Knowledge, Attitudes, and Practices of Dietary Supplement Use in Western Saudi Arabia: A Cross-Sectional Study
Abstract
:1. Introduction
2. Method
2.1. Study Design and Setting
2.2. Questionnaire Development
2.3. Participant Recruitment and Data Collection
2.4. Sample Size Calculation
2.5. Statistical Analysis
2.6. Ethical Approval
3. Results
3.1. Demographic Characteristics of Participants (n = 1006)
3.2. Participants’ Knowledge of Dietary Supplements
3.3. Participants’ Attitudes Toward Dietary Supplements
3.4. Participants’ Practices Regarding Dietary Supplements (n = 709)
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Elsahoryi, N.A.; Odeh, M.; Jadayil, S.A.; McGrattan, A.; Hammad, F.; Al-Maseimi, O.D.; Alzoubi, K.H. Prevalence of dietary supplement use and knowledge, attitudes, practice (KAP) and associated factors in student population: A cross-sectional study. Heliyon 2023, 9, e14736. [Google Scholar] [CrossRef] [PubMed]
- Alhomoud, F.; Mohammed, B.; Bondarev, A.D. Knowledge, attitudes and practices (KAP) relating to dietary supplements among health sciences and non-health sciences students in one of the universities of United Arab Emirates (UAE). J. Clin. Diagn. Res. 2016, 10, 8439. [Google Scholar] [CrossRef]
- Alhazmi, A.; Kuriakose, B.B.; Mushfiq, S.; Muzammil, K.; Hawash, M.M. Prevalence, attitudes, and practices of dietary supplements among middle-aged and older adults in Asir region, Saudi Arabia: A cross-sectional study. PLoS ONE 2023, 18, e0292900. [Google Scholar] [CrossRef]
- U.S. Food and Drug Administration. Dietary Supplement Labeling Guide: Chapter I. General Dietary Supplement Labeling; U.S. Department of Health and Human Services: Silver Spring, MD, USA. Available online: https://www.fda.gov/food/dietary-supplements-guidance-documents-regulatory-information/dietary-supplement-labeling-guide-chapter-i-general-dietary-supplement-labeling (accessed on 10 January 2025).
- National Institutes of Health Office of Dietary Supplements. Dietary Supplement Health and Education Act of 1994 Public Law 103-417 103rd Congress; U.S. Department of Health and Human Services: Bethesda, MD, USA. Available online: https://ods.od.nih.gov/About/DSHEA_Wording.aspx (accessed on 10 January 2025).
- Hassan, S.; Egbuna, C.; Tijjani, H.; Ifemeje, J.C.; Olisah, M.C.; Patrick-Iwuanyanwu, K.C.; Onyeike, P.C.; Ephraim-Emmanuel, B.C. Dietary supplements: Types, health benefits, industry and regulation. In Functional Foods and Nutraceuticals; Springer: Berlin/Heidelberg, Germany, 2020; pp. 23–38. [Google Scholar] [CrossRef]
- Algaeed, H.A.; AlJaber, M.I.; Alwehaibi, A.I.; AlJaber, L.I.; Arafah, A.M.; Aloyayri, M.A.; Binsebayel, O.A.; Alotaiq, S.A.; Alfozan, M.A.; Ahmed, I.B. General public knowledge and use of dietary supplements in Riyadh, Saudi Arabia. J. Fam. Med. Prim. Care 2019, 8, 3147. [Google Scholar] [CrossRef]
- BlueWeave Consulting. Saudi Arabia Dietary Supplements Market Size. Available online: https://www.blueweaveconsulting.com/report/saudi-arabia-dietary-supplements-market#:~:text=Saudi%20Arabia%20Dietary%20Supplements%20Market%20size%20was%20estimated%20at%20USD (accessed on 10 January 2025).
- El-Mouzan, M.; Al-Herbish, A.; Al-Salloum, A.; Foster, P.; Al-Omar, A.A.; Qurachi, M.M.; Kecojević, T. Regional disparity in prevalence of malnutrition in Saudi children. Saudi Med. J. 2010, 31, 550–554. [Google Scholar]
- El Mouzan, M.E.; Foster, P.; Al Herbish, A.A.; Al Salloum, A.A.; Al Omar, A.A.; Qurachi, M.M. Prevalence of malnutrition in Saudi children: A community-based study. Ann. Saudi Med. 2010, 30, 381–385. [Google Scholar] [CrossRef]
- Alowais, M.A.; Selim, M.A.E. Knowledge, attitude, and practices regarding dietary supplements in Saudi Arabia. J. Fam. Med. Prim. Care 2019, 8, 365. [Google Scholar] [CrossRef]
- Bailey, R.L.; Gahche, J.J.; Thomas, P.R.; Dwyer, J.T. Why US children use dietary supplements. Pediatr. Res. 2013, 74, 737–741. [Google Scholar] [CrossRef]
- National Institute on Aging. Dietary Supplements for Older Adults; U.S. Department of Health and Human Services, Bethesda, MD, USA. Available online: https://www.nia.nih.gov/health/dietary-supplements-older-adults#50 (accessed on 10 January 2025).
