Table of Contents

Component Description

The Dietary Supplements section (DSQ) provides personal interview data on use of vitamins, minerals, herbals and other dietary supplements. This section also includes supplement name, ingredients, amounts, and serving size.

Eligible Sample

All sample persons (SP). Survey participants over 16 years of age answer for themselves; proxy respondents answer for participants 16 years or younger.

Interview Setting and Mode of Administration

The DSQ was done before the physical examination, in the home, using the Computer-Assisted Personal Interviewing-CAPI (interviewer-administered) system. Participants 16 years of age and over answered for themselves; A proxy provided information for survey participants who were under 16 years of age and for individuals who could not answer the questions themselves.

Quality Assurance & Quality Control

Data were routinely examined for discrepancies and erroneous entries. Trained nutritionists reviewed incoming data and matched reported supplements to known supplements from the NHANES database, where possible; sought additional supplement labels if feasible; assigned generic or default supplements as appropriate; transferred or removed inappropriate products; and assigned matching codes (confidence codes).

 

Data Processing and Editing

For exact questions participants are asked, please refer to DSQ codebook. During the household interview, survey participants are asked if they have taken a vitamin, mineral, herbal or any other dietary supplement in the past month. Participants are shown a hand card that lists examples of dietary supplements (Appendix 1: Handcard DSQ1). Those who answer “yes” are asked to show the interviewer the dietary supplement containers of all the products used. For each dietary supplement reported, the interviewer enters the product’s complete name from the container into a computer. If no container is available, the interviewer asks the participant to verbally report the name of the dietary supplement. The interviewer then tries and finds the supplement on a list created by NCHS. If an exact match of the dietary supplement cannot be found, the interviewer is instructed to select “product not on list” from the list. Interviewers can record up to 20 dietary supplements. The manufacturer is either selected from the manufacturer list or entered manually. The same process is also repeated for non-prescription antacids.

Participants are asked how long they have been taking the dietary supplement, how many times in the past 30 days have they taken it and how much do they take daily.

Some prescription supplements are mistakenly recorded in the prescription medicine section rather than the dietary supplement section. Strength and details of the persons’ usage are missing for these supplements. All supplements, including prescription supplements are released in the DSQ section only, not in the medication (RXQ) section.

Information on use of non-prescription antacids was sometimes recorded in the dietary supplement section; other times in the antacid sub-section of the medication section (RXQ). Because of their nutrient content, antacids that contain calcium or magnesium are released with the DSQ data, irrespective of where they were reported. Only these antacids are reported; this is not a complete accounting of all antacids. Data users should also be aware that the section in which an antacid is recorded (e.g. DSQ or RXQ) may not accurately represent the usage of that antacid. For example, some antacids reported with the RXQ (medications) section may have been used as a dietary supplement or vice versa, and some antacids may be used as both medications and calcium supplements. Thus, users are cautioned that analyses of these data to estimate the percentage of antacids used as dietary supplements would not be appropriate.

Matching a reported supplement to known supplement:
Trained nutritionists at NCHS match the product names entered or selected by the interviewer (including prescription supplements and antacids containing calcium or magnesium) to a known product when possible. These matches are made with varying degrees of precision, and a matching code (DSDMATCH) accompanies each match (Appendix 2: Matching Codes). Briefly, the codes are: 1) Exact or near exact match; 2) Probable match; 3) Generic match; 4); Reasonable match; and 5) Default match. In some cases no match can be made with any certainty. These products are coded 6) No match. Products whose names were reported as “Refused” (7777) or “Don’t know” (9999) have matching codes of 7 and 9, respectively.

NCHS communicates with many major manufacturing company representatives to determine when various product re-formulations become available. We match reported with known supplements based upon reported supplement name as entered by the interviewer and the product version on the market at that time, if known. Based upon manufacturer advice, we have used a lag time of 5 months after new product market entry in matching recorded products to these new products. Despite these precautions, there is no guarantee that the product taken was not an older or newer product than the one to which it was matched.

NCHS created generic and default dietary supplements and entered these into the supplement database. Reported supplements for which the strength of all ingredients were known were matched to a generic supplement, i.e. one which had no brand name. These were generally single ingredient supplements which included a strength (e.g. vitamin C 500 mg) or multiple vitamins and/or mineral supplements made by a private label manufacturer that was known to us and for which we had a label with identical ingredients and strengths (e.g. brand X all-purpose multivitamin was reported, and we had a label for brand Y, made by the same manufacturer). These matches are coded as 3. When all ingredient strengths were not known, the supplement was matched to a default supplement where possible. Defaults were created for single ingredient and multiple ingredient supplements based on our own data of most frequently reported supplements of that type. These matches were coded as 5. Created default and generic products and the actual products or strengths that were assigned to these defaults are listed in Appendix 3 (Assigned default supplements and antacids).

