{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:02:55Z","timestamp":1790910175686,"version":"4.1.0"},"reference-count":60,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01 CA201362"],"award-info":[{"award-number":["R01 CA201362"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["CRP-19-175-06-COUN"],"award-info":[{"award-number":["CRP-19-175-06-COUN"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["R01 CA201362"],"award-info":[{"award-number":["R01 CA201362"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["CRP-19-175-06-COUN"],"award-info":[{"award-number":["CRP-19-175-06-COUN"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Most Americans take dietary supplements (DSs) and use is even higher among cancer survivors. This secondary analysis seeks to identify types, reasons, and costs of supplements used by 367 older cancer survivors enrolled in the Harvest for Health vegetable gardening trial and evaluate associations between supplement intake and medical\/socio-demographic factors. Descriptive statistics were used to identify supplement type and reasons for use. Average market price was used to estimate cost. Fifty-nine percent of the sample reported supplement use. Female (OR 2.11, 95% CI 1.35\u20133.30), non-Hispanic White (OR 1.77, 95% CI 1.05\u20133.0), and breast and gynecological survivors (OR 1.57, 1.03\u20132.38) were significantly more likely to report DS use compared to males, minorities, and survivors of other cancers. Use of vitamins (39%), multivitamins (23%), and minerals (12%) were the most prevalent. Commonly reported reasons for supplement use were to improve general health (47%) or treat medical conditions (39%) and cancer-related symptoms (12%). DSs daily costs ranged from USD 0.02 to 19.81, with a mean of USD 1.28 \u00b1 1.74, a median of USD 0.78, and a mode of USD 0.34. DS use is prevalent among older cancer survivors, with overall health reported as the leading reason for use. Out-of-pocket recurrent costs can be substantial and underscore the need to promote a nutrient-rich diet whenever possible in this vulnerable population.<\/jats:p>","DOI":"10.3390\/nu14163402","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T23:28:41Z","timestamp":1660865321000},"page":"3402","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Dietary Supplement Use among Older Cancer Survivors: Socio-Demographic Associations, Supplement Types, Reasons for Use, and Cost"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6913-8193","authenticated-orcid":false,"given":"Harleen","family":"Kaur","sequence":"first","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6763-728X","authenticated-orcid":false,"given":"Teri","family":"Hoenemeyer","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4356-3383","authenticated-orcid":false,"given":"Kelsey B.","family":"Parrish","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5241-932X","authenticated-orcid":false,"given":"Wendy","family":"Demark-Wahnefried","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA"},{"name":"O\u2019Neal Comprehensive Cancer Center at University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"ref_1","unstructured":"Fortune Business Insights (2022, March 01). Dietary Supplements Market Size & COVID-19 Impact Analysis, By Type (Vitamins, Minerals, Enzymes, Fatty Acids, Proteins, and Others), Form (Tablets, Capsules, Liquids, and Powders, and Regional Forecasts), 2021\u20132022. Available online: https:\/\/www.fortunebusinessinsights.com\/dietary-supplements-market-102082."},{"key":"ref_2","unstructured":"Mishra, S., Stierman, B., Gahche, J.J., and Potischman, N. (2021). Dietary Supplement Use among Adults: United States, 2017\u20132018, National Center for Health Statistics. NCHS Data Brief, no 399;."},{"key":"ref_3","unstructured":"United States Food & Drug Administration (2022, March 01). Dietary Supplement Products & Ingredients, Available online: https:\/\/www.fda.gov\/food\/dietary-supplements\/dietary-supplement-products-ingredients."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Cowan, A.E., Jun, S., Gahche, J.J., Tooze, J.A., Dwyer, J.T., Eicher-Miller, H.A., Bhadra, A., Guenther, P.M., Potischman, N., and Dodd, K.W. (2018). Dietary Supplement Use Differs by Socioeconomic and Health-Related Characteristics among U.S. Adults, NHANES 2011\u20132014. Nutrients, 10.","DOI":"10.3390\/nu10081114"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1093\/jn\/nxaa040","article-title":"Dietary Supplement Use among Adult Cancer Survivors in the United States","volume":"150","author":"Du","year":"2020","journal-title":"J. Nutr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1002\/cncr.34055","article-title":"Dietary supplement use by individuals living with and beyond breast, prostate, and colorectal cancer: A cross-sectional survey","volume":"128","author":"Conway","year":"2022","journal-title":"Cancer"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"359","DOI":"10.3322\/caac.21654","article-title":"Cancer Statistics, 2021","volume":"71","author":"Siegel","year":"2021","journal-title":"CA Cancer J. Clin."