Consumption of multivitamins and minerals among youth and adults

Bianca  Oliveira Silva; Davi Vantini; Gustavo Tomio Kinsui; Enzo  Shintaku; Samantha Sanches de Carvalho; Glaucia Raquel Luciano da Veiga; Beatriz da Costa Aguiar Alves Reis; Thaís Moura Gascón; Edimar  Cristiano Pereira; Fernando Luiz Affonso Fonseca

doi:10.61411/rsc2025112618

Autores

Bianca Oliveira Silva Departamento de Ciências Farmacêuticas, Universidade Federal de São Paulo/UNIFESP - Diadema, SP, Brasil Autor
Davi Vantini Centro Universitário FMABC Autor
Gustavo Tomio Kinsui Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor
Enzo Shintaku Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor
Samantha Sanches de Carvalho Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor
Glaucia Raquel Luciano da Veiga Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor
Beatriz da Costa Aguiar Alves Reis Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor
Thais Moura Gascón Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor
Edimar Cristiano Pereira Departamento de Ciências Farmacêuticas, Universidade Federal de São Paulo/UNIFESP - Diadema, SP, Brasil Autor
Fernando Luiz Affonso Fonseca Departamento de Ciências Farmacêuticas, Universidade Federal de São Paulo/UNIFESP - Diadema, SP, Brasil Laboratório de Análises Clínicas do Centro Universitário Saúde ABC/Faculdade de Medicina do ABC, Santo André, SP, Brasil Autor

DOI:

https://doi.org/10.61411/rsc2025112618

Palavras-chave:

Multivitamins; nutritional supplements; balanced diet; nutritional deficiencies; lifestyle; youth; adults; habits; behaviors; physical activity.

Resumo

Multivitamins are dietry supplements formulated with a combination of vitamins and minerals essential to promote the healthy functioning of the body. While a balanced diet is the preferred approach to obtaining nutrients, multivitamins can play a crucial role in preventing nutritional deficiencies. Widely available without a prescription, they are classified as food and are available in pharmacies and health food stores. Describe how young people and adults have their first contact with multivitamins and understand the main reasons for starting the use, the duration of supplementation and their lifestyle of the participants, which will provide insights related to consumers and nutritional supplements in general. The data used was collected by the Google Forms platform. The link to the form was published on platforms such as Instagram, WhatsApp groups and Facebook, all via sharing. Participants agreed to participate in the research by signing a term of responsibility and authorization. Their privacy has been protected, ensuring the anonymity of ever individual involved. The survey revealed that the majority of the public is young, predominantly female and lives in São Paulo. Regarding the consumption of multivitamins, 56% used these supplements in the last six months, highlighting the improvement in immunity and physical performance as the main benefits. The medical indication is the main reason for the use of multivitamins. The regular practice of physical activity is common and the diet of the participants is mostly composed of minimally processed foods. It is imperative to promote not only the adequate consumption of nutrients through diet and supplementation, but also the adoption of a healthy lifestyle that includes the practice of physical exercise as an integral part of maintaining overall health and well-being.

Referências

Harvey RA, Ferrier DR. Bioquímica ilustrada. 5th ed. Porto Alegre: Artmed; 2012.

Reis NT. Nutrição clínica: interações. Rio de Janeiro: Rubio; 2004.

Hys K. Identification of the reasons why individual consumers purchase dietary supplements. In: Sroka W, editor. Perspectives on Consumer Behaviour: Theoretical Aspects and Practical Applications. Cham: Springer Nature; 2020. p. 193-209. DOI: https://doi.org/10.1007/978-3-030-47380-8_9

Dwyer J, Nahin RL, Rogers GT, et al. Prevalence and predictors of children's dietary supplement use: the 2007 national health interview survey. Am J Clin Nutr. 2013;97(6):1331-7. DOI: https://doi.org/10.3945/ajcn.112.052373

National Institutes of Health, Office of Dietary Supplements. Dietary Supplements: Background Information [Internet]. 2020 Mar 11 [cited 2023 Oct 28]. Available from: https://ods.od.nih.gov/factsheets/DietarySupplements-Consumer/

Hafiz NM, El-Readi MZ, Esheba G, Althubiti M, Ayoub N, Alzahrani AR, et al. The use of the nutritional supplements during the covid-19 outbreak in Saudi Arabia: A cross-sectional study. Complement Ther Med. 2023 Mar;72:102917. DOI: https://doi.org/10.1016/j.ctim.2023.102917

