Cent Eur J Public Health 2025, 33(1):36-48 | DOI: 10.21101/cejph.a8321

Prevalence of dietary supplement use among the military population: a systematic review and meta-analysis

Roghayeh Molani-Gol1, 2, Maryam Rafraf2, Beitullah Alipour3
1 Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Community Nutrition, Nutrition Research Centre, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Community Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran

Objectives: The aim of the study was to evaluate widespread dietary supplements (DSs) use among the military population. There is no recent study to comprehensively evaluate the prevalence of DS use among the military population. Therefore, this systematic review and meta-analysis aimed to present an overview and estimate of the overall prevalence of DSs use among the military population.

Methods: PubMed, Scopus, Web of Science, and Google Scholar databases were searched up to September 2023 using relevant keywords. All original articles written in English evaluating the prevalence of DSs use among the military population were eligible for this study. The risk of bias assessment of the included studies was done using the Joanna Briggs Institute critical appraisal checklist. The meta-analysis was performed utilizing a random-effects model and STATA software.

Results: In total, 32 cross-sectional studies were included in this review. The prevalence rate of DS use in the overall military population was 57% (95% CI: 49-64); this rate was higher in the studies that were carried out in the USA and the studies with a sample size lower than 10,000 members. Eleven studies reported adverse effects (AEs) following DSs use in the military population, the pooled effect size of them was 13.0% (95% CI: 6-20). The most common AEs reported by military personnel were abdominal pain, nausea, vomiting, and diarrhoea, however, they did not include any serious complications.

Conclusion: The findings indicate that the prevalence of DSs use among the military personnel was high. Moreover, some studies reported AEs following DSs use such as gastrointestinal symptoms. Promotion of knowledge and informed attitudes regarding the DSs use in the military population could be useful.

Keywords: dietary supplement, adverse effect, military, systematic review, meta-analysis

Received: June 14, 2024; Revised: February 8, 2025; Accepted: February 8, 2025; Published: March 31, 2025  Show citation

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Molani-Gol R, Rafraf M, Alipour B. Prevalence of dietary supplement use among the military population: a systematic review and meta-analysis. Cent Eur J Public Health. 2025;33(1):36-48. doi: 10.21101/cejph.a8321.
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