New variables added to File 1:
DSDANCNT – total number of non-prescription antacids taken.
DSD010AN – Any non-prescription antacids taken?
Antacids have been collected since 1999. DSDANTA variable designates whether a product is an antacid and whether it was recorded as a dietary supplement or in the antacid section.

The NCHS Dietary Supplements Database
NCHS maintains a dietary supplement database. This is not a comprehensive dietary supplements database and only contains dietary supplements and calcium and/or magnesium-containing antacids that have been reported in the NHANES survey since 1999. The ingredient information entered into the database is taken directly from the supplement facts box on the label or carton, if available, or the equivalent from other sources. NCHS nutritionist enter from the label: supplement name; manufacturer; serving size; form of serving size; ingredients and amounts, including an operator to indicate that the amount is less than, more than or equal to the amount.

NCHS does not verify the actual composition of supplements reported: the database is based on label information, not testing. The best information source is the label itself, but when this cannot be obtained, other sources are used. Information from other sources may not always be an accurate reflection of what is actually on the supplement label. This is true for the supplement’s apparent name as well as for the ingredients. The apparent name on the container is most important, since interviewers see the supplement container and record the name as it appears to them. Differences from what appears on the label are particularly noted for information from the Internet (name and ingredients), the PDR (name), and supplement carton (name). In addition, supplements may change the appearance of a label and thus the apparent name without changing the content or may change content with minimal change to the label, or may change both. NCHS attempts to obtain updated labels as they come onto the market, but cannot guarantee complete success. The source of the supplement information (DSDSRCE) is included in the data release.

Ingredients may be listed in various ways, for example: in their elemental form (e.g. calcium); as compounds (e.g. calcium citrate); as plant forms (e.g. extract, concentrate, oil) or plant parts (e.g. root, leaf); as percentages (e.g. beta carotene- % of vitamin A); and as blends or complexes (e.g. bioflavonoid complex; proprietary blend). Suggestions for conversion of compounds are contained in Dietary Supplement Database documentation. These are based upon literature searches, but may contain errors. Users should verify these conversions. Note especially that there are a number of conversions for ferrous sulfate depending upon its form, which was not always specified.

Some supplements contain proprietary blends of ingredients, generally non-nutrients. An amount is specified for the blend but not individual ingredients in the blend. In such cases, the blend and its amount are entered into the database, but the individual ingredients of the blend are listed without any amounts. A few supplement labels list ingredients but no amounts at all, so the amounts are missing.

Product information is released from the in-house Dietary Supplement Database as the NHANES Dietary Supplement Database (NHANES-DSD) which contains detailed information on the dietary supplements and antacids reported by survey participants since NHANES 1999. The NHANES-DSD release consists of three datasets which contain information on products:

Dietary Supplement Product Information (DSPI)
Dietary Supplement Ingredient Information (DSII)
Dietary Supplement Blend Information (DSBI)

The supplement ID numbers (DSDSUPID) located in the Individual Dietary Supplements File can be used to merge with the NHANES-DSD files. For more information on the NHANES-DSD, please refer to the documentation and release files located on the NHANES website.

Data Editing

When a variable was modified globally, as part of the editing process, the third letter in the variable name was changed from a Q (i.e. DSQ) to a D (i.e. DSD). Variables that were obtained or generated from an external database (i.e. dietary supplement database) will also have the letter “D” in the third position of the variable name.

Specific Variables and edits

DSDANTA is a created variable that indicated whether an antacid was reported in the DSQ section or the Antacid section.
0= Non-antacid supplement
1= Antacid reported with dietary supplements (DSQ)
2= Antacids reported with medications (RXQ), reported in Antacid section

Note: For a few participants, the same antacid was recorded in both questionnaire sections. In these instances, the antacid was considered to be in the DSQ section and coded as 1.

DSDMTCH: (matching code): confidence codes (see Appendix 2). Supplements are recorded in the household interview with varying degrees of accuracy and completeness, so we have a system to of how certain that we are matching a supplement recorded during the interview with the actual supplement label. Briefly, the codes are: 1) Exact or near exact match; 2) Probable match; 3) Generic match; 4); Reasonable match; and 5) Default match. In some cases no match can be made with any certainty. These products are coded 6) No match. Products whose names were reported as “Refused” (7777) or “Don’t know” (9999) have matching codes of 7 and 9, respectively.

Note: Analysts should be aware that for default matches and matches that chose between several similarly named supplements, there is less certainty that the ingredients and ingredient amounts in the supplement assigned exactly match those in the supplement actually taken. Additionally, NCHS cannot guarantee in any case that the matched product was the exact product taken or even that any product actually was taken, as these data are self-reported.

DSDCOUNT: (Total number of supplements taken).
This is the count given to all supplements reported in the DSQ or RXQ section, as well as antacids that were reported in the DSQ section(DSDANTA=1).

Antacids recorded in the antacid section to not contribute to this count (DSDANTA=2).

Non-supplements that were reported in the DSQ section do not count.
Products whose names were entered as 7777 or 9999, that is, don’t know or refused, are counted as supplements, since there is no clear evidence that they are not and they were reported by the participant as a supplement.

