Vitamin/Mineral Supplement Use Among Athletes: A Review of the Literature (original) (raw)
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An Investigation of Habitual Dietary Supplement Use Among 557 NCAA Division I Athletes
Journal of the American College of Nutrition, 2020
Supplements may expose athletes to dangerous ingredients, banned substances, toxins or contaminants; however, few investigations assess use among collegiate athletes in the U.S. OBJECTIVE: This cross-sectional study evaluated habitual dietary supplement intake, defined use ≥2 days/week over the past year, in NCAA Division I athletes. METHODS: Male and female members of a NCAA Division I team, at two universities in southern California completed a 13-item survey. Among 705 eligible participants, 596 submitted surveys (84.5% response rate), 557 surveys included complete data. Chi-square (χ 2) analyses evaluated differences among athletes based on sex, weight status, year in college, and sport-type. Independent t-test or ANOVA evaluated mean differences for continuous variables. RESULTS: A total of 45.2% athletes (n= 252) reported taking supplements (≥2 days/week over the past year). Vitamin/minerals (25.5%, n= 142), protein/amino acids (24.6%, n= 137) were used most frequently. Male, vs. female athletes, took more supplements overall (1.2 ± 0.1 vs. 0.8 ± 0.1, p = 0.004) and indicated higher use of protein/amino acid products (34.2% vs. 13.5%, p<0.005), whereas, females reported higher use of vitamin/minerals (30.5% vs. 21.1%, p< 0.05). Higher supplement use was also reported by athletes with BMI ≥ 30.0 kg/m 2 (vs. <30 kg/m 2 , 1.9 ± 0.3 vs. 1.0 ± 0.1, p= 0.02), and athletes in ≥3 rd college year (vs. 1 st or 2 nd year, 1.2 ± 0.1 vs. 0.9 ± 0.1, p= 0.03). CONCLUSIONS: Nearly half of NCAA athletes reported habitual supplements use, with significant variation in patterns based on sex, sport-type, year in college, and weight status.
Journal of Science and Medicine in Sport, 2010
The purpose of this investigation was to examine the nutritional supplement intake of athletes from a state-based sports institute. Athletes (n = 72) from seven sports (kayaking, field hockey, rowing, waterpolo, swimming, athletics and netball) completed a questionnaire detailing their daily usage and rationale therefore. The large majority (63/72; 87.5 ± 12.5%) of surveyed athletes reported using nutritional supplements, with no difference between female (31/36; 86.1 ± 13.9%) and male (32/36; 88.9 ± 11.1%) athletes. Kayakers (6.0 ± 2.9) consumed a higher number of nutritional supplements than swimmers (4 ± 2.2), field hockey (1.5 ± 1.0), rowing (2.4 ± 1.4), waterpolo (2.3 ± 2.4), athletics (2.5 ± 1.9) and netball (1.7 ± 1.0) athletes. The athletes believed that nutritional supplements are related to performance enhancements (47/72; 65.3%), positive doping results (45/72; 62.5%), and that heavy training increases supplement requirements (47/72; 65.3%). The cohort was equivocal as to their health risks (40/72; 55.6%) or their need with a balanced diet (38/72; 52.8%). The most popular supplements were minerals (33/72; 45.8%), vitamins (31/72; 43.1%), other (23/72; 31.9%), iron (22/72; 30.6%), caffeine (16/72; 22.2%), protein (12/72; 16.7%), protein-carbohydrate mix (10/72; 13.9%), creatine (9/72; 12.5%) and glucosamine (3/72; 4.2%). The majority of supplementing athletes (n = 63) did not know their supplements active ingredient (39/63; 61.9%), side effects (36/63; 57.1%) or mechanism of action (34/63; 54.0%) and admitted to wanting additional information (36/63; 57.0%). Only half of the athletes knew the recommended supplement dosages (33/63; 52.4%). The performance enhancing perception may explain the large proportion of athletes that reported using nutritional supplements, despite over half of the athletes believing that supplements are not required with a balanced diet and can cause positive doping violations.
