Patterns of dietary supplement use among United States patients with steatotic liver disease: Vitamins, minerals and botanicals  

作　　者：Melinda Wang Gabrielle Jutras Giuseppe Cullaro Anand Dhruva Jennifer C Lai 

机构地区：[1]Department of Internal Medicine,University of California San Francisco,San Francisco,CA 94143,United States [2]Division of Hepatology,Department of Medicine,Centre Hospitalier de l’Universitéde Montréal,Montreal H2X 0A9,Quebec,Canada [3]Department of Medicine,Division of Gastroenterology and Hepatology,University of California–San Francisco,San Francisco,CA 94143,United States [4]Osher Center for Integrative Medicine,University of California,California,MD 94143,United States

出　　处：《World Journal of Hepatology》2025年第3期130-139,共10页世界肝病学杂志(英文)

基　　金：Supported by The National Institutes of Health,No.K24AG080021,No.R01AG059183,and No.P30DK026743.

摘　　要：BACKGROUND Dietary supplement(DS)usage among United States adults has significantly increased.Patients with steatotic liver disease(SLD)may have unique moti-vations to take DS in light of their liver condition and co-morbidities.AIM To characterize DS use in SLD patients and explore motivations for their use.METHODS Adults≥18 years old with complete transient elastography and dietary data from the National Health and Nutrition Examination Survey between January 2017 and March 2020 were studied.SLD was defined using consensus criteria,combining clinical indicators with elastography thresholds.The DS Questionnaire(DSQ)was used to record participants’use of DSQ.Sample weights were applied to estimate national prevalence.RESULTS Of 2413 participants with SLD,1058 reported using DS,for an estimated prevalence of 44.8%[standard error(SE)2.4]with an average of 2.6(SE 0.2)DS per person.Among SLD participants taking DSQ,53.2%(SE 3.3)reported using non-vitamin/non-mineral ones,with an average of 1.8(SE 0.1)such supplements per person.DS users were more likely to be female,have higher levels of education,and have greater food security(P<0.02 for all).The most common motivations for using DS were to follow doctor’s advice(36.7%,SE 1.8),to improve overall health(22.1%,SE 2.0),and to maintain health(19.2%,SE 1.9).CONCLUSION Nearly half of individuals with SLD report taking DS.This study underscores the pressing need to deepen our understanding of DS use/motivations to develop tailored patient counseling strategies.

关 键 词：Dietary supplement DISPARITY Steatotic liver disease BOTANICAL National Health and Nutrition Examination Survey 

分 类 号：TN3[电子电信—物理电子学]