DSD010 (derived variable) that indicates any dietary supplement use.

Participants who took a product coded as a supplement in the last 30 days (DSDCOUNT ≥1) are coded as 1. Supplements that were mistakenly recorded as RXQ antacid or prescription medicine are moved to the DSQ section and are counted as supplements.

Participants who reported an antacid containing calcium or magnesium in the last 30 days that was recorded only in RXQ antacid section (DSDANTA=2), and did not take any dietary supplement are coded as 2.
Participants who did not take any product determined to be a dietary supplement in the last 30 days (DSDCOUNT =0) are coded as 2. Prescription medicines and analgesics that are mistakenly recorded in the DSQ section are moved to their appropriate sections for data release.

Note: If a respondent “refused” or answered “don’t know” to DSQ010, the codes 7777 or 9999, respectively, are used in both DSD010 and DSDCOUNT and all other variables are coded as missing. If a respondent “refused” or answered “don’t know” to a supplement name, the name of the variable is 7777 or 9999 and matching codes are 7 and 9, respectively. Other information on use of the supplement given by the participant is retained.

DSDANCNT – total number of non-prescription antacids taken. Count of non-prescription antacids taken per respondent.

DSD010AN – Any non-prescription antacids taken? Indicates if any non-prescription antacids taken.

DSD070 denotes if the dietary supplement container was seen during the household interview. Containers are seen approximately 88% of the time. This enables interviewers to collect more complete and accurate supplement names compared to supplement containers that are not seen. For containers that are not seen the interviewer relies on the participants’ memory for the name of the supplement taken.

Note: A more precise name for a supplement can be recorded by the interviewer, and thus a more precise match to a known supplement can be made, when the interviewer sees the supplement container rather than recording the participant’s report of the supplement name (for example, multivitamin/multiminerals are often reported as multivitamins). In general, this is reflected in the matching code, but analysts should be aware that precision is greater when a container is seen.

DSD090 (How Long Supplement Taken) is converted to days for release by multiplying years by 365; months by 30.4; and weeks by 7.

DSD103 (Days Supplement Taken, Past 30 Days) is released as recorded by interviewer. This information is missing for dietary supplement data that was recorded in the RXQ medication section.

DSD122Q/U (Quantity and dosage form of supplement taken daily) is released as recorded by interviewer. This information is missing for dietary supplement data that was recorded in the RXQ medication section.

 

Analytic Notes

Differences between the 2001-2002 and the 1999-2000 DSQ Data Releases (October 2003):

Supplement Characteristics:
1. 01–02: Nutrient strength only: no brand name collected for common single- or double-nutrient supplements. Generic name only was released (see Appendix 2 Vitamins/Minerals on the “Strength Only” List):
• 99–00: brand name: released if known, otherwise generic name released
2. 01–02: If simple nutrient name (e.g. iron, calcium) released, quantity refers to nutrient. If compound nutrient name released (e.g. ferrous sulfate, calcium carbonate), unclear whether quantity referred to compound or nutrient itself:
• 99–00: nutrient name and amount was taken directly from label, not edited

Detailed instructions for linking earlier datasets (1999–2000 and 2001–2002) are provided in the NHANES Analytic Guidelines. Analysts are encouraged to review the NHANES Analytic Guidelines provided with the data release files to determine the appropriate analytic methodology.

Using self-reported data

NHANES data are self-reported and recorded by interviewers, and thus may contain inconsistencies or errors. Unless a data entry is clearly mis-recorded and the correct response can be confidently identified, possible errors or inconsistencies are not edited. Users will note that some records may indicate a person had been taking a supplement for a short time, e.g. only one day (DSD090), but report a frequency of taking it that is longer (DSD100), e.g. twice a week. Such apparent inconsistencies are not edited, as there is no obvious basis for editing. Users are advised to assess the data and edit it as deemed appropriate for the analyses being undertaken.

Deriving nutrient estimates from dietary supplement data
Dietary supplement and antacid intake data (DSQ) refer to the past 30 days. The data necessary for computation of total nutrient intake are: personal usage data (DSQ files 1& 2); dietary supplement composition data (DSQ files DSBI, DSPI, DSII)

The analyst must combine these files: File 1 portrays a participant’s overall use of supplements; file 2 refers to the person’s usage of one particular supplement; and files DSBI, DSPI, and DSII refer to the content of one specific supplement.

DSQ codebooks, documentation, and data are described in the questionnaire section of this data release.

Dietary supplement data were reported as times per month in 1999-2000 and days in the past month in 2001-2002. For participants who took one supplement each day, one time per day, daily nutrient intake from supplements can be estimated directly from the label ingredients.

Intake of multiple supplements with the same nutrient(s), multiple use of the same supplement on the same day, and nutrients in blends must be taken into account in nutrient calculations. Nutrient names and the quantity units need to be synchronized and nutrient amounts from all these calculations must then be summed. Some nutrient amounts are for a nutrient compound (generally a foreign-made product or an antacid) and these must be converted to a nutrient amount.