Micronutrient supplement intakes among collegiate and masters athletes: A cross-sectional study
Frontiers in sports and active living, 2023
In our cross-sectional study, we evaluated micronutrient supplementation intake among Collegiate and Masters Athletes. Methods: We conducted a cross-sectional study to assess micronutrient supplementation consumption in Collegiate and Masters Athletes, comparing sex and sport classification within each respective group. Micronutrient supplement consumption data were measured using a Food Frequency Questionnaire. A two-way analysis of variance was used to explore the differences among Collegiate and Masters Athletes' supplement intakes of the following vitamins and minerals: vitamins A, B 6 , B 12 , C, E, D, and calcium, folate, iron, magnesium niacin, riboflavin, selenium, thiamine, and zinc. When significant differences were found, a Bonferroni post hoc test was performed to identify specific group differences. The significance level was set a priori at p < 0.05. Results: A total of 198 athletes (105 females and 93 males) were included in the study. Participants were 36.16 ± 12.33 years of age. Collegiate male athletes had significantly greater vitamin A [1,090.51 ± 154.72 vs. 473.93 ± 233.18 mg retinol activity equivalents (RAE)/day] (p < 0.036), folate [337.14 ± 44.79 vs. 148.67 ± 67.50 mcg dietary folate equivalents (DFE)/day] (p < 0.027), and magnesium (65.35 ± 8.28 vs. 31.28 ± 12.48 mg/day) (p < 0.031) intakes compared to Collegiate female athletes. Collegiate CrossFit Athletes (940.71 ± 157.54 mg/day) had a significantly greater vitamin C intake compared to Collegiate General Athletes (156.34 ± 67.79 mg/day) (p < 0.005), Collegiate Triathletes (88.57 ± 148.53 mg/day) (p < 0.027), Collegiate Resistance Training Athletes (74.28 ± 143.81 mg/day) (p < 0.020), and Collegiate Powerlifters (175.71 ± 128.63 mg/day) (p < 0.044). Masters females had significantly greater calcium intakes compared to Masters males (494.09 ± 65.73 vs.187.89 ± 77.23 mg/day, respectively) (p < 0.002). Collegiate Runners (41.35 ± 6.53 mg/day) had a significantly greater iron intake compared to Collegiate Powerlifters (4.50 ± 6.53 mg/day) (p < 0.024). Masters Swimmers (61.43 ± 12.10 mg/day) had significantly greater iron intakes compared to Masters General Athletes (13.97 ± 3.56 mg/day) (p < 0.014), Masters Runners (17.74 ± 2.32 mg/day) (p < 0.03), Masters Triathletes (11.95 ± 3.73 mg/ day) (p < 0.008), Masters CrossFit Athletes (15.93 ± 5.36 mg/day) (p < 0.043), Masters Rowers (9.10 ± 3.36 mg/day) (p < 0.003), and Masters Cyclists (1.71 ± 9.88 mg/day) (p < 0.011). Masters Powerlifters (47.14 ± 9.65 mg/day) had significantly greater zinc intakes compared to Masters General Athletes (9.57 ± 2.84 mg/day) (p < 0.015), Masters Runners (10.67 ± 1.85 mg/day) (p < 0.017), Masters Triathletes (10.24 ± 2.98 mg/day) (p < 0.020), Masters Rowers (9.33 ± 2.68 mg/day) (p < 0.013), and Masters Cyclists (1.43 ± 7.88 mg/day) (p < 0.019). There were no other significant differences among the other micronutrient supplement intakes between the sexes or among the sport classification.
USE OF DIETARY SUPPLEMENTS AMONG ELITE ATHLETES
Many athletes use supplements in their diet as part of regular training or competition, thus enabling more intense training by encouraging faster recovery between workouts, minimizing interference caused by disease or injury and increasing competitive performance. These supplements, unlike medications, are not subject to rigorous efficiency and safety checks and tests. There is a risk with regard to those supplements which include positive doping test result as a consequence of presence of the prohibited substances not listed in the declaration of the preparation. The aim of this study was to examine the use of supplements among elite athletes by analyzing the forms for doping control, issued by the Agency for Anti-doping control of Bosnia and Herzegovina, performed in the period from 2010 to 2012. The study includes supplements whose use was reported by athletes in the period of the last 7 days (prior testing). The study results indicate the frequency of dietary supplements use of 34.5%. The most dominant group among users of dietary supplements were men aged between 18 and 29 years. From 152 users of dietary supplements 62.3% of them have used more than one product. The number of used supplements was an average of 2.9±2.8 products. Amino acids and proteins are the most commonly used dietary supplements. This study confirmed excessive use of dietary supplements among elite athletes and pointed to the need of necessary education and ensuring the availability of scientific and unbiased information, about the benefits and risks of dietary supplements use, to athletes..
Prevalence of Dietary Supplement Use among Athletes Worldwide: A Scoping Review
Nutrients
Athletes represent a major part of dietary supplement users. This scoping review aims to explore the prevalence of dietary supplement use among athletes worldwide, most commonly used supplements, sources of information on dietary supplements and their reasons for use of these supplements. PubMed, CINAHL, MEDLINE, and PsycInfo were searched for original research articles. Studies were included if they involved athletes, identified the prevalence of dietary supplement use, and were published after 2017. A total of 26 articles were reviewed. Prevalence of dietary supplement use varied among articles, but sex-based differences related to the types of used dietary supplements existed. Generally, the findings were consistent in terms of reasons for use and sources of information. Unfortunately, the lack of homogeneity regarding the definition of dietary supplements, definition of use, reporting timeframes, and data collection methods complicates the attempt to compare the findings among s...
