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<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "JATS-journalpublishing1.dtd">
<article article-type="research-article" dtd-version="1.0" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">kjhp</journal-id>
<journal-title-group>
<journal-title>Korean Journal of Health Promotion</journal-title>
<abbrev-journal-title>Korean J Health Promot</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">2234-2141</issn>
<issn pub-type="epub">2093-5676</issn>
<publisher>
<publisher-name>The Korean Society of Health Promotion and Disease Prevention</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.15384/kjhp.2018.18.3.107</article-id>
<article-id pub-id-type="publisher-id">kjhp-18-107</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Which Types of Dietary Supplements Are Used in Korea? Data from the 2015 Korea National Health and Nutrition Examination Survey</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Park</surname><given-names>Hyun Ah</given-names></name>
<xref ref-type="aff" rid="aff1-kjhp-18-107"/>
<xref ref-type="corresp" rid="c1-kjhp-18-107"/>
</contrib>
<aff id="aff1-kjhp-18-107">Department of Family Medicine, Seoul Paik Hospital, University of Inje College of Medicine, Seoul, <country>Korea</country></aff>
</contrib-group>
<author-notes>
<corresp id="c1-kjhp-18-107">&#xFFED; Corresponding author: Hyun Ah Park, DM, MPH, PhD Department of Family Medicine, Seoul Paik Hospital, University of Inje College of Medicine, 9 Mareunnae-ro, Jung-gu, Seoul 04551, Korea Tel: &#x002B;82-2-2270-0097, Fax: &#x002B;82-2-2270-0902 E-mail: <email>drparkhyunah@gmail.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>01</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>01</month>
<year>2018</year>
</pub-date>
<volume>18</volume>
<issue>3</issue>
<fpage>107</fpage>
<lpage>112</lpage>
<history>
<date date-type="received"><day>08</day><month>08</month><year>2018</year></date>
<date date-type="accepted"><day>25</day><month>09</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018 The Korean Society of Health Promotion and Disease Prevention</copyright-statement>
<copyright-year>2018</copyright-year>
<license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<sec>
<title>Background</title>
<p>The consumption of dietary supplements is increasing in Korea. The aim of this study is to assess the prevalence, types, and trends of dietary supplement (DS) use in Korean adults.</p>
</sec>
<sec>
<title>Methods</title>
<p>We analyzed the Nutrition Survey data of Korean aged 19 years old or older from the 2015 Korea National Health and Nutrition Examination Survey. Two thousand and six hundred twenty one men and 3,324 women totaling 5,945 adults were included. The prevalence of DS use was calculated by two methods, i.e., consumption experience of more than two weeks during previous one year and current consumption. Each reported DS in the one day 24 hour recall was coded based on ingredients according to the 2016 Korean Food and Drug Administration Notification.</p>
</sec>
<sec>
<title>Results</title>
<p>The prevalence (standard error) of current DS use was 18.4&#x0025; (1.2) for men, 27.4&#x0025; (1.1) for women. Those with DS use for longer than two weeks during previous one year were 35.2&#x0025; (1.5), and 50.4&#x0025; (1.2), for men and women respectively. Multivitamin mineral supplement (89.6/10<sup>3</sup> persons) was the most frequently consumed DS in Korean adults followed by vitamin C (66.2/10<sup>3</sup> persons), omega 3 fatty acid (49.5/10<sup>3</sup> persons), Panax ginseng (27.3/10<sup>3</sup> persons), and probiotics (22.2/10<sup>3</sup> persons) in listing.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The trend for DS use in Korean adults is changing as well as increasing. These factors should be considered in patient care.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<kwd>Dietary supplements</kwd>
