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Health professionals: about 10X more were using Vitamin D, fish oil, folic acid by 2006 – March 2014

J Acad Nutr Diet. 2014 Mar;114(3):436-43. doi: 10.1016/j.jand.2013.07.039. Epub 2013 Oct 9.
Kim HJ, Giovannucci E, Rosner B, Willett WC, Cho E. hpeyc at channing.harvard.edu

Most studies on the prevalence of supplement use in the United States were cross-sectional or evaluated trends in limited variety of supplements. The objective of this study was to describe the longitudinal and secular trend of dietary supplement use over the past 20 years in health professionals using data from two large prospective cohorts. We analyzed cohort data from 1986 to 2006 in the Nurses' Health Study (NHS) and the Health Professionals Follow-Up Study (HPFS). In 1986, 74,194 women aged 40 to 65 years in the NHS and 50,497 men aged 40 to 75 years in the HPFS were included. Use of dietary supplements including multivitamins, vitamins, and minerals was repeatedly asked every 4 years. Generalized estimating equation models were used for repeated analysis.
Prevalence of use of any supplement increased among both women (71.3% to 88.3%) and men (56.4% to 80.7%) from 1986 to 2006.

Notably, longitudinal increases in the prevalence of use of
vitamin D

  • (2.2% to 32.2% for women [14.6X]
  • 1.1% to 6.7% for men), [6.1X]

folic acid

  • (0.8% to 10.7% for women and
  • 1.1% to 13.8% for men), and

fish oil

  • (1.6% to 18.1% for women and
  • 3.3% to 22.2% for men)

supplements were observed from 1990 to 2006.
However, the use of vitamin A, beta carotene, vitamin C, and vitamin E supplements peaked in 1994 or 1998, then declined steadily. A secular increase in use of multivitamins, vitamin D, folic acid, and fish oil across same age group was noted. In conclusion, the use of many types of dietary supplements has increased over time, but the use of antioxidant supplements has declined. The secular increase in the prevalence of use of supplements across the same age group suggests that aging of the population is not the primary reason for the increase. These findings in health professionals need to be replicated in the general populations.

PMID: 24119503


Interesting how health professionals have increased their use of worthless supplements by about 10X

Comment by VitaminDWiki: The data was for 2006.
   Guessing that the percentage taking vitamin D is much higher in 2014%%%      Perhaps 40% for women and 12% for men


