Predictors of the Relationships Between Nutritional Supplement Use and Weight-Modification Goals of U.S. Army Soldiers

2013 ◽  
Vol 23 (4) ◽  
pp. 322-335 ◽  
Author(s):  
Krista G. Austin ◽  
Christina E. Carvey ◽  
Emily K. Farina ◽  
Harris R. Lieberman
Keyword(s):  
Weight Gain ◽  
Tobacco Use ◽  
Eating Habits ◽  
Nutritional Supplements ◽  
Energy Drinks ◽  
Nutritional Supplement ◽  
Sport Nutrition ◽  
Fitness Score ◽  
Supplement Use ◽  
Army Soldiers

Background:U.S. Army Soldiers must meet body weight and composition standards and consequently may use nutritional supplements (NS) purported to assist in weight modification (WM). Nutritional supplements are dietary supplements (DS) and foods intended to supplement the diet.Purpose:This study assessed relationships between NS use, demographic characteristics, health-related behaviors, and WM goals among U.S. Army personnel.Methods:Participants (N = 990) self-reported NS use, categorized as energy drinks, sport nutrition products, or DS, and WM goal (lose, gain, or maintain) was ascertained by survey. DS were subcategorized as health, weight-loss, weight-gain, or other DS. Chi-square and logistic regression were used to assess relationships between predictors, NS use, and WM goal. Most respondents (70.3% ± 1.7%) consumed some NS; however, overall NS use was not related to WM goal. Significant relationships were observed between predictors (tobacco use, age, body-mass index, fitness score, general health, and eating habits) and both WM goal and NS use. Respondents attempting to lose or maintain weight were less likely to consume energy drinks and weight-gain DS.Conclusion:WM goal is related to multiple health behaviors including tobacco use, physical fitness score, and self-perception of health and eating behavior. NS are consumed in this population regardless of WM goal.

Nutritional Supplement Use by Dutch Elite and Sub-Elite Athletes: Does Receiving Dietary Counseling Make a Difference?

2017 ◽  
Vol 27 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Floris C. Wardenaar ◽  
Ingrid J.M. Ceelen ◽  
Jan-Willem Van Dijk ◽  
Roland W.J. Hangelbroek ◽  
Lore Van Roy ◽  
...  
Keyword(s):  
Nutritional Supplements ◽  
Exercise Duration ◽  
Nutritional Supplement ◽  
Cross Sectional Study ◽  
Sport Nutrition ◽  
Dietary Counseling ◽  
Cross Sectional ◽  
Supplement Use ◽  
Elite Status ◽  
Almost All

The use of nutritional supplements is highly prevalent among athletes. In this cross-sectional study, we assessed the prevalence of nutritional supplement use by a large group of Dutch competitive athletes in relation to dietary counseling. A total of 778 athletes (407 males and 371 females) completed a web-based questionnaire about the use of nutritional supplements. Log-binomial regression models were applied to estimate crude and adjusted prevalence ratios (PR) for the use of individual nutritional supplements in athletes receiving dietary counseling as compared with athletes not receiving dietary counseling. Of the athletes, 97.2% had used nutritional supplements at some time during their sports career, whereas 84.7% indicated having used supplements during the last 4 weeks. The top ranked supplements used over the last 4 weeks from dietary supplements, sport nutrition products and ergogenic supplements were multivitamin and mineral preparations (42.9%), isotonic sports drinks (44.1%) and caffeine (13.0%). After adjustment for elite status, age, and weekly exercise duration, dietary counseling was associated with a higher prevalence of the use of vitamin D, recovery drinks, energy bars, isotonic drinks with protein, dextrose, beta-alanine, and sodium bicarbonate. In contrast, dietary counseling was inversely associated with the use of combivitamins, calcium, vitamin E, vitamin B2, retinol, energy drinks and BCAA and other amino acids. In conclusion, almost all athletes had used nutritional supplements at some time during their athletic career. Receiving dietary counseling seemed to result in better-informed choices with respect to the use of nutritional supplements related to performance, recovery, and health.

scholarly journals Attitudes towards nutritional supplement use amongst adult gymnasium users in Johannesburg North

2017 ◽  
Vol 29 (1) ◽  
pp. 1-5 ◽  
Author(s):  
X Mc Creanor ◽  
Y Coopoo ◽  
G Gabriels
Keyword(s):  
South Africa ◽  
Health Benefit ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Normal Diet ◽  
Health And Wellness ◽  
Cross Sectional ◽  
Supplement Use ◽  
Statutory Body ◽  
Study Participants

