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Prevalence and Determinants of Sex-Specific Dietary Supplement Use in a Greek Cohort

Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, 45110 Ioannina, Greece
Department of Hygiene, Social-Preventive Medicine and Medical Statistics, Aristotle University of Thessaloniki School of Medicine, 54124 Thessaloniki, Greece
Ioannina Medical Care, 45333 Ioannina, Greece
Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17676 Athens, Greece
Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Canberra 2617, Australia
School of the Social Sciences, University of Ioannina, 45110 Ioannina, Greece
Laboratory of Cognitive Neuroscience, School of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK
Department of Internal Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece
School of Medicine, European University of Cyprus, Nicosia 2404, Cyprus
Center for Evidence-Based Medicine, Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI 02912, USA
Institute of Biosciences, University Research Center of loannina, University of Ioannina, 45110 Ioannina, Greece
Author to whom correspondence should be addressed.
Academic Editor: Bahram H. Arjmandi
Nutrients 2021, 13(8), 2857;
Received: 14 July 2021 / Revised: 15 August 2021 / Accepted: 17 August 2021 / Published: 20 August 2021
(This article belongs to the Special Issue Nutrition in Public Health: Principles, Policies, and Practice)
We describe the profile of dietary supplement use and its correlates in the Epirus Health Study cohort, which consists of 1237 adults (60.5% women) residing in urban north-west Greece. The association between dietary supplement use and demographic characteristics, lifestyle behaviors, personal medical history and clinical measurements was assessed using logistic regression models, separately for women and men. The overall prevalence of dietary supplement use was 31.4%, and it was higher in women (37.3%) compared to men (22.4%; p-value = 4.2−08). Based on multivariable logistic regression models, dietary supplement use in women was associated with age (positively until middle-age and slightly negatively afterwards), the presence of a chronic health condition (OR = 1.71; 95% CI, 1.18–2.46), lost/removed teeth (OR = 0.52; 95% CI, 0.35–0.78) and diastolic blood pressure (OR per 5 mmHg increase =0.84; 95% CI, 0.73–0.96); body mass index and worse general health status were borderline inversely associated. In men, dietary supplement use was positively associated with being employed (OR = 2.53; 95% CI, 1.21–5.29). A considerable proportion of our sample used dietary supplements, and the associated factors differed between women and men. View Full-Text
Keywords: dietary supplements; prevalence; determinants; Epirus Health Study; Greece dietary supplements; prevalence; determinants; Epirus Health Study; Greece
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MDPI and ACS Style

Rontogianni, M.O.; Kanellopoulou, A.; Markozannes, G.; Bouras, E.; Derdemezis, C.; Doumas, M.T.; Sigounas, D.E.; Tzovaras, V.T.; Vakalis, K.; Panagiotakos, D.B.; Aretouli, E.; Tzoulaki, I.; Evangelou, E.; Rizos, E.C.; Ntzani, E.; Tsilidis, K.K. Prevalence and Determinants of Sex-Specific Dietary Supplement Use in a Greek Cohort. Nutrients 2021, 13, 2857.

AMA Style

Rontogianni MO, Kanellopoulou A, Markozannes G, Bouras E, Derdemezis C, Doumas MT, Sigounas DE, Tzovaras VT, Vakalis K, Panagiotakos DB, Aretouli E, Tzoulaki I, Evangelou E, Rizos EC, Ntzani E, Tsilidis KK. Prevalence and Determinants of Sex-Specific Dietary Supplement Use in a Greek Cohort. Nutrients. 2021; 13(8):2857.

Chicago/Turabian Style

Rontogianni, Marina O., Afroditi Kanellopoulou, Georgios Markozannes, Emmanouil Bouras, Christos Derdemezis, Michail T. Doumas, Dimitrios E. Sigounas, Vasilios T. Tzovaras, Konstantinos Vakalis, Demosthenes B. Panagiotakos, Eleni Aretouli, Ioanna Tzoulaki, Evangelos Evangelou, Evangelos C. Rizos, Evangelia Ntzani, and Konstantinos K. Tsilidis 2021. "Prevalence and Determinants of Sex-Specific Dietary Supplement Use in a Greek Cohort" Nutrients 13, no. 8: 2857.

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