TUESDAY, Nov. 20 (HealthDay News) -- A new survey estimates that
one in seven people in the United States regularly takes
supplements that aren't vitamins or minerals -- such as fish oil,
echinacea or ginseng -- but only 30 percent of them have had a
doctor or nurse recommend supplements.
About one-third of supplement users have not alerted their
doctor, even though they may take the drug for a potentially
serious health issue, such as high blood pressure, arthritis or
depression, the survey found.
"These are things that clinicians often treat with more complex treatments," said Robert Blendon, a professor of health policy at Harvard School of Public Health and co-author of a letter in the Nov. 19 issue of the journal Archives of Internal Medicine. "They need to be aware that people are using this as one form of treatment."
Although supplement use is widespread, not much is known about
why people take these capsules, syrups and tablets, the researchers
said. To address that gap, they surveyed nearly 1,600 people in the
United States in 2011, weighing the answers to make the
demographics of the group reflect those of the country at
Of those surveyed, 38 percent said they'd taken supplements --
but not vitamins or minerals -- in the past two years, and 14
percent said they did so regularly.
The most common reasons for taking supplements were to feel
better, to improve energy and to boost the immune system. Smaller
numbers of respondents reported taking supplements to treat
digestive issues (28 percent), relieve pain (26 percent), lower
cholesterol (21 percent) or blood pressure (16 percent), or to
improve mood or depression (12 percent).
Fish oil tablets were the most frequently taken supplements.
About one in four respondents said they had taken fish oil or
related omega-3 supplements in the past two years.
The authors noted that perception of benefits rather than
quantifiable, research-based evidence appears to drive many people
to take supplements. Even if a government-funded study were to
denounce claims made by supplement manufacturers, one-fourth of
respondents said they would disregard it. And more than 80 percent
said it was important that they have access to supplements.
The study didn't look at the potential benefits or harms of
supplement usage. "We were more interested in what they were taking
them for," Blendon said.
The U.S. Food and Drug Administration, however, cautions that
although supplements can boost health, they can lead to
complications -- even life-threatening ones. For instance, taking
them with prescription or over-the-counter medications can cause
The report didn't note the age, gender or other characteristics
of survey respondents, and some experts feel the report is flawed
by such limitations.
Jeffrey Blumberg, professor of nutrition science and policy at
Tufts University in Medford, Mass., said too little information
about the respondents is available to make the findings
Michael Ormsbee, assistant professor of nutrition, food and
exercise sciences at Florida State University in Tallahassee,
wonders if rewording some questions would influence the
For instance, regarding the question about a government study
discrediting a supplement, he wonders what the response would be
"if the question was reversed to see if they would be impressed by
government studies showing that certain supplements
dowork." Would they be more likely to consume the
supplements? he wondered.
"It appears that people are driven by individual perception rather than research to back up products they take," Ormsbee said. "The logical question is what drives these perceptions -- TV, gym friends, peer pressure, experts, media outlets?"
In some cases, supplements may be appropriate, he said, but
healthy eating and exercise need to come first.
For more about
dietary supplements, visit the U.S. National Library of Medicine.
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