DOES CAFFEINE INTAKE INFLUENCE MENTAL HEALTH OF MEDICAL STUDENTS?
DOI:
https://doi.org/10.37268/mjphm/vol.21/no.2/art.626Keywords:
Caffeine, 1,3,7-trimethylxanthine, mental health, medical studentsAbstract
Caffeine (1,3,7-trimethylxanthine) consumption among students is known to increase alertness and energy, as well as to alleviate stress. There has been an increase of caffeine consumption amongst young adults. Currently, there are no studies regarding caffeine consumption and its influence on mental health among Malaysians. We aimed to determine the relationship of caffeine consumption with depression, anxiety and stress among medical students. A cross sectional study was conducted among medical students in the Faculty of Medicine, Universiti Kebangsaan Malaysia. Data were collected via an online survey using two questionnaires, namely the semi-quantitative Food Frequency Questionnaires on Caffeine Intake and Depression, Anxiety and Stress Scale (DASS-21). A total of 262 medical students completed the survey. The prevalence of depression, anxiety and stress was 9.2%, 16.8% and 1.1%, respectively. Majority of students (98.5%) consumed caffeine from coffee, tea, soft drinks, energy drinks and chocolate drinks/food. The median daily caffeine consumption among consumers was 67.98 (25th,75th percentile: 24.83, 139.71) mg/day. There was a significant association between race and anxiety (p=0.038) in which the Malay students had the highest prevalence (21.1%), followed by Indian (16.1%), other races (15.4%) and Chinese students (3.8%). Caffeine consumption did not influence mental health of medical students in this study. Anxiety is the most prominent mental health problem among them. We recommend a programme tailored to medical students in recognising symptoms of mental health problems so that early intervention can be carried out.
References
Yousif Al-turki, Basel A, Abdulrhman A, Mazi A, Abdulsalam A, Abdulrahman A, Abdulelah A, Mohammed A. Caffeine Habits among Medical Students in King Saud University. College of Medicine, King Saud University, Riyadh, Saudi Arabia. 2013.
Bernama. Mental health of Malaysian students cause of worry: Health Ministry. New Straits Times. Published. 2016 Accessed June 10, 2021. https://www.nst.com.my/news/2016/09/172683/mentalhealthmalaysianstudentscauseworryhealthministry.
Sherina MS, Rampal L, Kaneson N. Psychological Stress Among Undergraduate Medical Students. Med J Malaysia 2004 59(2): 207 – 211.
Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. International Journal of Environmental Research and Public Health 2019 16(15): 2735.
Jia YF, Loo YT. Prevalence and determinants of perceived stress among under-graduate students in a Malaysian university. Journal of Health and Translational Medicine 2018 21(1). https://jummec.um.edu.my/article/view/11016
Yusoff MSB, Rahim AFA, Yaacob MJ. The prevalence of final year medical students with depressive symptoms and its contributing factors. International Medical Journal 2011 18(4): 305-309.
Alicia KF. A suffering generation: Six factors contributing to the mental health crisis in North American higher education. The College Quarterly, Seneca College of Applied Arts and Technology 2013 16(1).
Yusoff MSB, Hamid AHA, Rosli NR, Zakaria NA, Rameli NAC, Rahman NSA, Rahim AFA, Rahman AA. 2011. Prevalence of stress, stressors and coping strategies among secondary school students in Kota Bharu, Kelantan, Malaysia. Int J Stud Res 1(1): 23 – 28.
Shamsuddin K, Fadzil F, Ismail, WSW, Shah SA, Omar K, Muhammad NA, Jaffar A, Ismail A, Mahadevan R. Correlates of depression, anxiety and stress among Malaysian university students. Asian Journal of Psychiatry 2013 https://doi.org/10.1016/j.ajp.2013.01.014.
Fuad MD, Al-Zurfi BMN, Abdelqader MA, Abu Bakar MF, Elnajeh M, Abdullah MR. Prevalence and Risk Factors of Stress, Anxiety and Depression among Medical Students of a Private Medical University in Malaysia. Education in Medicine Journal 2015 https://doi.org/10.5959/eimj.v7i2.362
Ching CS, Ling TS. Caffeine Consumption and Knowledge among First Year Medical Students in a Malaysian Private Medical School. Asian J Med Heal Serv 2021 4(1):119-127.
Atikahramli NA, Sriperumbuduru VPK, Ghazi HF, Dalayi NJ. A study of caffeine consumption patterns and dependence among management and science university students. Indian J Forensic Med Toxicol 2019 13(1):101-105. doi:10.5958/0973-9130.2019.00021.5
Norshafarina SK, Ahmad Aisar AH, Neni WS. Association between the consumption of caffeinated energy drink, daytime sleepiness and psychological distress level among universities students in Shah Alam, Selangor. J Manag Sci 2018 16(2):39-45.
Wang L, Shen X, Wu Y, Zhang D. Coffee and caffeine consumption and depression: A meta-analysis of observational studies. Australian and New Zealand Journal of Psychiatry 2016 https://doi.org/10.1177/0004867415603131
Grosso G, Micek A, Castellano S, Pajak A, Galvano F. Coffee, tea, caffeine and risk of depression: A systematic review and dose-response meta-analysis of observational studies. Molecular Nutrition and Food Research 2016 https://doi.org/10.1002/mnfr.201500620.
Trapp GSA, Allen K, O’Sullivan TA, Robinson M, Jacoby P, Oddy WH. Energy drink consumption is associated with anxiety in australian young adult males. Depression and Anxiety 2014 https://doi.org/10.1002/da.22175
Winston AP, Hardwick E, Jaberi N. Neuropsychiatric effects of caffeine. Advances in Psychiatric Treatment 2005 https://doi.org/10.1192/apt.11.6.432
Siraj HH. Self-awareness and reflective skills in the promotion of personal and professional development of future medical professionals. Education in Medicine Journal 2013 https://doi.org/10.5959/eimj.v5i4.171.