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Do Users of Dietary Supplements Differ From Nonusers in Their Food Consumption?

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Abstract

The objective of the study was to analyse macronutrient and food intakes of regular users (310 men, 495 women) and nonusers (1136 men, 1269 women) of vitamin and mineral supplements, aged 18–79 years. These were participants of the German Nutrition Survey, which was part of the German National Health Interview and Examination Survey 1998. Information on dietary behaviour including supplementation habits was assessed using a validated computerised dietary history method (DISHES 98). There were no major differences in macronutrient intakes between regular users and nonusers. After adjustment for age, energy intake, smoking, sport activity, socio-economic status and East/West German residence, regular supplement use was associated with a higher consumption of drinking water. Among men, a higher consumption of vegetable fat, poultry and fruit/vegetable juice, and among women, a higher consumption of fish, milk products, fruits and tea was also associated with regular supplement use. An inverse association was observed between regular supplement use and the consumption of coffee among women. Significant differences in food consumption between regular users and nonusers were observed, indicating a tendency for a healthier food choice among regular users.

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References

  1. Elmstaåhl S, Wallström P, Berglund G, et al. The use of dietary supplements in relation to dietary habits in a Swedish middle-aged population. Scand J Nutr 1994; 38: 79-94.

    Google Scholar 

  2. Slesinski MJ, Subar AF, Kahle LL. Trends in use of vitamin and mineral supplements in the United States: The 1987 and 1992 National Health Interview Surveys. J Am Diet Assoc 1995; 95: 921-923.

    PubMed  Google Scholar 

  3. Balluz LS, Kieszak SM, Philen RM, Mulinare J. Vitamin and mineral supplement use in the United States. Results from the Third National Health and Nutrition Examination Survey. Arch Fam Med 2000; 9: 258-262.

    PubMed  Google Scholar 

  4. Troppmann L, Gray-Donald K, Johns T. Supplement use: Is there any nutritional benefit? J Am Diet Assoc 2002; 102: 818-825.

    PubMed  Google Scholar 

  5. Beitz R, Mensink GBM, Fischer B, Thamm M. Vitamins — Dietary intake and intake from dietary supplements in Germany. Eur J Clin Nutr 2002; 56: 539-545.

    PubMed  Google Scholar 

  6. Beitz R. Im Blickpunkt: Vitamin-und Mineralstoff-supplemente. In: Mensink GBM (ed), Was essen wir heute? Ernährungsverhalten in Deutschland. Beiträge zur Gesundheitsberichterstattung des Bundes, Berlin: Robert Koch-Institut, 2002, pp. 119-124.

    Google Scholar 

  7. Wallström P, Elmstaåhl S, Hanson BS, et al. Demographic and psychosocial characteristics of middle-aged women and men who use dietary supplements. Results from the Malmö diet and cancer study. Eur J Publ Health 1996; 6: 188-195.

    Google Scholar 

  8. Greger JL. Dietary supplement use: Consumer characteristics and interests. J Nutr 2001; 131(Suppl 4): S1339-S1343.

    Google Scholar 

  9. Slesinski MJ, Subar AF, Kahle LL. Dietary intake of fat, fiber and other nutrients is related to the use of vitamin and mineral supplements in the United States: The 1992 National Health Interview Survey. J Nutr 1996; 126: 3001-3008.

    PubMed  Google Scholar 

  10. Block G, Cox C, Madans J, Schreiber GB, Licitra L, Melia N. Vitamin supplement use, by demographic characteristics. Am J Epidemiol 1998; 127: 297-309.

    Google Scholar 

  11. Lyle BJ, Mares-Perlman JA, Klein BEK, Klein R, Greger JL. Supplement users differ form nonusers in demographic, lifestyle, dietary and health characteristics. J Nutr 1998; 128: 2355-2362.

    PubMed  Google Scholar 

  12. Bellach BM, Knopf H, Thefeld W. Der Bundes-Gesundheitssurvey 1997/98. Gesundheitswesen 1998; 60(Suppl 2): S59-S68.

    PubMed  Google Scholar 

  13. Mensink GBM, Hermann-Kunz E, Thamm M. Der Ernährungssurvey. Gesundheitswesen 1998; 60(Suppl 2): S83-S86.

    PubMed  Google Scholar 

  14. Mensink GBM, Haftenberger M, Thamm M. Validity of DISHES 98, a computerised dietary history interview: Energy and macronutrient intake. Eur J Clin Nutr 2001; 55: 409-417.

    PubMed  Google Scholar 

  15. Dehne L, Klemm C, Henseler G, Hermann-Kunz E. The German Food Code and Nutrient Data Base (BLS II.2). Eur J Epidemiol 1999; 15: 355-359.

    PubMed  Google Scholar 

  16. Klipstein-Grobusch K, Kroke A, Voß S, Boeing H. Einfluß von Lebensstilfaktoren auf die Verwendung von Supplementen in der Brandenburger Ernährungs–und Krebsstudie. Z Ernährungswiss 1998; 37: 38-46.

    Google Scholar 

  17. Horwath CC, Worsley A. Dietary supplement use in a randomly selected group of elderly Australians: Results from a large nutrition and health survey. J Am Geriatr Soc 1989; 37: 689-696.

    PubMed  Google Scholar 

  18. Houston DK, Johnson MA, Daniel TD, Poon LW. Health and dietary characteristics of supplement users in an elderly population. Intern J Vit Nutr Res 1997; 67: 183-191.

    Google Scholar 

  19. Worsley A, Crawford DA, Baghurst KI. Diet, food beliefs and dietary supplementation. Ecol Food Nutr 1987; 19: 281-296.

    Google Scholar 

  20. Nelson M, Bingham SA. Assessment of food consumption and nutrient intake. In: Margetts BM, Nelson M (eds), Design concepts in nutritional epidemiology, New York: Oxford University Press, 1998; pp. 123-169.

    Google Scholar 

  21. Cook A, Pryer J, Shetty P. The problem of accuracy in dietary surveys. Analysis of the over 65 UK National Diet and Nutrition Survey. J Epidemiol Commun Health 2000; 54: 611-616.

    Google Scholar 

  22. Goldberg GR, Black AE, Jebb SA, et al. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 1991; 45: 569-581.

    PubMed  Google Scholar 

  23. Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 1985; 39(Suppl 1): S5-S41.

    Google Scholar 

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Beitz, R., Mensink, G.B., Hintzpeter, B. et al. Do Users of Dietary Supplements Differ From Nonusers in Their Food Consumption?. Eur J Epidemiol 19, 335–341 (2004). https://doi.org/10.1023/B:EJEP.0000024698.76843.3b

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  • DOI: https://doi.org/10.1023/B:EJEP.0000024698.76843.3b

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