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 ◽  
...  
2020 ◽  
Vol 150 (6) ◽  
pp. 1499-1508
Author(s):  
Mengxi Du ◽  
Hanqi Luo ◽  
Jeffrey B Blumberg ◽  
Gail Rogers ◽  
Fan Chen ◽  
...  

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 <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.


2018 ◽  
Vol 17 (2) ◽  
pp. 227-248 ◽  
Author(s):  
Stephen M. Schmitz ◽  
Hector L. Lopez ◽  
Douglas Mackay ◽  
Haiuyen Nguyen ◽  
Paula E. Miller

2007 ◽  
Vol 161 (10) ◽  
pp. 978 ◽  
Author(s):  
Mary Frances Picciano ◽  
Johanna T. Dwyer ◽  
Kathy L. Radimer ◽  
David H. Wilson ◽  
Kenneth D. Fisher ◽  
...  

2020 ◽  
Vol 55 (4) ◽  
pp. 174-181 ◽  
Author(s):  
Jeff Moore ◽  
Amanda McClain ◽  
Mee Young Hong

2010 ◽  
Vol 141 (2) ◽  
pp. 261-266 ◽  
Author(s):  
Regan L. Bailey ◽  
Jaime J. Gahche ◽  
Cindy V. Lentino ◽  
Johanna T. Dwyer ◽  
Jody S. Engel ◽  
...  

2013 ◽  
Vol 27 (S1) ◽  
Author(s):  
Jaime Jacqueline Gahche ◽  
Regan Bailey ◽  
Vicki Burt ◽  
Johanna Dwyer

2009 ◽  
Vol 36 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Paige E. Miller ◽  
Joseph J. Vasey ◽  
Pamela F. Short ◽  
Terryl J. Hartman

2008 ◽  
Vol 26 (4) ◽  
pp. 665-673 ◽  
Author(s):  
Christine M. Velicer ◽  
Cornelia M. Ulrich

Vitamin and mineral supplement use is thought to be common among the 10 million adults in the United States who have been diagnosed with cancer; however, well-conducted studies of this topic are sparse. Moreover, the biologic effects of supplement use among cancer survivors are not well established and not necessarily beneficial. We present a systematic summary of studies published between 1999 and 2006, 32 in total, addressing vitamin and mineral supplement use among US adult cancer patients and survivors. Supplement use is widespread among cancer patients and longer-term survivors. In studies combining different cancer sites, 64% to 81% of survivors reported using any vitamin or mineral supplements and 26% to 77% reported using any multivitamins. In contrast, approximately 50% of US adults use dietary supplements and 33% use multivitamin/multimineral supplements. Between 14% and 32% of survivors initiate supplement use after diagnosis, and use differs by cancer site. Breast cancer survivors reported the highest use, whereas prostate cancer survivors reported the least. Higher level of education and female sex emerged as factors most consistently associated with supplement use. Up to 68% of physicians are unaware of supplement use among their cancer patients. These results highlight the need for further studies of the association between dietary supplement use and cancer treatment toxicity, recurrence, survival, and quality of life to support evidence-based clinical guidelines for dietary supplement use among cancer patients and longer-term survivors.


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