Drinking Energy Drinks With Alcohol 'Masks' Effects Of Drunkenness And 'Increases Risk Of Injury'

'People may underestimate how intoxicated they are.'

If you order alcohol topped with an energy drink on a night out, you could be putting yourself at extra risk of injury.

That’s according to new research which found a link between the use of alcohol mixed with energy drinks (AmED) and an increased risk of injury, compared to drinking alcohol only.

The study classified injuries as unintentional (such as falls or motor vehicle accidents) and intentional (such as fights or other physical violence).

The researchers noted that energy drinks stave off the feelings of tiredness most people experience with alcohol, therefore skewing our perception of how much we’ve had to drink.

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Researchers at the University of Victoria’s Centre for Addictions Research of BC (CARBC), in Canada, analysed data from previous studies on alcohol and energy drinks to draw their conclusions.

“The stimulant effects of caffeine mask the result that most people get when they drink,” lead study author Audra Roemer said.

“Usually when you’re drinking alcohol, you get tired and you go home.

“Energy drinks mask that, so people may underestimate how intoxicated they are, end up staying out later, consume more alcohol, and engage in risky behaviour and more hazardous drinking practices.”

Roemer said she became interested in the topic while reading research on the effects of alcohol and cocaine.

“Cocaine is obviously a strong stimulant, and I was curious about lower level stimulants that are more socially acceptable,” she said.

“I wondered if they were having a similar impact but to a lesser degree.”

Three of the studies looked at whether risk-taking or sensation-seeking tendencies play a role in injuries associated with AmED use.

“We know that these are risk factors for alcohol-related injuries, and some research has suggested that people who have these traits might prefer the awake-drunk state that you get from mixing alcohol and energy drinks,” Roemer said.

“This could be a population that’s at even higher risk for injuries.”

The biggest surprise for Roemer and her colleagues was the lack of research in this area, as well as the wide variability in these studies that made it difficult to compare results.

Consequently, they were not able to statistically determine the extent of the risk associated with AmED use.

“At the end of the day, we looked at all of the studies, but more research is needed to confirm our findings,” she said.

Roemer says the current study is the first of three planned articles that they hope to publish on the link between AmED and the risk of injury.

“We’re currently running a controlled emergency department study to look at the relationship a little more closely,” she said.

“Hopefully that will bring more answers. The research we’ve done so far points to an increased risk of injuries with the use of AmED that could be a serious public health concern.

“Our hope is to conduct and facilitate future research in order to identify limitations and get a closer look at the topic to see what’s really going on.”

The research is published in full in the Journal of Studies on Alcohol and Drugs.

