Are the amounts of vitamins in commercially available dietary supplement formulations relevant for the management of psychiatric disorders in children?

N Z Med J. 2014 Apr 11;127(1392):73-85.

Abstract

Aim: To investigate whether micronutrient supplements shown through research to have perceived benefits in the treatment of psychological/psychiatric symptoms in children have similar vitamin ingredients and doses to over-the-counter dietary supplements.

Methods: We conducted a systematic review to identify studies that used micronutrients for the treatment of psychological/psychiatric symptoms in children with documented benefits; 13 different supplements were identified that included vitamin ingredients. They were compared with the vitamin composition of 22 over-the-counter child-targeted supplements available in New Zealand.

Results: The vitamin ingredients were comparable across the research and commercially available supplements. However, the median vitamin daily doses in research supplements were found to be greater than those of over-the-counter supplements, with most mean differences being significant, including vitamins B1, B3, B6, B7, B12, C and D (p<0.05), B5 and B9 (p<0.001), but not vitamins A or B2.

Conclusions: Micronutrient supplements found to show potential benefit in research with a focus on improving psychological/psychiatric symptoms in children have a significantly greater vitamin dose than over-the-counter supplements. Therefore, the results found in micronutrient research studies cannot be extrapolated to over-the-counter supplements. Comparing the myriad ingredients and dosages in micronutrient supplements is, however, a complex process and further investigation is required to understand fully the importance of our findings.

Publication types

  • Systematic Review

MeSH terms

  • Biomedical Research / methods*
  • Child
  • Dietary Supplements / statistics & numerical data*
  • Disease Management*
  • Dose-Response Relationship, Drug
  • Humans
  • Micronutrients / administration & dosage*
  • New Zealand
  • Nonprescription Drugs / supply & distribution*
  • Psychotic Disorders / therapy*

Substances

  • Micronutrients
  • Nonprescription Drugs