Evidence map›Paper›PMID 35918260›Full record

ArticleThe Journal of nutrition2023

Trends in Overall and Micronutrient-Containing Dietary Supplement Use in US Adults and Children, NHANES 2007-2018.

Alexandra E Cowan, Janet A Tooze, Jaime J Gahche, Heather A Eicher-Miller, Patricia M Guenther, Johanna T Dwyer, Nancy Potischman, Anindya Bhadra, Raymond J Carroll, Regan L Bailey

Abstract read
In one paragraph

Article in The Journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alexandra E CowanInstitute for Advancing Health Through Agriculture, Texas A&M University, College Station, TX, USA.ORCID 0000-0003-2544-2676
Janet A ToozeWake Forest School of Medicine, Winston-Salem, NC, USA.
Jaime J GahcheNIH Office of Dietary Supplements, Bethesda, MD, USA.
Heather A Eicher-MillerDepartment of Nutrition Science, Purdue University, West Lafayette, IN, USA.ORCID 0000-0002-1261-4291
Patricia M GuentherDepartment of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, USA.
Johanna T DwyerNIH Office of Dietary Supplements, Bethesda, MD, USA.ORCID 0000-0002-0783-1769
Nancy PotischmanNIH Office of Dietary Supplements, Bethesda, MD, USA.
Anindya BhadraDepartment of Statistics, Purdue University, West Lafayette, IN, USA.
Raymond J CarrollDepartment of Statistics, Texas A&M University, College Station, TX, USA.
Regan L BaileyInstitute for Advancing Health Through Agriculture, Texas A&M University, College Station, TX, USA.ORCID 0000-0003-0181-6223

Funding

Development of a Total Nutrient IndexU01CA215834 · NCI · TEXAS A&M AGRILIFE RESEARCH · PI REGAN BAILEY, JANET A. TOOZE · 2017 to 2026
$2.2M
NCI NIH HHS U01 CA215834NCI NIH HHS U01CA215834
6 · The paper itself

Abstract

backgroundDietary supplement (DS) use is widespread in the United States and contributes large amounts of micronutrients to users. Most studies have relied on data from 1 assessment method to characterize the prevalence of DS use. Combining multiple methods enhances the ability to capture nutrient exposures from DSs and examine trends over time.

objectivesThe objective of this study was to characterize DS use and examine trends in any DS as well as micronutrient-containing (MN) DS use in a nationally representative sample of the US population (≥1 y) from the 2007-2018 NHANES using a combined approach.

methodsNHANES obtains an in-home inventory with a frequency-based dietary supplement and prescription medicine questionnaire (DSMQ), and two 24-h dietary recalls (24HRs). Trends in the prevalence of use and selected types of products used were estimated for the population and by sex, age, race/Hispanic origin, family income [poverty-to-income ratio (PIR)], and household food security (food-secure vs. food-insecure) using the DSMQ or ≥ 1 24HR. Linear trends were tested using orthogonal polynomials (significance set at P < 0.05).

resultsDS use increased from 50% in 2007 to 56% in 2018 (P = 0.001); use of MN products increased from 46% to 49% (P = 0.03), and single-nutrient DS (e.g., magnesium, vitamins B-12 and D) use also increased (all P < 0.001). In contrast, multivitamin-mineral use decreased (70% to 56%; P < 0.001). In adults (≥19 y), any (54% to 61%) and MN (49% to 54%) DS use increased, especially in men, non-Hispanic blacks and Hispanics, and low-income adults (PIR ≤130%). In children (1-18 y), any DS use remained stable (∼38%), as did MN use, except for food-insecure children, whose use increased from 24% to 31% over the decade (P = 0.03).

conclusionsThe prevalence of any and MN DS use increased over time in the United States. This may be partially attributed to increased use of single-nutrient products. Population subgroups differed in their DS use.

Indexed as

MicronutrientsTrace ElementsAdultChildDietDietary SupplementsHumansMaleNutrition SurveysUnited StatesVitaminsMicronutrientsTrace ElementsVitaminsdietary assessmentdietary supplementmicronutrientsNHANESnutrient intake

Identifiers

PMID35918260
PMCPMC9839985

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.