Trends in Dietary Supplement Use Among US Adults From 1999-2012.
Trends in Dietary Supplement Use Among US Adults From 1999-2012.
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DOI：
10.1001/jama.2016.14403
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发表时间：
2016-10-11
期刊：
影响因子：
--
通讯作者：
Giovannucci EL
中科院分区：
文献类型：
--
作者：
Kantor ED;Rehm CD;Du M;White E;Giovannucci EL
膳食补充剂是美国成年人常用的补充剂；然而，人们对补充剂使用的最新趋势知之甚少。报告美国成年人使用膳食补充剂的趋势。使用1999年至2012年期间收集的全国健康和营养检查调查(NHANES)中具有全国代表性的数据来评估补充剂使用的时间趋势。参与者包括居住在美国的非制度化成年人，调查持续了7个2年周期(每个周期的样本量从4,863到6,213)。日历时间，由NHANES周期表示。在一次家庭访谈中，参与者被问及在30天前使用补充剂的情况。这些信息被用来估计每个NHANES周期内的使用率，并评估各周期的趋势。根据含有≥10维生素和/或矿物质的产品的定义，提供了使用任何补充剂、使用多种维生素/多种矿物质以及使用单一维生素、矿物质和非维生素、非矿物质补充剂的结果。结果按人口分组列出，包括年龄、性别、种族/族裔和教育状况。所有分析都经过加权，以具有全国代表性。共有37958名成年人[加权平均年龄，46.4岁，52.0%女性]参加了这项研究，总体应答率为74%。总体而言，补充剂的使用在1999至2012年间保持稳定，52%的美国成年人报告在2011至2012年间使用过任何补充剂(p趋势：0.19)。这一趋势因人口亚群而异。MVMM的使用减少，1999年至2000年报告使用MVMM的比例为37%，2011年至2012年报告使用MVMM的比例为31%(差异：−5.7%；95%CI：−8.6%；−2.7%；p-Trend<；0.001)。在研究期间，来自MVMM以外来源的维生素D补充量从5.1%增加到19%(差值：14%；95%CI：12%，17%；P-Trend<；0.001)，而鱼油补充剂的使用量从1.3%增加到12%(差值：11%；95%CI：9.1%，12%；P-Trend<；0.001)，而一些补充剂的使用量减少。在美国成年人中，从1999年到2012年，膳食补充剂的总体使用保持稳定，MVMM的使用减少，个别补充剂的使用趋势各不相同，按人口亚组不同。
Dietary supplements are commonly used by US adults; yet, little is known about recent trends in supplement use. To report trends in dietary supplement use among US adults. Temporal trends in supplement use were evaluated using nationally representative data from the National Health and Nutrition Examination Survey (NHANES) collected between 1999 and 2012. Participants include non-institutionalized adults residing in the US, surveyed over 7 continuous 2-year cycles (sample size per cycle ranged from 4,863 to 6,213). Calendar time, as represented by NHANES cycle. In an in-home interview, participants were queried on use of supplements in the 30 days prior. This information was used to estimate the prevalence of use within each NHANES cycle, and trends were evaluated across cycles. Results are presented for use of any supplements, use of multivitamins/multiminerals (MVMM), as defined by a product containing ≥10 vitamins and/or minerals, as well as use of individual vitamins, minerals, and non-vitamin, non-mineral supplements. Results are presented overall, and by population subgroup, including age, sex, race/ethnicity, and educational status. All analyses are weighted to be nationally representative. A total of 37,958 adults were included in the study [weighted mean age, 46.4 years, 52.0% women], with an overall response rate of 74%. Overall, use of supplements remained stable between 1999 and 2012, with 52% of US adults reporting use of any supplements in 2011–2012 (p-trend:0.19). This trend varied by population subgroup. Use of MVMM decreased, with 37% reporting use of MVMM in 1999–2000 and 31% reporting use in 2011–2012 (difference: −5.7%; 95% CI: −8.6%, −2.7%; p-trend<0.001). Vitamin D supplementation from sources other than MVMM increased from 5.1% to 19% (difference: 14%; 95% CI: 12%, 17%; p-trend<0.001) and use of fish oil supplements increased from 1.3% to 12% (difference: 11%; 95% CI: 9.1%, 12%; p-trend<0.001) over the study period, while use of a number of supplements decreased. Among adults in the United States, overall use of dietary supplements remained stable from 1999–2012, use of MVMM decreased, and trends in use of individual supplements varied and were heterogeneous by population subgroups.
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影响因子：
5
作者：
Pocobelli, Gaia;Peters, Ulrike;White, Emily
通讯作者：
White, Emily
影响因子：
158.5
作者：
Clegg, DO;Reda, DJ;Williams, HJ
通讯作者：
Williams, HJ
影响因子：
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作者：
Neuhouser, Marian L.;Wassertheil-Smoller, Sylvia;Prentice, Ross L.
通讯作者：
Prentice, Ross L.
DOI：
10.1016/j.jand.2013.07.039
发表时间：
2014-03-01
影响因子：
4.8
作者：
Kim, Hyun Ja;Giovannucci, Edward;Cho, Eunyoung
通讯作者：
Cho, Eunyoung
影响因子：
2.2
作者：
Manson JE;Bassuk SS;Lee IM;Cook NR;Albert MA;Gordon D;Zaharris E;Macfadyen JG;Danielson E;Lin J;Zhang SM;Buring JE
通讯作者：
Buring JE