electronic questionnaire, which consisted of: a) questions about personal data and measurement anthropometric and the level of physical activity and smoking; b) questions regarding the portion size and frequency of consumption of coffee, tea, cocoa, chocolate, energy drinks and colacarbonated beverages. Results: The main sources of caffeine in the respondents' diet include: coffee (Me 43.64 mg/d) and tea (Me 37.60 mg/d). Approximately 20% of respondents exceeded the threshold of daily caffeine intake (safety level for children and adolescents up to 3 mg/kg b.w, for adults up to 5.7 mg/kg b.w), considered safe. Conclusions: Respondents who have crossed the safe dose of caffeine intake, should limit the consumption of products being its main source (coffee).

All solid-state miniaturized potentiometric sensors for flunitrazepam determination in beverages.

Flunitrazepam is one of the frequently used hypnotic drugs to incapacitate victims for sexual assault. Appropriate diagnostic tools should be available to victims regarding the growing concern about "date-rape drugs" and their adverse impact on society. Miniaturized screen-printed potentiometric sensors offer crucial point-of-care devices that alleviate this serious problem. In this study, all solid-state screen-printed potentiometric flunitrazepam sensors have been designed. The paper device was printed with silver and carbon ink. Formation of an aqueous layer in the interface between carbon-conducting material and ion-sensing membrane nevertheless poses low reproducibility in the solid-contact electrodes. Accordingly, poly(3,4-ethylenedioxythiophene) (PEDT) nano-dispersion was applied as a conducting hydrophobic polymer on the electrode surface to curb water accumulation. Conditioning of ion-sensing membrane in the vicinity of reference membrane has been considered carefully using special protocol. Electrochemical characteristics of the proposed PEDT-based sensor were calculated and compared favorably to PEDT-free one. The miniaturized device was successfully used for the determination of flunitrazepam in carbonated soft drinks, energy drink, and malt beverage. Statistical comparison between the proposed sensor and official method revealed no significant difference. Nevertheless, the proposed sensor provides simple and user-friendly diagnostic tool with less equipment for on-site determination of flunitrazepam.

In Vivo and In Vitro Assays Evaluating the Biological Activity of Taurine, Glucose and Energetic Beverages.

Taurine is one of the main ingredients used in energy drinks which are highly consumed in adolescents for their sugary taste and stimulating effect. With energy drinks becoming a worldwide phenomenon, the biological effects of these beverages must be evaluated in order to fully comprehend the potential impact of these products on the health due to the fact nutrition is closely related to science since the population consumes food to prevent certain diseases. Therefore, the aim of this study was to evaluate the biological effects of taurine, glucose, classic Red Bull® and sugar-free Red Bull® in order to check the food safety and the nutraceutical potential of these compounds, characterising different endpoints: (i) Toxicology, antitoxicology, genotoxicology and life expectancy assays were performed in the Drosophila melanogaster model organism; (ii) The in vitro chemopreventive activity of testing compounds was determined by assessing their cytotoxicity, the proapoptotic DNA-damage capability to induce internucleosomal fragmentation, the strand breaks activity and the modulator role on the methylation status of genomic repetitive sequences of HL-60 promyelocytic cells. Whereas none tested compounds showed toxic or genotoxic effect, all tested compounds exerted antitoxic and antigenotoxic activity in Drosophila. Glucose, classic Red Bull® and sugar-free Red Bull® were cytotoxic in HL-60 cell line. Classic Red Bull® induced DNA internucleosomal fragmentation although none of them exhibited DNA damage on human leukaemia cells. In conclusion, the tested compounds are safe on Drosophila melanogaster and classic Red Bull® could overall possess nutraceutical potential in the in vivo and in vitro model used in this study. Besides, taurine could holistically be one of the bioactive compounds responsible for the biological activity of classic Red Bull®.

Caffeine and high energy drink use and knowledge by nurses in three countries.

