Usage of plant food supplements across six European countries: findings from the PlantLIBRA consumer survey

The popularity of botanical products is on the rise in Europe, with consumers using them to complement their diets or to maintain health, and products are taken in many different forms (e.g. teas, juices, herbal medicinal products, plant food supplements (PFS)). However there is a scarcity of data o...

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Published inPloS one Vol. 9; no. 3; p. e92265
Main Authors Garcia-Alvarez, Alicia, Egan, Bernadette, de Klein, Simone, Dima, Lorena, Maggi, Franco M, Isoniemi, Merja, Ribas-Barba, Lourdes, Raats, Monique M, Meissner, Eva Melanie, Badea, Mihaela, Bruno, Flavia, Salmenhaara, Maija, Milà-Villarroel, Raimon, Knaze, Viktoria, Hodgkins, Charo, Marculescu, Angela, Uusitalo, Liisa, Restani, Patrizia, Serra-Majem, Lluís
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 18.03.2014
Public Library of Science (PLoS)
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Summary:The popularity of botanical products is on the rise in Europe, with consumers using them to complement their diets or to maintain health, and products are taken in many different forms (e.g. teas, juices, herbal medicinal products, plant food supplements (PFS)). However there is a scarcity of data on the usage of such products at European level. To provide an overview of the characteristics and usage patterns of PFS consumers in six European countries. Data on PFS usage were collected in a cross-sectional, retrospective survey of PFS consumers using a bespoke frequency of PFS usage questionnaire. A total sample of 2359 adult PFS consumers from Finland, Germany, Italy, Romania, Spain and the United Kingdom. Descriptive analyses were conducted, with all data stratified by gender, age, and country. Absolute frequencies, percentages and 95% confidence intervals are reported. Overall, an estimated 18.8% of screened survey respondents used at least one PFS. Characteristics of PFS consumers included being older, well-educated, never having smoked and self-reporting health status as "good or very good". Across countries, 491 different botanicals were identified in the PFS products used, with Ginkgo biloba (Ginkgo), Oenothera biennis (Evening primrose) and Cynara scolymus (Artichoke) being most frequently reported; the most popular dose forms were capsules and pills/tablets. Most consumers used one product and half of all users took single-botanical products. Some results varied across countries. The PlantLIBRA consumer survey is unique in reporting on usage patterns of PFS consumers in six European countries. The survey highlights the complexity of measuring the intake of such products, particularly at pan-European level. Incorporating measures of the intake of botanicals in national dietary surveys would provide much-needed data for comprehensive risk and benefit assessments at the European level.
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Competing Interests: Simone de Klein and Eva Melanie Meissner are employees of PhytoLab GmbH & Co. KG, Vestenbergsgreuth, Germany: PhytoLab GmbH & Co. KG is an independent, accredited (in accordance with DIN EN 17025) and officially recognized service laboratory (in accordance with § 14 AMG [German Drug Law], which is also GMP-certified. Analysis, development, quality control and regulatory affairs of herbal products (herbal medicinal products, food, food supplements and cosmetics) are its areas of work. The company consists of a modern laboratory and service centre, with about 180 employees. PhytoLab GmbH & Co. KG does not produce or sell own products. Please, see also www.phytolab.com. Within the PlantLIBRA EC project, PhytoLab GmbH & Co. KG is Beneficiary number 13 of the PlantLIBRA Consortium, as well as a partner of what constitutes “Work Package 1 (WP1)” (www.plantlibra.eu), having performed the same tasks and activities as the other 5 partners involved in the WP1 PlantLIBRA PFS Consumer Survey (i.e. the institutions included as the affiliations of the submitted article). Their key contributions to PlantLIBRA are as follows: analysis of contaminants, analysis of secondary compounds, safety/efficacy assessment, and regulatory affairs. Within WP1, their key contribution to the Survey work was their expertise in PFS botanical composition (together with the University of Milan), which became essential during the survey data reviewing process”. In addition, the authors, in particular Angela Marculescu, Transilvania University of Brasov, Romania, declare the following funding received from the PFS industry in the last 3 years: 1) SC Hofigal Export-Import SA sponsored the 2012 conference BIOATLAS in Brasov, covering costs of products for advertising and travel and accommodation costs of Prof. Gilles Bedoux from Franta (University Bretagne Sud), to attend this conference; 2) Some other Romanian companies such as Hofigal, DaciaPlant, Fares Orastie, Paradisul Verde were sponsors of the Romanian Society of Etnofarmacology, where Angela Marculescu is the President. However, neither of these companies has influenced either the design of the survey, its implementation or the writing of the present article. Moreover, the organization of the BIOATLAS conference had no relationship with the PlantLIBRA Project, and neither did the participation of the sponsored speaker. There are no patents, products in development or marketed products to declare. The above does not alter the authors' adherence to all the PLoS ONE policies on sharing data and materials.
Wrote the paper: AGA BE MMR. Responsible for the survey: LSM. Coordination of the survey: AGA. Study design: LSM LRB VK AGA BE SDK LD FMM MS MMR MB FB. Material elaboration: AGA VK BE SDK LD FMM MS LRB MMR EMM MB FB. Data reviewing/handling/cleaning: AGA BE LD FMM MI LRB SDK EMM MB FB MS CH AM LU. Data analysis strategy: LRB LSM AGA RMV BE MMR SDK LD FMM MI EMM MB FB MS CH AM LU. Data handling and analysis: RMV LRB AGA. Drafts reviews: AGA LRB EMM SDK LD FMM BE MMR MB AM VK LU MS PR LSM. Manuscript coordination: AGA.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0092265