To the Editor A Research Letter by Qato et al1 reports on National Health and Nutrition Examination Survey data of use of dietary supplements by children and adolescents from 2003 to 2014.1 The authors' analysis shows increasing use in pediatric age ranges during the study period. As members of the American Academy of Pediatrics’ Section on Integrative Medicine Executive Committee, we agree that use patterns of complementary and integrative approaches to health and wellness are of great interest and importance. However, the authors’ discussion of these findings focuses solely on the possible implications for increased adverse events, which, while important, are incomplete at best and raise concerns regarding potential bias.
Sibinga EMS, Morris CR. A More Balanced Approach to Dietary Supplement Data. JAMA Pediatr. 2019;173(1):104. doi:10.1001/jamapediatrics.2018.4029
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