<kwd>Vitamins</kwd>
<kwd>Minerals</kwd>
<kwd>Fatty acids</kwd>
<kwd>Omega-3</kwd>
<kwd>Panax ginseng</kwd>
<kwd>Probiotics</kwd>
</kwd-group>
</article-meta>
</front>
<back>
<ref-list xml:lang="en">
<title>References</title>
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</ref-list>
<sec sec-type="display-objects">
<title>Figures and Tables</title>
<fig id="f1-kjhp-18-107" position="anchor">
<label>Figure 1.</label>
<caption xml:lang="en"><p>Prevalence of dietary supplements use in Korean adults according to sex and age.<sup>a</sup></p></caption>
<graphic xlink:href="kjhp-18-107f1.tif"/>
</fig>
<fig id="f2-kjhp-18-107" position="anchor">
<label>Figure 2.</label>
<caption xml:lang="en"><p>The number of dietary supplements used in Korean adults according to sex and age.<sup>a</sup></p></caption>
<graphic xlink:href="kjhp-18-107f2.tif"/>
</fig>
<table-wrap id="t1-kjhp-18-107" position="float">
<label>Table 1.</label>
<caption xml:lang="en"><p>Prevalence (per 1,000 persons) of dietary supplements usage categories by Korean adults in 2005 and 2015<sup><xref ref-type="table-fn" rid="table1-fn1-kjhp-18-107">a</xref></sup></p></caption>
<table frame="hsides" rules="all">
<thead>
<tr>
<th valign="middle" align="center">Rank</th>
<th valign="middle" align="center">k Male (2015)</th>
<th valign="middle" align="center">Female (2015)</th>
<th valign="middle" align="center">Total (2015)</th>
<th valign="middle" align="center">Total (2005)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">1</td>
<td valign="middle" align="left">Multivitamin mineral supplements (68.8)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (109.8)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (89.6)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (215.1)</td>
</tr>
<tr>
<td valign="middle" align="left">2</td>
<td valign="middle" align="left">Vitamin C (55.1)</td>
<td valign="middle" align="left">Vitamin C (77.1)</td>
<td valign="middle" align="left">Vitamin C (66.2)</td>
<td valign="middle" align="left">Glucosamin containing supplements (25.4)</td>
</tr>
<tr>
<td valign="middle" align="left">3</td>
<td valign="middle" align="left">Omega 3 fatty acid (39.2)</td>
<td valign="middle" align="left">Omega 3 fatty acid (59.5)</td>
<td valign="middle" align="left">Omega 3 fatty acid (49.5)</td>
<td valign="middle" align="left">Panax ginseng (20.5)</td>
</tr>
<tr>
<td valign="middle" align="left">4</td>
<td valign="middle" align="left">Panax ginseng (28.8)</td>
<td valign="middle" align="left">Probiotics (30.2)</td>
<td valign="middle" align="left">Panax ginseng (27.3)</td>
<td valign="middle" align="left">Chlorella/spiriluna (16.1)</td>
</tr>
<tr>
<td valign="middle" align="left">5</td>
<td valign="middle" align="left">Probiotics (14.7)</td>
<td valign="middle" align="left">Calcium (29.3)</td>
<td valign="middle" align="left">Probiotics (22.2)</td>
<td valign="middle" align="left">Omega 3 fatty acid (9.5)</td>
</tr>
<tr>
<td valign="middle" align="left">6</td>
<td valign="middle" align="left">Vitamin D (7.2)</td>
<td valign="middle" align="left">Panax ginseng (26.0)</td>
<td valign="middle" align="left">Calcium (17.9)</td>
<td valign="middle" align="left">Aloe (7.7)</td>
</tr>
<tr>
<td valign="middle" align="left">7</td>
<td valign="middle" align="left">Milk thistle (6.7)</td>
<td valign="middle" align="left">Vitamin D (25.0)</td>
<td valign="middle" align="left">Vitamin D (16.0)</td>
<td valign="middle" align="left">Yeast (5.2)</td>
</tr>
<tr>
<td valign="middle" align="left">8</td>
<td valign="middle" align="left">Lutein containing supplemen (6.1)</td>
<td valign="middle" align="left">ts Lutein containing supplemen (15.0)</td>
<td valign="middle" align="left">ts Lutein containing supplemen (10.6)</td>
<td valign="middle" align="left">ts Chitosan (4.3)</td>
</tr>
<tr>
<td valign="middle" align="left">9</td>
<td valign="middle" align="left">Calcium (5.3)</td>
<td valign="middle" align="left">Iron (10.1)</td>
