title: Dietary Supplements and Young Teens: Misinformation and Access Provided by Retailers.
abstract: OBJECTIVE
  Despite the American Academy of Pediatrics' recommendations against pediatric use of creatine and testosterone boosters, research suggests that many young teenagers take these dietary supplements. Our objective was to determine to what extent health food stores would recommend and/or sell creatine and testosterone boosters to a 15-year-old boy customer.
  
  
  METHODS
  Research personnel posing as 15-year-old high school athletes seeking to increase muscle strength contacted 244 health food stores in the United States via telephone. Researchers asked the sales attendant what supplements he/she would recommend. If a sales attendant did not mention creatine or testosterone boosters initially, each of these supplements was then specifically asked about. Supplement recommendations were recorded. Sales attendants were also asked if a 15-year-old could purchase these products on his own in the store.
  
  
  RESULTS
  A total of 67.2% (164/244) of sales attendants recommended creatine: 38.5% (94/244) recommended creatine without prompting, and an additional 28.7% (70/244) recommended creatine after being asked specifically about it. A total of 9.8% (24/244) of sales attendants recommended a testosterone booster. Regarding availability for sale, 74.2% (181/244) of sales attendants stated a 15-year-old was allowed to purchase creatine, whereas 41.4% (101/244) stated one could purchase a testosterone booster.
  
  
  CONCLUSIONS
  Health food store employees frequently recommend creatine and testosterone boosters for boy high school athletes. In response to these findings, pediatricians should inform their teenage patients, especially athletes, about safe, healthy methods to improve athletic performance and discourage them from using creatine or testosterone boosters. Retailers and state legislatures should also consider banning the sale of these products to minors.
authors.affiliation: Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, North Shore-Long Island Jewish Health System, Lake Success, New York.
authors.forename: Maguire
authors.initials: M
authors.lastname: Herriman
authors.affiliation: Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, North Shore-Long Island Jewish Health System, Lake Success, New York.
authors.forename: Laura
authors.initials: L
authors.lastname: Fletcher
authors.affiliation: Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, North Shore-Long Island Jewish Health System, Lake Success, New York.
authors.forename: Alexis
authors.initials: A
authors.lastname: Tchaconas
authors.affiliation: Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, North Shore-Long Island Jewish Health System, Lake Success, New York.
authors.forename: Andrew
authors.initials: A
authors.lastname: Adesman
authors.affiliation: Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, North Shore-Long Island Jewish Health System, Lake Success, New York rmilanai@northwell.edu.
authors.forename: Ruth
authors.initials: R
authors.lastname: Milanaik
mesh_terms: D000293:Adolescent; D056352:Athletes; D003132:Commerce; D003401:Creatine; D019587:Dietary Supplements; D006801:Humans; D008297:Male; D013739:Testosterone; D014481:United States
chemical_list: D013739:Testosterone; D003401:Creatine