Popularity of the Consumption of Dietary Supplements and its Associated Factors among Students in an Egyptian University: A Cross-sectional Study

Nelly Hegazy; Hanan Ali Sayed; Ahmed Ali Hasan; Marwa Rashad Salem

doi:10.3889/oamjms.2020.5371

Authors

Nelly Hegazy Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Helwan University, Helwan, Egypt
Hanan Ali Sayed Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Helwan University, Helwan, Egypt
Ahmed Ali Hasan Department of Health and Nutrition, Faculty of Physical Education for Boys, Helwan University, Helwan, Egypt
Marwa Rashad Salem Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2020.5371

Keywords:

Dietary supplements, Pattern of use, College students, Helwan University, Egypt

Abstract

BACKGROUND: Dietary supplements (DS) use has substantially become prevalent worldwide. However, a limited number of studies have addressed the consumption of DS among college students.

AIM: The objective of the study was to explore the prevalence of DS use among college students in an Egyptian college, their motives for DS use, and the association with sociodemographic and lifestyle factors.

METHODS: A cross-sectional study was conducted on 180 (18–25 years) college students at Helwan University. A self-administered questionnaire that included sociodemographic and lifestyle characteristics, DS use, commonly used types, reasons for use, and sources of information was employed.

RESULTS: More than two-thirds of the participants (117 students) have used DS with no difference among sex except for the types and motives for use (p < 0.001). The most used types were amino acids and proteins, multivitamins and minerals, and weight-loss herbals. Male students mainly used amino acids and proteins (54.7%), multivitamins, and minerals (17.2%), for building muscles (50%), gaining more energy (14%), and maintaining good health (14%). Female students consumed multivitamins and minerals (35.8%), weight-loss herbals (28.3%), for health promotion (34%) and weight management (28.3%). The main sources of information were the internet, health-care providers, and coaches. Male users depended primarily on the internet; however, female users received information from health-care providers (p < 0.001). Practicing exercise, non-smoking, and dietary patterns were associated with DS use.

CONCLUSION: DS use is remarkably common among college students in Egypt since their freshmen year. The findings highlight an urgent need to raise students’ awareness regarding the appropriate use of DS from reliable sources to control DS use and prevent adverse effects.

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References

Food Drug Administration. Dietary Supplement Health and Education Act of 1994 Public Law 103-417103rd Congress. United States: Food Drug Administration; 1994.

Alfawaz H, Khan N, Alfaifi A, Shahrani FM, Al Tameem HM, Al Otaibi SF, et al. Prevalence of dietary supplement use and associated factors among female college students in Saudi Arabia. BMC Womens Health. 2017;17(1):116. https://doi. org/10.1186/s12905-017-0475-y PMid:29166929

Marcus DM, Grollman AP. The consequences of ineffective regulation of dietary supplements. Arch Intern Med. 2012;172(13):1035-6. https://doi.org/10.1001/ archinternmed.2012.2687 PMid:22777632

Gahche J. Dietary supplement use among US adults has increased since NHANES III (1988-1994). NCHS Data Brief. 2011;61:1-8. PMid:21592424

Burns C, Cook K, Mavoa H. Role of expendable income and price in food choice by low income families. Appetite. 2013;71:209-17. https://doi.org/10.1016/j.appet.2013.08.018 PMid:24008182

Euromonitor International. Vitamins and Dietary Supplements in Middle East and Africa; 2018. Available from: https://www. euromonitor.com/vitamins-and-dietary-supplements-in-middle-east-and-africa/report. [Last accessed on 2020 Jan 20].

Euromonitor International. Country Report: Vitamins in Egypt; 2017. Available from: http://www.euromonitor.com/vitamins-in-egypt/report. [Last accessed on 2019 Dec 08].

Grand View Research. Dietary Supplements Market Size Worth $278.02 Billion By 2024: GRAND VIEW RESEARCH; 2018. Available from: https://www.grandviewresearch.com/press-release/global-dietary-supplements-market. [Last accessed on 2020 Jan 01].

National Institutes of Health. Office of Dietary Supplements: Multivitamin/Mineral Supplements Fact Sheet for Healthcare Professionals; 2015. Available from: https://www.ods.od.nih. gov/factsheets/MVMS-HealthProfessional. [Last accessed on 2020 Jun 15].

