Prevalence, knowledge, and association of dietary supplement usage among University of KwaZulu-Natal students
DOI:
https://doi.org/10.36386/sajrsper.v47i1.522Keywords:
Dietary supplements, Harmful substances, Physical activityAbstract
The use of dietary supplements (DS) is rapidly increasing, with the industry valued at R7 billion annually in South Africa. University students, particularly vulnerable to DS use, often lack awareness of potential risks. This study aimed to determine the prevalence, knowledge and association of DS usage with physical activity among University of KwaZulu-Natal students. An online questionnaire gathered data on DS knowledge and usage related to physical activity. Descriptive statistics summarised the data, while inferential statistics determined significance, set at p≤0.05. Results showed 13.6% of students used DS, with no significant difference between health science (58.3%) and life science students (41.7%) (p=0.8). Physically active DS users (41.7%) outnumbered sedentary users (16.7%) (p=0.03). Primary motives for DS use included enhancing energy, improving performance and boosting immunity. Health science students exhibited significantly higher DS knowledge than their non-health science peers (p=0.02). The study concludes that educational interventions are necessary to increase awareness of DS hazards and promote safe usage among students, especially those involved in physical activities, regardless of their academic discipline. Future research should focus on using larger, randomly selected samples to improve the generalisability of the findings.
References
AZIZ, N.; AZIZAM, N. & DZULKIPLY, M. (2020). Influencing factors in dietary supplement consumption among university students. Advances in Business Research International Journal, 6(1): 96-106. https://doi.org/10.24191/abrij.v6i1.9945
AGUILAR-NAVARRO, M.; BALTAZAR-MARTINS, G.; BRITO DE SOUZA, D.; MUÑOZ-GUERRA, J.; DEL MAR PLATA, M. & DEL COSO, J. (2021). Gender differences in prevalence and patterns of dietary supplement use in elite athletes. Research Quarterly for Exercise and Sport, 92(4): 659-668. https://doi.org/10.1080/02701367.2020.1764469
AINA, B.A. & OJEDOKUN, O.A. (2014). Knowledge and use of dietary supplements by students of College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria. Journal of Basic and Clinical Pharmacy, 5(2): 34. https://doi.org/https://doi.org/10.4103%2F0976-0105.134952
AL TAMIMI, J.Z. (2019). Awareness of the consumption of dietary supplements among students in a University in Saudi Arabia. Journal of Nutrition and Metabolism, 2019(1): 4641768. https://doi.org/10.1155/2019%2F4641768
ALATAWI, A.; ALANAZI, N.; KABY, B.; ALANAZI, A.; ALANAZI, N.; ALANAZI, H.; ALATAWI, N.; ALJUHANI, R.; ALOTAIBI, S.; ALQARNI, R. & ALJUHANI, W. (2024). Dietary supplement use among medical students at the University of Tabuk, Saudi Arabia. International Journal of Medicine in Developing Countries, 8(2): 523-530. https://doi.org/10.24911/IJMDC.51-1700805541
ALFAWAZ, H.; KHAN, N.; ALFAIFI, A.; SHAHRANI, F.M.; AL TAMEEM, H.M.; AL OTAIBI, S. F.; ABUDIGIN, W.I.; AL-SHAYAA, M.S.; AL-GHANIM, S.A. & AL-DAGHRI, N.M. (2017). Prevalence of dietary supplement use and associated factors among female college students in Saudi Arabia. BMC Women's Health, 17: 1-7. https://doi.org/10.1186/s12905-017-0475-y
ALOWAIS, M.A. & SELIM, M.A.E.-H. (2019). Knowledge, attitude, and practices regarding dietary supplements in Saudi Arabia. Journal of Family Medicine and Primary Care, 8(2): 365-372. https://doi.org/10.4103%2Fjfmpc.jfmpc_430_18