If one or more supplements were taken less than daily, estimation of supplement nutrient intake could be calculated for a month, a daily average, highest possible daily intake, or lowest non-zero intake.

Combining nutrient estimates from dietary supplement plus food- recall data
To estimate total dietary nutrient intake, nutrients from diet, supplements, and antacids should be combined. Because of different data collection, referent time periods, and release systems, these data require some manipulation and assumptions to combine. Consequently, the resultant total may not provide a very accurate estimate of daily total nutrient intake nor is a variance estimate directly available. This would need to be calculated using special programs developed for this purpose (e.g. C-Side).

Deriving nutrient quantity from dietary supplement requires extracting the nutrient content of each supplement, as described above. Dietary recall data (DRX) are released as total combined nutrient amount from all foods reported on the one day dietary recall; no derivation is needed (e.g. calcium quantities from all food sources are combined and released as a single one day quantity). RXQ codebooks, documentation, and data are located in the exam section of the data release.

Because of the different time referents for dietary supplement and food intake, an analyst must decide upon the most useful way to combine these data to estimate intake for a given purpose. For example, if supplement use was reported to be daily, the nutrient value from the supplement could be simply added to the recall nutrient value, although the time frames do not overlap. When some or all supplements were taken less than daily (1999-2000) or less than 30 times a month (2001-2002), the nature of the analysis and the data itself should guide the decision about nutrient calculation.

For instance, if a supplement were taken nearly monthly, an analyst could:
1) assume intake to be daily;
2) calculate monthly intake based on intake frequency;
3) calculate average daily value from the monthly value; or
4) analyze data only from people who took supplements daily

The latter would mean that the sample would no longer be representative of all supplement users, but should represent daily supplement users.

Because of the data differences, combining nutrient intake from these different variables to estimate total nutrient intake requires thoughtful consideration of the analytic goal and methods, and deserves accurate description of methods, assumptions, and weaknesses in any presentation of results.

Codebook and Frequencies

SEQN - Respondent sequence number

Variable Name:
SEQN
SAS Label:
Respondent sequence number
English Text:
Respondent sequence number.
English Instructions:
< blank >
Target:
Both males and females 0 YEARS - 150 YEARS

DSDSUPID - Supplement ID number

Variable Name:
DSDSUPID
SAS Label:
Supplement ID number
English Text:
Supplement ID number
English Instructions:
< blank >
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
Supplement ID number Value was recorded 9042 9042
7777777777 Refused 9 9051
9999999999 Don't know 22 9073
< blank > Missing 0 9073

DSDSUPP - Supplement name

Variable Name:
DSDSUPP
SAS Label:
Supplement name
English Text:
Supplement name
English Instructions:
< blank >
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
Supplement name Value was recorded 9042 9042
7777 Refused 9 9051
9999 Don't know 22 9073
< blank > Missing 0 9073

DSD070 - Was container seen?

Variable Name:
DSD070
SAS Label:
Was container seen?
English Text:
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 7188 7188
2 No 1854 9042
. Missing 31 9073

DSDMTCH - Matching code

Variable Name:
DSDMTCH
SAS Label:
Matching code
English Text:
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Exact or near exact match 4148 4148
2 Probable match 826 4974
3 Generic match 2012 6986
4 Reasonable match 725 7711
5 Default match 1217 8928
6 No match 145 9073
7 Refused 0 9073
9 Don't know 0 9073
. Missing 0 9073

DSD090 - How long supplement taken (days)?

Variable Name:
DSD090
SAS Label:
How long supplement taken (days)?
English Text:
For how long have you been taking {PRODUCT NAME} or a similar type of product?
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 to 25550 Range of Values 8948 8948
7777777 Refused 1 8949
9999999 Don't know 88 9037
. Missing 36 9073

DSD103 - Days supplement taken, past 30 days

Variable Name:
DSD103
SAS Label:
Days supplement taken, past 30 days
English Text:
In the past 30 days, on how many days did you take {PRODUCT NAME}?
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 to 30 Range of Values 7577 7577
7777 Refused 0 7577
9999 Don't know 6 7583
. Missing 1490 9073

DSD122Q - Quantity of supplement taken daily

Variable Name:
DSD122Q
SAS Label:
Quantity of supplement taken daily
English Text:
On the days that you took it, how much did you take?
English Instructions:
ENTER NUMBER
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0.06 to 54 Range of Values 8261 8261
777777 Refused 0 8261
999999 Don't know 11 8272
. Missing 801 9073

