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August 21, 1987

Dietary Supplements-Reply

Author Affiliations

American Medical Association Chicago

American Medical Association Chicago

JAMA. 1987;258(7):909-910. doi:10.1001/jama.1987.03400070046021

In Reply.—  I appreciate Mr Jensen's and Dr Briggs' comments on the use of dietary vitamin supplements. The COUNCIL REPORT does state that (1) "if the total energy intake falls below 1200 kcal (5040 kJ), it becomes increasingly difficult to obtain all of the protective nutrients in adequate amounts, and supplements may be needed"; (2) "certain weight-reduction diets may lead to inadequate vitamin intakes... and hence a modest supplement may be recommended"; and (3) "socioeconomic conditions and reduced physical activity among the aged may lead to a curtailment in total food intake. Under such restriction, the use of a vitamin preparation in the prevention of deficiency may be indicated."A recent national dietary survey does show inadequate intakes of vitamins A, B6, and C compared with the recommended dietary allowances (RDA)1 for some segments of the population. However, this finding does not mean these groups are at high