Athletes and Supplements: Prevalence and Perspectives
International Journal of Sport Nutrition and Exercise Metabolism, 2018
In elite sport, where opponents are evenly matched, small factors can determine the outcome of sporting contests. Not all athletes know the value of making wise nutrition choices, but anything that might give a competitive edge, including dietary supplements, can seem attractive. Between 40% and 100% of athletes typically use supplements, depending on the type of sport, level of competition, and the definition of supplements. However, unless the athlete has a nutrient deficiency, supplementation may not improve performance and may have a detrimental effect on both performance and health. Dietary supplements are classified as a subcategory of food, so manufacturers are not required to provide evidence of product safety and efficacy, nor obtain approval from regulatory bodies before marketing supplements. This creates the potential for health risks, and serious adverse effects have been reported from the use of some dietary supplements. Athletes who compete in sports under an anti-doping code must also realize that supplement use exposes them to a risk of ingesting banned substances or precursors of prohibited substances. Government systems of regulations do not include specific laboratory testing for banned substances according to the WADA list, so a separate regulatory framework to evaluate supplements for their risk of provoking a failed doping test is needed. In the highperformance culture typical of elite sport, athletes may use supplements regardless of possible risks. A discussion around medical, physiological, cultural, and ethical questions may be warranted to ensure that the athlete has the information needed to make an informed choice.
Elite athletes, a rationale for the use of dietary supplements: A practical approach
PharmaNutrition, 2020
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Performance level affects the dietary supplement intake of both individual and team sports athletes
Journal of sports science & medicine, 2013
Dietary supplement (DS) intake is high in elite level athletes, however few studies have investigated the impact that the performance level of the athletes has on supplementation intake in individual and team sports. The purpose of the study was to determine and compare the DS intake among individual and team sport athletes of various performance levels. A total of 2845 participants (athletes: 2783, controls: 62) between the ages of 11 and 44 years old participated in the study. A 3-page questionnaire was developed to assess the intake of DS. Athletes were categorized based on participation in individual (n = 775) and team sports (n = 2008). To assess the effect of performance level in supplementation intake, athletes were categorized based on training volume, participation in the national team, and winning at least one medal in provincial, national, international or Olympic games. Overall, 37% of all athletes of various performance levels reported taking at least one DS in the last...
Prevalence and Predictors of Higher-Risk Supplement Use Among Collegiate Athletes
Journal of Strength and Conditioning Research, 2018
This study aimed to identify the prevalence and predictors associated with the use of higher-risk dietary supplements, defined as supplements containing herbal ingredients, caffeine, or those classified for weight loss, muscle-building, or as a preworkout supplement, among 557 National Collegiate Athletic Association Division I male and female collegiate athletes. Although 252 (45.2%) athletes reported the use of a dietary supplement on 2daysperweekoverthepastyear,46(8.32 days per week over the past year, 46 (8.3%) athletes met criteria for higher-risk supplement use. Twenty (3.6%) athletes reported the use of herbal, 1 (0.2%) caffeinated, 5 (0.9%) weight loss, 28 (5.0%) preworkout, and 1 (0.2%) muscle-building supplements. Body mass index status (BMI 2daysperweekoverthepastyear,46(8.330 kg$m 22), sport-type (sports using the phosphocreatine energy system), and college year ($4th year) were associated with the use of preworkout, muscle-building, or herbal supplements. A multiple regression analysis identified predictors of higher-risk supplement use including the number of dietary supplements used in the past year (odds ratio [OR] = 2.1, 95% confidence interval [CI] = 1.7-2.7, p , 0.001), the reported motivation of taking dietary supplements to gain muscle and lose body fat (OR = 3.5, 95% CI = 1.1-11.7, p = 0.04), and the motivation to increase athletic endurance (OR = 3.5, 95% CI = 4.0, 95% CI = 1.6-9.9, p , 0.005). These factors may be considered as a part of a screening process to evaluate athletes with an increased risk of higher-risk supplement use and potential consequences to health or eligibility status.
International Journal of Sport Nutrition and Exercise Metabolism, 2012
The authors’ aim was to examine the prevalence of (daily) dietary-supplement (DS) use among elite adolescent athletes and to differentiate use by different types of DS according to their function. Data were analyzed for associations between users of these DS types, sociodemographic, sport-specific characteristics, and opinion on the need for DS. In addition, sources of supply and information were examined. In the framework of the GOAL Study, 1,138 German elite adolescent athletes (14–18 yr) answered questions about DS. The data were analyzed to identify groups at risk for using DS after a classification by supplemental function. Of the young athletes, 91.1% reported DS use during the previous month. (Daily) DS use was significantly associated with sex, kind of sport, and the weekly duration of sporting activity. Furthermore, some athletes were required to use DS by their sporting organization. DS use was more likely in these athletes than in those whose sporting organizations had no...