Self-reported health without clinically measurable benefits among adult users of multivitamin and multimineral supplements: a cross-sectional study

Autor: Girish N Nadkarni, Jason K Wang, Benjamin S Glicksberg, Vwaire Orhurhu, Manish D Paranjpe, Alfred C Chin, Ishan Paranjpe, Nicholas J Reid, Phan Q Duy, Ross O'Hagan, Artine Arzani, Arsalan Haghdel, Clarence C Lim, Ivan Urits, Anh L Ngo, Kathryn T Hall, Darshan Mehta, Richard S Cooper
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMJ Open, Vol 10, Iss 11 (2020)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2020-039119
Popis: Objective Multiple clinical trials fail to identify clinically measurable health benefits of daily multivitamin and multimineral (MVM) consumption in the general adult population. Understanding the determinants of widespread use of MVMs may guide efforts to better educate the public about effective nutritional practices. The objective of this study was to compare self-reported and clinically measurable health outcomes among MVM users and non-users in a large, nationally representative adult civilian non-institutionalised population in the USA surveyed on the use of complementary health practices.Design Cross-sectional analysis of the effect of MVM consumption on self-reported overall health and clinically measurable health outcomes.Participants Adult MVM users and non-users from the 2012 National Health Interview Survey (n=21 603).Primary and secondary outcome measures Five psychological, physical, and functional health outcomes: (1) self-rated health status, (2) needing help with routine needs, (3) history of 10 chronic diseases, (4) presence of 19 health conditions in the past 12 months, and (5) Kessler 6-Item (K6) Psychological Distress Scale to measure non-specific psychological distress in the past month.Results Among 4933 adult MVM users and 16 670 adult non-users, MVM users self-reported 30% better overall health than non-users (adjusted OR 1.31; 95% CI 1.17 to 1.46; false discovery rate adjusted p
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