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Dietary supplement consumption among urban adults influenced by psychosocial stress: its pronounced influence upon persons with a less healthy lifestyle

Published online by Cambridge University Press:  08 March 2007

Hui-Jing Shi ,
Keiko Nakamura ,
Mari Shimbo  and
Takehito Takano
Hui-Jing Shi
Affiliation:
Department of Health Promotion/International Health, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
Keiko Nakamura
Affiliation:
Department of Health Promotion/International Health, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
Mari Shimbo
Affiliation:
Department of Health Promotion/International Health, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
Takehito Takano*
Affiliation:
Department of Health Promotion/International Health, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
*
*Corresponding author: Professor Takehito Takano, fax +81 3 3818 7176, email [email protected]
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Abstract

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In order to examine the consumption of dietary supplements among urban adults and the impact of psychological stress on supplement use in relation to lifestyle, 375 interviews of a population-based sample of urban Japanese in 2002 were analysed. The usage of various supplements, stress process (daily stressors, psychological moderators, stress outcomes), personal health practices (smoking, alcohol drinking, physical exercise, fruit and vegetable juice consumption, health-conscious eating habits) and other background factors were measured. We examined the impacts of stress on the use of vitamin tablets and capsules, vitamin-enriched health drinks and health drinks for intestinal adjustment. The percentages of these three categories of supplement user were 26·9, 18·7 and 35·7 %, respectively. After adjusting for potential confounders, subjects with ‘two or more’ daily stressors out of the eight stressors investigated consistently showed 2-fold higher levels of consumption of either vitamin tablets and capsules or vitamin-enriched drinks compared with their counterparts with ‘one or less’ daily stressors. Stress-outcome indicators also related, to a greater or less extent, to the elevated consumption of various supplements. Further lifestyle-stratified analyses revealed that the stress–supplementation relationships were weaker in subjects fulfilling more than three of the five investigated health practices (i.e. the healthy lifestyle group), but stronger in subjects with fewer than two healthy practices (i.e. the less healthy lifestyle group). In conclusion, dietary supplement consumption is independently associated with stress in urban adults. The uncontrolled use of supplements for the self-medication of stress or to compensate for unhealthy behaviour represents a health concern for the general population.

Keywords

Dietary supplementPsychosocial stressLifestyle
Type
Research Article
Information
British Journal of Nutrition , Volume 94 , Issue 3 , September 2005 , pp. 407 - 414
Copyright
Copyright © The Nutrition Society 2005

