title: Consumer attitudes about the role of multivitamins and other dietary supplements: report of a survey.
abstract: BACKGROUND
  U.S. nutrition surveys find that intakes of many nutrients fall short of recommendations. The majority of U.S. adults use multivitamins and other dietary supplements as one means of improving nutrient intakes. Some policy makers and health professionals appear reluctant to recommend routine use of dietary supplements to fill nutrient gaps in the diet, in part because they are concerned that people will view the supplements as a substitute for dietary improvement and that the use of supplements may lead to overconsumption of micronutrients. Surveys find that in fact users of dietary supplements tend to have better diets and adopt other healthy habits, suggesting that the supplements are viewed as one aspect of an overall effort to improve wellness. Furthermore, evidence demonstrates that the incidence of excess micronutrient intake is low. We report the results of a survey probing consumer attitudes about the role of dietary supplements.
  
  
  METHODS
  The Council for Responsible Nutrition funded a survey to measure consumer attitudes about the role of multivitamins, calcium and/or vitamin D supplements, and other supplements in improving dietary intakes. The research was designed and analyzed by FoodMinds and was fielded using Toluna's On-line Omnibus. The weighted sample of 2159 respondents is representative of U.S. adults.
  
  
  RESULTS
  Nearly 90% of the survey respondents agreed that multivitamins and supplements of calcium and/or vitamin D can help meet nutrient needs when desirable intakes are not achieved through food alone. At the same time, 80% agreed that dietary supplements should not be used to replace healthy dietary or lifestyle habits, and 82% agreed that people considering taking a high dose, single nutrient supplement should talk with their physician.
  
  
  CONCLUSIONS
  These results provide additional support for the conclusion that the vast majority of consumers recognize that multivitamins and other supplements can help fill nutrient gaps but should not be viewed as replacements for a healthy diet. This suggests that policy makers and health professionals could feel comfortable recommending rational dietary supplementation as one means of improving nutrient intakes, without being unduly concerned that such a recommendation would lead consumers to discount the importance of good dietary habits.
authors.affiliation: Dickinson Consulting, LLC, 3432 Denmark Avenue, #350, 55123, Eagan, MN, USA. annettedickinson@comcast.net.
authors.forename: Annette
authors.initials: A
authors.lastname: Dickinson
authors.affiliation: Scientific and Regulatory Affairs, Council for Responsible Nutrition, 1828 L Street, N.W., Suite 510, 20036, Washington, D.C., USA. dmackay@crnusa.org.
authors.forename: Douglas
authors.initials: D
authors.lastname: MacKay
authors.affiliation: Scientific and Regulatory Affairs, Council for Responsible Nutrition, 1828 L Street, N.W., Suite 510, 20036, Washington, D.C., USA. awong@crnusa.org.
authors.forename: Andrea
authors.initials: A
authors.lastname: Wong
mesh_terms: D002136:Calcium, Dietary / Q000008:administration & dosage; D003258:Consumer Behavior; D019587:Dietary Supplements; D002149:Energy Intake; D005247:Feeding Behavior; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D009749:Nutrition Surveys; D009751:Nutritional Requirements; D009752:Nutritional Status; D014131:Trace Elements / Q000008:administration & dosage*; D014807:Vitamin D / Q000008:administration & dosage; D014815:Vitamins / Q000008:administration & dosage*
chemical_list: D002136:Calcium, Dietary; D014131:Trace Elements; D014815:Vitamins; D014807:Vitamin D