Sports nutrition supplements and adverse events – a meta-epidemiological study of case reports specifically addressing causality assessment

Purpose This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments. Methods Through a systematic literature search we identified all published case reports of...

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Published inEuropean journal of clinical pharmacology Vol. 78; no. 1; pp. 1 - 9
Main Authors Zeijlon, Rickard, Hantelius, Victor, Wallerstedt, Susanna M., Holmqvist, Lina
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.01.2022
Springer Nature B.V
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Online AccessGet full text
ISSN0031-6970
1432-1041
1432-1041
DOI10.1007/s00228-021-03223-9

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Abstract Purpose This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments. Methods Through a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted. Results In all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14–60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011). Conclusions In published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.
AbstractList Purpose This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments. Methods Through a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted. Results In all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14–60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011). Conclusions In published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.
This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments. Through a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted. In all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14-60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011). In published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.
This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments.PURPOSEThis meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments.Through a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted.METHODSThrough a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted.In all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14-60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011).RESULTSIn all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14-60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011).In published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.CONCLUSIONSIn published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.
Purpose This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments. Methods Through a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted. Results In all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14-60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011). Conclusions In published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.
PurposeThis meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically addressing the issue of causality assessments.MethodsThrough a systematic literature search we identified all published case reports of AEs associated with sports nutrition supplements between 1 January 2008 and 1 March 2019. Data regarding AEs, suspected supplements, relevant causality assessment factors and the reporting of clinical reasoning and/or systematic causality assessment methods were extracted.ResultsIn all, 72 publications were included, reporting 134 supplements and 37 different AEs in 97 patients (85% males; median age: 30 years [range: 14–60]). Information regarding previous health and regular prescription drugs was not presented in 30% (29/97) and 46% (45/97) of cases, respectively. In 23% (22/97) of the cases, no alternative cause was mentioned. Clinical reasoning was identified in 63% (61/97), and in 13% (8/61) of these, a systematic causality assessment method was applied. In cases with clinical reasoning, a theoretic rationale (92% vs 78%, P = 0.05), a description of previous cases (90% vs 72%, P = 0.021) and body fluid analysis (18% vs 3%, P = 0.027) were reported to a greater extent. Among cases with clinical reasoning, the application of a systematic causality assessment method captured additional important aspects: use of medication (100% vs 55%, P = 0.015), alcohol use (88% vs 43%, P = 0.020) and illicit drug use (88% vs 40%, P = 0.011).ConclusionsIn published case reports where sports nutrition supplements were suspected to have caused AEs, essential factors for causality assessment were left out in a non-negligible proportion. Clinical reasoning was identified in most cases whereas a systematic causality assessment method was applied in a minority. Factors of importance for causality assessment were reported to a greater extent in cases including clinical reasoning, and the application of a systematic causality assessment method captured additional aspects of importance.
Author Hantelius, Victor
Zeijlon, Rickard
Holmqvist, Lina
Wallerstedt, Susanna M.
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  surname: Hantelius
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CitedBy_id crossref_primary_10_56016_dahudermj_1184388
crossref_primary_10_1080_19390211_2022_2140740
crossref_primary_10_3390_ijerph191912477
crossref_primary_10_3390_nu16111567
crossref_primary_10_20960_nh_05197
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Issue 1
Keywords Clinical reasoning
Adverse event
Dietary supplement
Causality assessment
Language English
License 2021. The Author(s).
