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Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost

OBJECTIVES: To evaluate associations between supplement intake and socio-demographic factors among older cancer survivors and to identify type of supplements, reasons for use, and cost. METHODS: This secondary analysis was performed on baseline data from 368 older cancer survivors enrolled in the Ha...

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Autores principales: Kaur, Harleen, Hoenemeyer, Teri, Parrish, Kelsey, Demark-Wahnefried, Wendy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9194034/
http://dx.doi.org/10.1093/cdn/nzac074.016
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author Kaur, Harleen
Hoenemeyer, Teri
Parrish, Kelsey
Demark-Wahnefried, Wendy
author_facet Kaur, Harleen
Hoenemeyer, Teri
Parrish, Kelsey
Demark-Wahnefried, Wendy
author_sort Kaur, Harleen
collection PubMed
description OBJECTIVES: To evaluate associations between supplement intake and socio-demographic factors among older cancer survivors and to identify type of supplements, reasons for use, and cost. METHODS: This secondary analysis was performed on baseline data from 368 older cancer survivors enrolled in the Harvest for Health vegetable gardening intervention trial. Survivors self-identifying as supplement users reported data on prescribed, over-the counter, and dietary supplements. Chi-square tests were performed to identify associations among supplement use, cancer type, and socio-demographic variables. Descriptive analyses were used to identify common types, reasons of supplement intake, and total daily cost of supplements. RESULTS: More than half (59%) of the sample reported taking supplements. Female (OR 2.12, 95% CI 1.35–3.32), Non-Hispanic White (OR 1.78, 95% CI 1.06–3.01), and breast and gynecological cancer survivors (OR 1.58, 1.04–2.40) were significantly more likely to take a supplement compared to males, minorities, and other cancer-types (p-value < 0.05). Survivors reported a mean intake of three supplements, with vitamins (38%), multivitamins (22%), and minerals (12%) as the most prevalent. Commonly-reported reasons for supplement intake were to improve general health (47%), medical conditions (39%), and cancer-related symptoms (12%). Bone health was the most prevalent reason cited under medical conditions, and hair loss, fatigue, and sleep were most commonly reported under cancer-related symptoms. The daily cost of supplements ranged from $0.02–$19.81, with the mean, median and mode being $1.29/day, $0.78/day, and $0.34/day, respectively. CONCLUSIONS: Nutritional supplement use is prevalent among older cancer survivors with overall health identified as the most common reason for supplement intake. Moreover, out-of-pocket recurrent costs can be substantial. These data emphasize the need to encourage a diet rich in nutrients to minimize daily cost of supplements among older survivors who may live on fixed incomes. Survivors should discuss proper use of supplements with their healthcare providers. FUNDING SOURCES: This work was supported by the National Cancer Institute and the American Cancer Society.
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spelling pubmed-91940342022-06-14 Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost Kaur, Harleen Hoenemeyer, Teri Parrish, Kelsey Demark-Wahnefried, Wendy Curr Dev Nutr Vitamins and Minerals OBJECTIVES: To evaluate associations between supplement intake and socio-demographic factors among older cancer survivors and to identify type of supplements, reasons for use, and cost. METHODS: This secondary analysis was performed on baseline data from 368 older cancer survivors enrolled in the Harvest for Health vegetable gardening intervention trial. Survivors self-identifying as supplement users reported data on prescribed, over-the counter, and dietary supplements. Chi-square tests were performed to identify associations among supplement use, cancer type, and socio-demographic variables. Descriptive analyses were used to identify common types, reasons of supplement intake, and total daily cost of supplements. RESULTS: More than half (59%) of the sample reported taking supplements. Female (OR 2.12, 95% CI 1.35–3.32), Non-Hispanic White (OR 1.78, 95% CI 1.06–3.01), and breast and gynecological cancer survivors (OR 1.58, 1.04–2.40) were significantly more likely to take a supplement compared to males, minorities, and other cancer-types (p-value < 0.05). Survivors reported a mean intake of three supplements, with vitamins (38%), multivitamins (22%), and minerals (12%) as the most prevalent. Commonly-reported reasons for supplement intake were to improve general health (47%), medical conditions (39%), and cancer-related symptoms (12%). Bone health was the most prevalent reason cited under medical conditions, and hair loss, fatigue, and sleep were most commonly reported under cancer-related symptoms. The daily cost of supplements ranged from $0.02–$19.81, with the mean, median and mode being $1.29/day, $0.78/day, and $0.34/day, respectively. CONCLUSIONS: Nutritional supplement use is prevalent among older cancer survivors with overall health identified as the most common reason for supplement intake. Moreover, out-of-pocket recurrent costs can be substantial. These data emphasize the need to encourage a diet rich in nutrients to minimize daily cost of supplements among older survivors who may live on fixed incomes. Survivors should discuss proper use of supplements with their healthcare providers. FUNDING SOURCES: This work was supported by the National Cancer Institute and the American Cancer Society. Oxford University Press 2022-06-14 /pmc/articles/PMC9194034/ http://dx.doi.org/10.1093/cdn/nzac074.016 Text en © The Author 2022. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Vitamins and Minerals
Kaur, Harleen
Hoenemeyer, Teri
Parrish, Kelsey
Demark-Wahnefried, Wendy
Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost
title Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost
title_full Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost
title_fullStr Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost
title_full_unstemmed Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost
title_short Supplement Intake Among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost
title_sort supplement intake among older cancer survivors: socio-demographic associations, supplement types, reasons for use, and cost
topic Vitamins and Minerals
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9194034/
http://dx.doi.org/10.1093/cdn/nzac074.016
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