Nutritional content of vitamin and mineral supplements aimed at children in the peruvian market: analysis of compliance with recommendations
DOI:
https://doi.org/10.17843/rpmesp.2025.421.14256Keywords:
Dietary Supplements, Child, Vitamins, Minerals, Recommended Dietary Allowances, Latin AmericaAbstract
We described the nutritional content of vitamin and mineral dietary supplements for children on the Peruvian market and their compliance to the recommended dietary intake. A cross-sectional study was carried out with the information declared on the packaging of 34 products sold in pharmacies during 2022. The daily doses of each micronutrient were calculated according to the manufacturer’s instructions; we also estimated the compliance with the recommended dietary allowance (RDA) and the tolerable upper intake level (UL) by age group. The most common
micronutrients were vitamins C (n=23), D (n=22), A (n=16), zinc (n=15) and B6 (n=14). In all groups, vitamin
D, thiamine, riboflavin, folate, vitamin B12 and vitamin C exceeded the RDA. Zinc and copper also exceeded the
recommendations in some groups. Vitamin A and folate most frequently exceeded the UL. Our findings highlight
the need for greater health surveillance.
Downloads
References
Research GV. Nutraceuticals Market Size, Share & Trends Analysis Report By Product (Dietary Supplements, Functional Foods, Functional Beverages), By Application (Allergy & Intolerance, Animal nutrition), By Region, And Segment Forecasts, 2024 - 2030. 2023. Disponible en: https://www.grandviewresearch.com/industry-analysis/nutraceuticals-market.
Asociación Latinoamericana de Nutrición Responsable (ALANUR). Suplementos alimenticios en América Latina [Internet]. ALANUR;
[citado el 3 feb 2025]. Disponible en: https://alanurla.org/suplementos-alimenticios-latam/.
Future Market Insights. Children's health supplement market: global industry analysis and opportunity assessment [Internet]. Future
Market Insights; 2023 [citado el 3 feb 2025]. Disponible en: https://www.futuremarketinsights.com/reports/childrens-health-supplement-market.
Ethan D, Basch CH, Samuel L, Quinn C, Dunne S. An Examination of Product Packaging Marketing Strategies Used to Promote Pediatric
Multivitamins. J Community Health. 2015;40(3):564-8. doi: 10.1007/s10900-014-9972-1.
Elliott C. Assessing Vitamins, Minerals and Supplements Marketed to Children in Canada. Int J Environ Res Public Health. 2019;16(22).
doi: 10.3390/ijerph16224326.
Gusev P, Andrews K, Tey P-T, Savarala S, Oh L, Bahadur R, et al. Children’s Multivitamin/Mineral Supplements: Label Claims and Measured Content Compared to Recommended Dietary Allowances and Tolerable Upper Intake Levels. Curr Dev Nutr. 2020;4. doi: 10.1093/cdn/nzaa061_037.
Dwyer JT, Saldanha LG, Bailen RA, Gahche JJ, Potischman N, Bailey RL, et al. Do Multivitamin/Mineral Dietary Supplements
for Young Children Fill Critical Nutrient Gaps?. J Acad Nutr Diet. 2022;122(3):525-32. doi: 10.1016/j.jand.2021.10.019.
Amaro-Rivera K, López-Cepero A, Diaz B, Lee JE, Palacios C. Micronutrient Intake and the Contribution of Dietary Supplements in
Hispanic Infants. Journal of Dietary Supplements. 2018;15(2):129-39. doi: 10.1080/19390211.2017.1330300.
Geller Andrew I, Shehab N, Weidle Nina J, Lovegrove Maribeth C, Wolpert Beverly J, Timbo Babgaleh B, et al. Emergency Department
Visits for Adverse Events Related to Dietary Supplements. N Engl J Med.373(16):1531-40.
Anselmo F, Driscoll MS. Deleterious side effects of nutritional supplements. Clin Dermatol. 2021;39(5):745-56. doi: 10.1016/j.clindermatol. 2021.05.002.
Institute of Medicine (US) Subcommittee on Interpretation and Uses of Dietary Reference IntakesInstitute of Medicine; Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. DRI Dietary Reference Intakes: Applications in Dietary Assessment. Washington (DC): National Academies Press (US); 2000. Disponible en: https://www.ncbi.nlm.nih.gov/books/
NBK222881/.
Instituto Nacional de Defensa de la Competencia y de la Protección de la Propiedad Intelectual. Lineamientos sobre competencia
desleal y publicidad comercial Resolución N° 001-2001-LIN-CCD/INDECOPI. Disponible en: https://repositorio.indecopi.gob.pe/handle/11724/4176.
Andrews KW, Roseland JM, Gusev PA, Palachuvattil J, Dang PT, Savarala S, et al. Analytical ingredient content and variability of adult
multivitamin/mineral products: national estimates for the Dietary Supplement Ingredient Database1,2. Am J Clin Nutr. 2017;105(2):526-
doi: 10.3945/ajcn.116.134544.
Smith R, Kelly B, Yeatman H, Boyland E. Food Marketing Influences Children's Attitudes, Preferences and Consumption: A Systematic
Critical Review. Nutrients. 2019;11(4). doi: 10.3390/nu11040875.
Marra MV, Bailey RL. Position of the Academy of Nutrition and Dietetics: Micronutrient Supplementation. J Acad Nutr Diet.
;118(11):2162-73. doi: 10.1016/j.jand.2018.07.022.
Einhorn V, Haase H, Maares M. Interaction and competition for intestinal absorption by zinc, iron, copper, and manganese at the intestinal mucus layer. J Trace Elem Med Biol. 2024;84:127459. doi: 10.1016/j.jtemb.2024.127459.
Maruvada P, Stover PJ, Mason JB, Bailey RL, Davis CD, Field MS, et al. Knowledge gaps in understanding the metabolic and clinical effects of excess folates/folic acid: a summary, and perspectives, from an NIH workshop. Am J Clin Nutr. 2020;112(5):1390-403. doi: 10.1093/ajcn/nqaa259.
Plum LM, Rink L, Haase H. The essential toxin: impact of zinc on human health. Int J Environ Res Public Health. 2010;7(4):1342-65.
doi: 10.3390/ijerph7041342.
Ceballos-Rasgado M, Lowe NM, Mallard S, Clegg A, Moran VH, Harris C, et al. Adverse Effects of Excessive Zinc Intake in Infants and
Children Aged 0–3 Years: A Systematic Review and Meta-Analysis. Adv Nutr. 2022;13(6):2488-519. doi: 10.1093/advances/nmac088.
U.S. Food and Drug Administration. Labeling & nutrition - label claims for conventional foods and dietary supplements [Internet].
Silver Spring, MD: FDA; 2024 [citado el 3 feb 2025]. Disponible en: https://www.fda.gov/Food/LabelingNutrition/ucm111447.htm.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Lorena Saavedra-Garcia, Anna Magdalena Gawlas , Antonella Quiroz-Macukachi, Hans Genmayel Donayre-Huamán, Raquel Idelsa Basurco-Olazabal , Jamee Guerra Valencia

This work is licensed under a Creative Commons Attribution 4.0 International License.