AIM: The purpose of this study was to examine nurses' use and knowledge of caffeine and high energy drinks (HED) in three countries. METHODS: Nurses in each country completed a survey on caffeine and HED use and knowledge. RESULTS: In a sample of 182 nurses, caffeine use was high with 92% of nurses in Korea, 90.8% in Italy and 88.1% in the United States (US) having at least one cup of coffee a day while 64% of Koreans and 11.9% of those in the US had at least one HED per day. In Korea 68% of nurses (Italy 63.1% and 35.8% US) had at least one cup of caffeinated tea per day. Most agreed there is a need to educate nurses about HED, which contain high amounts of caffeine. Over half of nurses in Korea (58%) and the US (56.7%) said their colleagues consume HED at work. CONCLUSION: Findings of this study indicate many nurses are consuming caffeine at work and there is a need for education. It is unclear how caffeine affects nurses' clinical performance, which raises the issue of patient safety. Further research is needed regarding safe amounts of caffeine while nurses are on the job as well as an understanding of how HED additives may affect the well-being and clinical care of nurses.

Relationships between constituents of energy drinks and beating parameters in human induced pluripotent stem cell (iPSC)-Derived cardiomyocytes.

Consumption of energy drinks has been associated with adverse cardiovascular effects; however, little is known about the ingredients that may contribute to these effects. We therefore characterized the chemical profiles and in vitro effects of energy drinks and their ingredients on human induced pluripotent stem cell (iPSC)-derived cardiomyocytes, and identified the putative active ingredients using a multivariate prediction model. Energy drinks from 17 widely-available over-the-counter brands were evaluated in this study. The concentrations of six common ingredients (caffeine, taurine, riboflavin, pantothenic acid, adenine, and L-methionine) were quantified by coupling liquid chromatography with a triple quadrupole mass spectrometer for the acquisition of LC-MS/MS spectra. In addition, untargeted analyses for each beverage were performed with a platform combining LC, ion mobility spectrometry and mass spectrometry (LC-IMS-MS) measurements. Approximately 300 features were observed across samples in the untargeted studies, and of these ~100 were identified. In vitro effects of energy drinks and some of their ingredients were then tested in iPSC-derived cardiomyocytes. Data on the beat rate (positive and negative chronotropy), ion channel function (QT prolongation), and cytotoxicity were collected in a dilution series. We found that some of the energy drinks elicited adverse effects on the cardiomyocytes with the most common being an increase in the beat rate, while QT prolongation was also observed at the lowest concentrations. Finally, concentration addition modeling using quantitative data from the 6 common ingredients and multivariate prediction modeling was used to determine potential ingredients responsible for the adverse effects on the cardiomyocytes. These analyses suggested theophylline, adenine, and azelate as possibly contributing to the in vitro effects of energy drinks on QT prolongation in cardiomyocytes.

Immunoassays for the rapid detection of pantothenic acid in pharmaceutical and food products.

Pharmaceutical and food products are fortified with pantothenic acid (PA) to address potential deficiency. Therefore, its fast, reliable, and accurate detection is of great importance to the quality control. Here, an indirect competitive enzyme-linked immunosorbent assay (ic-ELISA) and a gold nanoparticle-based lateral flow immunoassay (LFIA) were established for the determination of PA based on an anti-PA monoclonal antibody (mAb). The ic-ELISA displayed a limit of detection (LOD) of 32.22 ng/mL, and the linear range was 64.44-628.84 ng/mL. Average recoveries of PA in fortified samples were 88.60-110.11% when using the ic-ELISA and a good correlation between the ic-ELISA and LC-MS/MS was obtained when analyzing samples. Furthermore, the developed LFIA strip showed a calculated LOD of 71.99, 115.80, and 240.12 ng/mL in B-complex Vitamin tablets, energy drink and infant milk powder samples, respectively. All the results demonstrated that both of these immunoassays are suitable for determining PA in pharmaceutical and food products.

Revisión de la composición de las bebidas energizantes y efectos en la salud percibidos por jóvenes consumidores / Review of the composition of energy drinks and health effects perceived by young consumers

