{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:46:52Z","timestamp":1785509212967,"version":"3.56.0"},"reference-count":38,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Energy drink (ED) consumption has increased significantly among adolescents worldwide, constituting a high-risk behavior with important public health implications. These beverages are associated with cardiovascular disturbances, sleep disorders, anxiety symptoms, and risky behaviors, especially when combined with alcohol. In Chile, monthly per capita ED consumption among individuals aged 14 to 30 increased ninefold between 2010 and 2020. Objectives: To examine the prevalence of ED consumption and its associated determinants among Chilean adolescents enrolled in grade eight through grade twelve. Methods: Data were drawn from the national representative survey 2023 entitled Fifteenth National Study on the School Population of Chile (ENPE). The final sample included 45,042 adolescents. Besides descriptive analyses, both bivariate and multivariate logistic regression models were used to examine associations between sociodemographic characteristics, parental presence, monitoring, and ED consumption outcomes. Results: Lifetime prevalence of ED consumption was 71.0%, with higher rates in females (72.8%) than males (69.4%). Past-month consumption was reported by 46.2%, with a higher prevalence in males (48.3%) than females (43.9%). Lifetime consumption of ED mixed with alcohol (AmED) was 23.2%, being more frequent among females (26.4%) than males (19.9%). Age, grade level, and indigenous identity were consistently associated with higher odds of consumption. Parental monitoring and involvement indicators were inversely associated with both ED and AmED consumption. Conclusions: This study reveals a high prevalence of ED consumption among Chilean adolescents, with notable gender differences. Family protective factors, particularly parental monitoring and cohesion, emerge as key determinants of this risky behavior and warrant prioritization in public health prevention efforts.<\/jats:p>","DOI":"10.3390\/nu17213481","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T16:09:47Z","timestamp":1762358987000},"page":"3481","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and Determinants of Energy Drink Consumption Among Chilean Adolescents"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4312-1318","authenticated-orcid":false,"given":"Sandra","family":"L\u00f3pez-Arana","sequence":"first","affiliation":[{"name":"Escuela de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Medicina, Universidad Finis Terrae, Providencia 7501014, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4698-1425","authenticated-orcid":false,"given":"Edson","family":"Bustos-Arriagada","sequence":"additional","affiliation":[{"name":"Escuela de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Medicina, Universidad Finis Terrae, Providencia 7501014, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/1475-2891-6-35","article-title":"A Survey of Energy Drink Consumption Patterns among College Students","volume":"6","author":"Malinauskas","year":"2007","journal-title":"Nutr. J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1542\/peds.2009-3592","article-title":"Health Effects of Energy Drinks on Children, Adolescents, and Young Adults","volume":"127","author":"Seifert","year":"2011","journal-title":"Pediatrics"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1111\/add.16390","article-title":"Prevalence of Energy Drink Consumption World-wide: A Systematic Review and Meta-analysis","volume":"119","author":"Krotter","year":"2024","journal-title":"Addiction"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2171314","DOI":"10.1080\/15502783.2023.2171314","article-title":"International Society of Sports Nutrition Position Stand: Energy Drinks and Energy Shots","volume":"20","author":"Jagim","year":"2023","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e010380","DOI":"10.1136\/bmjopen-2015-010380","article-title":"Consumption of Energy Drinks by Children and Young People: A Rapid Review Examining Evidence of Physical Effects and Consumer Attitudes","volume":"6","author":"Visram","year":"2016","journal-title":"BMJ Open"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Costantino, A., Maiese, A., Lazzari, J., Casula, C., Turillazzi, E., Frati, P., and Fineschi, V. (2023). The Dark Side of Energy Drinks: A Comprehensive Review of Their Impact on the Human Body. Nutrients, 15.","DOI":"10.3390\/nu15183922"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.fct.2016.06.007","article-title":"Trends and Patterns of Caffeine Consumption among US Teenagers and Young Adults, NHANES 2003\u20132012","volume":"94","author":"Tran","year":"2016","journal-title":"Food Chem. Toxicol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"102319","DOI":"10.1016\/j.cpr.2023.102319","article-title":"Alcohol Mixed with Energy Drinks and Aggressive Behaviors in Adolescents and Young Adults: A Systematic Review","volume":"104","author":"Speroni","year":"2023","journal-title":"Clin. Psychol. Rev."