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Amin MB, Aktarujjaman M, Meem AE, Hossain E, Islam MN, Roy N. Prevalence, correlates and common conditions associated with adolescent dietary supplement use: a cross-sectional survey in Bangladesh. Public Health Nutr 2023; 26:1143-1151. [PMID: 36535744 PMCID: PMC10346021 DOI: 10.1017/s1368980022002634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 11/13/2022] [Accepted: 11/24/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVE There is a broad spectrum of dietary supplements (DS) and their accessibility worldwide. However, little is known about the prevalence of DS use among Bangladeshi adolescents. This study estimates the prevalence, correlates and common conditions related to DS use. DESIGN A cross-sectional, convenient sampling strategy was adopted using an interviewer-administered, structured questionnaire. SETTING Kurigram and Patuakhali districts of Bangladesh. PARTICIPANTS 702 adolescents aged 10-19 years. RESULTS The overall prevalence of DS use was 83 %. The majority of participants (93·4 %) agreed that DS were good for health, and 28·3 % reported general health and well-being as the reason for using DS. The most frequently used supplements were multivitamins (38·6 %) and Ca (37 %). DS use was more common among adolescents who had ≤5 siblings, good health status, no chronic diseases, a positive impression that DS are good for health and who had the tendency to encourage DS to others. DS use was also higher among those who received DS information from healthcare providers, professional literature, friends, family and relatives. CONCLUSIONS The prevalence of DS use is relatively higher among Bangladeshi adolescents compared to Bangladeshi adults and adolescents from other countries, highlighting the inclination towards DS use. Guidelines for safe DS use for adolescents are warranted to control DS use and prevent adverse effects.
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Affiliation(s)
- Md. Bony Amin
- Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh
| | - Md. Aktarujjaman
- Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh
| | - Amatul Elah Meem
- Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh
| | - Ekhtear Hossain
- Department of Biological Sciences and Chemistry, Southern University, A&M College, Baton Rouge, LA, USA
| | - Md. Nazrul Islam
- Department of Post-Harvest Technology and Marketing, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh
| | - Nitai Roy
- Department of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali8602, Bangladesh
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Ababneh FA. Toxic elements in children's multivitamin-multimineral supplements and the health risks they pose. Regul Toxicol Pharmacol 2023; 141:105409. [PMID: 37187403 DOI: 10.1016/j.yrtph.2023.105409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 04/15/2023] [Accepted: 05/02/2023] [Indexed: 05/17/2023]
Abstract
This work aimed to determine the levels of toxic elements (As, Cd, Hg, and Pb) and their risks in children's multivitamin-multimineral (CMVM) supplements. An inductively coupled plasma-mass spectrometer (ICP-MS) was used to quantify the studied elements. The mean concentrations and ranges (μg/kg) of the toxic elements in the CMVM products were as follows: As (32.4, 5.3-90); Cd (58.2, 6-129); Hg (42.2, 6-108); and Pb (231,8.6-541). The estimated oral daily intakes (EODI) were determined to be in the range of 0.01-0.31 g/day, 0.01-0.64 g/day, 0.02-0.53 g/day, and 0.01-2.36 g/day for As, Cd, Hg, and Pb, respectively. All the EODI values were below the tolerable intake limits set for each element. The chronic non-cancer risks associated with oral exposure to studied elements were evaluated using the target hazard quotient (THQ) and the hazard index (HI). The THQ and HI values were below 1, indicating that these products were safe for consumption by children. The potential cancer risks associated with exposure to As and Pb through the consumption of CMVM products were determined using the Incremental Lifetime Cancer Risk (ILCR) and the total cancer risks (TCR). The ILCR and TCR values were below the threshold value of 1 × 10-4, indicating that the risk of developing cancer was very low and ignorable.
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Affiliation(s)
- Fuad A Ababneh
- Department of Chemistry, Al-Hussein Bin Talal University, P.O. Box 20, Ma'an, Jordan.