},{"key":"ref_8","unstructured":"Howlader, N., Noone, A.M., Krapcho, M., Miller, D., Brest, A., Yu, M., Ruhl, J., Tatalovich, Z., Mariotto, A., and Lewis, D.R. (2022, March 01). SEER Cancer Statistics Review, 1975\u20132017, Available online: https:\/\/seer.cancer.gov\/csr\/1975_2017\/."},{"key":"ref_9","unstructured":"American Cancer Society (2019). Cancer Treatment & Survivorship Facts & Figures 2019\u20132021, American Cancer Society. Available online: https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/cancer-treatment-and-survivorship-facts-and-figures\/cancer-treatment-and-survivorship-facts-and-figures-2019-2021.pdf."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1001\/jama.2020.23130","article-title":"Association of First Primary Cancer with Risk of Subsequent Primary Cancer among Survivors of Adult-Onset Cancers in the United States","volume":"324","author":"Sung","year":"2020","journal-title":"JAMA"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"911","DOI":"10.14740\/jocmr3617w","article-title":"Comparison of Comorbid Conditions between Cancer Survivors and Age-Matched Patients without Cancer","volume":"10","author":"Roy","year":"2018","journal-title":"J. Clin. Med. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jgo.2014.06.002","article-title":"Functional status declines among cancer survivors: Trajectory and contributing factors","volume":"5","author":"Petrick","year":"2014","journal-title":"J. Geriatr. Oncol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e13381","DOI":"10.1111\/ecc.13381","article-title":"Needs, preferences, and experiences of adult cancer survivors in accessing dietary information post-treatment: A scoping review","volume":"30","author":"Johnston","year":"2021","journal-title":"Eur. J. Cancer Care"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1200\/JCO.2007.13.5905","article-title":"Vitamin and mineral supplement use among US adults after cancer diagnosis: A systematic review","volume":"26","author":"Velicer","year":"2008","journal-title":"J. Clin. Oncol."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Fantacone, M.L., Lowry, M.B., Uesugi, S.L., Michels, A.J., Choi, J., Leonard, S.W., Gombart, S.K., Gombart, J.S., Bobe, G., and Gombart, A.F. (2020). The Effect of a Multivitamin and Mineral Supplement on Immune Function in Healthy Older Adults: A Double-Blind, Randomized, Controlled Trial. Nutrients, 12.","DOI":"10.3390\/nu12082447"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Bruins, M.J., Van Dael, P., and Eggersdorfer, M. (2019). The Role of Nutrients in Reducing the Risk for Noncommunicable Diseases during Aging. Nutrients, 11.","DOI":"10.3390\/nu11010085"},{"key":"ref_17","first-page":"1","article-title":"NIH State-of-the-Science Conference Statement on Multivitamin\/Mineral Supplements and Chronic Disease Prevention","volume":"23","author":"Bethesda","year":"2006","journal-title":"NIH Consens State Sci. Statements"},{"key":"ref_18","unstructured":"PDQ\u00ae Integrative, Alternative, and Complementary Therapies Editorial Board (2022, March 01). PDQ Cancer Therapy Interactions with Foods and Dietary Supplements, Available online: https:\/\/www.cancer.gov\/about-cancer\/treatment\/cam\/hp\/dietary-interactions-pdq."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1146\/annurev-pharmtox-010617-052844","article-title":"Adverse Effects of Nutraceuticals and Dietary Supplements","volume":"58","author":"Ronis","year":"2018","journal-title":"Annu. Rev. Pharmacol. Toxicol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1093\/jn\/nxz268","article-title":"The World Cancer Research Fund\/American Institute for Cancer Research Third Expert Report on Diet, Nutrition, Physical Activity, and Cancer: Impact and Future Directions","volume":"150","author":"Clinton","year":"2020","journal-title":"J. Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"US Preventive Services Task Force, Mangione, C.M., Barry, M.J., Nicholson, W.K., Cabana, M., Chelmow, D., Coker, T.R., Davis, E.M., Donahue, K.E., and Doubeni, C.A. (2022). Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer: US Preventive Services Task Force Recommendation Statement. JAMA, 327, 2326\u20132333.","DOI":"10.1001\/jama.2022.8970"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1007\/s11764-016-0530-y","article-title":"Complementary and alternative medicine use among US cancer survivors","volume":"10","author":"John","year":"2016","journal-title":"J. Cancer Surviv."