ResearchCurrent ResearchVitamin Supplement Intake Is Related to Dietary Intake and Physical Activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH)
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Study Population
The CATCH study was a multicenter intervention that evaluated the effectiveness of an elementary school-based cardiovascular health promotion program. The study enrolled 5,106 ethnically diverse students in grades three through five at 56 intervention and 40 control schools in California, Louisiana, Minnesota, and Texas from 1991 to 1994 (13). Follow-up surveys were conducted in years 1996-1997 (14) and 2000-2001 (15), when students were in grades eight and 12, respectively.
For these analyses
Results
Among the 2,761 adolescents who participated in the CATCH 2000-2001 study, 25% were multiple-vitamin supplement users. The average age for supplement users and nonusers was 18.2±0.5 and 18.3±0.5 years, respectively. Among multiple-vitamin supplement users, 58% were female. A larger proportion of multiple-vitamin supplement users were white (79%); approximately 10% were African American, 8% were Hispanic, and the rest belonged to other ethnic groups. Supplement use varied by sex, race/ethnic
Discussion
The prevalence of multiple-vitamin supplement use was 25% among adolescents enrolled in the large, multiethnic CATCH study. Compared with nonusers, supplement users had more healthful nutrient intakes of dietary fiber, saturated fat, and cholesterol as reflected in their more healthful eating patterns, which included higher intakes of whole grains, fruits, vegetables, fish, and seafood, and higher overall food index scores. Supplement users also were engaged in more healthful lifestyle habits,
Conclusions
One in four adolescents reported using multiple-vitamin supplements, although the prevalence varied by race, sex, dietary intake, and health behaviors. Compared with nonusers, supplement users consumed more healthful diets, watched less television, were more physically active, and had a more healthful weight status. Adolescents may benefit from taking vitamin/mineral supplements to augment dietary intakes that are inadequate, but because they are concentrated sources of nutrients it is
L. Reaves is a graduate student, L. M. Steffen is an assistant professor of Epidemiology, and L. A. Lytle is a professor of Epidemiology, the University of Minneapolis School of Public Health, Division of Epidemiology and Community Health, Minneapolis.
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A systematic review of self-medication practices among adolescents
2014, Journal of Adolescent HealthCitation Excerpt :A number of other drugs such as vitamins [7,43], drugs for sports injuries [43], antidandruff, athlete's foot preparations [48], antiallergic, and herbal/homeopathic drugs [12] were used more by boys. Vitamins and nutritional supplements were often used by sportspersons [106,115,118], primarily for health benefits and enhancement of their athletic performance [15]. Among the POM subgroups, systemic antibiotics topped the list with the highest usage in India [41] and the least in Kenya [45].
Prevalence and predictors of children's dietary supplement use: The 2007 National Health Interview Survey
2013, American Journal of Clinical NutritionAssociations among Dietary Supplement Use and Dietary and Activity Behaviors by Sex and Race/Ethnicity in a Representative Multiethnic Sample of 11th-Grade Students in Texas
2011, Journal of the American Dietetic AssociationDiet- and Body Size-related Attitudes and Behaviors Associated with Vitamin Supplement Use in a Representative Sample of Fourth-grade Students in Texas
2009, Journal of Nutrition Education and BehaviorCitation Excerpt :Dietary patterns of children can include food choices, breakfast and meal patterns, school meal participation,1 dieting,3 and the use of vitamin and mineral supplements.4 Previous research indicates that vitamin supplement use is associated with healthful food choices among infants/toddlers,5,6 preschoolers,7 early elementary school-aged children,8 and adolescents.9-11 However, to the authors' knowledge, no information exists on the relation between vitamin supplement use and food choices in population-based samples of older elementary schoolchildren in the United States, especially those populations with significant Latino and African-American representation.
L. Reaves is a graduate student, L. M. Steffen is an assistant professor of Epidemiology, and L. A. Lytle is a professor of Epidemiology, the University of Minneapolis School of Public Health, Division of Epidemiology and Community Health, Minneapolis.
J. T. Dwyer is a professor of Nutrition, Friedman School of Nutrition Science and Policy and Medical School, Tufts University, and New England Medical Center Hospital, Boston, MA.
L. S. Webber is professor of Biostatistics, Tulane University School of Public Health and Tropical Medicine, Department of Biostatistics, New Orleans, LA.
H. A. Feldman is lead biostatistician and associate professor, Clinical Research Program and Division of Endocrinology, Department of Medicine, Children’s Hospital Boston and Department of Pediatrics, Harvard Medical School, Boston, MA; at the time of the study, he was with the New England Research Institute, Watertown, MA.
S. K. Osganian is director, Clinical Research Program, Children’s Hospital, Boston and assistant professor of Pediatrics, Division of Endocrinology, Department of Medicine, Harvard Medical School, Boston, MA; at the time of the study, she was also with the University of Massachusetts Medical School, Worcester.
D. M. Hoelscher is an associate professor in Health Promotion and Behavioral Sciences, and director, Michael & Susan Dell Center for Advancement of Healthy Living, University of Texas School of Public Health, Houston.
M. M. Zive is a registered dietitian, the University of California-San Diego.