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Légeret C, Lohmann C, Pedrini L, Sarbach L, Furlano R, Köhler H. Use of Health-Promoting Food and Supplements in Swiss Children. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9121842. [PMID: 36553285 PMCID: PMC9776924 DOI: 10.3390/children9121842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/21/2022] [Accepted: 11/24/2022] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Our diet is the sum of many different influences and has visibly changed over the past decades. Since children also imitate their parents when it comes to eating habits, the aim of the study was to assess the current dietary habits in Swiss children. METHOD Cross-sectional study of children between 0 and 18 years of age in Switzerland. RESULTS A total of 1964 children participated, with an average age of 7.4 years. A total of 57.9% of participants stated to buy supplements to promote health, while fruit juices/smoothies were the most popular product (42.5%), followed by protein-enriched products (40%) and vitamins/minerals (29%). A statistically significant correlation between longer screen time, a higher socioeconomic background, and the intake of supplements was found. Over 20% of all families regularly consume plant-based drinks. DISCUSSION This Swiss cross-sectional study of over 1900 participants reveals that 58% of all participants buy supplements or special kid's food to promote the child's health. There is a correlation between higher screen time, higher parental income, and the usage of supplements. A total of 23% of participating families consume at least one plant-based drink on a regular basis. As more and more families use supplements, the pediatrician should not only focus on weight, which reflects the intake of macronutrients but should also take a history of whether children omit certain foods or take supplements to ensure the child does not have a deficiency of micronutrients.
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Affiliation(s)
- Corinne Légeret
- University Children’s Hospital Basel, Spitalstrasse 33, 4056 Basel, Switzerland
- Correspondence:
| | - Clarissa Lohmann
- Children’s Hospital of Aarau, Tellstrasse 25, 5001 Aarau, Switzerland
| | - Laura Pedrini
- Medical Faculty, University of Basel, 4001 Basel, Switzerland
| | - Laurin Sarbach
- Medical Faculty, University of Basel, 4001 Basel, Switzerland
| | - Raoul Furlano
- University Children’s Hospital Basel, Spitalstrasse 33, 4056 Basel, Switzerland
| | - Henrik Köhler
- Children’s Hospital of Aarau, Tellstrasse 25, 5001 Aarau, Switzerland
- Medical Faculty, University of Basel, 4001 Basel, Switzerland
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Mohsen H, Ibrahim C, Bookari K, Saadeh D, Al-Jawaldeh A, Sacre Y, Hanna-Wakim L, Al-Jaafari M, Atwi M, AlAsmar S, Najem J, Hoteit M. Prevalence of Essential Nutrient Supplement Use and Assessment of the Knowledge and Attitudes of Lebanese Mothers towards Dietary Supplement Practices in Maternal, Infancy and Preschool Ages: Findings of a National Representative Cross-Sectional Study. Foods 2022; 11:foods11193005. [PMID: 36230080 PMCID: PMC9561973 DOI: 10.3390/foods11193005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 09/18/2022] [Accepted: 09/21/2022] [Indexed: 12/02/2022] Open
Abstract
Mothers are understandably concerned about protecting the well-being of their offspring in every way possible, including providing oral dietary supplements (DSs). Up to now, there has been limited data on maternal knowledge and attitudes toward concomitant maternal–child DSs practices in Lebanon. This study evaluated the maternal knowledge and attitudes toward DSs and documented the DS-related practices in mothers and their under-5 children with their correlates. This cross-sectional study involved a representative stratified cluster random sample of 511 mother–child dyads (mothers: mean age ± SD = 30.25 ± 4.98 years; children: mean age ± SD = 18.7 ± 15.5 months, girls: 55.0%). A self-administered questionnaire was used to meet study aims. Most mothers lack awareness and hold unfavorable attitudes regarding DS use. Among all mothers, 47% were DS users, with the majority using vitamin D (82%). Almost 64% of mothers provide DSs for their children, with a predominant use of multivitamin drops (61.0%). “To keep the child healthy” was the reported reason by 60.0% of mothers to provide DSs for their children. Physicians were the primary information source about DSs for most mothers (64.0%). The usage of DSs among mothers was influenced by their pregnancy status, child’s age, number of children per household, and their awareness and attitudes towards DSs. DS usage among children was correlated with maternal DS use and their mothers’ attitudes towards DSs. DS usage among Lebanese mother–child dyads is common. Mothers should be the focus of education sessions regarding DS use.
