scholarly journals Dietary Supplement Use among Infants and Toddlers Aged <24 Months in the United States, NHANES 2007–2014

2019 ◽  
Vol 149 (2) ◽  
pp. 314-322 ◽  
Author(s):  
Jaime J Gahche ◽  
Kirsten A Herrick ◽  
Nancy Potischman ◽  
Regan L Bailey ◽  
Namanjeet Ahluwalia ◽  
...  
Keyword(s):  
Dietary Supplement ◽  
Nutrient Intake ◽  
Age Groups ◽  
The United States ◽  
Infants And Toddlers ◽  
Representative Data ◽  
Nutrient Adequacy ◽  
Supplement Use ◽  
Nationally Representative ◽  
Over Time

ABSTRACT Background Limited nationally representative data are available on dietary supplement (DS) use and resulting nutrient exposures among infants and toddlers. Objective This study evaluated DS use among US infants and toddlers to characterize DS use, estimate nutrient intake from DSs, and assess trends in DS use over time. Methods Using nationally representative data from NHANES (2007–2014) and trends over time (1999–2014), we estimated prevalence of DS use and types of products used for US infants and toddlers aged <2 y (n = 2823). We estimated median daily intakes of vitamins and minerals consumed via DSs for all participants aged <2 y, by age groups (0–11.9 mo and 12.0–23.9 mo), and by feeding practices for infants 0–5.9 mo. Results Overall, 18.2% (95% CI: 16.2%, 20.3%) of infants and toddlers used ≥1 DS in the past 30 d. Use was lower among infants (0–5.9 mo: 14.6%; 95% CI: 11.5%, 18.1%; 6–11.9 mo: 11.6%; 95% CI: 8.8%, 15.0%) than among toddlers (12–23.9 mo: 23.3%; 95% CI: 20.4%, 26.3%). The most commonly reported DSs were vitamin D and multivitamin infant drops for those <12 mo, and chewable multivitamin products for toddlers (12–23.9 mo). The nutrients most frequently consumed from DSs were vitamins D, A, C, and E for those <2 y; for infants <6 mo, a higher percentage of those fed breast milk than those fed formula consumed these nutrients via DSs. DS use remained steady for infants (6–11.9 mo) and toddlers from 1999–2002 to 2011–2014, but increased from 7% to 20% for infants aged 0–5.9 mo. Conclusions One in 5 infants and toddlers aged <2 y use ≥1 DS. Future studies should examine total nutrient intake from foods, beverages, and DSs to evaluate nutrient adequacy overall and by nutrient source.

scholarly journals Federal Monitoring of Dietary Supplement Use in the Resident, Civilian, Noninstitutionalized US Population: National Health and Nutrition Examination Survey

2018 ◽  
Vol 148 (suppl_2) ◽  
pp. 1436S-1444S ◽  
Author(s):  
Jaime J Gahche ◽  
Regan L Bailey ◽  
Nancy Potischman ◽  
Abby G Ershow ◽  
Kirsten A Herrick ◽  
...  
Keyword(s):  
United States ◽  
Dietary Supplement ◽  
Product Information ◽  
The United States ◽  
Supplement Use ◽  
Nutrition Research ◽  
Usage Patterns ◽  
Nationally Representative ◽  
Collection Methods ◽  
Over Time

Abstract This review summarizes the current and previous data on dietary supplement (DS) use collected from participants in the NHANES, describes the NHANES DS database used to compute nutrient intakes from DSs, discusses recent developments and future directions, and describes many examples to show the utility of these data in informing nutrition research and policy. Since 1971, NHANES has been collecting information on the use of DSs from participants. These data are critical to national nutrition surveillance and have been used to characterize usage patterns, examine trends over time, assess the percentage of the population meeting or exceeding nutrient recommendations, and help to elucidate the sources contributing nutrients to the diet of the US population. More than half of adults and approximately one-third of children in the United States currently use ≥1 DS in the course of 30 d. DSs contribute to the dietary intake of nutrients and bioactive compounds in the United States and therefore need to be assessed when monitoring nutritional status of the population and when studying diet-health associations. With the recent development and availability of the Dietary Supplement Label Database, a comprehensive DS database that will eventually contain labels for all products marketed in the United States, NHANES DS data will be more easily linked to product information to estimate nutrient intake from DSs. NHANES provides a rich source of nationally representative data on the usage of dietary supplements in the United States. Over time, NHANES has both expanded and improved collection methods. The continued understanding of sources of error in collection methods will continue to be explored and is critical to improved accuracy.

