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Patterns of Caffeine Use in Adolescents and Their Association with Sleep Quality : A Latent Class Analysis

Sancho-Domingo, Clara ; Garmy, Pernilla LU orcid and Norell, Annika (2025) In Journal of Addictions Nursing
Abstract

Background: Although there is substantial evidence of the negative impact of caffeine use on sleep quality, few studies focus specifically on adolescents’ patterns of use. This study aimed to identify patterns of caffeine use among adolescents and analyze their association with sleep quality. Method: A cross-sectional study was conducted in southern Sweden including 1,404 adolescents aged 15–17 (56.3% girls). The frequency of use for coffee, tea, and energy drinks was evaluated, as well as the quality of sleep and its dimensions. Latent class analysis and multivariate analyses were conducted. Results: The weekly prevalence of caffeine use in adolescents reached 85% (n = 1189), with 40% (n = 559) drinking almost every day. Three... (More)

Background: Although there is substantial evidence of the negative impact of caffeine use on sleep quality, few studies focus specifically on adolescents’ patterns of use. This study aimed to identify patterns of caffeine use among adolescents and analyze their association with sleep quality. Method: A cross-sectional study was conducted in southern Sweden including 1,404 adolescents aged 15–17 (56.3% girls). The frequency of use for coffee, tea, and energy drinks was evaluated, as well as the quality of sleep and its dimensions. Latent class analysis and multivariate analyses were conducted. Results: The weekly prevalence of caffeine use in adolescents reached 85% (n = 1189), with 40% (n = 559) drinking almost every day. Three caffeine-using patterns were identified: low probability caffeine use (28.1%; n = 393) characterized by sporadic use of coffee/tea, caffeinated soda use (55.2%; n = 784) related to high soda weekly consumption, and mixed caffeine use (16.7%; n = 227) that includes drinking diverse caffeine products almost every day including soda and energy drinks. Mixed caffeine pattern was associated to worse sleep followed by the soda pattern (p < .05), with significant differences observed in difficulties falling asleep (OR = 1.4; 95% CI = 1.1–1.7) or waking up (OR = 1.8; 95% CI = 1.4–2.4), greater daytime dysfunction (OR = 1.3; 95% CI = 1.1–1.7), and shorter sleep duration on schooldays (OR = 1.9; 95% CI = 1.5–2.4). Conclusion: Distinct severity levels were found for caffeine use patterns among adolescents based on their association with sleep quality. Findings emphasize the need for addressing caffeine misuse among adolescents to promote health and adequate sleep habits in the transition to adulthood.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Adolescents, Caffeine Use, Coffee, Energy Drinks, Latent Class Analysis, Sleep Quality
in
Journal of Addictions Nursing
article number
10.1097/JAN.0000000000000651
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:105015580746
  • pmid:40923914
ISSN
1088-4602
DOI
10.1097/JAN.0000000000000651
language
English
LU publication?
yes
id
ad1c0f37-a979-4681-8bdf-f8e095802f3f
date added to LUP
2025-11-12 15:16:47
date last changed
2025-11-13 03:00:03
@article{ad1c0f37-a979-4681-8bdf-f8e095802f3f,
  abstract     = {{<p>Background: Although there is substantial evidence of the negative impact of caffeine use on sleep quality, few studies focus specifically on adolescents’ patterns of use. This study aimed to identify patterns of caffeine use among adolescents and analyze their association with sleep quality. Method: A cross-sectional study was conducted in southern Sweden including 1,404 adolescents aged 15–17 (56.3% girls). The frequency of use for coffee, tea, and energy drinks was evaluated, as well as the quality of sleep and its dimensions. Latent class analysis and multivariate analyses were conducted. Results: The weekly prevalence of caffeine use in adolescents reached 85% (n = 1189), with 40% (n = 559) drinking almost every day. Three caffeine-using patterns were identified: low probability caffeine use (28.1%; n = 393) characterized by sporadic use of coffee/tea, caffeinated soda use (55.2%; n = 784) related to high soda weekly consumption, and mixed caffeine use (16.7%; n = 227) that includes drinking diverse caffeine products almost every day including soda and energy drinks. Mixed caffeine pattern was associated to worse sleep followed by the soda pattern (p &lt; .05), with significant differences observed in difficulties falling asleep (OR = 1.4; 95% CI = 1.1–1.7) or waking up (OR = 1.8; 95% CI = 1.4–2.4), greater daytime dysfunction (OR = 1.3; 95% CI = 1.1–1.7), and shorter sleep duration on schooldays (OR = 1.9; 95% CI = 1.5–2.4). Conclusion: Distinct severity levels were found for caffeine use patterns among adolescents based on their association with sleep quality. Findings emphasize the need for addressing caffeine misuse among adolescents to promote health and adequate sleep habits in the transition to adulthood.</p>}},
  author       = {{Sancho-Domingo, Clara and Garmy, Pernilla and Norell, Annika}},
  issn         = {{1088-4602}},
  keywords     = {{Adolescents; Caffeine Use; Coffee; Energy Drinks; Latent Class Analysis; Sleep Quality}},
  language     = {{eng}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Journal of Addictions Nursing}},
  title        = {{Patterns of Caffeine Use in Adolescents and Their Association with Sleep Quality : A Latent Class Analysis}},
  url          = {{http://dx.doi.org/10.1097/JAN.0000000000000651}},
  doi          = {{10.1097/JAN.0000000000000651}},
  year         = {{2025}},
}