Background: Nutritional supplements refer to a product ingested to increase the nutritional content of a normal diet, to fill a dietary need and/or presumed deficiency. The usage and popularity of nutritional supplements, however, raises concerns from a health benefit and risk perspective. In South Africa, there is currently no adequate regulatory framework of enforcement for nutritional supplement products and undeclared constituents by the statutory body, the Medicines Control Council (MCC). Education awareness programmes by organisations that should take consumer protection and the general public health and wellness as a right, needs to be improved. Objectives: To investigate the attitudes toward nutritional supplements by adult gym users from commercial gymnasiums in the Johannesburg North region of South Africa. Methods: A cross-sectional quantitative design, using a selfadministered questionnaire was applied to 364 recruited study participants who attended commercial gymnasiums in Johannesburg North. Results: One hundred and fifty users (41%) claimed that they ‘always’ read the information about the nutritional values, benefits, and side effects of the supplements on the labels prior to use. Three hundred and three users (83%) indicated that the number of users of nutritional supplements in gymnasiums is on the increase. Two hundred and seventy-three (75%) of main information sources for nutritional supplements may be found on the internet, while 292 (80%) indicated the need for gymnasiums to provide educational programmes pertaining to nutritional supplement consumption. Conclusion: Gymnasium users are aware of the increase in nutritional supplement use in commercial gymnasiums. Many of the users were unaware of the potential mislabelling and health concerns regarding these supplements. Therefore there is a need for improved nutritional supplement education programmes and diligence at multiple levels.

scholarly journals The role of fortified foods and nutritional supplements in the diets of older Irish adults

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Laura Kehoe ◽  
Janette Walton ◽  
Breige A. McNulty ◽  
Anne P. Nugent ◽  
Albert Flynn
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Vitamin B12 ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Serum Folate ◽  
Nutrient Intakes ◽  
Fortified Foods ◽  
Supplement Use ◽  
Fortified Food

AbstractLow intakes and suboptimal status of vitamin D, riboflavin, vitamin B12, folate and calcium have been reported in older adults across Europe. Dietary strategies to improve micronutrient intakes and status could include food fortification (mandatory or voluntary) and/or the use of nutritional supplements. This study aims to examine the impact of fortified food consumption and nutritional supplement use on nutrient intakes and nutritional status of vitamin D, riboflavin, vitamin B12, dietary folate equivalents (DFE) and calcium in older Irish adults.Analyses were based on the National Adult Nutrition Survey (NANS) (2008–2010). A 4 day semi-weighed food record was used to collect food and beverage intake data (including nutritional supplement use) from a nationally representative sample of 1500 adults (226 older adults (≥ 65y)). Blood samples (n 1126 (n 145 ≥ 65y)) were collected, processed and analysed using standard operating procedures. Nutrient intakes were estimated using WISP© based on UK and Irish food composition data. Fortified foods were identified as those that had one or more micronutrients added in the ingredient list and a nutritional supplement was defined as a supplement containing vitamins and/or minerals (i.e. excludes herbal/non-nutritional supplements). A fortified food consumer or nutritional supplement user was defined as a participant who consumed a fortified food or took a nutritional supplement at any time over the 4-day recording period. Usual intakes of micronutrients were calculated via the NCI-method using SAS© Enterprise Guide and analyses of biomarker data were carried out using SPSS©.The consumption of fortified foods and/or use of nutritional supplements increased mean intakes of vitamin D (3.6 to 6.9μg/d), riboflavin (1.6 to 2.3mg/d), vitamin B12 (4.5 to 6.0μg/d), DFE (228 to 408μg/d) and calcium (784 to 947mg/d) in older Irish adults and reduced the prevalence of inadequate intakes of these micronutrients by up to 40%. Furthermore, consumers of fortified foods and/or nutritional supplements had improved biomarker status and reduced prevalence of low/deficient status for vitamin D (62 vs 16%), riboflavin (65 vs 11%), vitamin B12 (8 vs 0%) and folate (serum folate:18 vs 0%; red blood cell folate: 0% across all groups) when compared to non-consumers.This study has shown that fortified foods and/or nutritional supplements represent an opportunity to improve intakes and status of key micronutrients in older adults. The data presented in this study will serve to inform the development and implementation of updated dietary recommendations for older adults in Ireland.

scholarly journals The efficacy and safety of nutritional supplement use in a representative sample of adults in the North/South Ireland Food Consumption Survey