INTRODUCCIÓN: La alimentación es un factor que condiciona la salud de los individuos, teniendo gran importancia en el desarrollo físico y el crecimiento, la reproducción y el rendimiento físico e intelectual(1). Las bebidas energéticas son bebidas analcohólicas, generalmente gasificadas, compuestas principalmente por cafeína e hidratos de carbono, aminoácidos, vitaminas, minerales, extractos vegetales, acompañados de aditivos como conservadores, saborizantes, así como colorantes. OBJETIVO: Presentar información de la composición de las bebidas energizantes y de los efectos secundarios que produce en adolescentes y jóvenes universitarios que consumen dichas bebidas. MATERIAL Y MÉTODOS: Se realizó la compilación de la información de las bebidas energizantes comercializadas en comercios locales de la ciudad de Pachuca Hidalgo. Además, se llevó a cabo una revisión sistemática de artículos de la literatura nacional e internacional más actualizada sobre las bebidas energizantes y sus posibles efectos en la salud en población entre 14 y 23 años. Se identificaron artículos del 2013 al 2020, en diversos buscadores como Google Scholar, MEDLINE, PUBMED, Scielo. RESULTADOS: Las bebidas energizantes presentaron un alto contenido de azúcares, cafeína y taurina, además de otros componentes como vitaminas. El consumo de bebidas energizantes se ha incrementado sustancialmente y está relacionado con efectos en diferentes ámbitos en la salud desde el sistema cardiovascular, gastrointestinal, función hepática y respiratorio. CONCLUSIÓN: Las bebidas energizantes presentaron componentes como cafeína y taurina relacionado con efectos secundarios como problemas cardiovasculares, taquicardias, malestares gastrointestinales o nerviosismo

INTRODUCTION: Diet is a factor that determines the health of individuals, having great importance in physical development and growth, reproduction and physical and intellectual performance. Energy drinks are non-alcoholic drinks, frequently carbonated, composed mainly of caffeine and carbohydrates, amino acids, vitamins, minerals, vegetable extracts, accompanied by additives such as preservatives, flavors, and colorants. OBJECTIVE: To present information on the composition of energy drinks and the side effects they produce in teenagers and university students who consume energy drinks. MATERIAL AND METHODS: The compilation of information on energy drinks sold in local shops in the city of Pachuca Hidalgo was carried out. In addition, a systematic review of articles from the most current national and international literature on energy drinks and their possible effects on health in the population between 14 and 23 years was carried out. Articles from 2013 to 2020 were identified in various search engines such as Google Scholar, MEDLINE, PUBMED, Scielo. RESULTS: Energy drinks added to a high content of sugars, caffeine and taurine, in addition to other components such as vitamins. The consumption of energy drinks has increased and is related to the effects on different variables in health from the cardiovascular, gastrointestinal, liver and respiratory functions. CONCLUSION: Energy drinks components such as caffeine and taurine related to side effects such as cardiovascular problems, tachycardia, gastrointestinal upset or nervousness

Three-way analysis-based pH-UV-Vis spectroscopy for quantifying allura red in an energy drink and determining colorant's pKa.

Three-way analysis-based pH-UV-Vis spectroscopy was proposed for quantifying allura red in an energy drink product without the need for chromatographic analysis, and determining the colorant's pKa without using any titration technique. In this study, UV-Vis spectroscopic data matrices were obtained from absorbance measurements at five different pH levels from pH 8 to pH 12 and arranged as a three-way array (wavelength × sample × pH). In the three-way analysis procedure, parallel factor analysis (PARAFAC) was implemented to decompose the three-way array into a set of trilinear components. Each set of three components relates to spectral, pH and relative concentration profiles of allura red and sample matrix in the energy drink. First, UV-Vis spectra of the colorant's acid-base pair and sample's matrix were characterized by using the estimated spectral profile. Then, from the pH profile the pKa value was found to be 11.28 for the related colorant. Finally, allura red in energy drink samples was determined using the estimated concentration curve in the relative concentration profile. In the quantitation procedure, the working concentration range was 0.8-19.2 µg/mL. PARAFAC approach was tested in terms of selectivity, precision, and accuracy of the method. Added recovery results obtained by applying the proposed method to spiked samples were between 101.5% and 103.5%. In the application of the method to the analysis of real samples, successful results were reported. For a comparison, an ultra-performance liquid chromatographic method was developed for the quantitation of the colorant. Compared to the chromatographic method, we observed that PARAFAC model was simple and less expensive without requiring separation.

Alcohol mixed with energy drinks: what about taurine?