DSD122U - Dosage form

Variable Name:
DSD122U
SAS Label:
Dosage form
English Text:
Dosage form
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Tablets, capsules, pills, caplets, softgels, gelcaps 8044 8044
2 Droppers 31 8075
3 Drops 24 8099
5 Injections/Shots 0 8099
6 Lozenges 4 8103
7 Milliliters 115 8218
10 Powder/Granules 1 8219
11 Tablespoons 59 8278
12 Teaspoons 196 8474
13 Wafers 13 8487
15 Cans 0 8487
16 Grams 5 8492
17 Dots 0 8492
18 Cups 2 8494
19 Spray/Squirts 2 8496
20 Chews 95 8591
21 Scoop 26 8617
22 CC 0 8617
23 Capful 5 8622
24 MG 0 8622
25 Units 0 8622
26 Gulp 1 8623
27 Ounces 16 8639
28 Packages/Packets 59 8698
29 Vial 1 8699
30 Gumball 5 8704
77 Refused 0 8704
99 Don't know 0 8704
. Missing 369 9073

DSDANTA - Antacid reported as a dietary supplement

Variable Name:
DSDANTA
SAS Label:
Antacid reported as a dietary supplement
English Text:
Antacid reported as a dietary supplement
English Instructions:
Antacids that are reported with dietary supplements (DSQ) are coded 1, antacids reported with medications in the antacid section are coded 2, dietary supplements that are not antacids are coded 0.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 Non-antacid supplement 7995 7995
1 Antacid reported with dietary supplements(DSQ) 12 8007
2 Antacid reported with medications(RXQ) 1066 9073
. Missing 0 9073

Appendix 1: Handcard DSQ1

ANTACIDS TAKEN AS A CALCIUM SUPPLEMENT Tums Antacid/Calcium Supplement™, Tums E-X Antacid/Calcium Supplement™
BOTANICALS, HERBS, AND HERBAL MEDICINE PRODUCTS Echinacea, ginseng, gingko, St. John's Wort, kava kava, dong quai, saw palmetto
FIBER TAKEN AS A DIETARY SUPPLEMENT Fiberwafers™, Florafiber™, Herb-lax™, Psyllium™, Metamucil™, Fibercon™
INDIVIDUAL OR SINGLE VITAMINS Vitamin A, vitamin C, or vitamin E
MULTIPLE VITAMINS (2 OR MORE COMBINED) B complex, Centrum™, Flintstones™, vitamins C and E
INDIVIDUAL OR SINGLE MINERALS Calcium, copper, iron, or zinc
MULTIPLE MINERALS (2 OR MORE COMBINED) Iron and zinc, or calcium and magnesium
VITAMIN AND MINERAL COMBINATIONS Centrum™ with minerals, Flintstones with iron™, Calcium plus Vitamin D
COMBINATIONS OF VITAMINS, MINERALS AND OTHER PRODUCTS One-a-Day™ with Ginkgo
AMINO ACIDS Lysine, methionine, and tryptophan
FISH OILS Omega-3 fatty acids
GLANDULARS Pancreas, liver, and organ extracts
ZINC LOZENGES Coldeeze™
Include products formulated to improve athletic performance, muscle strength, memory, increase energy, etc.

Appendix 2: Vitamins/Minerals on the "Strength Only" List

  • Vitamin A
  • Vitamin B1 (thiamin)
  • Vitamin B6
  • Vitamin B12
  • Vitamin C
  • Vitamin D
  • Vitamin E
  • Beta Carotene
  • Calcium
  • Chromium (chromium picolinate)
  • Folate (folic acid)
  • Iron (ferrous xxxate)
  • Niacin (niacinamide)
  • Zinc (zinc gluconate)
  • Vitamins A & D
  • Calcium & Vitamin D
  • Calcium & Magnesium