2001 ◽  
Vol 4 (5a) ◽  
pp. 1089-1097 ◽  
Author(s):  
M Kiely ◽  
A Flynn ◽  
KE Harrington ◽  
PJ Robson ◽  
N O'Connor ◽  
...  
Keyword(s):  
Vitamin A ◽  
Representative Sample ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Food Sources ◽  
Food Diary ◽  
Supplement Use ◽  
The North ◽  
Daily Intakes ◽  
The Impact

AbstractObjectiveTo describe the current use of nutritional supplements and their contribution to micronutrient intakes in a representative sample of Irish adults, to evaluate the impact of supplement use on the adequacy of micronutrient intakes and to assess the risk to supplement users of exceeding tolerable upper intake levels (UL).Study design and subjectsFood intake data were collected in 1379 (662 male and 717 female) randomly selected Irish adults aged 18 to 64 years using a 7-day food diary. The current use of nutritional supplements was assessed using a selfadministered questionnaire and respondents entered each supplement as it was consumed into the food diary.ResultsTwenty-three per cent of respondents regularly used nutritional supplements. Twice as many women used supplements as men. The intakes of micronutrients were significantly higher (P < 0.001) in supplement users than in non-users. Micronutrient intakes from food sources were similar in male users and non-users of supplements, but were significantly higher (P < 0.01) in female users, by 3 to 13%, for Fe, Mg, Mn, vitamins C and E and niacin than in non-users. The percentage of female users between 18 and 50 years who had mean Fe intakes below the average requirement (AR) (10 mg) decreased from 50 to 25 when the contribution from supplements was included. The use of supplements reduced the percentage of men who had mean intakes below the AR for Zn from 19 to 13, for riboflavin from 14 to 6 and for vitamin A from 20 to 5, and reduced the percentage of women with intakes below the AR for Ca from 23 to 16 and for riboflavin from 23 to 14. Twenty-one women out of 80 aged between 18 and 50 years, who consumed supplemental folate, achieved the intake of 600 |xg recommended to prevent neural tube defects. Twenty-two per cent of the women who took iron and 15% of the women who took vitamin B$ in supplemental form had mean daily intakes that exceeded that UL for these nutrients. Supplement users did not exceed the UL for the other micronutrients.ConclusionsSupplementation appears to be beneficial in promoting adequate intakes of some micronutrients, particularly Fe and folate in women aged 18–50 years and vitamin A in men. There appears to be little risk to supplement users of experiencing adverse side effects due to excessive intakes of micronutrients.

scholarly journals Attitudes towards nutritional supplement use amongst adult gymnasium users in Johannesburg North

2017 ◽  
Vol 29 (1) ◽  
pp. 1-5
Author(s):  
X Mc Creanor ◽  
Y Coopoo ◽  
G Gabriels
Keyword(s):  
South Africa ◽  
Health Benefit ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Normal Diet ◽  
Health And Wellness ◽  
Cross Sectional ◽  
Supplement Use ◽  
Statutory Body ◽  
Study Participants

Background: Nutritional supplements refer to a product ingested to increase the nutritional content of a normal diet, to fill a dietary need and/or presumed deficiency. The usage and popularity of nutritional supplements, however, raises concerns from a health benefit and risk perspective. In South Africa, there is currently no adequate regulatory framework of enforcement for nutritional supplement products and undeclared constituents by the statutory body, the Medicines Control Council (MCC). Education awareness programmes by organisations that should take consumer protection and the general public health and wellness as a right, needs to be improved. Objectives: To investigate the attitudes toward nutritional supplements by adult gym users from commercial gymnasiums in the Johannesburg North region of South Africa. Methods: A cross-sectional quantitative design, using a selfadministered questionnaire was applied to 364 recruited study participants who attended commercial gymnasiums in Johannesburg North. Results: One hundred and fifty users (41%) claimed that they ‘always’ read the information about the nutritional values, benefits, and side effects of the supplements on the labels prior to use. Three hundred and three users (83%) indicated that the number of users of nutritional supplements in gymnasiums is on the increase. Two hundred and seventy-three (75%) of main information sources for nutritional supplements may be found on the internet, while 292 (80%) indicated the need for gymnasiums to provide educational programmes pertaining to nutritional supplement consumption. Conclusion: Gymnasium users are aware of the increase in nutritional supplement use in commercial gymnasiums. Many of the users were unaware of the potential mislabelling and health concerns regarding these supplements. Therefore there is a need for improved nutritional supplement education programmes and diligence at multiple levels.

