Why US adults use dietary supplements
Abstract
BACKGROUND: Dietary supplements are used by more than half of adults, although to our knowledge, the reasons motivating use have not been previously examined in US adults using nationally representative data. The purpose of this analysis was to examine motivations for dietary supplement use, characterize the types of products used for the most commonly reported motivations, and to examine the role of physicians and health care practitioners in guiding choices about dietary supplements. METHODS: Data from adults (≥20 years; n = 11 956) were examined in the 2007-2010 National Health and Nutrition Examination Survey, a nationally representative, cross-sectional, population-based survey. RESULTS: The most commonly reported reasons for using supplements were to "improve" (45%) or "maintain" (33%) overall health. Women used calcium products for "bone health" (36%), whereas men were more likely to report supplement use for "heart health or to lower cholesterol" (18%). Older adults (≥60 years) were more likely than younger individuals to report motivations related to site-specific reasons like heart, bone and joint, and eye health. Only 23% of products were used based on recommendations of a health care provider. Multivitamin-mineral products were the most frequently reported type of supplement taken, followed by calcium and ω-3 or fish oil supplements. Supplement users are more likely to report very good or excellent health, have health insurance, use alcohol moderately, eschew cigarette smoking, and exercise more frequently than nonusers. CONCLUSIONS: Supplement users reported motivations related to overall health more commonly than for supplementing nutrients from food intakes. Use of supplements was related to more favorable health and lifestyle choices. Less than a quarter of supplements used by adults were recommended by a physician or health care provider.
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An enhanced feeling of well-being, a reduction in mental and physical fatigue, and improvements in psychological and cognitive functions are among the commonly reported motivations for taking supplements.
“An enhanced feeling of well-being, a reduction in mental and physical fatigue and improvements in psychological and cognitive functions are also among the commonly reported motivations for taking supplements [8,9].”
From Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence (2020) · cites this paper as [8]
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- Authors
- Bailey, R. L., Gahche, J. J., Miller, P. E., Thomas, P. R., & Dwyer, J. T.
- Affiliations
- National Institutes of Health (US)
- Venue
- JAMA Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2013-03-11
- Volume
- 173
- Issue
- 5
- Pages
- 355
- ISSN
- 2168-6106 (ISSN-L)
- OpenAlex
- W2166486957
- Cited by
- 745
- References
- 33
- Citations by year
- 2026: 38 · 2025: 41 · 2024: 66 · 2023: 55 · 2022: 56 · 2021: 67 · 2020: 63 · 2019: 57 · 2018: 70 · 2017: 65 · 2016: 45 · 2015: 59 · 2014: 51 · 2013: 12
- FWCI
- 56.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Keywords
- dietary supplements, multivitamin and mineral supplements, calcium supplements, omega-3 fatty acids, fish oil, provider recommendation, sex differences, age differences, health status, lifestyle factors, health insurance, alcohol consumption, smoking, physical activity
- MeSH terms
- Adult, Age Factors, Attitude to Health, Data Interpretation, Statistical, Female, Health Status, Humans, Life Style, Male, Middle Aged, Motivation, Nutrition Surveys, Nutritional Requirements, Physician's Role, Preventive Medicine, Sex Factors, Socioeconomic Factors, United States, Health Behavior, Body Mass Index, Micronutrients, Dietary Supplements
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