Abstract P082: Prevalence and Trends in Dietary Supplement Use Among Diabetic Adults: The National Health and Nutrition Examination Surveys, 1999-2014

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Jing Li ◽  
Wambui Gathirua-Mwangi ◽  
Yiqing Song
Keyword(s):  
Dietary Supplement ◽  
National Health ◽  
The United States ◽  
Diabetic Patients ◽  
Supplement Use ◽  
Health And Nutrition ◽  
Race Ethnicity ◽  
Nationally Representative ◽  
Dietary Supplement Use ◽  
Comorbidity Status

With increasing diabetes prevalence in the US general population, many nutritional supplements are taken as alternative medicine by diabetic patients. However, serial trends or patterns in their dietary supplement use are unknown. Using the nationally representative data from the National Health and Nutrition Examination Survey (NHANES) collected between 1999 and 2014, we evaluated prevalence and trends of use of any supplements, multi-vitamins/multi-minerals (MVMM), individual vitamins, minerals, and non-vitamin, non-mineral supplements. Information on supplement use in the preceding 30 days was collected during the interview over 8 continuous 2-year waves. Analyses were conducted among 6,348 US diabetic adults aged 20 to 85 years (pregnant women excluded) and also stratified by age, race/ethnicity, gender, educational backgrounds, comorbidity status, and comorbidity status. Overall, the prevalence of use of any supplement (52%-59%; P for trend=.09) and that of any mineral (47%-51%; P for trend=.24) seemed stable. Use of MVMM decreased from 36% of reported use in 1999-2000 to 32% in 2013-2014 ( P for trend=.008). Use of any vitamin products increased from 47% to 53% ( P for trend=.04). Use of a few individual supplements including lycopene, vitamin D, and vitamin B12 significantly increased. The trend of supplement use varied by sex and race/ethnicity. In conclusion, among diabetic patients in the United States, use of any dietary supplements or any minerals remained stable, use of MVMM slightly decreased, and use of any vitamins and several individual supplements increased over the past 16 years.

scholarly journals Dietary Supplement Use among Adult Cancer Survivors in the United States

2020 ◽  
Vol 150 (6) ◽  
pp. 1499-1508
Author(s):  
Mengxi Du ◽  
Hanqi Luo ◽  
Jeffrey B Blumberg ◽  
Gail Rogers ◽  
Fan Chen ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Dietary Supplements ◽  
Dietary Supplement ◽  
Nutrient Intake ◽  
The United States ◽  
Vitamin B ◽  
Nutrient Intakes ◽  
Supplement Use ◽  
Adult Cancer Survivors ◽  
Dietary Supplement Use

ABSTRACT Background Many cancer patients initiate dietary supplement use after cancer diagnosis. How dietary supplement use contributes to the total nutrient intake among cancer survivors as compared with individuals without cancer needs to be determined. Objectives We aimed to evaluate nutrient intakes from dietary supplements among cancer survivors in relation to their total nutrient intake and compare those with individuals without cancer. Methods We evaluated the prevalence, dose, and reason for using dietary supplements among 2772 adult cancer survivors and 31,310 individuals without cancer who participated in the NHANES 2003–2016. Results Cancer survivors reported a higher prevalence of any (70.4% vs. 51.2%) and multivitamin/mineral (48.9% vs. 36.6%) supplement use and supplement use of 11 individual vitamins and 8 minerals than individuals without cancer. Overall, cancer survivors had significantly higher amounts of nutrient intake from supplements but lower nutrient intakes from foods for the majority of the nutrients. Compared with individuals without cancer, cancer survivors had a higher percentage of individuals with inadequate intake (total nutrient intake &lt;Estimated Average Requirement or Adequate Intake) for folate, vitamin B-6, niacin, calcium, copper, and phosphorus, due to lower intakes of these nutrients from foods. Cancer survivors also had a higher proportion of individuals with excess intake (total nutrient intake ≥Tolerable Upper Intake Level) for vitamin D, vitamin B-6, niacin, calcium, magnesium, and zinc, contributed by higher intakes of these nutrients from dietary supplements. Nearly half (46.1%) used dietary supplements on their own without consulting health care providers. Conclusions Cancer survivors reported a higher prevalence and dose of dietary supplement use but lower amounts of nutrient intake from foods than individuals without cancer. The inadequate nutrient intake from foods and the short-term and long-term health impact of dietary supplement use, especially at high doses, need to be further evaluated among cancer survivors.