Knapik JJ, Steelman RA, Hoedebecke SS, Austin KG, Farina EK, Lieberman HR. Prevalence of dietary supplement use by athletes: Systematic review and meta-analysis. Sports Med. 2016;46(1):103-23. https://doi.org/10.1007/s40279-015-0387-7 PMid:26442916

Bianco A, Mammina C, Thomas E, Ciulla F, Pupella U, Gagliardo F, et al. Protein supplements consumption: A comparative study between the city centre and the suburbs of Palermo, Italy. BMC Sports Sci Med Rehabil. 2014;6(1):29. https://doi.org/10.1186/2052-1847-6-29 PMid:25089201

Mamtani R, Cheema S, MacRae B, Alrouh H, Lopez T, ElHajj M, et al. Herbal and nutritional supplement use among college students in Qatar. East Mediterr Health J. 2015;21(1):39-44. https://doi.org/10.26719/2015.21.1.39 PMid:25907191

Barnes K, Ball L, Desbrow B, Alsharairi N, Ahmed F. Consumption and reasons for use of dietary supplements in an Australian university population. Nutrition. 2016;32(5):524-30. https://doi.org/10.1016/j.nut.2015.10.022 PMid:26819063

Alhomoud FK, Basil M, Bondarev A. Knowledge, attitudes and practices (KAP) relating to dietary supplements among health sciences and non-health sciences students in one of the universities of United Arab Emirates (UAE). J Clin Diagn Res. 2016;10(9):JC05. https://doi.org/10.7860/jcdr/2016/19300.8439 PMid:27790468

Lieberman HR, Marriott BP, Williams C, Judelson DA, Glickman EL, Geiselman PJ, et al. Patterns of dietary supplement use among college students. Clin Nutr. 2015;34(5):976-85. https://doi.org/10.1016/j.clnu.2014.10.010 PMid:25466950

Kobayashi E, Sato Y, Umegaki K, Chiba T. The prevalence of dietary supplement use among college students: A nationwide survey in Japan. Nutrients. 2017;9(11):1250. https://doi. org/10.3390/nu9111250 PMid:29140269

Sirico F, Miressi S, Castaldo C, Spera R, Montagnani S, Di Meglio F, et al. Habits and beliefs related to food supplements: Results of a survey among Italian students of different education fields and levels. PLoS One. 2018;13(1):e0191424. https://doi. org/10.1371/journal.pone.0191424 PMid:29351568

World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Geneva: World Health Organization; 2000.

World Health Organization. Physical Activity Key Facts; 2018. Available from: https://www.who.int/news-room/fact-sheets/ detail/physical-activity. [Last accessed on 2020 May 11].

Naqvi AA, Ahmad R, Elewi AA, AlAwa AH, Alasiri MJ. Dietary supplement use among undergraduate male students in health and non-health cluster colleges of a public-sector university in Dammam, Saudi Arabia. BMC Complement Altern Med. 2018;18(1):269. https://doi.org/10.1186/s12906-018-2332-4 PMid:30285802

Foote JA, Murphy SP, Wilkens LR, Hankin JH, Henderson BE, Kolonel LN. Factors associated with dietary supplement use among healthy adults of five ethnicities: The multiethnic cohort study. Am J Epidemiol. 2003;157(10):888-97. https://doi. org/10.1093/aje/kwg072 PMid:12746241

Bailey RL, Gahche JJ, Miller PE, Thomas PR, Dwyer JT. Why US adults use dietary supplements. JAMA Intern Med. 2013;173(5):355-61. https://doi.org/10.1001/ jamainternmed.2013.2299 PMid:23381623

Tawfik S, El Koofy N, Moawad EM. Patterns of nutrition and dietary supplements use in young Egyptian athletes: A community-based cross-sectional survey. PLoS One. 2016;11(8):e0161252. https://doi.org/10.1371/journal.pone.0161252 PMid:27529492

Radwan H, Hasan HA, Ghanem L, Alnajjar G, Shabir A, Alshamsi A, et al. Prevalence of dietary supplement use and associated factors among college students in the United Arab Emirates. J Community Health. 2019;44(6):1135-40. https://doi. org/10.1007/s10900-019-00700-2 PMid:31273622

Alowais MA, Selim MA. Knowledge, attitude, and practices regarding dietary supplements in Saudi Arabia. J Family Med Prim Care. 2019;8(2):365. https://doi.org/10.4103/jfmpc. jfmpc_430_18 PMid:30984640

Al-Naggar RA, Chen R. Prevalence of vitamin-mineral supplements use and associated factors among young Malaysians. Asian Pac J Cancer Prev. 2011;12(4):1023-9. PMid:21790245

Fattahzadeh-Ardalani G, Farzaneh E, Fathi A, Molaei B, Valizadeh M. Determining the prevalence of dietary supplement consumption among Ardabil university students and related factors, 2014. Int J Community Med Public Health. 2016;3(1):224- 9. https://doi.org/10.18203/2394-6040.ijcmph20151567

Axon DR, Vanova J, Edel C, Slack M. Dietary supplement use, knowledge, and perceptions among student pharmacists. Am J Pharm Educ. 2017;81(5):92. https://doi.org/10.5688/ajpe81592 PMid:28720920