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The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural Research Service, Nutrient Data Laboratory Agricultural Research Service

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Page 1: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

The Dietary Supplement Ingredient Database:

Results of USDA Pilot Studies

Presented by Joanne M. Holden, USDA, Agricultural Research Service, Nutrient

Data Laboratory

Agricultural ResearchService

Page 2: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

USDA Authors

Joanne Holden, Karen Andrews, Janet Roseland, Cuiwei Zhao, Amy Schweitzer,

Nutrient Data Laboratory

Wayne Wolf and James HarnlyFood Composition Laboratory

Charles PerryNational Agriculture and Statistics

Service

Page 3: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

NIH Authors

Johanna Dwyer, Leila Saldanha, Mary Frances Picciano, Kenneth Fisher,

Elizabeth Yetley, Joseph Betz

Office of Dietary SupplementsNational Institutes of Health

Page 4: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

CDC and NIST Authors

Kathy Radimer and Bernadette BindewaldNational Center for Health Statistics,

Centers for Disease Control and Prevention, US Department of Health and

Human Services

Kathy SharplessNational Institute of Standards and

Technology

Page 5: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Assessment of Intake

Food Food IntakeIntake

Component Component ValuesValues

Total Total Component Component

IntakeIntake

Supplement Intake

Page 6: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

USDA Database Products

USDA National Nutrient Database for Standard Reference Database for national food and nutrition surveysDatabase for bioactive componentsFactors, guidelines, and protocols

Page 7: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

NDL’s Foodcomp Web site

www.nal.usda.gov/fnic/foodcomp

Page 8: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

NHANES: What We Eat in America

National Health and Nutrition Examination Survey of nearly 5,000 individuals annuallyFood intake assessed with two 24-hour dietary recallsSupplement intake assessed over past monthDS nutrient values obtained from labels

Page 9: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Assessment of Vitamin -- Mineral Intake for Foods

FOODSFOODSStandard Reference (SR)

NHANES Food Intake Data

Food and NutrientDatabase for

Dietary Studies (FNDDS)

NHANES Nutrient Intake Reports

Page 10: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Assessment of Vitamin -Mineral Intake for Foods and Dietary Supplements

Standard Reference (SR)

NHANES Food Intake Data

NHANES Food Nutrient Reports

Total Intake of V + M

FOODSFOODS

Food and NutrientDatabase for

Dietary Studies (FNDDS)

NHANES Dietary Supplement Label Database

NDL Research Findings

NHANES Supplement Intake Data

Supplement Ingredient Intake Data

DIETARY SUPPLEMENTS

Dietary Supplement Ingredient

Database (DSID)

Page 11: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

NHANES Dietary Supplement Database

Database contains 6000+ products reported by respondentsProducts include multivitamins, single vitamins/minerals, botanicals, amino acidsNutrition information in database is based on label valuesPartnership with NCHS

Page 12: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Today’s Objectives

Goals for a DSIDKey ChallengesPilot Study QuestionsPilot Study AccomplishmentsFuture Plans

Page 13: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Goals for Dietary Supplement Ingredient Database

To develop reliable estimates of nutrients and other bioactive components in Dietary Supplements To release and maintain on-line DS databaseTo assess variability and/or possible bias in nutrient levels for DS

Page 14: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Key Challenges

Categorization/ Description

Identifying Priorities

Sample HandlingRepresentative Sampling Plans

Unique Matrix Qualified Labs

DSID

Methods and Reference Materials

Page 15: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Categorizing Product Types

Defining a dietary supplementClassifying various dietary supplements availableDefining a multivitamin/multimineral (MVM)Partners with NCHS

Page 16: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Diverse Product Types

MultivitaminsCondition-specific products: joint health, bone health, memoryBotanicals Weight-loss products

Sport performance productsSpecialty products: amino acids, enzymes, melatonin, plant oils, glucosamine, probiotics

Page 17: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

0

10

20

30

40

50

60

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17Number of Vitamins

Wei

ghte

d Fr

eque

ncy

of U

se (/

1,00

0,00

0)Distribution of Vitamin Count in Adult

Multivitamin/Minerals*

*Distribution of vitamins (>2) indicates that the most commonly reported adult multivitamins (NHANES 1999-2000) contain 13 vitamins.

Page 18: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Distribution of Mineral Count in Adult Multivitamin/Minerals*

0

10

20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16Number of Minerals

Wei

ghte

d Fr

eque

ncy

of U

se

(/1,0

00,0

00)

*Distribution indicates that most products reported (NHANES 1999-2000) are either single or double mineral products or are multivitamin/mineral products with 16 minerals.

Page 19: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Identifying priority components

Criteria considered:Criteria considered:

Frequency of consumption: NHANESFrequency of consumption: NHANESPublic health significance Public health significance Status of methods and reference Status of methods and reference materialsmaterialsFederal agency interestFederal agency interest

Page 20: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Highest Priority Categories

Multivitamins/minerals(MVMs)AntacidsCalcium SupplementsVitamin EVitamin CB Vitamin productsCaffeine-containing products

Page 21: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Highest Priority “Tier 1”Ingredients

Folic Acid/folate Calcium

Vitamin EVitamin A (Retinol)

Vitamin CIron

Beta Carotene

Page 22: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

“Tier 2” Ingredients

PotassiumCopper

SeleniumChromiumManganeseMagnesium

ZincIodine

RiboflavinThiaminNiacin

Vitamin B6Vitamin B12Vitamin DVitamin K

Phosphorus

Page 23: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Representative Sampling Plans

Identify products: NHANESSelect across distribution channels

Mass market retailNatural food and health storesMulti-level marketingDirect sales

Page 24: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Specific Methodology Issues for MVMs

Unique matrix effects of capsules, pills, and gel caps

Sample handling of MVMs for accuracy and precision

Selection of valid methodsDevelopment of reference materialQualifying labs

Page 25: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Development of Reference Materials (RMs)

RM (known value) is measured along with sample MVM (unknown value)NIST is developing an RM for DSODS, NIST, and FCL are partnering with NDL to:

Characterize SRMsReview analytical methodsQualify labs

Page 26: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural
Page 27: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Pilot Study Goals

Pilot Study 1: Survey laboratories for standard analytical methods. Identify sample handling protocols for MVMs to insure complete recovery.