ALQRACHE, A.; MOSTAFA, M.; GHABRAH, O.; GHABRAH, Z.; KAMAL, N.; GHABRAH, T. & ATTA, H. (2021). Knowledge and patterns of dietary supplement use among students attending King Abdulaziz University in Saudi Arabia: a cross-sectional study. Inquiry, 58: 00469580211020882. https://doi.org/10.1177/00469580211020882
AXON, D.R.; VANOVA, J.; EDEL, C. & SLACK, M. (2017). Dietary supplement use, knowledge, and perceptions among student pharmacists. American Journal of Pharmaceutical Education, 81(5): 92. https://doi.org/10.5688%2Fajpe81592
BINNS, C.W.; LEE, M.K. & LEE, A.H. (2018). Problems and prospects: Public health regulation of dietary supplements. Annual Review of Public Health, 39: 403-420. https://doi.org/10.1146/annurev-publhealth-040617-013638
BUKIC, J.; RUSIC, D.; BOZIC, J.; ZEKAN, L.; LESKUR, D.; PERISIN, A. S. & MODUN, D. (2018). Differences among health care students’ attitudes, knowledge and use of dietary supplements: A cross-sectional study. Complementary Therapies in Medicine, 41: 35-40. https://doi.org/10.1016/j.ctim.2018.09.005
CALDWELL, J.A.; MCGRAW, S.M.; THOMPSON, L.A. & LIEBERMAN, H.R. (2018). A survey instrument to assess intake of dietary supplements, related products, and caffeine in high-use populations. The Journal of Nutrition, 148(suppl_2): 1445S-1451S. https://doi.org/10.1093/jn/nxy124
DELDICQUE, L. & FRANCAUX, M. (2016). Potential harmful effects of dietary supplements in sports medicine. Current Opinion in Clinical Nutrition & Metabolic Care, 19(6): 439-445. https://doi.org/10.1097/mco.0000000000000321
DICKINSON, A. & MACKAY, D. (2014). Health habits and other characteristics of dietary supplement users: a review. Nutrition Journal, 13(1): 14. https://doi.org/10.1186/1475-2891-13-14
DWYER, J. T.; COATES, P.M. & SMITH, M.J. (2018). Dietary supplements: Regulatory challenges and research resources. Nutrients, 10(1). https://doi.org/10.3390%2Fnu10010041
ELSAHORYI, N.A.; ODEH, M.M.; JADAYIL, S.A.; MCGRATTAN, A.M.; HAMMAD, F.J.; AL-MASEIMI, O.D., & ALZOUBI, K.H. (2023). Prevalence of dietary supplement use and knowledge, attitudes, practice (KAP) and associated factors in student population: A cross-sectional study. Heliyon, 9(4): e14736. https://doi.org/10.1016/j.heliyon.2023.e14736
ERZURUM ALIM, N.; KARAKAYA, R. & TURK FIDAN, O. (2021). Dietary supplement use and knowledge among students from a health science faculty in a Turkish university. Food Research, 5(5): 116-123. http://doi.org/10.26656/fr.2017.5(5).760
GABRIELS, G. & LAMBERT, M. (2013). Nutritional supplement products: Does the label information influence purchasing decisions for the physically active? Nutrition Journal, 12(1): 133. https://doi.org/10.1186/1475-2891-12-133
GAHCHE, J.J.; BAILEY, R.L.; POTISCHMAN, N. & DWYER, J.T. (2017). Dietary supplement use was very high among older adults in the United States in 2011–2014. The Journal of Nutrition, 147(10): 1968-1976. https://doi.org/10.3945%2Fjn.117.255984
HEGAZY, N.; SAYED, H.A.; HASAN, A.A. & SALEM, M.R. (2020). Popularity of the consumption of dietary supplements and its associated factors among students in an Egyptian university: A cross-sectional study. Open Access Macedonian Journal of Medical Sciences, 8(E): 566-573. https://doi.org/10.3889/oamjms.2020.5371
HOMAN, E. (2018). Dietary supplements and college students: use, knowledge, and perception. Unpublished masters. Kent, United States of America: Kent State University.