References

  1. Slesinski MJ, Subar AF, Kahle LL. Trends in use of vitamin and mineral supplements in the United State: the 1987 and 1992 National Health Interview Surveys. J Am Diet Assoc. 1995;95(8):921–923
  2. Briefel RR, Johnson CL. Secular trends in dietary intake in the United States. Annu Rev Nutr. 2004;24:401–431
  3. Millen AE, Dodd KW, Subar AF. Use of vitamin, mineral, nonvitamin, and nonmineral supplements in the United States: The 1987, 1992, and 2000 National Health Interview Survey results. J Am Diet Assoc. 2004;104(6):942–950
  4. Radimer KL, Subar AF, Thompson FE. Nonvitamin, nonmineral dietary supplements: Issues and findings from NHANES III. J Am Diet Assoc. 2000;100(4):447–454
  5. NBJ's Supplement Business Report 2011. San Diego, CA: Nutrition Business Journal; 2011;
  6. Omenn GS, Goodman GE, Thornquist MD, et al. Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. N Engl J Med. 1996;334(18):1150–1155
  7. Albanes D, Heinonen OP, Taylor PR, et al. Alpha-tocopherol and beta-carotene supplements and lung cancer incidence in the alpha-tocopherol, beta-carotene cancer prevention study: Effects of base-line characteristics and study compliance. J Natl Cancer Inst. 1996;88(21): 1560–1570
  8. Lee DH, Folsom AR, Harnack L, Halliwell B, Jacobs DR. Does supplemental vitamin C increase cardiovascular disease risk in women with diabetes?. Am J Clin Nutr. 2004;80(5):1194–1200
  9. Stewart ML, McDonald JT, Levy AS, Schucker RE, Henderson DP. Vitamin/mineral supplement use: A telephone survey of adults in the United States. J Am Diet Assoc. 1985;85(12):1585–1590
  10. Subar AF, Block G. Use of vitamin and mineral supplements: Demographics and amounts of nutrients consumed. The 1987 Health Interview Survey. Am J Epidemiol. 1990;132(6):1091–1101
  11. Ervin RB, Wright JD, Kennedy-Stephenson J. Use of dietary supplements in the United States, 1988-94. Vital Health Stat 11. 1999;(244):i–iii1-14
  12. 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(3):258–262
  13. Radimer K, Bindewald B, Hughes J, Ervin B, Swanson C, Picciano MF. Dietary supplement use by US adults: data from the National Health and Nutrition Examination Survey, 1999-2000. Am J Epidemiol. 2004;160(4):339–349
  14. Balluz LS, Okoro CA, Bowman BA, Serdula MK, Mokdad AH. Vitamin or supplement use among adults, behavioral risk factor surveillance system, 13 states, 2001. Public Health Rep. 2005;120(2):117–123
  15. Timbo BB, Ross MP, McCarthy PV, Lin CT. Dietary supplements in a national survey: Prevalence of use and reports of adverse events. J Am Diet Assoc. 2006;106(12):1966–1974
  16. Bailey RL, Gahche JJ, Lentino CV, et al. Dietary supplement use in the United States, 2003-2006. J Nutr. 2011;141(2):261–266
  17. Briefel RR. National nutrition data: Contributions and challenges. Nutr Today. 2002;37(3):126–127
  18. Park K, Harnack L, Jacobs DR. Trends in dietary supplement use in a cohort of postmenopausal women from Iowa. Am J Epidemiol. 2009;169(7):887–892
  19. Smith-Warner SA, Spiegelman D, Ritz J, et al. Methods for pooling results of epidemiologic studies: The Pooling Project of Prospective Studies of Diet and Cancer. Am J Epidemiol. 2006;163(11):1053–1064
  20. Willett WC, Sampson L, Stampfer MJ, et al. Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol. 1985;122(1):51–65
  21. Rimm EB, Giovannucci EL, Stampfer MJ, Colditz GA, Litin LB, Willett WC. Reproducibility and validity of an expanded self-administered semiquantitative food frequency questionnaire among male health professionals. Am J Epidemiol. 1992;135(10):1114–1126discussion 1127-1136
  22. National Osteoporosis Foundation. Clinician's Guide to Prevention and Treatment Of Osteoporosis. Washington, DC: National Osteoporosis Foundation; 2010;
  23. Looker AC, Johnson CL, Lacher DA, Pfeiffer CM, Schleicher RL, Sempos CT. Vitamin D status: United States, 2001-2006. NCHS Data Brief. 2011;(59):1–8
  24. Nadir MA, Szwejkowski BR, Witham MD. Vitamin D and cardiovascular prevention. Cardiovasc Ther. 2010;28(4):e5–e12
  25. Makariou S, Liberopoulos EN, Elisaf M, Challa A. Novel roles of vitamin D in disease: What is new in 2011?. Eur J Intern Med. 2011;22(4):355–362 AbstractFull Text Full-Text PDF (399 KB)
  26. US Food and Drug Administration. Food Standards: Amendment of Standards of Identity for Enriched Grain Products to Require Addition of Folic Acid. Federal Register 61. 1996:8781-8797.
  27. Kim YI. Will mandatory folic acid fortification prevent or promote cancer?. Am J Clin Nutr. 2004;80(5):1123–1128
  28. Eichholzer M, Tonz O, Zimmermann R. Folic acid: A public-health challenge. Lancet. 2006;367(9519):1352–1361 AbstractFull Text Full-Text PDF (124 KB)
  29. Holub DJ, Holub BJ. Omega-3 fatty acids from fish oils and cardiovascular disease. Mol Cell Biochem. 2004;263(1-2):217–225
  30. Kris-Etherton PM, Harris WS, Appel LJ. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation. 2002;106(21):2747–2757
  31. Rizos EC, Ntzani EE, Bika E, Kostapanos MS, Elisaf MS. Association between omega-3 fatty acid supplementation and risk of major cardiovascular disease events: A systematic review and meta-analysis. JAMA. 2012;308(10):1024–1033
  32. Institute of Medicine. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Washington, DC: National Academies Press; 2001.
  33. Fung EB, Ritchie LD, Woodhouse LR, Roehl R, King JC. Zinc absorption in women during pregnancy and lactation: A longitudinal study. Am J Clin Nutr. 1997;66(1):80–88
  34. Tuomainen TP, Punnonen K, Nyyssonen K, Salonen JT. Association between body iron stores and the risk of acute myocardial infarction in men. Circulation. 1998;97(15):1461–1466
  35. Hennekens CH, Buring JE, Manson JE, et al. Lack of effect of long-term supplementation with beta carotene on the incidence of malignant neoplasms and cardiovascular disease. N Engl J Med. 1996;334(18):1145–1149
  36. Northrop-Clewes CA, Thurnham DI. Monitoring micronutrients in cigarette smokers. Clin Chim Acta. 2007;377(1-2):14–38

About the study
Consisted of 29,683 dentists, 4,185 pharmacists, 3,745 optometrists, 2,220 osteopath physicians, 1,600 podiatrists, and 10,098 veterinarians