Trends in Nutrient- and Non-Nutrient-Containing Dietary Supplement Use among US Children from 1999 to 2016.
Trends in Nutrient- and Non-Nutrient-Containing Dietary Supplement Use among US Children from 1999 to 2016.
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DOI：
10.1016/j.jpeds.2020.12.021
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Bailey RL
中科院分区：
文献类型：
--
作者：
Panjwani AA;Cowan AE;Jun S;Bailey RL
描述美国儿童膳食补充剂的使用情况，包括产品类型、动机、用户特征和趋势，主要关注非维生素/非矿物质膳食补充剂（NVNM）。总体而言，使用NHANES 1999-2016年数据（n= 42，510）在儿童（≤ 19岁）中检查了NVNM和维生素和/或矿物质膳食补充剂的使用;使用动机以及随时间推移的使用趋势。在1999年至2016年期间，所有儿童的DS和VM总体使用率保持相对稳定，约为30%;然而，NVNM的使用率从2.9%增加到6.4%，主要是由于omega-3多不饱和脂肪酸的使用增加。男孩使用NVNM的比例高于女孩（3.9% vs 3.3%），年龄较大的儿童使用NVNM的比例高于年龄较小的儿童（p趋势<0.0001），这与使用VM的情况相反。虽然这两个用户组有两个主要动机，但VM用户的这两个动机的比例明显高于NVNM用户：保持健康（38.7%对23.1%）和改善健康（33.1%对22.6%）。NVNM使用者更有可能使用DS来放松，压力和睡眠;心理健康;以及结肠和肠道健康。尽管美国儿童中任何DS和VM使用的流行率都保持稳定，但NVNM使用的流行率随着时间的推移大幅增加。然而，NVNM的使用总体上仍然相对较低。NVNM的使用表现出不同的模式，性别，年龄和动机相比，VM的使用。尽管NVNM的使用越来越多，但缺乏支持其使用的高质量证据，特别是在儿童中。
To characterize dietary supplement usage among U.S. children, including product type, motivations, user characteristics, and trends over time with a primary focus on non-vitamin/non-mineral dietary supplements (NVNM). Overall, NVNM, and vitamin and/or mineral dietary supplement use; motivations for use, and trends in use over time were examined in children (≤19y) using the NHANES 1999–2016 data (n=42,510). Between 1999 and 2016, overall DS and VM use among all children remained relatively stable at ~30%; yet, NVNM use increased from 2.9% to 6.4%, mainly due to increased use of omega-3 polyunsaturated fatty acids. NVNM use was higher in boys than in girls (3.9% vs 3.3%), and higher in older children than in younger children (ptrend<0.0001) – opposite of what was observed with VM use. Although both user groups shared two primary motivations, both motivations were reported by a significantly higher percent of VM users vs. NVNM users: to maintain health (38.7% vs. 23.1%) and to improve health (33.1% vs. 22.6%). NVNM users were much more likely to use DS for relaxation, stress, and sleep; for mental health; and for colon and bowel health. Although the prevalence of any DS and VM use among U.S. children have both remained stable, the prevalence of NVNM use has increased substantially over time. Yet, NVNM use remains relatively low overall. NVNM use exhibited different patterns by sex, age, and motivations when compared with VM use. Despite increasing NVNM use, high quality evidence supporting their use is lacking, especially in children.
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