ISLAM, M.A.; AL-KARASNEH, A.F.; RIZVI, M.; NISA, Z.U.; ALBAKHEET, A.M.; ALSHAGAWI, M.A.; IQBAL, M.S.; ALMUZEL, A.I.; AL AFIF, H.S.; MAHMOUD, M.A.; MOHAMED IBRAHIM, A.A.; HOSSAIN, M.A.; MAQSOOD, M.B.; NAQVI, A.A.; HASEEB, A. & JAMSHED, S. (2021). Prevalence, reasons, and determinants of dietary supplements use among undergraduate female students of health and non-health colleges in a Saudi public university. PLoS One, 16(3): e0247295. https://doi.org/https://doi.org/10.1371/journal.pone.0247295
JAHAN, I.; UDDIN, A.B.M.N.; REZA, A.S.M.A.; UDDIN, M.G.; HOSSAIN, M.S.; NASRIN, M.S.; EMRAN, T.B. & RAHMAN, M.A. (2021). Tendencies and attitudes towards dietary supplements use among undergraduate female students in Bangladesh. PLoS One, 16(4): e0249897. https://doi.org/10.1371/journal.pone.0249897
JOVIČIĆ-BATA, J.; GRUJIČIĆ, M.; NOVAKOVIĆ, B. & ČOVIĆ, B. (2019). Epidemiology of dietary supplement use in Serbia: Report from Novi Sad. Complementary Therapies in Medicine, 47: 102228. https://doi.org/10.1016/j.ctim.2019.102228
KOBAYASHI, E.; SATO, Y.; UMEGAKI, K. & CHIBA, T. (2017). The prevalence of dietary supplement use among college students: A nationwide survey in Japan. Nutrients, 9(11). https://doi.org/10.3390/nu9111250
KOŁODZIEJ, G.; CYRAN-GRZEBYK, B.; MAJEWSKA, J. & KOŁODZIEJ, K. (2019). Knowledge concerning dietary supplements among general public. BioMed Research International, 1: 9629531. https://doi.org/https://doi.org/10.1155%2F2019%2F9629531
LAWAND, L.; YOUNESS, R.; SINNO, L.; LAWAND, N. & AL TABBAH, S. (2023). Assessment of dietary supplements use among American University of Beirut students: Prevalence, knowledge, and reasons for supplementation. Journal of Dietary Supplements, 20(1): 106-117. https://doi.org/10.1080/19390211.2021.1981512
LI, J.; LI, X.; GATHIRUA-MWANGI, W. & SONG; Y. (2020). Prevalence and trends in dietary supplement use among US adults with diabetes: The National Health and Nutrition Examination Surveys, 1999–2014. BMJ Open Diabetes Research and Care, 8(1): e000925. https://doi.org/10.1136/bmjdrc-2019-000925
LIEBERMAN, H.R.; MARRIOTT, B.P.; WILLIAMS, C.; JUDELSON, D.A.; GLICKMAN, E.L.; GEISELMAN, P.J.; DOTSON, L. & MAHONEY, C.R. (2015). Patterns of dietary supplement use among college students. Clinical Nutrition, 34(5): 976-985. https://doi.org/10.1016/j.clnu.2014.10.010
LIU, H.; YANG, Y.; XU, D.; XIA, H.; PAN, D.; WANG, S. & SUN, G. (2018). Investigation and comparison of nutritional supplement use, knowledge, and attitudes in medical and non-medical students in China. Nutrients, 10(11). https://doi.org/10.3390/nu10111810
MAHARAJ, Y. (2022). “Is SA’s supplements market being enhanced from the inside out?” Insight Survey B2B Market Research. Hyperlink: [https://insightsurvey.co.za/blog/is-sas-supplements-market-being-enhanced-from-the-inside-out/] Retrieved on 20 September 2022.
MARTINOVIC, D.; TOKIC, D.; VILOVIC, M.; RUSIC, D.; BUKIC, J. & BOZIC, J. (2021). Sport dietary supplements and physical activity in biomedical students. International Journal of Environmental Research & Public Health, 18(4): 2046. https://doi.org/10.3390/ijerph18042046
MAUGHAN, R. J.; BURKE, L. M.; DVORAK, J.; LARSON-MEYER, D. E.; PEELING, P.; PHILLIPS, S. M.; RAWSON, E. S.; WALSH, N. P.; GARTHE, I.; GEYER, H.; MEEUSEN, R.; VAN LOON, L. J. C.; SHIRREFFS, S. M.; SPRIET, L. L.; STUART, M.; VERNEC, A.; CURRELL, K.; ALI, V. M.; BUDGETT, R. G.; LJUNGQVIST, A.; MOUNTJOY, M.; PITSILADIS, Y. P.; SOLIGARD, T.; ERDENER, U. & ENGEBRETSEN, L. (2018). IOC consensus statement: Dietary supplements and the high-performance athlete. British Journal of Sports Medicine, 52(7): 439-455. https://doi.org/10.1136%2Fbjsports-2018-099027
MISHRA, S.; GAHCHE, J. J.; OGDEN, C. L.; DIMELER, M.; POTISCHMAN, N. & AHLUWALIA, N. (2023). “Dietary supplement use in the United States: National Health and Nutrition Examination Survey, 2017–March 2020” (NCHS National Health Statistics Reports No. 183). National Center for Health Statistics. https://dx.doi.org/10.15620/cdc:124677
MISHRA, S.; STIERMAN, B.; GAHCHE, J.J. & POTISCHMAN, N. (2021). Dietary supplement use among adults: United States, 2017–2018. NCHS Data Brief, 399: 1-8.