Appendix 3: Created Default Supplements and Antacids

Default Supplement Assigned Strength or Supplement Selection of Assigned Strength or Supplement Based On:
Alfalfa 500 mg Most Commonly Reported Strength
Algae Your Life Natural Spirulina Blue Green Algae Commonly Available Product
Amino Acid Capsules Optimum Nutrition Superior Amino 2222 Caps Commonly Available Product
Amino Acid Liquid Twinlab Anabolic Liquid Amino Acid Concentrate Amino Fuel Commonly Available Product
Antioxidant Vitamin And Mineral Formula Naturite Antioxidant Vitamin And Mineral Formula Commonly Available Product
B 50 B-Complex Vitasmart B 50 B-Complex Commonly Available Product
Balanced B 100 B-Complex Vitasmart Balanced B 100 B-Complex Commonly Available Product
Barley Caplet Aim Barley Green Caplets Most Commonly Reported Product
B-Complex With Vitamin C The Medicine Shoppe B-Complex With Vitamin C Commonly Available Product
Bee Pollen 500 mg Commonly Available Strength
Beta Carotene 25,000 IU Most Commonly Reported Strength
Bilberry 60 mg Commonly Available Strength
Black Cohosh 540 mg Most Commonly Reported Strength
Borage Oil Spectrum Essentials Organic Borage Oil (1000 mg) Commonly Available Product
Brewer’s Yeast Nature's Life Brewer's Yeast 500 Mg Commonly Available Product
Calcium 500 mg Most Commonly Reported Strength
Calcium & Magnesium Calcium 334 mg, Magnesium 167 mg Commonly Available Strength
Calcium + D + K Viactiv 500 + D + K Soft Calcium Chews Commonly Available Product
Calcium + Vitamin D 125 IU Calcium 500 mg, Vitamin D 125 IU Most Commonly Reported Strength
Calcium + Vitamin D 400 IU Calcium 630 mg, Vitamin D 400 IU Most Commonly Reported Strength
Calcium 500500 mg With Vitamin D Calcium 500500 mg, Vitamin D 200200 IU Most Commonly Reported Strength
Calcium 600600 mg With Vitamin D Calcium 600600 mg, Vitamin D 200 IU Most Commonly Reported Strength
Calcium Magnesium & Zinc Vitasmart Calcium Magnesium & Zinc Commonly Available Product
Calcium Magnesium Phosphorus Liquid Nature’s Life Calcium Magnesium Phosphorus Liquid Commonly Available Product
Calcium With Vitamin D Calcium 500 mg, Vitamin D 200 IU Most Commonly Reported Strength
Calcium With Vitamin D & Minerals Caltrate 600 Plus Calcium With Vitamin D & Minerals Commonly Available Product
Cherry Extract Enzymatic Therapy Natural Medicines Cherry Fruit Extract Commonly Available Product
Chewable Multivitamin With Fluoride Copley Chewable Multivitamin With Fluoride (1mg) Commonly Available Product
Children’s Liquid Vitamin With Iron And Fluoride Enfamil Tri-Vi-Flor 0.25 mg With Iron Commonly Available Product
Children’s Multivitamin/Multimineral Vitasmart Children’s Multivitamin/Multimineral Complete Commonly Available Product
Children’s Multivitamins Plus Iron Vitasmart Children’s Multivitamins Plus Iron Commonly Available Product
Chromium Picolinate Chromium 200 mcg Most Commonly Reported Strength
Citrus Bioflavonoids Twinlab Citrus Bioflavonoid Caps Commonly Available Product
Cod Liver Oil Softgels Vitasmart Cod Liver Oil Softgels Commonly Available Product
Coenzyme Q-10 30 mg Most Commonly Reported Strength
Colloidal Gold 10 ppm Commonly Available Strength
Colloidal Silica Boron Silica 5000 ppm, Boron 2 ppm Commonly Available Strength
Colloidal Silver 10 ppm Commonly Available Strength
Colostrum Symbiotics New Life Colostrum 480 mg Commonly Available Product
Cranberry 307 mg Commonly Available Strength
Creatine Monohydrate 5000 mg (5 G) Most Commonly Reported Strength
Daily Pak Maximum Multivitamin With Herbs And Minerals Your Life Daily Pak Maximum Multivitamin With Herbs And Minerals Commonly Available Product
Echinacea 400 mg Most Commonly Reported Strength
Echinacea & Goldenseal Echinacea 113 mg, Goldenseal 25 mg Commonly Available Strength
Elderberry Liquid Nature's Way Sambucol Black Elderberry Extract Commonly Available Product
Enzymes Genuine N-Zimes Dr. Howell's Original Formula 1 Commonly Available Product
Ephedra 850 mg Commonly Available Strength
Essential Fatty Acids Now Foods Omega 3-6-9 Essential Fatty Acids Flax, Soy, Borage And Wheat Germ Oil Commonly Available Product
Ester-C Your Life Ester-C 500500 mg With Bioflavonoids Commonly Available Product
Evening Primrose Oil 500 mg Commonly Available Strength
Fat Burner Weider Fat Burners Commonly Available Product
Ferrous Sulfate Iron Tablets 325 mg (65 mg Elemental Iron) Most Commonly Reported Strength
Fish Oil 1000 mg Most Commonly Reported Strength
Flax Seed Oil 1000 mg Commonly Available Strength
Fluoride Tabs Sodium Fluoride 1.1 mg Commonly Available Strength
Folic Acid 400 mcg Most Commonly Reported Strength
Garlic 500 mg Most Commonly Reported Strength
Gelatin Solgar Natural Gelatin With Calcium Lactate Commonly Available Product
Ginger Root 150 mg Commonly Available Strength
Ginkgo Biloba 60 mg Most Commonly Reported Strength
Ginseng 500 mg Most Commonly Reported Strength
Glucosamine Vitasmart Glucosamine Sulfate Complex 500 mg Commonly Available Product
Glucosamine & MSM Glucosamine 250 mg, MSM 250 mg Commonly Available Strength
Glucosamine Chondroitin CVS Regular Strength Glucosamine Chondroitin Commonly Available Product
Goldenseal Root 250 mg Commonly Available Strength
Gotu Kola 435 mg Commonly Available Strength
Grapefruit Pectin The Vitamin Shoppe Grapefruit Pectin 1000 mg Commonly Available Product
Grapeseed Extract 60 mg Most Commonly Reported Strength
Green Tea 100 mg Commonly Available Strength
Gummy Bear Multivitamin L'il Critters Gummy Vites Commonly Available Product
High Potency Stress Formula Vitamins Perrigo Formula High Potency Stress Formula Vitamins Commonly Available Product
Horsetail 440 mg Commonly Available Strength
Iron 65 mg Most Commonly Reported Strength
