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Cited by Other Article(s)

Tate DF, Dennis EL, Adams JT, Adamson MM, Belanger HG, Bigler ED, Bouchard HC, Clark AL, Delano-Wood LM, Disner SG, Eapen BC, Franz CE, Geuze E, Goodrich-Hunsaker NJ, Han K, Hayes JP, Hinds SR, Hodges CB, Hovenden ES, Irimia A, Kenney K, Koerte IK, Kremen WS, Levin HS, Lindsey HM, Morey RA, Newsome MR, Ollinger J, Pugh MJ, Scheibel RS, Shenton ME, Sullivan DR, Taylor BA, Troyanskaya M, Velez C, Wade BS, Wang X, Ware AL, Zafonte R, Thompson PM, Wilde EA. Coordinating Global Multi-Site Studies of Military-Relevant Traumatic Brain Injury: Opportunities, Challenges, and Harmonization Guidelines. Brain Imaging Behav 2021;15:585-613. [PMID: 33409819 PMCID: PMC8035292 DOI: 10.1007/s11682-020-00423-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2020] [Indexed: 12/19/2022]

Affiliation(s)

David F Tate Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA. George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA.
Emily L Dennis Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine of USC, Marina del Rey, Los Angeles, CA, USA
John T Adams Western University of Health Sciences, Pomona, CA, USA
Maheen M Adamson Defense and Veterans Brain Injury Center, VA Palo Alto, Palo Alto, CA, USA Neurosurgery, Stanford School of Medicine, Stanford, CA, USA
Heather G Belanger United States Special Operations Command (USSOCOM), Tampa, FL, USA Department of Psychology, University of South Florida, Tampa, FL, USA Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA St Michaels Inc, Tampa, FL, USA
Erin D Bigler Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA Department of Psychology, Brigham Young University, Provo, UT, USA Neuroscience Center, Brigham Young University, Provo, UT, USA
Heather C Bouchard Duke-UNC Brain Imaging and Analysis Center, Duke University, Durham, NC, USA
Alexandra L Clark VA San Diego Healthcare System, San Diego, CA, USA Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
Lisa M Delano-Wood VA San Diego Healthcare System, San Diego, CA, USA Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, La Jolla, CA, USA
Seth G Disner Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA Minneapolis VA Health Care System, Minneapolis, MN, USA
Blessen C Eapen Department of Physical Medicine and Rehabilitation, VA Greater Los Angeles Health Care System, Los Angeles, CA, USA Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
Carol E Franz Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA Center for Behavior Genetics of Aging, University of California, San Diego, La Jolla, CA, USA
Elbert Geuze University Medical Center Utrecht, Utrecht, Netherlands Brain Research and Innovation Centre, Ministry of Defence, Utrecht, The Netherlands
Naomi J Goodrich-Hunsaker Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA Department of Psychology, Brigham Young University, Provo, UT, USA
Kihwan Han School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, TX, USA
Jasmeet P Hayes Psychology Department, The Ohio State University, Columbus, OH, USA Chronic Brain Injury Program, The Ohio State University, Columbus, OH, USA
Sidney R Hinds Department of Defense/United States Army Medical Research and Materiel Command, Fort Detrick, Frederick, MD, USA Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
Cooper B Hodges Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA Department of Psychology, Brigham Young University, Provo, UT, USA
Elizabeth S Hovenden Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA
Andrei Irimia Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA
Kimbra Kenney Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, USA
Inga K Koerte Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, MA, USA Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-Universität, Munich, Germany
William S Kremen Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, La Jolla, CA, USA Center for Behavior Genetics of Aging, University of California, San Diego, La Jolla, CA, USA
Harvey S Levin H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
Hannah M Lindsey Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA Department of Psychology, Brigham Young University, Provo, UT, USA
Rajendra A Morey Duke-UNC Brain Imaging and Analysis Center, Duke University, Durham, NC, USA Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA
Mary R Newsome H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
John Ollinger National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, USA
Mary Jo Pugh Information Decision-Enhancement and Analytic Sciences Center, VA Salt Lake City, Salt Lake City, UT, USA Department of Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA
Randall S Scheibel H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
Martha E Shenton Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, MA, USA Brockton Division, VA Boston Healthcare System, Brockton, MA, USA
Danielle R Sullivan National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA
Brian A Taylor Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, VA, USA C. Kenneth and Dianne Wright Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, VA, USA
Maya Troyanskaya H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
Carmen Velez Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA
Benjamin Sc Wade Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA Ahmanson-Lovelace Brain Mapping Center, Department of Neurology, University of California, Los Angeles, Los Angeles, CA, USA
Xin Wang Department of Psychiatry, University of Toledo, Toledo, OH, USA
Ashley L Ware Department of Psychology, University of Calgary, Calgary, Alberta, Canada
Ross Zafonte Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital/Brigham & Women's Hospital, Boston, MA, USA Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA
Paul M Thompson Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine of USC, Marina del Rey, Los Angeles, CA, USA Department of Neurology, USC, Los Angeles, CA, USA Department of Pediatrics, USC, Los Angeles, CA, USA Department of Psychiatry, USC, Los Angeles, CA, USA Department of Radiology, USC, Los Angeles, CA, USA Department of Engineering, USC, Los Angeles, CA, USA Department of Ophthalmology, USC, Los Angeles, CA, USA
Elisabeth A Wilde Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA

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Bukhari AS, DiChiara AJ, Merrill EP, Wright AO, Cole RE, Hatch-McChesney A, McGraw SM, Caldwell JA, Montain SJ, Thompson LA, Lieberman HR. Dietary Supplement Use in US Army Personnel: A Mixed-Methods, Survey and Focus-Group Study Examining Decision Making and Factors Associated With Use. J Acad Nutr Diet 2021;121:1049-1063. [PMID: 33653678 DOI: 10.1016/j.jand.2021.01.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 01/14/2021] [Accepted: 01/15/2021] [Indexed: 12/31/2022]

Abstract

BACKGROUND

Dietary supplement (DS) use by Army personnel is high and is a safety and readiness issue.

OBJECTIVE

Our aim was to examine factors motivating use of DSs among US Army personnel and preferred safety education strategies.

DESIGN

This mixed-method study used a validated DS questionnaire and subsequent focus groups that were formed based on questionnaire-identified demographic characteristics. An embedded qualitative dominant design was used.

PARTICIPANTS/SETTING

Data were collected from April to July 2015 from active duty soldiers at 3 military installations in the United States.

MAIN OUTCOME MEASURES

A self-report questionnaire (n = 289) provided data on demographic characteristics, health, exercise, detailed use, and attitudes regarding DS safety and efficacy. Fourteen focus-group sessions (n = 129) examined factors motivating DS use, education strategies, and identified themes and DS-related behaviors.

STATISTICAL ANALYSIS PERFORMED

Descriptive statistics and χ² analyses were conducted.

RESULTS

Of the soldiers who completed questionnaires, 83% were male, 60% were enlisted, and 40% were officers; mean age ± standard deviation was 27.6 ± 0.36 years and 75% used at least 1 type of DS per week: 52% used protein/amino acids, 47% used multivitamins/minerals, and 35% used a combination of products. Focus groups indicated reasons for use included physical appearance, fitness, peer endorsement, ease of access, limited availability of healthy food, occupational demands, and health. Participants requested education from an expert on safe use that was not focused on dangerous products.

CONCLUSIONS

Soldiers are high DS users, especially products marked for purported performance enhancement. Motivating factors for DS use are fitness/appearance and occupational demands, but soldiers lack knowledge of DS regulatory requirements and safety/efficacy. Soldiers wished to receive education on DSs from trusted health care professionals, such as registered dietitian nutritionists, that was not focused on dangerous products. Study findings suggest guidance and education should occur before periods of high DS use, such as deployment.

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Whyte I, Pattinson E, Leyland S, Soos I, Ling J. Performance and image enhancing drugs use in active military personnel and veterans: A contemporary review. TRANSLATIONAL SPORTS MEDICINE 2021. [DOI: 10.1002/tsm2.186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]