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Valid points, but the trends remain: a response to Rossheim, Suzuki, and Thombs (in press)

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TLDR
This response addresses several concerns raised by Rossheim, Suzuki and Thombs and demonstrates how re-analysis of the data in light of these concerns demonstrates that it is not likely that these issues have substantially affected the findings, with the same pattern of results evident.
Citations
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'High' risk? A systematic review of the acute outcomes of mixing alcohol with energy drinks.

TL;DR: Mixing alcohol with energy drinks may exert a dual effect, increasing stimulation-based effects and reducing sedation-based outcomes; the clinical severity and dose threshold has not been established.
Journal ArticleDOI

Self-reported risk-taking behavior during matched-frequency sessions of alcohol versus combined alcohol and energy drinks consumption: does co-ingestion increase risk-taking?

TL;DR: Bivariate analyses from a matched-frequency sample align with past research showing lower odds of risk-taking behavior after AmED versus alcohol consumption for the same individuals, and highlight the need to consider both personal characteristics and beverage effects in harm reduction strategies for AmED consumers.
Journal ArticleDOI

Young adults who mix alcohol with energy drinks: typology of risk-taking behaviour.

TL;DR: AmED consumers are not a homogeneous group in regard to their risk-taking behaviours post-consumption, highlighting the need for targeted harm minimisation policies and programmes for a significant minority of consumers.
Dissertation

A mixed hazard: Co-Ingesting alcohol and energy drinks and the associated harms

Amy Peacock
TL;DR: A systematic review of the literature examining the physiological, psychological, and behavioural harms of AmED versus alcohol use was conducted, showing that alcohol-induced increased impairment in one aspect of impulsive behaviour, impulsive response initiation, was reduced following ED coingestion.
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Journal ArticleDOI

Caffeinated cocktails: energy drink consumption, high-risk drinking, and alcohol-related consequences among college students.

TL;DR: Students who reported consuming AmED had significantly higher prevalence of alcohol-related consequences, including being taken advantage of sexually, taking advantage of another sexually, riding with an intoxicated driver, being physically hurt or injured, and requiring medical treatment.
Journal ArticleDOI

Effects of Energy Drink Ingestion on Alcohol Intoxication

TL;DR: The ingestion of alcohol plus energy drink significantly reduced subjects' perception of headache, weakness, dry mouth, and impairment of motor coordination, however, the ingestion of the energy drink did not significantly reduce the deficits caused by alcohol on objective motor coordination and visual reaction time.
Journal ArticleDOI

Drinking patterns and risk behaviors associated with combined alcohol and energy drink consumption in college drinkers.

TL;DR: Students who consume AmED are at increased risk for harms and efforts should be made to discourage combined consumption, and consuming AmED should be considered "high-risk drinking" for university students.
Journal ArticleDOI

Effects of energy drinks mixed with alcohol on behavioral control: Risks for college students consuming trendy cocktails

TL;DR: The mix of impaired behavioral inhibition and enhanced stimulation is a combination that may make AmED consumption riskier than alcohol consumption alone, and an energy drink appears to alter some of the objective and subjective impairing effects of alcohol, but not others.
Journal ArticleDOI

Effects of energy drinks mixed with alcohol on information processing, motor coordination and subjective reports of intoxication.

TL;DR: AmED may contribute to a high-risk scenario for a drinker because the mix of behavioral impairment with reduced fatigue and enhanced stimulation may lead AmED consumers to erroneously perceive themselves as better able to function than is actually the case.
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