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Kaldenbach, S., Leonhardt, M., Strand, T.A., and Holten-Andersen, M. (2025). Mental Health and Energy Drink Consumption among Norwegian Adolescents; a Cross-Sectional Study. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-23432-6"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/j.1530-0277.2010.01352.x","article-title":"Energy Drink Consumption and Increased Risk for Alcohol Dependence","volume":"35","author":"Arria","year":"2011","journal-title":"Alcohol. Clin. Exp. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s12937-021-00719-z","article-title":"Energy Drink Consumption among Australian Adolescents Associated with a Cluster of Unhealthy Dietary Behaviours and Short Sleep Duration","volume":"20","author":"Nuss","year":"2021","journal-title":"Nutr. J."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Puupponen, M., Tynj\u00e4l\u00e4, J., V\u00e4limaa, R., and Paakkari, L. (2023). Associations between Adolescents\u2019 Energy Drink Consumption Frequency and Several Negative Health Indicators. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-15055-6"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"104545","DOI":"10.1016\/j.cdnut.2025.104545","article-title":"Digital Marketing of Unhealthy Foods and Non-Alcoholic Beverages to Children and Adolescents: A Narrative Review","volume":"9","author":"Fretes","year":"2025","journal-title":"Curr. Dev. Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1541-4337.2010.00111.x","article-title":"Energy Drinks: An Assessment of Their Market Size, Consumer Demographics, Ingredient Profile, Functionality, and Regulations in the United States","volume":"9","author":"Heckman","year":"2010","journal-title":"Compr. Rev. Food Sci. Food Saf."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e13447","DOI":"10.1111\/obr.13447","article-title":"Systematic Review of the Effect of Policies to Restrict the Marketing of Foods and Non-alcoholic Beverages to Which Children Are Exposed","volume":"23","author":"Boyland","year":"2022","journal-title":"Obes. Rev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s00038-016-0862-4","article-title":"Young Adolescents Who Combine Alcohol and Energy Drinks Have a Higher Risk of Reporting Negative Behavioural Outcomes","volume":"62","author":"Holubcikova","year":"2017","journal-title":"Int. J. Public Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"620268","DOI":"10.3389\/ijph.2021.620268","article-title":"Energy Drink Consumption among Finnish Adolescents: Prevalence, Associated Background Factors, Individual Resources, and Family Factors","volume":"66","author":"Puupponen","year":"2021","journal-title":"Int. J. Public Health"},{"key":"ref_18","first-page":"242","article-title":"Consumption of Soft, Sports, and Energy Drinks in Adolescents. The BEENIS Study","volume":"93","year":"2020","journal-title":"An. Pediatr\u00eda"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1007\/s00431-021-04322-6","article-title":"Risky Behaviors, Substance Use, and Other Lifestyle Correlates of Energy Drink Consumption in Children and Adolescents: A Systematic Review","volume":"181","author":"Marinoni","year":"2022","journal-title":"Eur. J. Pediatr."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Libuy, N., Guajardo, V., Ib\u00e1\u00f1ez, C., Araneda, A.M., Contreras, L., Donoso, P., Gaete, J., and Mundt, A.P. (2023). Parental Practices and Their Association with Alcohol and Cannabis Use among Adolescents in Chile. Front. Psychol., 14.","DOI":"10.3389\/fpsyg.2023.1209584"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1177\/14550725211009036","article-title":"Helicopter Parenting and Alcohol Use in Adolescence: A Quadratic Relation","volume":"39","author":"Pistella","year":"2022","journal-title":"Nord. Stud. Alcohol Drugs"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Vigdal, J.S., and Br\u00f8nnick, K.K. (2022). A Systematic Review of \u201cHelicopter Parenting\u201d and Its Relationship with Anxiety and Depression. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.872981"},{"key":"ref_23","first-page":"693","article-title":"Problematic Internet Use in Emerging Adulthood to Escape from Maternal Helicopter Parenting: Defensive Functioning as a Mediating Mechanism","volume":"26","author":"Carone","year":"2023","journal-title":"Res. Psychother. Psychopathol. Process. Outcome"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e049284","DOI":"10.1136\/bmjopen-2021-049284","article-title":"Social Determinants and Changes in Energy Drink Consumption among Adolescents in Norway, 2017\u20132019: A Cross-Sectional Study","volume":"11","author":"Kaldenbach","year":"2021","journal-title":"BMJ Open"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"E202","DOI":"10.1017\/S0029665120001500","article-title":"Patterns of Daily Energy Drink Consumption Differ by Gender among Belgian Adolescents","volume":"79","author":"Lebacq","year":"2020","journal-title":"Proc. Nutr. Soc."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"109666","DOI":"10.1016\/j.drugalcdep.2022.109666","article-title":"Energy Drinks and Alcohol Use among Adolescents: A Longitudinal Study","volume":"241","author":"Brunborg","year":"2022","journal-title":"Drug Alcohol Depend."},{"key":"ref_27","unstructured":"Servicio Nacional para la Prevenci\u00f3n y Rehabilitaci\u00f3n del Consumo de Drogas y Alcohol (SENDA) (2025). D\u00e9cimo Quinto Estudio Nacional de Drogas En Poblaci\u00f3n Escolar de Chile, 2023: 8o B\u00e1sico a 4o Medio, SENDA."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/j.1467-9469.2010.00707.x","article-title":"An Extension of Sampford\u2019s Method for Unequal Probability Sampling","volume":"38","author":"Bondesson","year":"2011","journal-title":"Scand. J. Stat."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0169-7161(08)00001-1","article-title":"Introduction to Survey Sampling","volume":"Volume 29","author":"Brewer","year":"2009","journal-title":"Handbook of Statistics"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Scalese, M., Cerrai, S., Benedetti, E., Colasante, E., Cotichini, R., and Molinaro, S. (2024). Combined Alcohol and Energy Drinks: Consumption Patterns and Risk Behaviours among European Students. J. Public Health, 1\u201310.","DOI":"10.1007\/s10389-024-02342-8"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Reniers, R.L.E.P., Murphy, L., Lin, A., Bartolom\u00e9, S.P., and Wood, S.J. (2016). Risk Perception and Risk-Taking Behaviour during Adolescence: The Influence of Personality and Gender. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0153842"},{"key":"ref_32","first-page":"59","article-title":"Adolescent Susceptibility to Deviant Peer Pressure: Does Gender Matter?","volume":"4","author":"McCoy","year":"2019","journal-title":"Adolesc. Res. Rev."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Visram, S., Crossley, S.J., Cheetham, M., and Lake, A. (2017). Children and Young People\u2019s Perceptions of Energy Drinks: A Qualitative Study. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0188668"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"389","DOI":"10.15288\/jsad.23-00297","article-title":"How Does Parental Monitoring Reduce Adolescent Substance Use? Preliminary Tests of Two Potential Mechanisms","volume":"85","author":"Pelham","year":"2024","journal-title":"J. Stud. Alcohol Drugs"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1017\/S0954579498001643","article-title":"Family Systems and Adolescent Development: Shared and Nonshared Risk and Protective Factors in Nondivorced and Remarried Families","volume":"10","author":"Hetherington","year":"1998","journal-title":"Dev. Psychopathol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.adolescence.2014.03.009","article-title":"The Development of Adolescent Self-Regulation: Reviewing the Role of Parent, Peer, Friend, and Romantic Relationships","volume":"37","author":"Farley","year":"2014","journal-title":"J. Adolesc."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.addbeh.2019.02.008","article-title":"The Role of Energy Drink Consumption in the Intention to Initiate Marijuana Use among Adolescents","volume":"93","author":"Leal","year":"2019","journal-title":"Addict. Behav."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1081\/JA-200049327","article-title":"Validity of Adolescent Self-Report of Substance Use","volume":"40","author":"Williams","year":"2005","journal-title":"Subst. Use Misuse"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/21\/3481\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T05:23:10Z","timestamp":1762492990000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/21\/3481"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,5]]},"references-count":38,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["nu17213481"],"URL":"https:\/\/doi.org\/10.3390\/nu17213481","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,5]]}}}