Perception, sources and consumption pattern of health supplements in Bhutan

  • Kunzang Dorji Government
  • Gyelwa Kuenzom
  • Dawa Tshering
  • Tashi Dhendrup
  • Kinley Penjor Tshomo
  • Kinga Jamphel

Abstract

Though health supplements are purported to supplement diet, they are associated with risk to health. The regulatory authorities restrict marketing of health supplements for the treatment or prevention of disease. However, aggressive marketing fueled by the increased quest for improving overall health and availability has led to increased use of health supplements. To analyze the risk and design effective regulatory strategies, this study was conducted. This study reports the prevalence, source, consumption pattern and public perception of health supplements in Bhutan. A cross-sectional quantitative study was carried out from 2018 to 2019 covering major towns of all the 20 districts of Bhutan. The sample sites were selected based on convenience. A total of 463 participants were randomly selected and interviewed using a structured survey questionnaire. The data collected was analyzed using Microsoft Excel. The study revealed that 58.7% (n=272) of the respondents knew about the health supplements while 31.3% (n=145) of respondents used health supplements in the last 12 months prior to the survey. It was reported to be used mostly by the younger age group (21-30 years) and they were mostly influenced by friends 61.4% (n=89). 77.2% (n=112) of the users perceived that the health supplements they used were effective and only 18.6% of the users reported consulting health professionals prior to use. This study concludes that most of the users are driven by aggressive marketing strategies, thereby prompting regulatory agencies to demystify wrong beliefs and create awareness on the health risks with support of the health professionals targeting the young population through various platforms.

Keywords: health supplements, regulation, health risks, marketing, Drug Regulatory Authority, Bhutan

