Trends in Overall and Micronutrient-Containing Dietary Supplement Use in US Adults and Children, NHANES 2007-2018.
Cowan, AE
Tooze, JA
Gahche, JJ
Eicher-Miller, HA
Guenther, PM
Dwyer, JT
Potischman, N
Bhadra, A
Carroll, RJ
Bailey, RL
- Publisher:
- Elsevier
- Publication Type:
- Journal Article
- Citation:
- J Nutr, 2023, 152, (12), pp. 2789-2801
- Issue Date:
- 2023-01-14
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20851040_10868495710005671.pdf | Published version | 1.38 MB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Cowan, AE | |
dc.contributor.author | Tooze, JA | |
dc.contributor.author | Gahche, JJ | |
dc.contributor.author | Eicher-Miller, HA | |
dc.contributor.author | Guenther, PM | |
dc.contributor.author | Dwyer, JT | |
dc.contributor.author | Potischman, N | |
dc.contributor.author | Bhadra, A | |
dc.contributor.author | Carroll, RJ | |
dc.contributor.author | Bailey, RL | |
dc.date.accessioned | 2023-06-05T22:35:42Z | |
dc.date.available | 2022-07-26 | |
dc.date.available | 2023-06-05T22:35:42Z | |
dc.date.issued | 2023-01-14 | |
dc.identifier.citation | J Nutr, 2023, 152, (12), pp. 2789-2801 | |
dc.identifier.issn | 0022-3166 | |
dc.identifier.issn | 1541-6100 | |
dc.identifier.uri | http://hdl.handle.net/10453/170657 | |
dc.description.abstract | BACKGROUND: Dietary supplement (DS) use is widespread in the United States and contributes large amounts of micronutrients to users. Most studies have relied on data from 1 assessment method to characterize the prevalence of DS use. Combining multiple methods enhances the ability to capture nutrient exposures from DSs and examine trends over time. OBJECTIVES: The objective of this study was to characterize DS use and examine trends in any DS as well as micronutrient-containing (MN) DS use in a nationally representative sample of the US population (≥1 y) from the 2007-2018 NHANES using a combined approach. METHODS: NHANES obtains an in-home inventory with a frequency-based dietary supplement and prescription medicine questionnaire (DSMQ), and two 24-h dietary recalls (24HRs). Trends in the prevalence of use and selected types of products used were estimated for the population and by sex, age, race/Hispanic origin, family income [poverty-to-income ratio (PIR)], and household food security (food-secure vs. food-insecure) using the DSMQ or ≥ 1 24HR. Linear trends were tested using orthogonal polynomials (significance set at P < 0.05). RESULTS: DS use increased from 50% in 2007 to 56% in 2018 (P = 0.001); use of MN products increased from 46% to 49% (P = 0.03), and single-nutrient DS (e.g., magnesium, vitamins B-12 and D) use also increased (all P < 0.001). In contrast, multivitamin-mineral use decreased (70% to 56%; P < 0.001). In adults (≥19 y), any (54% to 61%) and MN (49% to 54%) DS use increased, especially in men, non-Hispanic blacks and Hispanics, and low-income adults (PIR ≤130%). In children (1-18 y), any DS use remained stable (∼38%), as did MN use, except for food-insecure children, whose use increased from 24% to 31% over the decade (P = 0.03). CONCLUSIONS: The prevalence of any and MN DS use increased over time in the United States. This may be partially attributed to increased use of single-nutrient products. Population subgroups differed in their DS use. | |
dc.format | ||
dc.language | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartof | J Nutr | |
dc.relation.isbasedon | 10.1093/jn/nxac168 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 0702 Animal Production, 0908 Food Sciences, 1111 Nutrition and Dietetics | |
dc.subject.classification | Nutrition & Dietetics | |
dc.subject.mesh | Male | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | United States | |
dc.subject.mesh | Micronutrients | |
dc.subject.mesh | Nutrition Surveys | |
dc.subject.mesh | Dietary Supplements | |
dc.subject.mesh | Diet | |
dc.subject.mesh | Vitamins | |
dc.subject.mesh | Trace Elements | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Trace Elements | |
dc.subject.mesh | Micronutrients | |
dc.subject.mesh | Vitamins | |
dc.subject.mesh | Diet | |
dc.subject.mesh | Nutrition Surveys | |
dc.subject.mesh | Dietary Supplements | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | United States | |
dc.subject.mesh | Male | |
dc.subject.mesh | Male | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | United States | |
dc.subject.mesh | Micronutrients | |
dc.subject.mesh | Nutrition Surveys | |
dc.subject.mesh | Dietary Supplements | |
dc.subject.mesh | Diet | |
dc.subject.mesh | Vitamins | |
dc.subject.mesh | Trace Elements | |
dc.title | Trends in Overall and Micronutrient-Containing Dietary Supplement Use in US Adults and Children, NHANES 2007-2018. | |
dc.type | Journal Article | |
utslib.citation.volume | 152 | |
utslib.location.activity | United States | |
utslib.for | 0702 Animal Production | |
utslib.for | 0908 Food Sciences | |
utslib.for | 1111 Nutrition and Dietetics | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Science | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Science/School of Mathematical and Physical Sciences | |
utslib.copyright.status | closed_access | * |
dc.date.updated | 2023-06-05T22:35:41Z | |
pubs.issue | 12 | |
pubs.publication-status | Published | |
pubs.volume | 152 | |
utslib.citation.issue | 12 |
Abstract:
BACKGROUND: Dietary supplement (DS) use is widespread in the United States and contributes large amounts of micronutrients to users. Most studies have relied on data from 1 assessment method to characterize the prevalence of DS use. Combining multiple methods enhances the ability to capture nutrient exposures from DSs and examine trends over time. OBJECTIVES: The objective of this study was to characterize DS use and examine trends in any DS as well as micronutrient-containing (MN) DS use in a nationally representative sample of the US population (≥1 y) from the 2007-2018 NHANES using a combined approach. METHODS: NHANES obtains an in-home inventory with a frequency-based dietary supplement and prescription medicine questionnaire (DSMQ), and two 24-h dietary recalls (24HRs). Trends in the prevalence of use and selected types of products used were estimated for the population and by sex, age, race/Hispanic origin, family income [poverty-to-income ratio (PIR)], and household food security (food-secure vs. food-insecure) using the DSMQ or ≥ 1 24HR. Linear trends were tested using orthogonal polynomials (significance set at P < 0.05). RESULTS: DS use increased from 50% in 2007 to 56% in 2018 (P = 0.001); use of MN products increased from 46% to 49% (P = 0.03), and single-nutrient DS (e.g., magnesium, vitamins B-12 and D) use also increased (all P < 0.001). In contrast, multivitamin-mineral use decreased (70% to 56%; P < 0.001). In adults (≥19 y), any (54% to 61%) and MN (49% to 54%) DS use increased, especially in men, non-Hispanic blacks and Hispanics, and low-income adults (PIR ≤130%). In children (1-18 y), any DS use remained stable (∼38%), as did MN use, except for food-insecure children, whose use increased from 24% to 31% over the decade (P = 0.03). CONCLUSIONS: The prevalence of any and MN DS use increased over time in the United States. This may be partially attributed to increased use of single-nutrient products. Population subgroups differed in their DS use.
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