scholarly journals Nutritional supplements use, cost, source of information, and practices by Johannesburg North gym goers

2020 ◽  
Vol 32 (1) ◽  
pp. 6
Author(s):  
Gary Gabriels ◽  
Yoga Coopoo ◽  
Xavier Mc Creanor
Keyword(s):  
Risk Assessment ◽  
Body Image ◽  
Influencing Factor ◽  
Protein Body ◽  
Cost Benefit ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Cross Sectional ◽  
Supplement Use ◽  
Benefit Risk Assessment

Background: Nutritional supplements are defined as any dietary supplement manufactured product that is generally intended to supplement the diet when taken by mouth as a pill, capsule, tablet, or liquid. Currently, the use of nutritional supplements is on the increase worldwide, predominantly in Western countries but also more recently expanding to other parts of the world for what has become a multibillion-dollar global industry. As a result, consumer demand has caused the increase in the advertising and marketing of these products. This contributes to early exposure to nutritional supplements by potential consumers and is an influencing factor for the use of performance-enhancing and/or appearance substances by adolescents. For the nutritional supplement industry the container is thus the manifestation of innovative ideas for the enterprising business-minded mogul. For the consumer, body image and ideal body discrepancy, and social influences manifest in the belief that the perfection of body development cannot be achieved without the use of nutritional supplements. This makes the consumer a captive audience for the industry and a challenge for the health care provider when suggesting alternatives to nutritional supplements, based on cost- benefit, and risk assessment. Objective: To determine the association between commercial gym goers and nutritional supplements, in particular the commencement of use, reasons and purpose for use, and the financial and risk implications of use. Methods: A self-administered questionnaire based on a cross-sectional quantitative design and systematic convenience sampling was given to the 364 recruited males and female gym goers. Results: This study’s finding shows that the main reasons why females attend gyms are for muscle gain (57%), weight loss (48%), staying healthy (47%), and a ‘spiritual motive’ (39%) In males, it is predominantly for muscle gain (54%). Protein supplements were the most popular products that were consumed (84%) followed by carbohydrates (72%) and vitamins (71%). It was found that the consumption of nutritional supplements often starts at high school age and continues into adulthood. The analysis shows that natural source protein products are better priced than nutritional supplement products. Conclusion: The study shows the importance of educating gym goers, the general public, and the guardians of minors to make a behaviour change towards nutritional supplement consumption. The change should also incorporate a cost-benefit risk assessment which is practical for the consumer when comparing supplement use as alternative sources of protein. Keywords: alternative protein, body image, cost, gender, spiritual motives

scholarly journals Investigation and Comparison of Nutritional Supplement Use, Knowledge, and Attitudes in Medical and Non-Medical Students in China

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1810 ◽  
Author(s):  
Hechun Liu ◽  
Yuexin Yang ◽  
Dengfeng Xu ◽  
Hui Xia ◽  
Da Pan ◽  
...  
Keyword(s):  
Health Status ◽  
Medical Students ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Supplement Use ◽  
Knowledge And Attitudes ◽  
Level Of Knowledge

The objective of this study is to investigate and compare the prevalence, knowledge, and attitudes of Chinese university students with respect to nutritional supplements. We conducted a cross-sectional study in several universities around China from January to December 2017, and enrolled a total of 8752 students. Of these, 4252 were medical students and 4500 were non-medical students. The use of nutritional supplements was reported by 58.9% in universities students, with a higher rate for medical students as compared to non-medical students. It was found 24.2% of participants had taken supplements in the past year. Medical students had a higher level of knowledge on nutritional supplements than non-medical students (p < 0.001). The most commonly used nutritional supplements were vitamin C, calcium, and vitamin B. Gender (p < 0.001), household income (p < 0.001), and health status (p < 0.001) were related to the nutritional supplement use after adjustment for related factors. In conclusion, in China, nutritional supplement use was found to be more common in medical students than those studying other disciplines, and was associated with sex, income, and health status. The attitude towards nutritional supplements by medical students was positive. Students’ knowledge levels about nutritional supplements need to be improved

Nutritional Supplement Use among College Athletes and Their Sources of Information

2004 ◽  
Vol 14 (1) ◽  
pp. 104-120 ◽  
Author(s):  
Kathryn Froiland ◽  
Wanda Koszewski ◽  
Joshua Hingst ◽  
Lisa Kopecky
Keyword(s):  
Female Athletes ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Division I ◽  
Sources Of Information ◽  
Supplement Use ◽  
Sports Drinks ◽  
Varsity Athletes ◽  
Source Of Information ◽  
Reasons For Use