Dietary Supplement Use Among Adult Cancer Survivors in the United States

2019 ◽  
Author(s):  
Mengxi Du ◽  
Jeffrey B. Blumberg ◽  
Zhilei Shan ◽  
Gail Rogers ◽  
Fan Chen ◽  
...  
Keyword(s):  
United States ◽  
Cancer Survivors ◽  
Dietary Supplement ◽  
The United States ◽  
Supplement Use ◽  
Adult Cancer Survivors ◽  
Dietary Supplement Use

Abstract 88: Increasing False Positive Diagnoses May Lead to Overestimation of Stroke Incidence, Particularly in the Young

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Abhinav J Appukutty ◽  
Lesli E Skolarus ◽  
Mellanie V Springer ◽  
William J Meurer ◽  
James F Burke
Keyword(s):  
Older Adults ◽  
False Positive ◽  
Age Groups ◽  
Vascular Risk Factor ◽  
The United States ◽  
Cross Sectional ◽  
Stroke Incidence ◽  
Ed Visits ◽  
Over Time

Introduction: Stroke incidence is reportedly increasing in younger adults. While increasing vascular risk factor prevalence has been suggested as a cause, the reasons for rising stroke incidence in the young are not clear. We explored several alternate explanations: trends in neurologically-focused emergency department (ED) visits, differential diagnostic classification of stroke and TIA over time, and changes in the use of advanced imaging in young and older adults. Methods: We performed a retrospective, serial, cross-sectional study on a nationally representative sample of all ED visits in the United States to quantify changes in patterns of neurologically-focused ED visits, stroke and TIA diagnoses, and rates of MRI utilization for young (18 – 44 years) and older (65+ years) adults over a 17-year period (1995 – 2000; 2005 – 2015) using National Hospital Ambulatory Medical Care Survey (NHAMCS) data. Results: In young adults, 0.4% (95% CI 0.3% – 0.5%) of neurologically-focused ED visits resulted in a primary diagnosis of stroke vs. 6.8% (95% CI 6.2% – 7.5%) for older adults. In both populations, the incidence of neurologically-focused ED visits has increased over time (+111/100,000 population/year, 95% CI +94 – +130 in the young vs. +70/100,000 population/year, 95% CI +34 – +108 in older adults). There was no evidence of differential classification of TIA to stroke over time (OR 1.001 per year, 95% CI 0.926 – 1.083 in the young; OR 1.003 per year, 95% CI 0.982 – 1.026 in older adults) and no evidence of disproportionate rise in MRI utilization for neurologically-focused ED visits in the young (OR 1.057 per year, 95% CI 1.028 – 1.086 in the young; OR 1.095 per year, 95% CI 1.066 – 1.125 in older adults). Conclusions: If the specificity of stroke diagnosis amongst ED visits is similar amongst young and older populations, then the combination of data observed here, including (1) a lower prior probability of stroke diagnoses in the young and (2) an increasing trend in neurologically-focused ED visits in both age groups, suggests that false positive diagnoses will increase over time, with a faster rise in the young compared to older adults. These data suggest a potential explanation that may contribute to higher stroke incidence in the young and merits further scrutiny.

