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Attentional and working memory performance following alcohol and energy drink: A randomised, double-blind, placebo-controlled, factorial design laboratory study.

PloS one
January 1, 2019
Sarah Benson et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate the effects of energy drinks (ED), alcohol, and their combination (AMED) on attentional and working memory processes over a 3-hour period.

Results Summary

ED alone improved some working memory measures but showed no consistent pattern of interaction with alcohol. Alcohol increased error rates across attentional and working memory tasks, while AMED effects varied by task and time point.

Population

24 young adults

Effective Dosage

250 ml ED (containing 80 mg caffeine)

Duration

3 hours

Interactions

Alcohol (0.6g/kg)

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
alcohol
increase
all attentional measures (4-choice Reaction Time, Number Pairs and Visual Search)
young adults
-
produced a characteristic shift in speed/accuracy trade-off, having little effect on reaction times while increasing errors
#1
alcohol
increase
composite Attentional error score
young adults
-
increased errors
#2
alcohol
increase
one working memory task (Serial Sevens)
young adults
-
increased errors
#3
energy drink (ED)
increase
two working memory measures (Memory Scanning accuracy and Digit-Symbol reaction times)
young adults
-
improved
#4
energy drink (ED)
increase
composite Working Memory score
young adults
-
improved speed of responding
#5
alcohol mixed with energy drinks (AMED)
increase
one attentional measure (Visual Search errors)
young adults
-
produced more errors than alcohol alone
#6
alcohol mixed with energy drinks (AMED)
decrease
Serial Sevens task
young adults
-
resulted in fewer errors
#7
alcohol mixed with energy drinks (AMED)
increase
Digit-Symbol accuracy and reaction time
young adults
-
better
#8
alcohol consumption
increase
several attentional and working memory processes
-
-
increases error rate
#9
mutual antagonism between alcohol and ED
no change
-
-
-
showed no consistent pattern
#10
Abstract

Alcohol mixed with energy drinks (AMED) studies have typically not shown antagonism of acute alcohol effects by energy drink (ED), particularly over relatively short time frames. This study investigated the effects of alcohol, ED, and AMED on attentional and working memory processes over a 3 h period. Twenty-four young adults took part in a randomised, double-blind, placebo-controlled, factorial, 4-arm study. They were administered 0.6g/kg alcohol and 250 ml ED (containing 80 mg caffeine), and matching placebos alone and in combination. A battery of attentional and working memory measures was completed at baseline then 45, 90 and 180 min post-treatment. Alcohol produced a characteristic shift in speed/accuracy trade-off, having little effect on reaction times while increasing errors on all attentional measures (4-choice Reaction Time, Number Pairs and Visual Search), as well as a composite Attentional error score and one working memory task (Serial Sevens). ED alone improved two working memory measures (Memory Scanning accuracy and Digit-Symbol reaction times) and improved speed of responding on a composite Working Memory score. There was no consistent pattern of AMED vs. alcohol effects; AMED produced more errors than alcohol alone on one attentional measure (Visual Search errors) at 45 min only whereas AMED resulted in fewer errors on the Serial Sevens task at 90 min and better Digit-Symbol accuracy and reaction time at 45 min. Alcohol consumption increases error rate across several attentional and working memory processes. Mutual antagonism between alcohol and ED showed no consistent pattern and likely reflects a complex interaction between caffeine and alcohol levels, phase of the blood alcohol limb, task domain and cognitive load.

Medical Subject Headings (MeSH)
AdolescentAdultAlcoholic BeveragesAttentionCaffeineCross-Over StudiesDouble-Blind MethodDrug InteractionsEnergy DrinksEthanolFemaleHumansMaleMemory, Short-TermReaction TimeYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality85/10
Citation Metrics
Total Citations13
Citations/Year2.2
Relative Citation Ratio1.04
NIH Percentile51.5%
Research Impact Scores
APT Score0.50
Weight Score2.29
Normalized Score0.63
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