A survey was conducted to examine the source of information and usage of nutritional supplements in 115 male and 88 female varsity athletes at a Division I university. The survey asked each athlete to define supplement, and report supplement use and type, source of information, and reasons for use. Supplement use frequencies were determined, and comparisons were made between gender and sport. Eighty-nine percent of the subjects had or were currently using nutritional supplements. Many athletes did not consider sports drinks and calorie replacement products as supplements. Females were more likely to take calcium and multivitamins, and males had significant intake for ginseng, amino acids, glutamine, hydroxy-methyl-buterate (HMB), weight gainers, whey protein, and Juven. The most frequently used supplements overall were energy drinks (73%), calorie replacement products of all types (61.4%), multivitamin (47.3%), creatine (37.2%), and vitamin C (32.4%). There was also significant supplement use noted per sport. Females were more likely to obtain information from family members regarding supplementation, and males from a store nutritionist, fellow athletes, friends, or a coach. Female athletes were more likely to take supplements for their health or because of an inadequate diet, while men reported taking supplements to improve speed and agility, strength and power, or for weight/muscle gain.

scholarly journals Inadvertent doping through nutritional supplements is a reality

2004 ◽  
Vol 16 (2) ◽  
pp. 3 ◽  
Author(s):  
PJ Van der Merwe ◽  
E Grobbelaar
Keyword(s):  
Sports Medicine ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Over The Counter ◽  
Supplement Use ◽  
High Profile ◽  
Olympic Athletes ◽  
Ma Huang ◽  
World Anti Doping Agency ◽  
Androgenic Steroids

Objective. Inadvertent doping through the use of nutritional supplements is a potentially important cause of the increase in positive drug tests involving high-profile Olympic athletes. The aim of this study was to screen over-the-counter nutritional supplements for the presence of steroid or stimulant compounds banned by the International Olympic Committee (IOC) and the World Anti-Doping Agency (WADA). Method. Thirty different nutritional supplements from 14 different manufacturers were bought at shops in Bloemfontein, South Africa and analysed for testosterone and nandrolone prohormones, various ephedrines and caffeine. Results. Eighteen (60%) of the 30 supplements contained no prohibited substances. Of the 12 (40%) positive supplements, 8 (66.7%) contained prohormones and 4 (33.3%) contained stimulants. Six supplements contained prohormones, which were listed on the labels, while 2 contained prohormones not listed on the labels. The stimulants were listed on the labels as Ma Huang, Guarana and Kola extracts and all contained a mixture of ephedrines and caffeine. Conclusion. The results showed that approximately 7% of supplements tested may be mislabelled or contaminated with banned substances and that inadvertent doping through nutritional supplement use is a reality for athletes. The sporting community should therefore be aware that supplements might contain anabolic androgenic steroids and stimulants that are not declared on the labels. SA Sports Medicine Vol.16(2) 2004: 3-7

When Food Becomes a Drug: Nonanabolic Nutritional Supplement Use in Athletes

2002 ◽  
Vol 30 (6) ◽  
pp. 907-916 ◽  
Author(s):  
Thomas L. Schwenk ◽  
Chad D. Costley
Keyword(s):  
Medical Care ◽  
Athletic Performance ◽  
Animal Studies ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Ergogenic Aid ◽  
Supplement Use ◽  
Human Use ◽  
The Difference ◽  
Study Designs

The use of nonanabolic nutritional supplements for the sake of improving athletic performance is common, and the types of supplements used can have significant implications for the medical care of athletes. This review will address the most common and most controversial nonanabolic nutritional supplements, including recommendations regarding their use. Many supplements are marketed and promoted based on various theoretical benefits, often derived from limited animal studies, without any basis for recommending their human use. Physicians are trained to not recommend a nutritional supplement unless it is known to be effective, whereas athletes are oriented toward trying any supplement or ergogenic aid as long as it is safe, with the hope that it may be effective. The built-in error in most study designs is larger than the difference between winning and not qualifying at elite levels of competition, such that research may not always answer the questions raised by athletes. An honest discussion of the limitations of most supplements, and acknowledgment that some supplements may work some of the time in some athletes, may lead the physician to be more credible and useful to athletes in providing medical care and guidance that support their desire to improve their performance.

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