Pilot Study 2: Assess capabilities of qualified labs to determine nutrient values of MVMs.

Page 28: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Alpha-tocopherol Values for 2 Multivitamin/minerals and a Reference Material

Products AnalyzedMVM 1 MVM 2 Reference Material

mg/g A

lpha-tocopherol 0.000.030.060.090.120.15

10.00

15.00

20.00

25.00

30.00

35.00

40.00

45.00

Lab 1Lab 2Lab 5Lab 6Known Value

Label Value

Label Value

Page 29: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Levels of Alpha Tocopherol in Food and Supplements

1 Tbsp safflower oil = 5 mg alpha tocopherol* in natural form = 37% DV

1 oz dry roasted almonds = 7 mg alpha tocopherol* in natural form = 52% DV

Common MVM = 30 IU (13.5 mg) synthetic alpha tocopherol = 100% DV

*U.S. Department of Agriculture, Agricultural Research Service. 2005. USDA National Nutrient Database for Standard Reference, Release 18. Nutrient Data Laboratory Home Page, http://www.nal.usda.gov/fnic/foodcomp, Accessed October 19, 2005

Page 30: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Coefficient of Variation (%) for Laboratories Analyzing Tier 1 Nutrients in a Multivitamin/mineral Product

0

5

10

15

20

25

30

35

Folic acid A-tocopherol

Iron AscorbicAcid

Calcium B-Carotene

Retinol

Nutrients

Coe

ffici

ent o

f Var

iatio

n (%

Page 31: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Key Accomplishments

Categorization/ Description

Identifying Priorities

Sample HandlingRepresentative Sampling Plans

Unique Matrix Qualified Labs

DSID

Methods and Reference Materials

Page 32: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Key Accomplishments

Categorization/ Categorization/ Description

Identifying Identifying PrioritiesDescription Priorities

Sample HandlingRepresentative Sampling Plans

Unique Matrix Qualified Labs

DSID

Methods and Reference Materials

Page 33: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Key Accomplishments

Categorization/ Categorization/ Description

Identifying Identifying PrioritiesDescription Priorities

Sample HandlingRepresentative Representative Sampling PlansSampling Plans

Unique Matrix Qualified Labs

DSID

Methods and Reference Materials

Page 34: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Key Accomplishments

Categorization/ Categorization/ Description

Identifying Identifying PrioritiesDescription Priorities

Sample HandlingSample HandlingRepresentative Representative Sampling PlansSampling Plans

Unique MatrixUnique Matrix Qualified Labs

DSID

Methods and Reference Materials

Page 35: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Key Accomplishments

Categorization/ Categorization/ Description

Identifying Identifying PrioritiesDescription Priorities

Sample HandlingSample HandlingRepresentative Representative Sampling PlansSampling Plans

Unique MatrixUnique Matrix Qualified LabsQualified Labs

DSID

Methods and ReferenceMethods and Reference MaterialsMaterials

Page 36: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Next Steps: The “% DV” study

Compare label and actual values of MVMs.

Choose products at 3 or 4 DV levels. Analyze 5 products from each DV level.Measure 2 lots per product.

Page 37: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Example: Most Common % DV Levels for Calcium in Adult Multivitamins

0

20

40

60

80

100

16% 20% 45%

Calcium% DV of Calcium

%of

wei

ghte

d fr

eque

ncy

of u

se*

*NHANES 01-02

Page 38: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Example: Most Common % DV Levels forVitamin C in Adult Multivitamins

0

20

40

60

80

100

100% 200% 417%

Vitamin C% DV of Vitamin C

% o

f wei

ghte

d fr

eque

ncy

of u

se*

*NHANES 01-02

Page 39: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Comparison of % DV Label Claims vs. Laboratory Data, Theoretical Results

Products labeled at 50, 100,150 %DV

50-1

50-2

50-3

50-4

50-5

100-

110

0-2

100-

310

0-4

100-

515

0-1

150-

215

0-3

150-

415

0-5

Theo

retic

al L

abor

ator

y D

ata,

%D

V

20

40

60

80

100

120

140

160

180

Page 40: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Application of Pilot Study Results

Plans to analyze representative MVMs to support estimates for MVMs reported in NHANES.Validate composition data for generic classes of dietary supplements.

Page 41: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

USDA Database Products

USDA National Nutrient Database for Standard Reference Database for national food and nutrition surveysDatabase for bioactive componentsFactors, guidelines, and protocolsDietary Supplement Ingredients Database

Page 42: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Summary

Pilot studies can refine questions and focus research for the development of a dietary

supplement ingredient database.

Page 43: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Acknowledgements

Funded by Office of Dietary Supplements, National Institutes of Health

http://Nutrition.govhttp://ods.od.nih.gov

DSID group

Page 44: The Dietary Supplement Ingredient Database: Results of ......The Dietary Supplement Ingredient Database: Results of USDA Pilot Studies Presented by Joanne M. Holden, USDA, Agricultural

Questions?