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References

1. Guideline for Regulating Health Supplements [Internet]. Drug Regulatory Authority; 2018 [cited 2020 Jun 29]. Available from:
https://tinyurl.com/y55r2ukn
2. McRorie Jr JW. Evidence-based approach to fiber supplements and clinically meaningful health benefits, part 1: What to look for and how to recommend an effective fiber therapy. Nutrition today. 2015 Mar; 50(2): 82-89.
3. Grant WB. Re: Dietary Supplements and Cancer Prevention: Balancing Potential Benefits against Proven Harms. Journal of the National Cancer Institute [Internet]. 2012 Oct 17 [cited 2020 Jun 28]; 104(20): 1612. Available from:
https://academic.oup.com/jnci/article/104/20/1612/972184
4. Knudsen-Gerber D. Buyer Beware: Natural Doesn't Always Mean Safe in Supplements. Generations. 2011 Dec 01; 35(4): 43-49
5. Dietary Supplements: What you need to know [Internet]. U.S. Food and Drug Administration; 2017 Nov 11 [cited 2020 June 29]. Avaibale from: https://www.fda.gov/food/buy-store-serve-safe-food/what-you-need-know-about-dietary-supplements/
6. Bailey RL, Gahche JJ, Miller PE, Thomas PR, Dwyer JT. Why US adults use dietary supplements. JAMA internal medicine. 2013 Mar 11; 173(5): 355-61.
7. Crawford SY, Leventis C. Herbal product claims: boundaries of marketing and science. Journal of consumer marketing. 2005 Dec 01; 22(7); 432-36.
8. Dwyer JT, Coates PM, Smith MJ. Dietary supplements: regulatory challenges and research resources. Nutrients [Internet]. 2018 Jan 04 [cited 2020 Jan 10]; 10(1): 41. Available from:
https://www.mdpi.com/2072-6643/10/1/41/htm
9. Chejor P, Tenzin J, Dorji J. Regulation of Medicines in Bhutan: Current Status, Challenges and Opportunities. International Journal of Drug Regulatory Affairs [Internet]. 2018 Jun 15 [cited 2020 Jan 20]; 6(2): 54-58. Available from:
http://www.ijdra.com/index.php/journal/article/view/243
10. Bhutan Medicines Rules and Regulation [Internet]. Drug Regulatory Authority; 2019 Nov 01 [cited 2020 Jul 20]. Available from:
https://tinyurl.com/BMRR2019
11. Minutes of the 17th Bhutan Medicines Board Meeting [Internet]. Drug Regulatory Authority; 2018 Jan 12 [cited 2020 Mar 10]. Available from:
https://tinyurl.com/17-BMB-minutes
12. Pillitteri JL, Shiffman S, Rohay JM, Harkins AM, Burton SL, Wadden TA. Use of dietary supplements for weight loss in the United States: results of a national survey. Obesity. 2012 Sep 06; 16(4): 790-96
13. Lieberman HR, Marriott BP, Williams C, Judelson DA, Glickman EL, Geiselman PJ, Dotson L, Mahoney CR. Patterns of dietary supplement use among college students. Clinical Nutrition. 2015 Oct 01; 34(5): 976-85.
14. Pyramid scheme lures thousands [Internet]. Kuensel Corporation Limited; 2019 April 25 [cited 2020 July 10]. Available from:
https://kuenselonline.com/pyramid-schemes-lure-thousands/
15. Marinac JS, Buchinger CL, Godfrey LA, Wooten JM, Sun C, Willsie SK. Herbal products and dietary supplements: a survey of use, attitudes, and knowledge among older adults. The Journal of the American Osteopathic Association. 2007 Jan 01; 107(1): 13-23.
16. Williamson EM. Drug interactions between herbal and prescription medicines. Drug safety. 2003 Dec 01; 26(15): 1075-92.
17. Marik PE, Flemmer M. Do dietary supplements have beneficial health effects in industrialized nations: what is the evidence? Journal of Parenteral and Enteral Nutrition. 2012 Jan 24; 36(2): 159-68.
18. Stanojević-Ristić Z, Stević S, Rašić J, Valjarević D, Dejanović M, Valjarević A. Influence of pharmacological education on perceptions, attitudes and use of dietary supplements by medical students. BMC complementary and alternative medicine. 2017 Dec 01; 17(1): 527-34
19. Eussen SR, Verhagen H, Klungel OH, Garssen J, van Loveren H, van Kranen HJ, Rompelberg CJ. Functional foods and dietary supplements: products at the interface between pharma and nutrition. European journal of pharmacology. 2011 Sep 01; 668: S2-S9.
20. Kuczmarski MF, Beydoun MA, Stave Shupe E, Pohlig RT, Zonderman AB, Evans MK. Use of dietary supplements improved diet quality but not cardiovascular and nutritional biomarkers in socioeconomically diverse African American and White adults. Journal of nutrition in gerontology and geriatrics. 2017 Mar 24; 36(2-3): 92-110.
21. Geller AI, Shehab N, Weidle NJ, Lovegrove MC, Wolpert BJ, Timbo BB, Mozersky RP, Budnitz DS. Emergency department visits for adverse events related to dietary supplements. New England Journal of Medicine. 2015 Oct 15; 373(16): 1531-40.
22. Sarma N, Giancaspro G, Venema J. Dietary supplements quality analysis tools from the United States Pharmacopeia. Drug testing and analysis [Internet]. 2016 Feb 09 [cited 2020 Jun 27]; 8(3-4): 418-423. Available from:
https://onlinelibrary.wiley.com/doi/pdf/10.1002/dta.1940
23. Kołodziej G, Cyran-Grzebyk B, Majewska J, Kołodziej K. Knowledge Concerning Dietary Supplements among General Public. BioMed research international [Internet]. 2019 Jun 24 [cited 2020 June 28]: 1-12. Available from:
https://www.hindawi.com/journals/bmri/2019/9629531/
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How to Cite
Dorji, K., G. Kuenzom, D. Tshering, T. Dhendrup, K. P. Tshomo, and K. Jamphel. “Perception, Sources and Consumption Pattern of Health Supplements in Bhutan”. International Journal of Drug Regulatory Affairs, Vol. 8, no. 3, Sept. 2020, pp. 56-61, doi:10.22270/ijdra.v8i3.409.