Crawford Cindy, Lindsey Andrea T, Avula Bharathi, Katragunta Kumar, Khan Ikhlas A, Deuster Patricia A
Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD 20814, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD 20817, USA.
Nutrients. 2024 Dec 18;16(24):4369. doi: 10.3390/nu16244369.
: Sixty-eight percent of service members are living with overweight or obesity, some who may not consult a healthcare provider when they decide to lose weight. Instead, they often turn to weight-loss dietary supplements for self-care solutions. The purpose of this case series study was to examine the label accuracy and quality of select weight-loss dietary supplements sold on or near US military bases across the country. : Weight-loss dietary supplements ( = 44) were selected and purchased in GNCs, Exchanges, and Shoppettes across 12 military installations from March 2023 to January 2024. Liquid chromatography-mass spectrometry was used to verify the label accuracy according to the Supplement Facts listed ingredients and whether they contained any ingredients prohibited for use in the military. Product label claims were analyzed using the Operation Supplement Safety (OPSS) Risk Assessment Scorecard. : Thirty-six products (82%) had inaccurate labels. Twenty-seven (61%) had ingredients listed on the label not detected through analysis. Sixteen products (36%) contained hidden ingredients. The four products purchased within one mile from the base listed multiple prohibited ingredients on the labels, with all detected. Forty (91%) products scored a "no-go" according to the OPSS Scorecard and none contained a third-party certification seal on the label. Multiple stimulants were included in products such that the product safety was unknown. : The majority of weight-loss dietary supplements analyzed in this case series study had inaccurate labels and were considered a "no-go" according to the Scorecard. Service members should only have access to safe, high-quality dietary supplement products. OPSS is collaborating with the Department of Defense stakeholders to determine the most effective ways for service members to have access to third-party certified products on all military establishments.
68%的军人超重或肥胖，有些人在决定减肥时可能不会咨询医疗保健提供者。相反，他们常常求助于减肥膳食补充剂来寻求自我护理解决方案。本病例系列研究的目的是检查在美国全国各地军事基地或其附近销售的某些减肥膳食补充剂的标签准确性和质量。
从2023年3月到2024年1月，在12个军事设施的健安喜（GNC）商店、军人福利社和小型便利店中挑选并购买了减肥膳食补充剂（n = 44）。使用液相色谱 - 质谱法根据补充剂事实标签列出的成分来验证标签准确性，以及它们是否含有任何军事用途禁用的成分。使用补充剂安全行动（OPSS）风险评估记分卡对产品标签声明进行分析。
36种产品（82%）标签不准确。27种（61%）标签上列出的成分经分析未被检测到。16种产品（36%）含有隐藏成分。在距离基地一英里范围内购买的四种产品在标签上列出了多种禁用成分，且均被检测到。根据OPSS记分卡，40种（91%）产品被判定为“不合格”，且没有一种产品在标签上带有第三方认证标志。产品中含有多种兴奋剂，因此产品安全性未知。
在此病例系列研究中分析的大多数减肥膳食补充剂标签不准确，根据记分卡被判定为“不合格”。军人应该只能获取安全、高质量的膳食补充剂产品。OPSS正在与国防部相关利益者合作，以确定让军人在所有军事设施中获取第三方认证产品的最有效方式。