- Xiang, C.; Luo, J.; Yang, G.; Sun, M.; Liu, H.; Yang, Q.; Ouyang, Y.; Xi, Y.; Yong, C.; Khan, M.J.; et al. Dietary supplement use during pregnancy: Perceptions versus reality. Int. J. Environ. Res. Public Health 2022, 19, 4063. [Google Scholar] [CrossRef]
- National Institutes of Health Office of Dietary Supplements. Dietary Supplements for Exercise and Athletic Performance; U.S. Department of Health and Human Services, Bethesda, MD, USA. Available online: https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/ (accessed on 4 January 2025).
- Kiani, A.K.; Dhuli, K.; Donato, K.; Aquilanti, B.; Velluti, V.; Matera, G.; Iaconelli, A.; Connelly, S.; Bellinato, F.; Gisondi, P.; et al. Main nutritional deficiencies. J. Prev. Med. Hyg. 2022, 63 (Suppl. S3), E93–E101. [Google Scholar] [CrossRef]
- Kourkouta, L.; Frantzana, E.; Iliadis, C.; Monios, A.; Dimitriadou, A.; Papathanassiou, I.V. Health and dietary supplements. Int. J. Eng. Appl. Sci. 2016, 3, 2394–3661. [Google Scholar]
- National Institutes of Health Office of Dietary Supplements. Dietary Supplements: What You Need to Know; U.S. Department of Health and Human Services, Bethesda, MD, USA. Available online: https://ods.od.nih.gov/factsheets/WYNTK-Consumer/#h3 (accessed on 4 January 2025).
- Wooltorton, E. Too much of a good thing? Toxic effects of vitamin and mineral supplements. CMAJ Can. Med. Assoc. J. 2003, 169, 47–48. [Google Scholar]
- AlTamimi, J.Z. Awareness of the consumption of dietary supplements among students in a university in Saudi Arabia. J. Nutr. Metab. 2019, 2019, 4641768. [Google Scholar] [CrossRef]
- Quaidoo, E.; Ohemeng, A.; Amankwah-Poku, M. Sources of nutrition information and level of nutrition knowledge among young adults in the Accra metropolis. BMC Public Health 2018, 18, 6159. [Google Scholar] [CrossRef]
- Allehdan, S.; Hasan, M.; Perna, S.; Al-Mannai, M.; Alalwan, T.; Mohammed, D.; Almosawi, M.; Hoteit, M.; Tayyem, R. Prevalence, knowledge, awareness, and attitudes towards dietary supplements among Bahraini adults: A cross-sectional study. Food Prod. Process. Nutr. 2023, 5, 54. [Google Scholar] [CrossRef]
- Mohsen, H.; Yazbeck, N.; Al-Jawaldeh, A.; Bou Chahine, N.; Hamieh, H.; Mourad, Y.; Skaiki, F.; Salame, H.; Salameh, P.; Hoteit, M. Knowledge, attitudes, and practices related to dietary supplementation, before and during the COVID-19 pandemic: Findings from a cross-sectional survey in the Lebanese population. Int. J. Environ. Res. Public Health 2021, 18, 8856. [Google Scholar] [CrossRef]
- Terrie, Y.C. Are women’s supplements and vitamins useful? Pharm. Times 2019, 85. Available online: https://www.pharmacytimes.com/view/are-womens-supplements-and-vitamins-useful# (accessed on 5 January 2025).
