— Healthy Beverage Consumption in School-Age Children and Adolescents: Recommendations from Key National Health and Nutrition Organizations. Consensus Statement. Healthy Eating Research; 2025.
— The American Academy of Child and Adolescent Psychiatry
Caffeine and Children; 2026
Dr. John P. Higgins, MD, MBA, MPhil—sports cardiologist and lead author of the American College of Sports Medicine's call to action on energy drinks—provides a review of the latest medical evidence supporting this initiative.
A new review article, Energy Drinks in Youth: Cardiovascular Risk and a Call to Action in The American Journal of Medicine by Dr. John P. Higgins, examines the cardiovascular risks energy drinks pose to young people — and directly addresses the Big 12 Conference's 2026 sponsorship agreement with Monster Energy.
Dr. Higgins outlines what he calls a "trigger-substrate-context" model: energy drinks act as a stimulant trigger that can interact with underlying, often undetected heart vulnerabilities (like unrecognized arrhythmic conditions) during high-stress conditions such as exercise, heat, dehydration, or when combined with other stimulants. While serious cardiac events remain uncommon, he points to consistent evidence of measurable changes in heart rate, blood pressure, and heart rhythm in young people at typical energy drink doses — along with poison-center data documenting rare but serious outcomes, including a caffeine-related adolescent death.
Turning specifically to sports sponsorship, Dr. Higgins explains that when a stimulant brand appears on student-athlete uniforms and playing surfaces, it takes on the appearance of an endorsement — not just an advertisement — for the young fans watching. He recommends that the Big 12 pause youth-facing promotion of the Monster Energy partnership and commission an independent health review, calling this "an act of health leadership, not an admission of wrongdoing."
The paper closes with a call to action for four groups — clinicians, manufacturers, schools/athletic organizations, and policymakers — to take concrete, proportionate steps: standardized clinical screening, transparent caffeine labeling, independent sponsorship review standards, and improved adverse-event surveillance.
Dr. Vetter and Naim’s December 2024 commentary in The Journal of Pediatrics explains that energy drinks can pose cardiovascular risks to children and adolescents, including effects on blood pressure and heart rhythm, and calls for stronger regulation, clearer labeling, and restrictions on marketing to minors.
If you are a healthy adult, an occasional energy drink is unlikely to harm you.
Keep total caffeine from all sources under 400 mg a day and under 200 mg at one time. (A strong coffee is roughly 100–150 mg; energy drinks commonly contain 150–300 mg per serving.)
Never mix energy drinks with alcohol.
Don't use them with exercise, in the heat, or habitually to stay awake.
Frequent or heavy use can raise blood pressure and trigger heart rhythm problems.
Energy drinks are not for children, teens, pregnant or breastfeeding women, or anyone with heart, metabolic, liver, kidney, or neurologic conditions.
Children under 12 should avoid caffeine, and 12–18 year olds should have no more than 100 mg a day (about two 12 oz sodas). Energy drinks are not safe for anyone under 18.