Iron With Folate And Vitamin C Iberet-Folic-500 Controlled-Release Iron With Vitamin C And B-Complex Including Folic Acid Filmtab Tablets Commonly Available Product
Kava Kava (Root) 250 mg Commonly Available Strength
Kelp GNC Natural Brand Kelp (Iodine 150 mcg) Commonly Available Product
Kelp, Lecithin And Vitamin B6 Nature Made Kelp, Lecithin And Vitamin B6 With Cider Vinegar Commonly Available Product
Klamath Lake Blue Green Algae 500 mg Most Commonly Reported Strength
Lactobacillus Acidophilus 10 mg Commonly Available Strength
L-Arginine 500 mg Commonly Available Strength
Lecithin 1200 mg Most Commonly Reported Strength
Licorice Root 396 mg Commonly Available Strength
Liquid Colloidal Minerals GNC Liquid Multi Colloidal Minerals Commonly Available Product
Liquid Flaxseed Oil Omega Nutrition Flax Oil Commonly Available Product
Lutein 6 mg Most Commonly Reported Strength
Lysine 500 mg Most Commonly Reported Strength
Magnesium 250 mg Most Commonly Reported Strength
Melatonin 1 mg Most Commonly Reported Strength
Memory Formula One A Day Memory & Concentration Formula Commonly Available Product
Men’s Multivitamin/Multimineral One A Day Men’s High Potency Multivitamin / Multimineral Most Commonly Reported Product
Methylcellulose Fiber Citrucel Sugar Free Commonly Available Product
MSM 1000 mg Most Commonly Reported Strength
Multimineral Twinlab Multimineral Caps Commonly Available Product
Multivitamin / Multimineral Centrum Advanced Formula High Potency Multivitamin Multimineral with Lutein Most Commonly Reported Product
Multivitamin And Fluoride Drops Enfamil Poly-Vi-Flor 0.25 mg Multivitamin And Fluoride Drops Commonly Available Product
Multivitamin And Fluoride Drops With Iron Enfamil Poly-Vi-Flor 0.25 mg With Iron Multivitamin, Iron And Fluoride Drops Commonly Available Product
Multivitamin Plus Iron The Medicine Shoppe Daily Multiple Vitamins Plus Iron Commonly Available Product
Multivitamin With Herbs Eckerd Daily Impact Multivitamin With Herbs Commonly Available Product
Multivitamin/Multimineral Pack Your Life Daily Pak Essential Commonly Available Product
Niacin (Vitamin B-3) 500 mg Most Commonly Reported Strength
Nopal Cactus (Prickly Pear) 400 mg Commonly Available Strength
Oat Bran 1000 mg Commonly Available Strength
Omega-3 Great Earth Cholesterol-Free Omega-3 625 mg Commonly Available Product
Pantothenic Acid (Vitamin B-5) 250 mg Most Commonly Reported Strength
Pediatric Iron Drops Fer-In-Sol Iron Drops Commonly Available Product
Polyvitamin And Fluoride Chewable Tablets Enfamil Poly-Vi-Flor 0.25 mg Multivitamin And Fluoride Chewable Tablets Commonly Available Product
Polyvitamin Chewable Tablets Enfamil Poly-Vi-Sol Multivitamin Chewable Tablets Commonly Available Product
Poly-Vitamin Drops Enfamil Poly-Vi-Sol Vitamin Drops Commonly Available Product
Potassium 99 mg Most Commonly Reported Strength
Prenatal Vitamins Vitasmart Prenatal Vitamins Commonly Available Product
Probiotic Shaklee Bifidus & Acidophilus Optiflora Probiotic Complex Commonly Available Product
Protein Powder GNC Pro Performance 100% Whey Protein Instantized, Chocolate Powder Commonly Available Product
Psyllium Fiber Metamucil Powder Original Texture Regular Flavor Dietary Fiber Most Commonly Reported Product
Red Clover Nature's Way Red Clover Blossom & Herb 430 Mg Commonly Available Product
Rutin 500 mg Commonly Available Strength
Saw Palmetto 160 mg Commonly Available Strength
Selenium 100 mcg Most Commonly Reported Strength
Senior Multivitamin / Multimineral Centrum Silver Multivitamin / Multimineral For Adults 50+ From A To Zinc with Lutein Iron Free Most Commonly Reported Product
Shark Cartilage 500 mg Commonly Available Strength
Sodium Fluoride Drops Teva Sodium Fluoride Drops Rx Only (0.25 mg) Commonly Available Product
Soy Isoflavones Sundown Soy Isoflavones Commonly Available Product
St. John’s Wort 300 mg Most Commonly Reported Strength
Stress Vitamins Perrigo Stress Formula High Potency Stress Formula Vitamins Commonly Available Product
Trivitamin And Fluoride Chewable Tablets Enfamil Tri-Vi-Flor 1.00 mg Vitamins A, D, C And Fluoride Chewable Tablets Commonly Available Product
Tri-Vitamin With Fluoride Drops Enfamil Tri-Vi-Flor 0.25 mg Vitamins A, D, C And Fluoride Drops Most Commonly Reported Product
Tri-Vitamin With Iron And Fluoride Drops Enfamil Tri-Vi-Flor 0.25 mg With Iron Vitamins A, D, C, And Fluoride Drops Commonly Available Product
Valerian Root 100 mg Commonly Available Strength
Vanadyl Sulfate Biochem Vanadyl Sulfate 5000 Mcg Commonly Available Product
Vitamin A 8000 IU Most Commonly Reported Strength
Vitamin A & D Vitamin A 8000 IU, Vitamin D 400 IU Commonly Available Strength
Vitamin A 1250 IU + Vitamin D Vitamin A 1250 IU, Vitamin D 135 IU Commonly Available Strength
Vitamin B-1 (Thiamin) 100 mg Most Commonly Reported Strength
Vitamin B-12 500 mcg Most Commonly Reported Strength
Vitamin B-6 100 mg Most Commonly Reported Strength
Vitamin B-Complex Your Life Vitamin B-Complex Commonly Available Product
Vitamin C 500 mg Most Commonly Reported Strength
Vitamin D 400 IU Most Commonly Reported Strength
Vitamin E 400 IU Most Commonly Reported Strength
Women’s Multivitamin / Multimineral One A Day Women’s High Potency Multivitamin / Multimineral Most Commonly Reported Product
Women’s Ultra Multivitamin/Multimineral GNC Women’s Ultra Mega Most Commonly Reported Product
Zinc 50 mg Most Commonly Reported Strength
Default Antacid Antacid Assigned Selection of Assigned Antacid Based On:
Default Antacid Anti-Gas Liquid Mylanta Regular Strength Antacid Anti-Gas Liquid Commonly Available Product
Default Antacid Liquid Maalox Antacid Liquid Commonly Available Product
Default Antacid Plus Tablets Maalox Plus Tablets Commonly Available Product
Default Calcium Antacid Tums Regular Strength Commonly Available Product