Serious Adverse Events Reported with Dietary Supplement Use in the United States: A 2.5 Year Experience

2018 ◽  
Vol 17 (2) ◽  
pp. 227-248 ◽  
Author(s):  
Stephen M. Schmitz ◽  
Hector L. Lopez ◽  
Douglas Mackay ◽  
Haiuyen Nguyen ◽  
Paula E. Miller
Keyword(s):  
United States ◽  
Adverse Events ◽  
Dietary Supplement ◽  
The United States ◽  
Serious Adverse Events ◽  
Supplement Use ◽  
Dietary Supplement Use

scholarly journals Dietary Supplement Use Among Infants, Children, and Adolescents in the United States, 1999-2002

2007 ◽  
Vol 161 (10) ◽  
pp. 978 ◽  
Author(s):  
Mary Frances Picciano ◽  
Johanna T. Dwyer ◽  
Kathy L. Radimer ◽  
David H. Wilson ◽  
Kenneth D. Fisher ◽  
...  
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
Dietary Supplement ◽  
The United States ◽  
Supplement Use ◽  
Dietary Supplement Use

Abstract P078: Contribution of Nutrients from Consumption of Low/Non-Fat/Light Ice Cream and Frozen Yogurt versus Regular Ice Cream to Total Daily Nutrient Intake

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jessica Smerling ◽  
Douglas Balentine ◽  
Mary Kearney ◽  
Carolyn Scrafford ◽  
Leila Barraj ◽  
...  
Keyword(s):  
Nutrient Intake ◽  
Saturated Fat ◽  
Ice Cream ◽  
The United States ◽  
United States Department ◽  
Nutrient Intakes ◽  
Frozen Yogurt ◽  
Dietary Nutrient ◽  
Nationally Representative ◽  
The Impact

Objective: The impact on nutrient intake of replacing regular ice cream with low/non-fat/light ice cream and frozen yogurt (lower fat ice cream) is heretofore unknown. The objective of this study was to evaluate the contribution of daily nutrient intake from ice cream consumption to total daily dietary nutrient intake. Methods: Food intake and frequency of consumption data were based on the National Health and Nutrition Examination Survey (NHANES) (2003–2004 and 2005–2006) and nutrient composition data from the United States Department of Agriculture (USDA) Food and Nutrient Database for Dietary Studies (FNDDS). The NHANES datasets provide nationally representative nutrition and health data of the civilian U.S. population. A total of 16,783 individuals in the 2003–2006 survey periods provided 2 complete days of dietary recalls and nutrient intake estimates were derived using 2-day average intake analysis. Results: Mean consumption of regular and lower fat ice cream products in the US population was 68.5 and 77.1 grams/day, respectively and frequency of consumption was 0.2 and 0.22 eating occasion/day, respectively among consumers of ice cream. Figure 1 reveals that lower fat ice cream contributed equal or greater amounts of calcium, phosphorus, potassium, riboflavin, and niacin to daily nutrient intakes for the U.S. population when compared with regular ice cream, with the exception of vitamin D. Alternatively, lower fat ice cream contributed lesser amounts of energy, saturated fat, and added sugar to daily nutrient intakes when compared to regular ice cream; lower fat ice cream contributed 56% less saturated fat to daily nutrient intake compared to regular ice cream. Conclusion: Consumers of low/non-fat/light ice cream and frozen yogurt had lower percent contribution of saturated fat to total daily nutrient intake compared to users of regular ice cream. Figure 1

Using Citizen Surveys to Produce Information on the Police: The Present and Potential Uses of the National Crime Victimization Survey

2002 ◽  
Vol 4 (1-2) ◽  
pp. 61-70 ◽  
Author(s):  
James P. Lynch
Keyword(s):  
United States ◽  
Criminal Justice ◽  
The United States ◽  
National Crime Victimization Survey ◽  
Crime Victimization ◽  
Victimization Survey ◽  
Representative Data ◽  
Nationally Representative ◽  
Effective Use ◽  
Crime And Criminal Justice

The National Crime Victimization Survey (NCVS) is a major source of nationally representative data on crime and the response to crime in the United States. The survey's potential to add to our understanding of crime and criminal justice issues has not been fully exploited, however. One of the areas where more effective use could be made of the information gathered by the survey is policing. This paper suggests how the NCVS can more fully realize its potential for informing issues pertaining to the police.

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