<td valign="middle" align="left">Chlorella/spiriluna (6.1)</td>
<td valign="middle" align="left">Protein/amino acids (3.5)</td>
</tr>
<tr>
<td valign="middle" align="left">10</td>
<td valign="middle" align="left">Propolis (3.4)</td>
<td valign="middle" align="left">Chlorella/spiriluna (8.8)</td>
<td valign="middle" align="left">Propolis (5.0)</td>
<td valign="middle" align="left">Gamma linolenic acid (2.9)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table1-fn1-kjhp-18-107"><label>a</label><p>Classification is based mainly on 2008 Korea Food &#x0026; Drug Administration (KFDA) notification for 2005 data and 2016 KFDA notification for 2015 data.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="t2-kjhp-18-107" position="float">
<label>Table 2.</label>
<caption xml:lang="en"><p>Prevalence (per 1,000 persons) of dietary supplements usage categories by Korean adults by sex and age groups<sup><xref ref-type="table-fn" rid="table2-fn1-kjhp-18-107">a</xref></sup></p></caption>
<table frame="hsides" rules="all">
<thead>
<tr>
<th rowspan="2" valign="middle" align="center">Rankk</th>
<th valign="middle" align="center" colspan="3">Male</th>
<th valign="middle" align="center" colspan="3">Female</th>
</tr>
<tr>
<th valign="middle" align="center">18&#x2013;39 years</th>
<th valign="middle" align="center">40&#x2013;64 years</th>
<th valign="middle" align="center">Over 65 years</th>
<th valign="middle" align="center">18&#x2013;39 years</th>
<th valign="middle" align="center">40&#x2013;64 years</th>
<th valign="middle" align="center">Over 65 years</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">1</td>
<td valign="middle" align="left">Multivitamin mineral supplements (56.6)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (68.3)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (101.9)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (775.1)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (122.5)</td>
<td valign="middle" align="left">Multivitamin mineral supplements (144.2)</td>
</tr>
<tr>
<td valign="middle" align="left">2</td>
<td valign="middle" align="left">Vitamin C (48.3)</td>
<td valign="middle" align="left">Vitamin C (65.6)</td>
<td valign="middle" align="left">Omega 3 fatty acid (83.2)</td>
<td valign="middle" align="left">Vitamin C (63.6)</td>
<td valign="middle" align="left">Vitamin C (92.5)</td>
<td valign="middle" align="left">Omega 3 fatty acid (88.6)</td>
</tr>
<tr>
<td valign="middle" align="left">3</td>
<td valign="middle" align="left">Omega 3 fatty acid (20.1)</td>
<td valign="middle" align="left">Omega 3 fatty acid (41.0)</td>
<td valign="middle" align="left">Panax ginseng (49.3)</td>
<td valign="middle" align="left">Probiotics (32.5)</td>
<td valign="middle" align="left">Omega 3 fatty acid (77.7)</td>
<td valign="middle" align="left">Vitamin C (64.4)</td>
</tr>
<tr>
<td valign="middle" align="left">4</td>
<td valign="middle" align="left">Panax ginseng (18.7)</td>
<td valign="middle" align="left">Panax ginseng (30.6)</td>
<td valign="middle" align="left">Vitamin C (40.3)</td>
<td valign="middle" align="left">Omega 3 fatty a (20.4)</td>
<td valign="middle" align="left">cid Calcium (35.8)</td>
<td valign="middle" align="left">Calcium (52.1)</td>
</tr>
<tr>
<td valign="middle" align="left">5</td>
<td valign="middle" align="left">Probiotics (12.7)</td>
<td valign="middle" align="left">Probiotics (17.5)</td>
<td valign="middle" align="left">Probiotics (11.1)</td>
<td valign="middle" align="left">Iron (16.6)</td>
<td valign="middle" align="left">Panax ginseng (32.6)</td>
<td valign="middle" align="left">Vitamin D (40.0)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table2-fn1-kjhp-18-107"><label>a</label><p>Classification is based mainly on 2016 Korea Food &#x0026; Drug Administration (KFDA) notification. Multiple answers up to 9 supplements were allowed.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
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</article>
