Deuster Patricia A, Linderman J Russell, Hua Duy P, Lindsey Andrea T
Consortium for Health and Military Performance (CHAMP), Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD.
Naval Medical Research Unit Dayton, OH.
J Spec Oper Med. 2024 Dec 1;24(4):113-119. doi: 10.55460/A580-YJ5A.
This article highlights key topic areas related to dietary supplements (DSs) and performance-enhancing substances. It also discusses evidence-based resources the medical community can use when discussing high-quality DSs with Servicemembers interested in taking DSs. We briefly overview how DSs are regulated in the United States, discuss problematic categories and issues related to quality, expand upon what are often considered performance-enhancing substances yet sometimes sold as DSs, and then offer solutions to counter the consequences of the dark side of the DS industry. Solutions include third-party certification and intentional education and resources, as military health care providers and medics need to know where to go for evidence-based information, per the Department of Defense Instruction 6130.06 - Use of Dietary Supplements in the DoD (DoDI 6130.06), which set policy and guidelines for Servicemembers in 2022. Finally, Operation Supplement Safety (OPSS) resources and tools are discussed.
本文重点介绍了与膳食补充剂（DSs）和提高运动成绩的物质相关的关键主题领域。它还讨论了医学界在与有兴趣服用DSs的军人讨论高质量DSs时可以使用的循证资源。我们简要概述了美国对DSs的监管方式，讨论了有问题的类别以及与质量相关的问题，详细阐述了那些常被视为提高运动成绩的物质但有时却作为DSs出售的情况，然后提出解决方案以应对DS行业阴暗面带来的后果。解决方案包括第三方认证以及有针对性的教育和资源，因为根据美国国防部指令6130.06——《国防部膳食补充剂的使用》（DoDI 6130.06），军事医疗保健提供者和医务人员需要知道从何处获取循证信息，该指令于2022年为军人制定了政策和指导方针。最后，讨论了补充剂安全行动（OPSS）的资源和工具。
