— 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.
JAMA Medical News
Caffeine and Cardiovascular Health: What the Science Says, Sept 18, 2026
Energy drinks should be treated differently from ordinary dietary sources of caffeine such as coffee and tea, especially when considering children and adolescents.
The AHA scientific statement cautions that any possible cardiovascular benefits associated with coffee or tea should not be assumed to apply to high-dose or synthetic caffeine products. Although research on energy drinks remains limited, the AHA authors say the available evidence generally points toward cardiovascular harm. Energy drinks may also contain other stimulants, such as taurine and L-carnitine, along with added sugar.
Cardiologist John Higgins, MD, agrees with the AHA’s discussion of caffeine in adults but believes more attention is needed on energy-drink use among youth. He emphasizes that children and adolescents are generally smaller than adults, making the same beverage a larger dose relative to body size, and that they may be more susceptible to caffeine-related sleep disruption and other effects.
Higgins is particularly concerned about the Big 12 Conference’s partnership with Monster Energy, which places Monster branding on uniforms, playing surfaces, broadcasts, digital media, and other college-sports settings. His concern is less about adult college athletes than about young fans seeing energy drinks closely associated with elite athletics and feeling encouraged to try them.
The passage also points to growing policy concern internationally. Quebec has adopted restrictions on caffeinated energy-drink sales to children younger than 16, and England is implementing a similar under-16 restriction on high-caffeine energy drinks.
The American Journal of Medicine
Energy Drinks in Youth: Cardiovascular Risk and a Call to Action, Aug 5, 2026
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.
Energy drinks can produce measurable cardiovascular effects in young people, including changes in heart rate, blood pressure, and heart rhythm.
Dr. John P. Higgins describes a “trigger-substrate-context” model, in which stimulant exposure may interact with an underlying heart vulnerability during exercise, heat, dehydration, or use of other stimulants.
The paper directly addresses the Big 12–Monster Energy sponsorship, warning that branding on uniforms and playing surfaces can transform ordinary advertising into institutional endorsement, particularly given that young fans are a foreseeable audience.
Dr. Higgins calls for independent review and proportionate safeguards, including improved screening, clearer caffeine labeling, sponsorship standards, and better adverse-event surveillance.
Dr. Vetter and Naim’s December 2024 commentary in The Journal of Pediatrics explains that energy drinks 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 cup of coffee is about 100 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 considered safe for anyone under 18.
For a good night's sleep and to wake up recharged, avoid caffeine after about 2 PM. Caffeine stays active in the body for many hours, so an afternoon or evening coffee, tea, energy drink, or pre-workout can still be circulating at bedtime — making it harder to fall asleep, shortening total sleep, and cutting into deep, restorative sleep.
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