Demographic and lifestyle characteristics of functional food consumers and dietary supplement users

British Journal of Nutrition
Q1
Feb 2003
Citations:295
Influential Citations:14
Observational Studies (Human)
81
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Methods
Design: cross-sectional observational study using self-administered questionnaires. Participants: 1183 members of the Dutch Health Care Consumer Panel (ages 19-91; ~57% female). The panel is representative of the Dutch population for age, gender, household composition, health-care insurance services and geographic distribution. Data collected in 2000; response rate 76% (n=1183/1552). Analyses included crude and adjusted odds ratios from logistic regression to examine use (yes/no) and frequent use (at least twice monthly) relative to covariates.
Results
In 2000, Dutch adults reported low daily consumption of functional foods and supplements: 20% used multivitamin/mineral supplements daily; 3-9% daily for other items. Use patterns varied by product; women more likely to be consumers for most products; Ca tablets used by middle- and older-age groups; lemonade/sweets with added vitamins/minerals used by younger participants. Higher education linked to multivitamin/mineral use (significant after adjustment). Smoking associated with cholesterol-lowering margarine use; frequent exercise linked to more frequent use of foods with extra lactic acid bacteria and of Echinacea. Frequent Ca-containing foods and Ca supplements associated with poorer subjective health. Because determinants differ by product, generalizing consumer characteristics across products is not legitimate. Standardized methodologies and targeted surveys on attitudes, norms, knowledge, and health risk profiles are needed to better understand consumer behavior and health risk; monitor safety/efficacy in post-launch contexts; and anticipate continued market expansion of functional foods. A public health concern is potential self-medication with foods/supplements without control mechanisms.
Limitations
Cross-sectional design; reliance on self-reported data; potential panel bias; low prevalence of product use reducing statistical power; limited generalizability across products and time periods; use of a short dietary questionnaire may limit measurement detail.

Abstract

Functional foods and/or supplements may be used in the context of a healthy lifestyle or as a means to compensate for an unhealthy lifestyle. Adverse long-term and/or cumulative effects of functional food or supplement intake are of public health con...