Abstract
Most supplements used by children are not under the recommendation of a health care provider. The most common reasons for use of supplements in children are for health promotion, yet little scientific data support this notion in nutrient-replete children.
Pediatricians may recommend a daily supplement for the following groups of children: a) children who do not eat a regular, balanced diet that includes foods from a variety of food groups, b) children with a poor appetite, c) children who have a restrictive diet, such as a vegetarian or dairy free diet, d) children with chronic medical conditions and e) children who are underweight. Neverthless it is important to remember that diet supplements are not tested and regulated like prescription drug products.
Problems with safety, contamination, and quality are common with these products, even if purchased from a reliable source. Dietary supplements may interact with other products or medications or have unwanted side effects on their own.
Pediatricians should be aware of all dietary supplements that their little patients consume. Currently, it is emphasized that eating a balanced, nutritious diet is the best possible method for children to obtain essential nutrients.