- Ghazzawi, H.A.; Hazem, E.S.A.; Amawi, A.T. Evaluation of knowledge, attitudes, and practices related to dietary supplements intake among college students: A cross-sectional study. J. Clin. Diagn. Res. 2022, 16, 123–129. [Google Scholar] [CrossRef]
- Dickinson, A.; MacKay, D. Health habits and other characteristics of dietary supplement users: A review. Nutr. J. 2014, 13, 14. [Google Scholar] [CrossRef]
- Elder, K.; Nisly, S. Dietary supplement education in a senior population. Open J. Intern. Med. 2011, 1, 72–76. [Google Scholar] [CrossRef]
- Rawson, E. Risks and benefits of supplement use. Curr. Sports Med. Rep. 2005, 4, 185–187. [Google Scholar] [CrossRef]
- White, C. Dietary supplements pose real dangers to patients. Ann. Pharmacother. 2020, 54, 815–819. [Google Scholar] [CrossRef]
Characteristic | Total n (%) | User of DSs n (%) | Non-User of DSs n (%) | p-Value | |
---|---|---|---|---|---|
Gender | <0.001 | ||||
Male | 284 (28.2) | 154 (54.2) | 130 (45.8) | ||
Female | 722 (71.8) | 555 (76.9) | 167 (23.1) | ||
Age | <0.001 | ||||
18–30 | 345 (34.3) | 257 (74.5) | 88 (25.5) | ||
31–40 | 172 (17.1) | 138 (80.2) | 34 (19.8) | ||
41–50 | 266 (26.4) | 182 (68.4) | 84 (31.6) | ||
50 or more | 223 (22.2) | 132 (59.2) | 91 (40.8) | ||
City of Residence | 0.023 | ||||
Taif | 463 (46) | 331 (71.5) | 132 (28.5) | ||
Makkah | 201 (20) | 128 (63.7) | 73 (36.3) | ||
Jeddah | 167 (16.6) | 125 (74.9) | 42 (25.1) | ||
Madinah | 134 (13.3) | 90 (67.2) | 44 (32.8) | ||
Yanbu | 41 (4.1) | 35 (85.4) | 6 (14.6) | ||
Educational Level | 0.143 | ||||
Uneducated | 11 (1.1) | 7 (63.6) | 4 (36.4) | ||
Primary or intermediate school | 31 (3.1) | 21 (67.7) | 10 (32.3) | ||
High School | 146 (14.5) | 91 (62.3) | 55 (37.7) | ||
University student/bachelor’s degree | 753 (74.9) | 540 (71.7) | 213 (28.3) | ||
Higher Education | 65 (6.5) | 50 (76.9) | 15 (23.1) | ||
Marital Status | 0.422 | ||||
Single | 317 (31.5) | 232 (73.2) | 85 (26.8) | ||
Married | 637 (63.3) | 438 (68.8) | 199 (31.2) | ||
Divorced | 39 (3.9) | 30 (76.9) | 9 (23.1) | ||
Widow | 13 (1.3) | 9 (69.2) | 4 (30.8) | ||
Employment Status | <0.001 | ||||
Unemployed | 261 (25.9) | 202 (77.4) | 59 (22.6) | ||
Student | 160 (15.9) | 113 (70.6) | 47 (29.4) | ||
Government employee | 446 (44.3) | 315 (70.6) | 131 (29.4) | ||
Retired | 139 (13.8) | 79 (56.8) | 60 (43.2) | ||
Chronic Disease Status | 0.079 | ||||
No chronic diseases | 752 (74.8) | 534 (71.1) | 218 (28.9) | ||
Have chronic diseases | 254 (25.2) | 175 (68.9) | 79 (31.1) | ||
Monthly Income | 0.171 | ||||
Less than 3000 SR | 350 (34.8) | 260 (74.3) | 90 (25.7) | ||
3000 to 6000 SR | 148 (14.7) | 103 (69.6) | 45 (30.4) | ||
7000 to 10,000 SR | 123 (12.2) | 89 (72.4) | 34 (27.6) | ||
More than 10,000 SR | 385 (38.3) | 257 (66.8) | 128 (33.2) | ||
Lifestyle Factors | 0.171 | ||||
Dietetic | 103 (10.2) | 82 (79.6) | 21 (20.4) | ||
Athletic | 172 (17.1) | 119 (69.2) | 53 (30.8) | ||
Smoker | 67 (6.7) | 43 (64.2) | 24 (35.8) | ||
Breastfeeding | 21 (2.1) | 16 (76.2) | 5 (23.8) | ||
Pregnant | 14 (1.4) | 12 (85.7) | 2 (14.3) |
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Alshehri, A.A.; Alqahtani, S.; Aldajani, R.; Alsharabi, B.; Alzahrani, W.; Alguthami, G.; Khawagi, W.Y.; Arida, H. Knowledge, Attitudes, and Practices of Dietary Supplement Use in Western Saudi Arabia: A Cross-Sectional Study. Nutrients 2025, 17, 1233. https://doi.org/10.3390/nu17071233
Alshehri AA, Alqahtani S, Aldajani R, Alsharabi B, Alzahrani W, Alguthami G, Khawagi WY, Arida H. Knowledge, Attitudes, and Practices of Dietary Supplement Use in Western Saudi Arabia: A Cross-Sectional Study. Nutrients. 2025; 17(7):1233. https://doi.org/10.3390/nu17071233
Chicago/Turabian StyleAlshehri, Abdullah A., Sara Alqahtani, Reuof Aldajani, Batool Alsharabi, Waad Alzahrani, Ghadi Alguthami, Wael Y. Khawagi, and Hassan Arida. 2025. "Knowledge, Attitudes, and Practices of Dietary Supplement Use in Western Saudi Arabia: A Cross-Sectional Study" Nutrients 17, no. 7: 1233. https://doi.org/10.3390/nu17071233
APA StyleAlshehri, A. A., Alqahtani, S., Aldajani, R., Alsharabi, B., Alzahrani, W., Alguthami, G., Khawagi, W. Y., & Arida, H. (2025). Knowledge, Attitudes, and Practices of Dietary Supplement Use in Western Saudi Arabia: A Cross-Sectional Study. Nutrients, 17(7), 1233. https://doi.org/10.3390/nu17071233