Borges LPSL, Sousa AG, da Costa THM. Physically inactive adults are the main users of sports dietary supplements in the capital of Brazil. Eur J Nutr. 2022 Aug;61(5):2321-30. DOI: https://doi.org/10.1007/s00394-022-02799-x

Puścion-Jakubik A, Bielecka J, Grabia M, Mielech A, Markiewicz-Żukowska R, Mielcarek K, et al. Consumption of food supplements during the three COVID-19 waves in Poland-Focus on Zinc and Vitamin D. Nutrients. 2021 Sep 25;13(10):3361. DOI: https://doi.org/10.3390/nu13103361

Garthe I, Maughan RJ. Athletes and Supplements: Prevalence and Perspectives. J Int Soc Sports Nutr. 2018;28(2):126-38. DOI: https://doi.org/10.1123/ijsnem.2017-0429

Hämeen-Anttila KP, Niskala UR, Siponen SM, Ahonen RS. The use of complementary and alternative medicine products in the previous two days among Finnish parents - a population survey. BMC Complement Altern Med. 2011;11:107. DOI: https://doi.org/10.1186/1472-6882-11-107

Timbo BB, Ross MP, McCarthy PV, Lin CT. Dietary supplements in national survey: Prevalence of use and reports of adverse events. J Am Diet Assoc. 2006;106(12):1966-74. DOI: https://doi.org/10.1016/j.jada.2006.09.002

Shehnaz SI, Agarwal AK, Khan N. A systematic review of self-medication practices among adolescents. J Adolesc Health. 2014 Oct;55(4):467-83. DOI: https://doi.org/10.1016/j.jadohealth.2014.07.001

Barretto JR, Gouveia MADC, Alves C. Use of dietary supplements by children and adolescents. J Pediatr (Rio J). 2024 Mar-Apr;100 Suppl 1(Suppl 1):S31-S39. DOI: https://doi.org/10.1016/j.jped.2023.09.008

Tardy AL, Pouteau E, Marquez D, Yilmaz C, Scholey A. Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence. Nutrients. 2020 Jan 16;12(1):228. DOI: https://doi.org/10.3390/nu12010228

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

Sekhri K, Kaur K. Public knowledge, use and attitude toward multivitamin supplementation: A cross-sectional study among general public. Int J Appl Basic Med Res. 2014;4(2):77-80. DOI: https://doi.org/10.4103/2229-516X.136780

Park S, Johnson M, Fischer JG. Vitamin and mineral supplements: barriers and challenges for older adults. J Nutr Elder. 2008;27(3-4):297-317. DOI: https://doi.org/10.1080/01639360802265855

Suskind DL. Nutritional deficiencies during normal growth. Pediatr Clin North Am. 2009;56(5):1035-53. DOI: https://doi.org/10.1016/j.pcl.2009.07.004

Zheltova AA, Kharitonova MV, Iezhitsa IN, Spasov AA. Magnesium deficiency and oxidative stress: an update. Biomedicine (Taipei). 2016 Dec;6(4):20. DOI: https://doi.org/10.7603/s40681-016-0020-6

Avenell A, Gillespie WJ, Gillespie LD, O'Connell DL. Vitamin D and vitamin D analogues for preventing fractures associated with involutional and post-menopausal osteoporosis. Cochrane Database Syst Rev. 2005;(2):CD000227. DOI: https://doi.org/10.1002/14651858.CD000227.pub2

Baik HW, Russell RM. Vitamin B12 deficiency in the elderly. Annu Rev Nutr. 1999;19:357-77. DOI: https://doi.org/10.1146/annurev.nutr.19.1.357

Fukushima R, Yamazaki E. Vitamin C requirement in surgical patients. Curr Opin Clin Nutr Metab Care. 2010 Nov;13(6):669-76. DOI: https://doi.org/10.1097/MCO.0b013e32833e05bc

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde 2019: informações sobre domicílios, acesso e utilização dos serviços de saúde. Rio de Janeiro: IBGE; 2020.

