Abstract
Use of dietary supplements is widespread, yet intakes from supplements are difficult
to quantify. The Supplement Reporting study utilized a unique inventory method to
quantify dietary supplement use across 1 year in a sample of 397 supplement users.
Interviewers visited participants' homes in 2005-2006 to record supplement purchases
and the number of pills in each supplement bottle every 3 months. Total use for the
year was calculated from these inventories. Participants in this observational study
were older adults (average age 68 years) from the Multiethnic Cohort in Hawaii and
Los Angeles, CA, with approximately equal representation of men and women and six
ethnic groups (white, Japanese American, Hawaiian, African American, Latinos born
in the United States, and Latinos born elsewhere). The most commonly used supplement
type was one-a-day multivitamins/minerals, which were taken at least once during the
year by 83% of men and 73% of women. Other common supplements were vitamin C, fish
oil, vitamin E, and bone or joint supplements. Participants used a median of seven
(women) and five and a half (men) different supplements during the year. There were
few differences in supplement use across ethnic groups for men, but use tended to
be highest for white and Japanese-American women. Use of nonvitamin/nonmineral supplements
was common among these older adults, sometimes at high doses. When assessing intakes,
supplement use should be correctly quantified because users tend to take many different
supplements and nutrient intakes from supplements can be substantial. The inventory
method may help improve the measurement of supplement use.
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References
- Dietary supplement use by US adults: Data from the National Health and Nutrition Examination Survey, 1999-2000.Am J Epidemiol. 2004; 160: 339-349
- Use of vitamin, mineral, nonvitamin, and nonmineral supplements in the United States: The 1987, 1992, and 2000 National Health Interview Survey results.J Am Diet Assoc. 2004; 104: 942-950
- State-of-the-Science Conference Statement: Multivitamin/mineral supplements and chronic disease prevention.Am J Clin Nutr. 2007; 85: 257S-264S
- Use of Dietary Supplements in the United States, 1988-94.National Center for Health Statistics, Hyattsville, MD1999
- Correlates of vitamin supplement use in the United States: Data from the California Teachers Study cohort.Cancer Causes Control. 2002; 13: 735-740
- Use of vitamin-mineral supplements by female physicians in the United States.Am J Clin Nutr. 2000; 72: 969-975
- Factors associated with dietary supplement use among healthy adults of five ethnicities.Am J Epidemiol. 2003; 157: 888-897
- Multivitamin-multimineral supplements' effect on total nutrient intake.Am J Clin Nutr. 2007; 85: 280S-284S
- Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids.National Academies Press, Washington, DC2000
- Dietary Reference Intakes. Applications in Dietary Assessment.National Academies Press, Washington, DC2000
- Collection of dietary-supplement data and implications for analysis.Am J Clin Nutr. 1994; 59: 232S-239S
- Validity of methods used to assess vitamin and mineral supplement use.Am J Epidemiol. 1998; 148: 643-649
- Comparison of two instruments to quantify intake of vitamin and mineral supplements: A brief questionnaire vs. three 24-hour recalls.Am J Epidemiol. 2002; 156: 669-675
- Reliability and validity of self-report of vitamin and mineral supplement use in the Vitamins and Lifestyle Study.Am J Epidemiol. 2003; 157: 944-954
- Validity and reproducibility of a self-administered questionnaire to determine dietary supplement users among Japanese.Eur J Clin Nutr. 2001; 55: 360-365
- Measurement error from assessing use of vitamin supplements at one point in time.Epidemiology. 1998; 9: 567-569
- Pill count adherence to prenatal multivitamin/mineral supplement use among low-income women.J Nutr. 2005; 135: 1093-1101
- Development of a supplement composition database for the SURE study.J Food Comp Analysis. 2009; 22: S83-S87
- A multiethnic cohort in Hawaii and Los Angeles: Baseline characteristics.Am J Epidemiol. 2000; 151: 346-357
- Statistical Methods for Rates & Proportions.Wiley-Interscience, New York, NY2003
- Dietary Reference Intakes: The Essential Guide to Nutrient Requirements.National Academies Press, Washington, DC2006
- Evaluation of a simplified vitamin supplement inventory developed for the Women's Health Initiative.Public Health Nutr. 1999; 2: 273-276
- Dietary supplement use by US adults: Data from the National Health and Nutrition Examination Survey, 1999-2000.Am J Epidemiol. 2004; 160: 339-349
- Estimation of antioxidant intakes from diet and supplements in US adults.J Nutr. 2010; 140: 317-324
- Trends in dietary supplement use in a cohort of postmenopausal women from Iowa.Am J Epidemiol. 2009; 169: 887-892
- Nonvitamin, nonmineral dietary supplements: Issues and findings from NHANES III.J Am Diet Assoc. 2000; 100: 447-454
- Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States.JAMA. 2008; 300: 2867-2878
- Nonvitamin, nonmineral supplement use over a 12-month period by adult members of a large health maintenance organization.J Am Diet Assoc. 2003; 103: 1500-1505
- Dietary supplements in a national survey: Prevalence of use and reports of adverse events.J Am Diet Assoc. 2006; 106: 1966-1974
- Use of vitamin, mineral, nonvitamin, and nonmineral supplements in the United States: The 1987, 1992, and 2000 National Health Interview Survey Results.J Am Diet Assoc. 2004; 104: 942-950
- Factors associated with dietary supplement use among prescription medication users.Arch Intern Med. 2006; 166: 1968-1974
- Should supplemental antioxidant administration be avoided during chemotherapy and radiation therapy?.J Natl Cancer Inst. 2008; 100: 773-783
Biography
S. P. Murphy is a researcher, Cancer Research Center of Hawaii, University of Hawaii, Honolulu
Biography
L. R. Wilkens is a specialist, Cancer Research Center of Hawaii, University of Hawaii, Honolulu
Biography
A. D. Steffen is an assistant specialist, Cancer Research Center of Hawaii, University of Hawaii, Honolulu
Biography
K. M. Yonemori is a research nutritionist, Cancer Research Center of Hawaii, University of Hawaii, Honolulu
Biography
Y. Morimoto is a research nutritionist, Cancer Research Center of Hawaii, University of Hawaii, Honolulu
Biography
C. L. Albright is an associate researcher, Cancer Research Center of Hawaii, University of Hawaii, Honolulu
Biography
K. R. Monroe is an assistant professor, Keck School of Medicine, University of Southern California, Los Angeles
Article info
Publication history
Accepted:
December 30,
2010
Identification
Copyright
© 2011 American Dietetic Association. Published by Elsevier Inc. All rights reserved.