Food Fortification and Supplement Use-Are There Health Implications?

Crit Rev Food Sci Nutr. 2016 Oct 2;56(13):2149-59. doi: 10.1080/10408398.2013.818527.

Abstract

Dietary supplements are a multi-billion dollar industry in the U.S., and their use is increasing exponentially. Additionally, many foods and beverages are increasingly being fortified with single or multiple vitamins and minerals. Consequently, nutrient intakes are exceeding the safe limits established by the Institute of Medicine. In this paper, we examine the benefits and drawbacks of vitamin and mineral supplements and increasing consumption of fortified foods (in addition to dietary intake) in the U.S.

Population: The pros and cons are illustrated using population estimates of folic acid, calcium, and vitamin D intake, highlighting concerns related to overconsumption of nutrients that should be addressed by regulatory agencies.

Keywords: Food fortification; calcium; dietary supplements; folic acid.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Calcium, Dietary / administration & dosage
  • Calcium, Dietary / adverse effects
  • Child
  • Child, Preschool
  • Dietary Supplements / adverse effects*
  • Female
  • Folic Acid / administration & dosage
  • Folic Acid / adverse effects
  • Food, Fortified / adverse effects*
  • Health Promotion*
  • Humans
  • Infant
  • Male
  • Micronutrients / administration & dosage*
  • Micronutrients / adverse effects*
  • Middle Aged
  • Nutrition Policy
  • United States
  • Vitamin D / administration & dosage
  • Vitamin D / adverse effects

Substances

  • Calcium, Dietary
  • Micronutrients
  • Vitamin D
  • Folic Acid