References

Alpha-tocopherol, Beta-carotene Cancer Prevention Study Group (1994) The effect of vitamin E and beta-carotene on the incidence of lung cancer and other cancer in male smokers. N Engl J Med 330, 1029–1035.Google Scholar
Arts, IC, Jacobs, DR Jr, Gross, M, Harnack, LJ & Folsom, AR (2002) Dietary catechins and cancer incidence among postmenopausal women: the Iowa Women's Health Study (United States). Cancer Causes Control 13, 373–382.Google Scholar
Cardinal, BJ & Engels, HJ (2001) Ginseng does not enhance psychological well-being in healthy young adults: results of a double-blind, placebo-controlled, randomized clinical trial. J Am Diet Assoc 101, 655–660.CrossRefGoogle Scholar
Centers for Disease Control and Prevention (1992) Recommendations for the use of folic acid to reduce the number of cases of spina bifida and other neural tube defects. MMWR Recomm Rep 41, 1–7.Google Scholar
Cockerham, W (1995) Social stress. In Medical Sociology, 6th ed., pp. 67–87. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Conner, M, Kirk, SF, Cade, JE & Barrett, JH (2001) Why do women use dietary supplements? The use of the theory of planned behaviour to explore beliefs about their use. Soc Sci Med 52, 621–633.CrossRefGoogle ScholarPubMed
de Jong, N, Ocke, MC, Branderhorst, HA & Friele, R (2003) Demographic and lifestyle characteristics of functional food consumers and dietary supplement users. Br J Nutr 89, 273–281.CrossRefGoogle ScholarPubMed
Elliott, M (2000) The stress process in neighborhood context. Health Place 6, 287–299.CrossRefGoogle ScholarPubMed
Foote, JA, Murphy, SP, Wilkens, LR, Hankin, JH, Henderson, BE & Kolonel, LN (2003) Factors associated with dietary supplement use among healthy adults of five ethnicities: the Multiethnic Cohort Study. Am J Epidemiol 157, 888–897.Google Scholar
Frank, E, Bendich, A & Denniston, M (2000) Use of vitamin–mineral supplements by female physicians in the United States. Am J Clin Nutr 72, 969–975.CrossRefGoogle ScholarPubMed
Goldberg, P, Gueguen, A, Schmaus, A, Nakache, JP & Goldberg, M (2001) Longitudinal study of associations between perceived health status and self reported diseases in the French Gazel cohort. J Epidemiol Community Health 55, 233–238.Google Scholar
Greger, JL (2001) Dietary supplement use: consumer characteristics and interests. J Nutr 131, 1339S–1343S.Google Scholar
Heany, RP (2000) Calcium, dairy products and osteoporosis. J Am Coll Nutr 19, 83S–99S.Google Scholar
Hilliam, M (1996) Functional foods: the Western consumer view-point. Nutr Rev 54, S189–S194.CrossRefGoogle Scholar
Iijima, K & Morimoto, K (1988) Assessment of lifestyle and its effect on health: the relationship between lifestyle, indefinite complaint and mental health [in Japanese]. Nippon Koshu Eisei Zasshi 35, 573–578.Google Scholar
Ishihara, J, Sobue, T, Yamamoto, S, Sasaki, S, Tsugane, S, & the JPHC Study Group (2003) Demographics, lifestyles, health characteristics, and dietary intake among dietary supplement users in Japan. Int J Epidemiol 32, 546–553.CrossRefGoogle ScholarPubMed
Japan Management Association Research Institute (2002) MDB Internet Survey: Results of Consumer Survey on Supplement. Market Report Series no. 10 Tokyo, Japan: JMA Research Institute.Google Scholar
Japanese Ministry of Health, Labour and Welfare (2002). Year 2001 Comprehensive Survey of Living Conditions of the People on Health and Welfare. Tokyo: Health and Welfare Statistics Association.Google Scholar
Kanner, AD, Coyne, JC, Schaefer, C & Lazarus, RS (1981) Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events. J Behav Med 4, 1–39.CrossRefGoogle ScholarPubMed
Kata, MB, de Roos, NM (2003) Toward evidence-based health claims for foods. Science 299, 206–207.Google Scholar
Katerndahl, DA & Parchman, M (2002) The ability of the stress process model to explain mental health outcomes. Compr Psychiatry 43, 351–360.Google Scholar
Kirk, SF, Cade, JE, Barrett, JH & Conner, M (1999) Diet and lifestyle characteristics associated with dietary supplement use in women. Public Health Nutr 2, 69–73.Google Scholar
Lazarus, RS & Folkman, S (1984) Stress, Appraisal and Coping, New York: Springer.Google Scholar
Lehmer, M & Bentley, A (1997) Treating work stress: an alternative to workers’ compensation. J Occup Environ Med 39, 63–67.Google Scholar
McDaniel, MA, Maier, SF & Einstein, GO (2003) ‘Brain-specific’ nutrients: a memory cure? Nutrition 19, 957–975.CrossRefGoogle ScholarPubMed
Meiji Health-Bio Research Institute (2003) Survey Among Women in Modern Society on Beliefs Related to Physical Decline. News Release, no. 7 Tokyo, Japan: Meiji Seika Kaisha.Google Scholar
Pearlin, LI (1989) The sociological study of stress. J Health Soc Behav 30, 241–245.Google Scholar
Pearlin, LI (1995) Some conceptual perspectives on the origins and prevention of social stress Workshop on Social Stressors, Personal and Social Resources and their Health Consequences, sponsored by the National Institute of Mental Health Office of Prevention and Special Projects, Bethesda MD, August 17–19, 1995. http://www.mhsip.org/nimhdoc/socioeconomic_home2.htm (Accessed 25 December 2003)Google Scholar
Pearlin, LI, Lieberman, MA, Menaghan, EG & Mullan, JT (1981) The stress process. J Health Soc Behav 22, 337–356.Google Scholar
Radimer, KL, Subar, AF & Thompson, FE (2000) Nonvitamin, nonmineral dietary supplements: issues and findings from NHANES III. J Am Diet Assoc 100, 447–454.Google Scholar
Rimm, EB, Stampfer, MJ, Ascherio, A, Giovannucci, E, Colditz, GA & Willett, WC (1993) Vitamin E consumption and the risk of coronary heart disease in men. N Engl J Med 328, 1450–1456.Google Scholar
Shikany, JM, Patterson, RE, Agurs-Collins, T & Anderson, G (2003) Antioxidant supplement use in Women's Health Initiative participants. Prev Med 36, 379–387.Google Scholar
Shima, S (1994) A study of mental health of Japanese workers [in Japanese]. J Humanit Nat Sci 97, 103–129.Google Scholar
Slesinski, MJ, Subar, AF & Kahle, LL (1995) Trends in use of vitamin and mineral supplements in the United States: the 1987 and 1992 National Health Interview Surveys. J Am Diet Assoc 95, 921–923.Google Scholar
Stampfer, MJ, Hennekens, CH, Manson, JE, Colditz, GA, Rosner, B & Willett, WC (1993) Vitamin E consumption and the risk of coronary diseases in women. N Engl J Med 328, 1444–1449.Google Scholar
Stepanski, EJ & Wyatt, JK (2003) Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev 7, 215–225.Google Scholar
Tadano, T, Nakagawasai, O, Niijima, F, Tan-no, K, Hanawa, MA, Sakata, Y, Sutoo, D, Nenoto, Y, Ida, Y & Endo, Y (2003) Effect of nutritive and tonic crude drugs on physical fatigue-induced stress models in mice. Pharmacol Res 47, 195–199.Google Scholar
Takano, T (2003) Development of healthy cities and need for research. In Healthy Cities and Urban Policy Research. [Takano, T, editor]. London: Spon Press.Google Scholar
Tanaka, H & Sakamoto, M (2002) Dietary Guidelines [in Japanese]. Tokyo: Daiichishuppan.Google Scholar
Vedhara, K, Shanks, N, Anderson, S & Lightman, S (2000) The role of stressors and psychosocial variables in the stress process: a study of chronic caregiver stress. Psychosom Med 62, 374–385.Google Scholar
Verdon, F, Burnand, B & Stubi, CL (2003) Iron supplementation for unexplained fatigue in non-anaemic women: double blind randomised placebo controlled trial. BMJ 326, 1124–1127.Google Scholar
Watts, D, Damasco-Ty, E, Ryan, F & Goodman, B (2001) Geriatricians health survey 2000. J Am Geriatr Soc 49, 1535–1538.Google Scholar
Yang, CS, Landau, JM, Huang, MT & Newmark, HL (2001) Inhibition of carcinogenesis by dietary polyphenolic compounds. Annu Rev Nutr 21, 381–406.CrossRefGoogle ScholarPubMed