Appendix 4: Data File Structure and Relationships

EXAMPLE OF DATA FILE INFORMATION AND RELATIONSHIPS:

File 1:
SEQN DSD010 DSDCOUNT DSD010AN DSDANCNT
101 (Steve) 1 (Yes) 2 1 (Yes) 1
102 (Bob) 2 (No) 0 2 (No) 0
103 (Mary) 1 (Yes) 1 2 (No) 0

 

File 2:
SEQN DSDSUPID DSDSUPP DSD070
101 (Steve) 1888340200 Calcium 600 mg + Vitamin D 200 IU 1 (Yes)
101 (Steve) 1000228800 Brand X Fat Reducer 1 (Yes)
101 (Steve) 1000042300 'TUMS REGULAR STRENGTH ANTACID / CALCIUM 200 MG 1 (Yes)
103 (Mary) 1888340200 Calcium 600 mg + Vitamin D 200 IU 2 (No)

DSPI:
DSDSUPID DSDSUPP DSDCNTV DSDCNTM DSDCNTO
1888340200 Calcium 600 mg + Vitamin D 200 IU 1 1 0
1000228800 Brand X Fat Reducer 0 0 2
1000042300 'TUMS REGULAR STRENGTH ANTACID / CALCIUM 200 MG 0 1 2

 

DSII:
DSDSUPID DSDSUPP DSDINGID DSDINGR DSDQTY DSDUNIT DSDBLFLG
1888340200 Calcium 600 mg + Vitamin D 200 IU 10000070 Calcium 600 1 (mg) 2 (not a blend)
1888340200 Calcium 600 mg + Vitamin D 200 IU 10000385 Vitamin D 200 2 (IU) 2 (not a blend)
1000228800 Brand X Fat Reducer 10001227 Chitozyme 1200 1 (mg) 1 (blend)
1000042300 'TUMS REGULAR STRENGTH ANTACID / CALCIUM 200 MG 10000070 Calcium 400 1 (mg) 2 (not a blend)
1000042300 'TUMS REGULAR STRENGTH ANTACID / CALCIUM 200 MG 10000072 Calories 5 7 (Kcal) 2 (not a blend)
1000042300 'TUMS REGULAR STRENGTH ANTACID / CALCIUM 200 MG 10000428 Sugars 1 5 (gm) 2 (not a blend)

DSBI:
DSDINGID DSDINGR DSDBCID DSDBCNAM
10001227 Chitozyme 10000317 Psyllium Seed Husks
10001227 Chitozyme 10000642 Chitosan