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

Federal Monitoring of Dietary Supplement Use in the Resident, Civilian, Noninstitutionalized US Population: National Health and Nutrition Examination Survey
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DOI:
10.1093/jn/nxy093
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发表时间:
2018-08-01
影响因子:
4.2
通讯作者:
Dwyer, Johanna T.
Dwyer, Johanna T.
中科院分区:
医学2区
文献类型:
--
作者:
Gahche, Jaime J.;Bailey, Regan L.;Dwyer, Johanna T.

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本文综述了从NHANES参与者中收集的当前和以前的膳食补充剂(DS)使用数据,描述了用于计算DS营养素摄入量的NHANES DS数据库,讨论了最近的发展和未来的方向,并描述了许多例子来显示这些数据在营养研究和政策方面的实用性。自1971年以来,NHANES一直在收集参与者使用DS的信息。这些数据对国家营养监测至关重要,并已用于描述使用模式,检查随时间推移的趋势,评估满足或超过营养素建议的人口比例,并有助于阐明美国人口饮食中营养素的来源。在美国,超过一半的成年人和大约三分之一的儿童目前在30天内使用>= 1 DS。在美国,DS有助于营养素和生物活性化合物的膳食摄入,因此在监测人口营养状况和研究饮食健康关系时需要进行评估。随着膳食补充剂标签数据库的最近开发和可用性,这是一个综合的DS数据库,最终将包含在美国销售的所有产品的标签,NHANES DS数据将更容易与产品信息联系起来,以估计DS的营养摄入量。NHANES提供了关于美国膳食补充剂使用的全国代表性数据的丰富来源。随着时间的推移,NHANES扩大并改进了收集方法。将继续探讨如何继续了解收集方法中的误差来源,这对提高准确性至关重要。
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.