MWANGI, B.W. & NJUGUNA, R. (2019). Performance appraisal strategies on performance of teachers in public secondary schools in Kiambu County, Kenya. International Journal of Current Aspects, 3(11): 218-230. https://doi.org/10.35942/ijcab.v3iII.19
NAIDOO, K.; NAIDOO, R. & BANGALEE, V. (2018). Regulating the South African sport supplement industry: 'Whey' overdue. South African Medical Journal, 108(3): 166-167. https://doi.org/https://doi.org/10.7196%2FSAMJ.2018.v108i3.12961
NAQVI, A.A.; AHMAD, R.; ELEWI, A.A. W.; ALAWA, A.H. & ALASIRI, M.J. (2018). Dietary supplement use among undergraduate male students in health and non-health cluster colleges of a public-sector university in Dammam, Saudi Arabia. BMC Complementary & Alternative Medicine, 18: 1-11. https://doi.org/10.1186%2Fs12906-018-2332-4
O’BRIEN, S.K.; MALACOVA, E.; SHERRIFF, J.L. & BLACK, L.J. (2017). The prevalence and predictors of dietary supplement use in the Australian population. Nutrients, 9(10): 1154. https://doi.org/10.3390/nu9101154
PILLAY, L. & PILLAY, K. (2019). Dietary supplement use among dietetics students at the University of KwaZulu-Natal. Health SA Gesondheid, 24. https://doi.org/10.4102%2Fhsag.v24i0.1298
RADWAN, H.; HASAN, H.A.; ISMAT, H.; HAKIM, H.; KHALID, H.; AL-FITYANI, L.; MOHAMMED, R. & AYMAN, A. (2019). Body mass index perception, body image dissatisfaction and their relations with weight-related behaviors among university students. International Journal of Environmental Research and Public Health, 16(9). https://doi.org/10.3390/ijerph16091541
RANDLES, A. (2018). Dietary behaviors and perceived nutrition availability of small college student-athletes: A pilot project. The Sport Journal, 21: 1-18.
SANKAR, K.K.; KHAN, M.A. & VENUGOPAL. (2024). IJCM_166A: A cross sectional study to assess knowledge, attitude and practices about dietary supplements among gym going medical students. Indian Journal of Community Medicine, 49(Suppl 1): S48-S49. https://doi.org/10.4103/ijcm.ijcm_abstract166
SIRICO, F.; MIRESSI, S.; CASTALDO, C.; SPERA, R.; MONTAGNANI, S.; DI MEGLIO, F. & NURZYNSKA, D. (2018). Habits and beliefs related to food supplements: Results of a survey among Italian students of different education fields and levels. PloS One, 13(1): e0191424. https://doi.org/10.1371/journal.pone.0191424
SUNDGOT-BORGEN, C.; MATHISEN, T. F.; TORSTVEIT, M. K. & SUNDGOT-BORGEN, J. (2022). Explanations for use of dietary-and muscle enhancing dietary supplements among university students: A national cross-sectional study. BMC Nutrition, 8(1): 17. https://doi.org/10.1186/s40795-022-00510-1
VAN DER BIJL, P. (2014). Dietary supplements containing prohibited substances: A review (Part 1). South African Journal of Sports Medicine, 26(2): 59-61.
VIDOVIĆ, B.; ĐURIČIĆ, B.; ODALOVIĆ, M.; MILOŠEVIĆ GEORGIEV, A. & TADIĆ, I. (2022). Dietary supplements use among Serbian undergraduate students of different academic fields. International Journal of Environmental Research and Public Health, 19(17): 11036. https://doi.org/10.3390/ijerph191711036
WALPURGIS, K.; THOMAS, A.; GEYER, H.; MARECK, U. & THEVIS, M. (2020). Dietary supplement and food contaminations and their implications for doping controls. Foods, 9(8): 1012. https://doi.org/10.3390%2Ffoods9081012
ŽEŽELJ, S.P.; TOMLJANOVIĆ, A.; JOVANOVIĆ, G. K.; KREŠIĆ, G.; PELOZA, O.C.; DRAGAŠ-ZUBALJ, N. & PROKURICA, I.P. (2018). Prevalence, knowledge and attitudes concerning dietary supplements among a student population in Croatia. International Journal of Environmental Research and Public Health, 15(6). https://doi.org/10.3390/ijerph15061058
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