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1002\/cncr.33324","article-title":"Prevalence of potential interactions of medications, including herbs and supplements, before, during, and after chemotherapy in patients with breast and prostate cancer","volume":"127","author":"Lee","year":"2021","journal-title":"Cancer"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1017\/S0007114515001798","article-title":"Dietary changes and dietary supplement use, and underlying motives for these habits reported by colorectal cancer survivors of the Patient Reported Outcomes Following Initial Treatment and Long-Term Evaluation of Survivorship (PROFILES) registry","volume":"114","author":"Bours","year":"2015","journal-title":"Br. J. Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Shaver, A.L., Tufuor, T.A., Nie, J., Ekimura, S., Marshall, K., Mitmesser, S.H., and Noyes, K. (2021). Cost-Effectiveness of Nutrient Supplementation in Cancer Survivors. Cancers, 13.","DOI":"10.3390\/cancers13246276"},{"key":"ref_26","unstructured":"U.S. Census Bureau (2022, March 01). Race and Hispanic Origin for Alabama, 2016\u20132020 American Community Survey 5-Year Estimates, Available online: https:\/\/www.census.gov\/quickfacts\/fact\/table\/AL\/RHI225220."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Bail, J.R., Blair, C.K., Smith, K.P., Oster, R.A., Kaur, H., Locher, J.L., Frug\u00e9, A.D., Rocque, G., Pisu, M., and Cohen, H.J. (J. Acad. Nutr. Diet., 2022). Harvest for Health, a Randomized Controlled Trial Testing a Home-Based, Vegetable Gardening Intervention among Older Cancer Survivors Across Alabama: An Analysis of Accrual and Modifications Made in Intervention Delivery and Assessment during COVID-19, J. Acad. Nutr. Diet., ahead of print.","DOI":"10.1016\/j.jand.2022.05.005"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1001\/jamaoncol.2019.2803","article-title":"Overall Mortality after Diagnosis of Breast Cancer in Men vs Women","volume":"5","author":"Wang","year":"2019","journal-title":"JAMA Oncol."},{"key":"ref_29","unstructured":"Rural Health Research Center (RHRC) (2022, January 01). Rural-Urban Commuting Area Codes (Version 2.0). Available online: http:\/\/depts.washington.edu\/uwruca\/."},{"key":"ref_30","unstructured":"(2022, January 01). Rural Urban Commuting Area Code, Available online: https:\/\/www.ers.usda.gov\/data-products\/rural-urban-commuting-area-codes.aspx."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1001\/jamadermatol.2016.2344","article-title":"Sunscreen Product Performance and Other Determinants of Consumer Preferences","volume":"152","author":"Xu","year":"2016","journal-title":"JAMA Dermatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.urology.2017.10.021","article-title":"Herbal Supplements for Prostate Enlargement: Current State of the Evidence","volume":"112","author":"Nabavizadeh","year":"2018","journal-title":"Urology"},{"key":"ref_33","unstructured":"(2015). SAS\u00ae Software, Version 9.4 of the SAS System for Windows, SAS Institute Inc."},{"key":"ref_34","unstructured":"National Cancer Institute (2022, March 01). State Cancer Profiles, Available online: https:\/\/statecancerprofiles.cancer.gov\/."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s11764-008-0060-3","article-title":"Dietary supplement use among elderly, long-term cancer survivors","volume":"2","author":"Miller","year":"2008","journal-title":"J. Cancer Surviv."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1016\/j.jada.2004.03.022","article-title":"Use of vitamin, mineral, nonvitamin, and nonmineral supplements in the United States: The 1987, 1992, and 2000 National Health Interview Survey results","volume":"104","author":"Millen","year":"2004","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1089\/acm.2008.0387","article-title":"Factors related to the use of dietary supplements by cancer survivors","volume":"15","author":"Ferrucci","year":"2009","journal-title":"J. Altern. Complement. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/S0277-9536(00)00165-9","article-title":"Why do women use dietary supplements? The use of the theory of planned behaviour to explore beliefs about their use","volume":"52","author":"Conner","year":"2001","journal-title":"Soc. Sci. Med."},{"key":"ref_39","unstructured":"Ervin, R.B., Wright, J.D., and Kennedy-Stephenson, J. (1999). Use of Dietary Supplements in the United States, 1988\u201394, National Center for Health Statistics."