Signs Of Alcoholism
Abuse: Not Meeting Responsibilities(01 of20)
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Abuse, the regular use of a substance that leads to serious psychological and/or physical disability, is shown by one or more of these symptoms during the same year:Repeated substance use to the point of not being able to meet responsibilities -- not performing well at work, being suspended from school, being repeatedly late or absent from required duties, or neglecting household tasks. (credit:Shutterstock)
Abuse: Involving Risk(02 of20)
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Abuse, the regular use of a substance that leads to serious psychological and/or physical disability, is shown by one or more of these symptoms during the same year:Repeated substance use when there is risk involved, like operating equipment or driving a car while under the influence. (credit:Shutterstock)
Abuse: Difficulties With The Law(03 of20)
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Abuse, the regular use of a substance that leads to serious psychological and/or physical disability, is shown by one or more of these symptoms during the same year:Repeated difficulties with the law related to substance use -- being arrested for physical aggression or drunk driving, for instance. (credit:Shutterstock)
Abuse: Personal Or Social Difficulties(04 of20)
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Abuse, the regular use of a substance that leads to serious psychological and/or physical disability, is shown by one or more of these symptoms during the same year:Insisting on using the substance regardless of continued or repeated personal or social difficulties because of it, verbal or physical aggression with a loved one, or frequent arguments about the substance use. (credit:Shutterstock)
Dependence: Needing Great Amounts(05 of20)
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Symptoms of alcohol dependence, a physical need to drink, are identified as three or more of the following within the same year:Needing greater amounts of alcohol to satisfy cravings. (credit:Shutterstock)
Dependence: An Inability To Reduce Use(06 of20)
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Symptoms of alcohol dependence, a physical need to drink, are identified as three or more of the following within the same year:Using the substance longer than planned or more frequently and in greater amounts.An inability to reduce use, despite a sincere wish to do so. (credit:Shutterstock)
Dependence: Going Through Withdrawal(07 of20)
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Symptoms of alcohol dependence, a physical need to drink, are identified as three or more of the following within the same year:Going through withdrawal when not using alcohol, with symptoms such as tremors, restlessness, and agitation. (credit:Shutterstock)
Dependence: Avoiding Withdrawal(08 of20)
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Symptoms of alcohol dependence, a physical need to drink, are identified as three or more of the following within the same year:Taking a substance or a similar one to avoid the effects of withdrawal. (credit:Shutterstock)
Dependence: Spending Time On Alcohol(09 of20)
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Symptoms of alcohol dependence, a physical need to drink, are identified as three or more of the following within the same year:Spending a significant amount of time trying to acquire the substance.Spending less time at work or on other activities because of substance use; a person may completely abandon previously enjoyable activities. (credit:Shutterstock)
Dependence: Drinking In The Face Of Difficulty(10 of20)
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Symptoms of alcohol dependence, a physical need to drink, are identified as three or more of the following within the same year:Continuing to drink despite being aware that alcohol is causing psychological or physical difficulties. (credit:Shutterstock)
Addiction: Saying Inappropriate Things(11 of20)
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Stephen Gilman, MD, an addiction specialist in New York City, helps determine the severity of alcohol addiction by asking the following questions:Does he/she frequently say inappropriate things? (credit:Shutterstock)
Addiction: Slurred Speech(12 of20)
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Stephen Gilman, MD, an addiction specialist in New York City, helps determine the severity of alcohol addiction by asking the following questions:Does his/her speech slurred? (credit:Shutterstock)
Addiction: Missing Work(13 of20)
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Stephen Gilman, MD, an addiction specialist in New York City, helps determine the severity of alcohol addiction by asking the following questions:Does he/she miss work? (credit:Shutterstock)
Addiction: Off Balance(14 of20)
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Stephen Gilman, MD, an addiction specialist in New York City, helps determine the severity of alcohol addiction by asking the following questions:Is his/her balance off when they walk? (credit:Shutterstock)
Addiction: Trouble With The Law(15 of20)
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Stephen Gilman, MD, an addiction specialist in New York City, helps determine the severity of alcohol addiction by asking the following questions:Has he/she gotten in trouble with the law, for example, with drinking and driving? (credit:Shutterstock)
Addiction: Health Problems(16 of20)
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Stephen Gilman, MD, an addiction specialist in New York City, helps determine the severity of alcohol addiction by asking the following questions:Is he having health issues related to alcohol addiction, such as heartburn, liver problems, high blood pressure, or insomnia? (credit:Shutterstock)
Question To Ask: Should I Cut Down?(17 of20)
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Take the CAGE questionnaire -- if the answer to two or more of the four CAGE questions is yes, it is likely you have a problem.C stands for cut-down: Do you ever feel that you should cut down on your drinking? (credit:Shutterstock)
Question To Ask: People Getting Annoyed?(18 of20)
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Take the CAGE questionnaire -- if the answer to two or more of the four CAGE questions is yes, it is likely you have a problem.A stands for annoyed: Have people annoyed you by criticizing your drinking? (credit:Shutterstock)
Question To Ask: Ever Felt Guilty?(19 of20)
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Take the CAGE questionnaire -- if the answer to two or more of the four CAGE questions is yes, it is likely you have a problem.G stands for guilty: Have you ever felt guilty about your drinking? (credit:Shutterstock)
Question To Ask: Drinking To 'Recover'?(20 of20)
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Take the CAGE questionnaire -- if the answer to two or more of the four CAGE questions is yes, it is likely you have a problem.E stands for eye-opener: Have you ever had to drink as soon as you wake up to steady your nerves or get over a hangover? (credit:Shutterstock)