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References TimboBBRossMPMcCarthyPVLinCTDietary supplements in a national survey: Prevalence of use and reports of adverse eventsJ Am Diet Assoc200610612196619741:CAS:528:DC%2BD2sXhvVymsg%3D%3D10.1016/j.jada.2006.09.002
YoungCOladipoOFrasierSPutkoRChronisterSMarovichMHemorrhagic stroke in young healthy male following use of sports supplement Jack3dMil Med2012177121450145410.7205/MILMED-D-11-00342
MukherjeeSDCoombesMELevineMCosbyJKowaleskiBArnoldAA qualitative study evaluating causality attribution for serious adverse events during early phase oncology clinical trialsInvest New Drugs2011295101310201:CAS:528:DC%2BC3MXhtVOrtLrF10.1007/s10637-010-9456-920512397
AgbabiakaTSavovićJErnstEMethods for Causality Assessment of Adverse Drug ReactionsDrug Saf2008311213710.2165/00002018-200831010-00003
National Institutes of Health. Dietary Supplements for Exercise and Athletic Performance (2020) https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/. Accessed 31 Jan 2020
RochaTAmaralJSOliveiraMBPPAdulteration of Dietary Supplements by the Illegal Addition of Synthetic Drugs: A ReviewCompr Rev Food Sci Food Saf2016151436210.1111/1541-4337.12173
SaidiHManiMSevere metabolic acidosis secondary to coadministration of creatine and metformin, a case reportAm J Emerg Med2010283388.e5610.1016/j.ajem.2009.07.016
EdwardsIRSpontaneous reporting–of what? Clinical concerns about drugsBr J Clin Pharmacol19994821381411:STN:280:DyaK1MzkvVSltw%3D%3D10.1046/j.1365-2125.1999.00000.x
Ide K, Yamada H, Kitagawa M, Kawasaki Y, Buno Y, Matsushita K et al (2015) Methods for estimating causal relationships of adverse events with dietary supplements. BMJ Open. 5(11)
U.S. Food and Drug Administration (FDA) (2009) Guidance for Industry: Questions and Answers Regarding Adverse Event Reporting and Recordkeeping for Dietary Supplements as Required by the Dietary Supplement and Nonprescription Drug Consumer Protection Act. USA. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-industry-questions-and-answers-regarding-adverse-event-reporting-and-recordkeeping-dietary. Accessed 3 Feb 2020
EliasonMJEichnerACancioABesterveltLAdamsBDDeusterPACase reports: Death of active duty soldiers following ingestion of dietary supplements containing 1,3-dimethylamylamine (DMAA)Mil Med2012177121455145910.7205/MILMED-D-12-00265
Avelar-EscobarGMéndez-NavarroJOrtiz-OlveraNXCastellanosGRamosRGallardo-CabreraVEHepatotoxicity associated with dietary energy supplements: use and abuse by young athletesAnn Hepatol201211456456910.1016/S1665-2681(19)31474-7
AmpueroJGarcíaESLorenzoMMCalleRFerreroPGómezMRStanozolol-induced bland cholestasisGastroenterol Hepatol2014372717210.1016/j.gastrohep.2013.09.009
Vilella AL, Limsuwat C, Williams DR, Seifert CF (2013) Cholestatic jaundice as a result of combination designer supplement ingestion. Ann Pharmacother. 47(7–8):e33
TeschkeRHepatotoxicity by drugs and dietary supplements: safety perspectives on clinical and regulatory issuesAnn Hepatol20098318419510.1016/S1665-2681(19)31764-8
CohenPAEmergency department visits and hospitalisations for adverse events related to dietary supplements are commonEvid Based Med20162127910.1136/ebmed-2015-110362
Grand View Research (2018) Sports Nutrition Market Size, Share & Trends Analysis Report By Product (Drinks, Supplements, Foods), By Distribution Channel (E-Commerce, Brick & Mortar), By Region, and Segment Forecasts, 2018 - 2025.  https://www.grandviewresearch.com/industry-analysis/sports-nutrition-market. Accessed 31 Jan 2020
European Union (2002) Regulation (EC) No 178/2002 of the European Parliament and of the Council of 28 January 2002 laying down the general principles and requirements of food law, establishing the European Food Safety Authority and laying down procedures in matters of food safety. Official Journal of the European Union. L31/1. Accessed 1 Feb 2002
Venes D (2017) Taber’s cyclopedic medical dictionary. 23 ed. United States. FA Davis Company. 492 p
El RahiCThompson-MooreNMejiaPDe HoyosPSuccessful use of N-acetylcysteine to treat severe hepatic injury caused by a dietary fitness supplementPharmacotherapy2015356e96e10110.1002/phar.1572
PlessisLGómezAGarcíaNCerezaGFiguerasALack of essential information in spontaneous reports of adverse drug reactions in Catalonia—a restraint to the potentiality for signal detectionEur J Clin Pharmacol20177367517581:CAS:528:DC%2BC2sXjs1Sitb0%3D10.1007/s00228-017-2223-5