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1093\/aje\/kwh207","article-title":"Dietary supplement use by US adults: Data from the National Health and Nutrition Examination Survey, 1999\u20132000","volume":"160","author":"Radimer","year":"2004","journal-title":"Am. J. Epidemiol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1464","DOI":"10.1001\/jama.2016.14403","article-title":"Trends in Dietary Supplement Use among US Adults from 1999\u20132012","volume":"316","author":"Kantor","year":"2016","journal-title":"JAMA"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1037\/hea0000242","article-title":"Understanding associations among race, socioeconomic status, and health: Patterns and prospects","volume":"35","author":"Williams","year":"2016","journal-title":"Health Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"490","DOI":"10.15585\/mmwr.mm6618a11","article-title":"Vital Signs: Racial Disparities in Age-Specific Mortality among Blacks or African Americans\u2014United States, 1999\u20132015","volume":"66","author":"Cunningham","year":"2017","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"604","DOI":"10.7326\/M18-2478","article-title":"Association among Dietary Supplement Use, Nutrient Intake, and Mortality among, U.S. Adults: A Cohort Study","volume":"170","author":"Chen","year":"2019","journal-title":"Ann. Intern. Med."},{"key":"ref_45","first-page":"29","article-title":"Vitamin\/mineral supplementation among cancer survivors: 1987 and 1992 National Health Interview Surveys","volume":"41","author":"McDavid","year":"2001","journal-title":"Nutr. Cancer"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.urology.2005.01.035","article-title":"Supplement use among men with prostate cancer","volume":"66","author":"Wiygul","year":"2005","journal-title":"Urology"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.ctrv.2016.10.004","article-title":"Bone health in the elderly cancer patient: A SIOG position paper","volume":"51","author":"Body","year":"2016","journal-title":"Cancer Treat. Rev."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Shapiro, C.L. (2020). Osteoporosis: A Long-Term and Late-Effect of Breast Cancer Treatments. Cancers, 12.","DOI":"10.3390\/cancers12113094"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s00223-017-0369-x","article-title":"Cancer Treatment and Bone Health","volume":"102","author":"Handforth","year":"2018","journal-title":"Calcif. Tissue Int."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s11936-018-0645-8","article-title":"Cardiovascular Risk in Cancer Survivors","volume":"20","author":"Nardi","year":"2018","journal-title":"Curr. Treat. Options Cardiovasc. Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1136\/postgradmedj-2016-134417","article-title":"Cardiovascular disease in cancer survivors","volume":"93","author":"Okwuosa","year":"2017","journal-title":"Postgrad. Med. J."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.ccl.2019.07.002","article-title":"Cardiovascular Toxicities in Pediatric Cancer Survivors","volume":"37","author":"Ryan","year":"2019","journal-title":"Cardiol. Clin."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"3889","DOI":"10.1093\/eurheartj\/ehz766","article-title":"A population-based study of cardiovascular disease mortality risk in US cancer patients","volume":"40","author":"Sturgeon","year":"2019","journal-title":"Eur. Heart J."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"163","DOI":"10.2190\/PM.40.2.c","article-title":"It\u2019s not over when it\u2019s over: Long-term symptoms in cancer survivors\u2014A systematic review","volume":"40","author":"Harrington","year":"2010","journal-title":"Int. J. Psychiatry Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s11764-007-0039-5","article-title":"Long term physical sequelae after adult-onset cancer","volume":"2","author":"Dahl","year":"2008","journal-title":"J. Cancer Surviv."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/PPO.0b013e31818ee3dc","article-title":"Medical issues in cancer survivors\u2014A review","volume":"14","author":"Miller","year":"2008","journal-title":"Cancer J."},{"key":"ref_57","unstructured":"Nahin, R.L., Barnes, P.M., and Stussman, B.J. (2022, June 01). Expenditures on Complementary Health Approaches: United States, 2012, Available online: https:\/\/www.cdc.gov\/nchs\/data\/nhsr\/nhsr095.pdf."},{"key":"ref_58","unstructured":"Shrider, E.A., Kollar, M., Chen, F., Semega, J., and U.S. Census Bureau (2021). Income and Poverty in the United States: 2020, U.S. Government Publishing Office. Current Population Reports, P60-273."},{"key":"ref_59","unstructured":"U.S. Census Bureau (2022, August 11). Quick Facts, Available online: https:\/\/www.census.gov\/quickfacts\/fact\/table\/US\/PST045221."},{"key":"ref_60","unstructured":"(2022). Alabama Statewide Cancer Registry and Alabama Department of Vital Statistics, (data unpublished)."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/16\/3402\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:11:56Z","timestamp":1760141516000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/16\/3402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,18]]},"references-count":60,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["nu14163402"],"URL":"https:\/\/doi.org\/10.3390\/nu14163402","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,18]]}}}