Gomes R, Nascimento EF, Araújo FC. Por que os homens buscam menos os serviços de saúde do que as mulheres? As explicações de homens com baixa escolaridade e homens com ensino superior. Cad Saude Publica. 2007;23(3):565-74. DOI: https://doi.org/10.1590/S0102-311X2007000300015

Malta DC, Szwarcwald CL, Barros MBA, et al. A pandemia da COVID-19 e as mudanças no estilo de vida dos brasileiros adultos: um estudo transversal, 2020. Epidemiol Serv Saude. 2020;29(4):e2020407. DOI: https://doi.org/10.1590/s1679-49742020000400026

Jaime PC, Stopa SR, Oliveira TP, Vieira ML, Szwarcwald CL, Malta DC. Prevalência e distribuição sociodemográfica de marcadores de alimentação saudável, Pesquisa Nacional de Saúde, Brasil 2013. Epidemiol Serv Saude. 2015;24(2):267-76. DOI: https://doi.org/10.5123/S1679-49742015000200009

Agência Nacional de Vigilância Sanitária (Anvisa). Resolução RDC nº 243, de 26 de julho de 2018. Dispõe sobre os requisitos sanitários dos suplementos alimentares. Brasília: Anvisa; 2018.

Coelho SB, Santos JN, Silveira EA. Propaganda de suplementos alimentares em revistas de fitness: análise de conteúdo. Rev Bras Med Esporte. 2019;25(5):402-6.

Fortmann SP, Burda BU, Senger CA, Lin JS, Whitlock EP. Vitamin and mineral supplements in the primary prevention of cardiovascular disease and cancer: An updated systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2013;159(12):824-34. DOI: https://doi.org/10.7326/0003-4819-159-12-201312170-00729

Guallar E, Stranges S, Mulrow C, Appel LJ, Miller ER 3rd. Enough is enough: Stop wasting money on vitamin and mineral supplements. Ann Intern Med. 2013;159(12):850-1. DOI: https://doi.org/10.7326/0003-4819-159-12-201312170-00011

Instituto de Pesquisa Econômica Aplicada. Segurança alimentar e nutricional no Brasil: análise de indicadores nacionais. Brasília: IPEA; 2021.

Ministério da Saúde. Guia alimentar para a população brasileira. 2ª ed. Brasília: Ministério da Saúde; 2014.

Sociedade Brasileira de Alimentação e Nutrição. Diretrizes da Sociedade Brasileira de Alimentação e Nutrição para terapia nutricional em suplementação de vitaminas e minerais. São Paulo: SBAN; 2020.

Ernst E. The role of complementary and alternative medicine. BMJ. 2000;321(7269):1133-5. DOI: https://doi.org/10.1136/bmj.321.7269.1133

Kehdy FSG, Gouveia MH, Machado M, et al. Origin and dynamics of admixture in Brazilians and its effect on the pattern of deleterious mutations. Proc Natl Acad Sci U S A. 2015;112(28):8696-701. DOI: https://doi.org/10.1073/pnas.1504447112

Maeda SS, Borba VZC, Camargo MBR, et al. Recommendations of the Brazilian Society of Endocrinology and Metabology (SBEM) for the diagnosis and treatment of hypovitaminosis D. Arq Bras Endocrinol Metabol. 2014;58(5):411-33. DOI: https://doi.org/10.1590/0004-2730000003388

Slywitch E. Sociedade Vegetariana Brasileira. Guia alimentar de dietas vegetarianas para adultos. São Paulo: SVB; 2012.

Conselho Federal de Farmácia. Resolução CFF nº 585, de 29 de agosto de 2013. Regulamenta as atribuições clínicas do farmacêutico e dá outras providências. Brasília: CFF; 2013.

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. DOI: https://doi.org/10.1007/s40279-015-0387-7

Agência Nacional de Vigilância Sanitária (Anvisa). Relatório de atividades 2019-2020: suplementos alimentares. Brasília: Anvisa; 2020.

Dickinson A, Blatman J, El-Dash N, Franco JC. Consumer usage and reasons for using dietary supplements: report of a series of surveys. J Am Coll Nutr. 2014;33(2):176-82. DOI: https://doi.org/10.1080/07315724.2013.875423

Conner M, Kirk SF, Cade JE, Barrett JH. Environmental influences: factors influencing a woman's decision to use dietary supplements. J Nutr. 2003;133(6):1978S-82S. DOI: https://doi.org/10.1093/jn/133.6.1978S

Sebastian RS, Cleveland LE, Goldman JD, Moshfegh AJ. Older adults who use vitamin/mineral supplements differ from nonusers in nutrient intake adequacy and dietary attitudes. J Am Diet Assoc. 2007;107(8):1322-32. DOI: https://doi.org/10.1016/j.jada.2007.05.010