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Affiliation(s)
- Hala Mohsen
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Carla Ibrahim
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Doctoral School of Sciences and Technology (DSST), Lebanese University, Hadath P.O. Box 6573, Lebanon
- PHENOL Research Group (Public HEalth Nutrition Program Lebanon), Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Lebanese University Nutrition Surveillance Center (LUNSC), Lebanese Food Drugs and Chemical Administrations, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Department of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Khlood Bookari
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Taibah University, Madinah 42353, Saudi Arabia
- National Nutrition Committee, Saudi Food and Drug Authority, Riyadh 11451, Saudi Arabia
| | - Danielle Saadeh
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- INSPECT-LB (Institut National de Santé Publique d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut P.O. Box 1103, Lebanon
| | - Ayoub Al-Jawaldeh
- World Health Organization Regional Office for the Eastern Mediterranean, Cairo 11371, Egypt
| | - Yonna Sacre
- Department of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Lara Hanna-Wakim
- Department of Agricultural and Food Engineering, School of Engineering, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Marwa Al-Jaafari
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Doctoral School of Sciences and Technology (DSST), Lebanese University, Hadath P.O. Box 6573, Lebanon
| | - Marwa Atwi
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Sabine AlAsmar
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Jessica Najem
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Maha Hoteit
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- PHENOL Research Group (Public HEalth Nutrition Program Lebanon), Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Lebanese University Nutrition Surveillance Center (LUNSC), Lebanese Food Drugs and Chemical Administrations, Lebanese University, Beirut P.O. Box 6573, Lebanon
- University Medical Center, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Correspondence:
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Lopes M, Coimbra MA, Costa MDC, Ramos F. Food supplement vitamins, minerals, amino-acids, fatty acids, phenolic and alkaloid-based substances: An overview of their interaction with drugs. Crit Rev Food Sci Nutr 2021:1-35. [PMID: 34792411 DOI: 10.1080/10408398.2021.1997909] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Food supplements are a widespread group of products ingested as a diet complement, whose consumption has recently skyrocketed due to the consumers' concern with their well-being. Among food supplements, vitamin- and mineral-based ones are the top sellers, and the demand of others, such as those containing polyphenols, is increasing. Owing to their alleged natural characteristics, consumers take the safety of food supplements for granted, and use them even when taking medicines. Thus, their potential interactions with drugs have been sparsely evaluated. This manuscript aims to bring forth an up-to-date overview of the most important knowledge involving the interactions between food supplements and drugs, relevant to be aware by nutritionists and other healthcare professionals. To this end, an extensive bibliographic review was conducted focusing on peer reviewed data from experimental in vivo evidence and clinical studies whenever major clinical interactions have been reported. Elder people and polymedicated or chronic patients are especially vulnerable to the therapeutic ineffectiveness and toxicity caused by these types of interactions. Drugs used to treat cardiovascular, autoimmune, nervous, and oncological diseases are commonly involved in important clinical interactions with food supplements, many with a narrow therapeutic margin.
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Affiliation(s)
- Maria Lopes
- Faculty of Pharmacy, Azinhaga de Santa Comba, University of Coimbra, Coimbra, Portugal.,REQUIMTE/LAQV, R. D. Manuel II, Apartado 55142, Oporto, Portugal
| | - Manuel A Coimbra
- LAQV/REQUIMTE, Department of Chemistry, University of Aveiro, Aveiro, Portugal.,Economic and Food Safety Authority (ASAE) Scientific Council, Rua Rodrigo da Fonseca, Lisboa, Portugal
| | - Maria do Céu Costa
- Economic and Food Safety Authority (ASAE) Scientific Council, Rua Rodrigo da Fonseca, Lisboa, Portugal.,CBIOS-Universidade Lusófona's Research Centre for Biosciences & Health Technologies, Lisboa, Portugal.,NICiTeS, Polytechnic Institute of Lusophony, ERISA-Escola Superior de Saúde Ribeiro Sanches, Lisboa, Portugal
| | - Fernando Ramos
- Faculty of Pharmacy, Azinhaga de Santa Comba, University of Coimbra, Coimbra, Portugal.,REQUIMTE/LAQV, R. D. Manuel II, Apartado 55142, Oporto, Portugal.,Economic and Food Safety Authority (ASAE) Scientific Council, Rua Rodrigo da Fonseca, Lisboa, Portugal
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