Caffeinated energy drinks in children.

QUESTION A 14-year-old boy came to my office to discuss his frequent consumption of energy drinks to enhance his performance at school and while playing soccer. What is the recommended use of energy drinks in children and is there any harm in consuming them? ANSWER Energy drinks are beverages with a high concentration of caffeine and additional stimulants. They are sold in numerous places and are easily accessed by children, adolescents, and young adults. Many reports warn about potential adverse effects associated with their consumption, especially in combination with alcohol among adolescents, and in combination with stimulant medications among children treated for attention deficit hyperactivity disorder. Children and adolescents should avoid energy drinks, and health care providers should educate youth and their parents about the risks of caffeinated drinks.