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Protecting military personnel from high risk dietary supplements
Author(s) -
Deuster Patricia A.,
Lieberman Harris R.
Publication year - 2015
Publication title -
drug testing and analysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.065
H-Index - 54
eISSN - 1942-7611
pISSN - 1942-7603
DOI - 10.1002/dta.1866
Subject(s) - medicine , military personnel , population , environmental health , occupational safety and health , military service , suicide prevention , health care , service (business) , poison control , business , marketing , economic growth , archaeology , pathology , political science , law , economics , history
It is legal to market most naturally occurring substances as dietary supplements in the USA without manufacturers demonstrating they are safe or effective, and an endless variety of ingredients, from esoteric botanicals to unapproved pharmaceuticals, can be found in dietary supplements. Use of certain supplements can pose a risk, but since a robust reporting system does not exist in the USA it is difficult to know which are problematic and the number of adverse events (AE) resulting from their use. Certain populations, including military personnel, are more likely to use dietary supplements than the general population. Approximately 70% of military personnel take dietary supplements while about 50% of civilians do. Service members prefer supplements purported to enhance physical performance such as supposedly natural stimulants, protein and amino acids, and combination products. Since some of these may be problematic, Service members are probably at higher risk of injury than the general population. Ten percent of military populations appear to be taking potentially risky supplements, and the US Department of Defense (DoD) has taken various measures to protect uniformed personnel including education, policy changes, and restricting sales. Actions taken include launching Operation Supplement Safety (OPSS), introducing a High Risk Supplement list, educating health care professionals on reporting AE that might be associated with dietary supplements, recommending policy for reporting AE, and developing an online AE reporting system. OPSS is a DoD‐wide effort to educate service members, leaders, health care providers, military families, and retirees on how to safely select supplements. Copyright © 2015 John Wiley & Sons, Ltd.