Abstract

BackgroundDietary supplement use is common in the United States, with more than half of the population using such products. Nutrition authorities consistently advocate a "food first" approach to achieving nutritional adequacy but some, including the Academy of Nutrition and Dietetics (formerly the American Dietetic Association), also recognize that dietary supplements have a role to play in improving nutrient intake to support health and wellness. Surveys show that many health professionals use dietary supplements themselves and also recommend dietary supplements to their patients or clients.MethodsAs one component of a series of surveys of healthcare professionals (the "Life...supplemented" HCP Impact Studies), 300 registered dietitians were surveyed in 2009 regarding their personal use of dietary supplements and whether they recommend dietary supplements to their clients. Respondents were registered dietitians whose business involved seeing clients in a private practice or at a clinic.ResultsSeventy-four percent of the dietitians surveyed said they were regular users of dietary supplements, while 22% said they used dietary supplements occasionally or seasonally. The primary reasons for using dietary supplements were for bone health (58%), overall health and wellness (53%), and to fill nutrient gaps (42%). When asked if they "ever recommend dietary supplements to clients," 97% of the respondents said they did. The primary reasons were for bone health (70%), to fill nutrient gaps (67%), and overall health and wellness (49%). Eighty-seven percent of the dietitians agreed with the statement, "There are gaps in clients' diets that could effectively be addressed with dietary supplements." The dietitians surveyed said they followed healthy habits including eating a balanced diet (96%), managing stress (92%), visiting their own healthcare professional regularly (86%), exercising regularly (83%), maintaining a healthy weight (80%), and getting a good night's sleep (72%). Nearly all respondents (95%) expressed an interest in continuing education about dietary supplements on a variety of topics.ConclusionsMany dietitians, like other health professionals, use dietary supplements regularly as part of their own approach to a healthy diet and lifestyle. They also recommend dietary supplements to their clients or patients, to promote health.

Highlights

  • Dietary supplement use is common in the United States, with more than half of the population using such products

  • Dietary supplement use is common among U.S adults, according to the National Health and Nutrition Examination Surveys (NHANES), with the prevalence of dietary supplement use in the month preceding the survey reported to be 52% in the 1999-2000 NHANES and 54% in the 2003-2006 NHANES [1,2]

  • National nutrition surveys show that many Americans fall short in consumption of several vitamins and minerals, including calcium, zinc, magnesium, iron, vitamins A and D, vitamins C and E, and vitamin B-6 [4,5]

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Summary

Introduction

Dietary supplement use is common in the United States, with more than half of the population using such products. Nutrition authorities consistently advocate a “food first” approach to achieving nutritional adequacy but some, including the Academy of Nutrition and Dietetics (formerly the American Dietetic Association), recognize that dietary supplements have a role to play in improving nutrient intake to support health and wellness. Dietary supplement use is common among U.S adults, according to the National Health and Nutrition Examination Surveys (NHANES), with the prevalence of dietary supplement use in the month preceding the survey reported to be 52% in the 1999-2000 NHANES and 54% in the 2003-2006 NHANES [1,2]. Fiber intakes in the U.S are low, and fiber supplements as well as consuming more foods high in fiber could be beneficial for a large fraction of the population [12]

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