RATIONALE: Since energy drinks (EDs) were marketed to the general public as recreational and soft drinks, mixing these with alcohol has become a popular practice, especially in the younger population. Alcohol mixed with EDs (AmEDs) is a particularly alarming combination, given the evidence that consistently associate these drinks with increased risk behaviours and greater alcohol consumption. Caffeine and taurine are commonly found in EDs. In contrast to caffeine, the studies on taurine psychoactive properties and how this amino acid influences ethanol intake alone or in combination with caffeine are not so numerous. OBJECTIVES: We summarised relevant and available data on the studies focusing on taurine as a psychoactive agent and its influence on ethanol (EtOH)-induced behaviours. Given the increased risk that represents mixing alcohol with energy drinks, we put emphasis on the research exploring the impact of these combinations on motivated behaviour towards EtOH consumption. RESULTS: The research on taurine properties on motivated behaviour towards EtOH consumption is limited, and mostly all done in combination with caffeine or other molecules. This makes it difficult to elucidate the effect of this amino acid when combined with alcohol. CONCLUSIONS: Incomplete understanding of the properties and effects of AmEDs is unavoidable until more studies are performed on the influence of taurine on motivation to consume alcohol. Taurine should be further explored, particularly in regard to its potential beneficial applications, motivational properties and synergies with other psychoactive ingredients (i.e. caffeine).

Non-linear analysis of heart rate variability for evaluating the acute effects of caffeinated beverages in young adults.

Caffeinated beverages are the most consumed substances in the world. High rate of uptake of these beverages leads to various cardiovascular disorders ranging from palpitations to coronary failure. The objective of the study is to ascertain how the complexity parameters of heart rate variability are affected by acute consumption of caffeinated beverages in young adults.Electrocardiogram measurements were performed before consuming drinks. After consuming the drinks, measurements were done again at 30 minutes and 60 minutes. Heart rate variability signals were acquired from electrocardiogram signals. Also, the signals were reconstructed in the phase space and largest Lyapunov exponent, correlation dimension, approximate entropy, and detrended fluctuation analysis values were calculated.Heart rate increased for energy drink and cola groups but not in coffee group. Non-linear parameter values of energy drink, coffee, and cola group are increased within 60 minutes after drink consumption. This change is statistically significant just for energy drink group.Energy drink consumption increases the complexity of the cardiovascular system in young adults significantly. Coffee and cola consumption have no significant effect on the non-linear parameters of heart rate variability.

Micronutrient fortification of caffeinated energy drinks and supplemented foods marketed in Canada.

To examine the micronutrient content of discretionarily fortified products marketed under Canada's current regulations, we conducted an in-store and online search for products granted Temporary Marketing Authorizations in 2018. We located 129 caffeinated energy drinks and 98 other beverage products. Most were fortified at levels well below permitted maximums, but 82.2% of energy drinks and 35.7% of other beverage products contained nutrients above 100% of Daily Values, suggesting that current fortification practices are largely gratuitous. Novelty The micronutrients in a sample of discretionarily fortified products marketed under Canada's current regulations were generally below permitted maximum levels, but many greatly exceeded nutrient requirements.

[Assessment of caffeine intake in children and adolescents aged 6-17 years in Beijing City].

OBJECTIVE: To assess the intake of caffeine from snacks among children and adolescents aged 6-17 years in Beijing City. METHODS: A multi-stage stratified cluster random sampling method was adopted to obtain the consumption status of caffeine-containing snacks among 881 school-age children and adolescents in Chaoyang, Changping and Yanqing Districts through a 3 d 24 h continuous questionnaire survey between October 2016 and February 2017, and the caffeine content in snacks was obtained through literature retrieval and laboratory detection. RESULTS: The proportion of caffeinated snacks consumers among children and adolescents aged 6-17 years in Beijing was 42. 45%(374/881). The average daily caffeine intake of the whole population was 9. 19 mg, with a median of 0 and a P95 of 41. 38 mg. The average daily caffeine intake of consumers was 21. 66 mg, with a median of 11. 03 mg and 76. 99 mg of P95. About 1. 60%(6/374) of individuals exceeded the daily safe intake level and there were statistically significant differences in caffeine intake between different ages, genders, grades and groups with and without tea drinking habits after weight was taken into account. Among the top three contributors, 12. 13 mg of caffeine was derived from tea, milk tea and tea beverages(including solid drinks), with a contribution rate which reached 56. 01%, 4. 35 mg of caffeine was derived from coffee, with a contribution rate of 20. 09%, and 3. 31 mg of caffeine was derived from cola and energy drinks, with a contribution rate of 15. 30%, and there existed slightly difference of the top three contribution foods among 6-11 and 12-17 years old children and adolescents. CONCLUSION: Children and adolescents aged 6-17 years in Beijing City had low caffeine intake levels from snacks and there was little risk of overconsumption. Tea, milk tea and tea beverages(including solid drinks) was the major contributor to its caffeine exposure.