BenichouCDananGA new method for drug causality assessment: RUCAM1994Adverse Drug Reactions A Practical guide to Diagnosis and Management ChistesterJohn Wily & Sons Ltd.277283
KellyWNArellanoFMBarnesJBergmanUEdwardsRIFernandezAMGuidelines for submitting adverse event reports for publicationDrug Saf200730536737310.2165/00002018-200730050-00001
CohenPAZeijlonRNardinRKeizersPHJVenhuisBHemorrhagic Stroke Probably Caused by Exercise Combined With a Sports Supplement Containing β-Methylphenyl-ethylamine (BMPEA): A Case ReportAnn Intern Med20151621287988010.7326/L15-0106
PalleriaCLeporiniCChimirriSMarrazzoGSacchettaSBrunoLLimitations and obstacles of the spontaneous adverse drugs reactions reporting: Two "challenging" case reportsJ Pharmacol Pharmacother20134Suppl 16672
Danan G, Benichou C (1993) Causality assessment of adverse reactions to drugs—I. A novel method based on the conclusions of international consensus meetings: Application to drug-induced liver injuries. J Clin Epidemiol. 46(11):1323–30
ArcherJRDarganPILostiaAMvan der WaltJHendersonKDrakeNRunning an unknown risk: a marathon death associated with the use of 1,3-dimethylamylamine (DMAA)Drug Test Anal2015754334381:CAS:528:DC%2BC2MXmslOjtw%3D%3D10.1002/dta.1764
PatelYAMarzellaNDietary Supplement-Drug Interaction-Induced Serotonin Syndrome Progressing to Acute Compartment SyndromeAm J Case Rep20171892693010.12659/AJCR.904375
National Institutes of Health (2020) Dietary Supplement Health and Education Act of 1994 (§3 Definitions; §6 Statements of Nutritional Support). National Institutes of Health - Office of Dietary Supplements, USA.  https://ods.od.nih.gov/About/DSHEA_Wording.aspx#sec3. Accessed 30 Jan 2020
BeheraSKDasSXavierASVelupulaSSandhiyaSComparison of different methods for causality assessment of adverse drug reactionsInt J Clin Pharm20184049039101:CAS:528:DC%2BC1cXhtl2lsbbL10.1007/s11096-018-0694-930051231
NaranjoCABustoUSellersEMSandorPRuizIRobertsEAA method for estimating the probability of adverse drug reactionsClin Pharmacol Ther19813022392451:CAS:528:DyaL3MXltVygsLk%3D10.1038/clpt.1981.154
LavonasEJReynoldsKMDartRCTherapeutic acetaminophen is not associated with liver injury in children: a systematic reviewPediatrics20101266e1430e144410.1542/peds.2009-3352
JabbarSBHanlyMGFatal caffeine overdose: a case report and review of literatureAm J Forensic Med Pathol201334432132410.1097/PAF.0000000000000058
ShahRImportance of Publishing Adverse Drug Reaction Case Reports: Promoting Public Health and Advancing Pharmacology and TherapeuticsDrug Saf - Case Reports20174111010.1007/s40800-016-0042-8
DehoneySWelleinMRhabdomyolysis associated with the nutritional supplement HydroxycutAm J Health Syst Pharm20096621421481:CAS:528:DC%2BD1MXitF2jt78%3D10.2146/ajhp070640
García-CortésMLucenaMIPachkoriaKBorrazYHidalgoRAndradeRJEvaluation of naranjo adverse drug reactions probability scale in causality assessment of drug-induced liver injuryAliment Pharmacol Ther200827978078910.1111/j.1365-2036.2008.03655.x
DasSBeheraSKXavierASVelupulaSDkharSASelvarajanSAgreement Among Different Scales for Causality Assessment in Drug-Induced Liver InjuryClin Drug Investig20183832112181:CAS:528:DC%2BC2sXhvFekt7bF10.1007/s40261-017-0601-5
OnakpoyaIJHeneghanCJAronsonJKPost-marketing regulation of medicines withdrawn from the market because of drug-attributed deaths: an analysis of justificationDrug Saf201740543110.1007/s40264-017-0515-4
PereraNJSteinbeckKSShackelNThe adverse health consequences of the use of multiple performance-enhancing substances–a deadly cocktailJ Clin Endocrinol Metab20139812461346181:CAS:528:DC%2BC3sXhvF2ksr7F10.1210/jc.2013-2310
Wah ChanLYangBASachdevaVChongHSBalancing Pre and Post-Market Control of Health SupplementsPharm Eng201636594100
GellerAIShehabNWeidleNJLovegroveMCWolpertBJTimboBBEmergency Department Visits for Adverse Events Related to Dietary SupplementsN Engl J Med201537316153115401:CAS:528:DC%2BC28Xot1ajs7g%3D10.1056/NEJMsa1504267
The Uppsala monitoring centre (2020) The use of WHO-UMC system for standardised case causality assessment. http://www.who-umc.org/. Accessed 11 Dec 2020
MiltonRMKelly-RehmMBrahmNFoxMDHypertension in an Adolescent Secondary to Performance-Enhancement Supplement UseJ Pharm Technol201430381861:CAS:528:DC%2BC28XhsVWgtLfM10.1177/8755122513503790
EJ Lavonas (3223_CR32) 2010; 126
C Palleria (3223_CR13) 2013; 4
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BB Timbo (3223_CR8) 2006; 106
L Plessis (3223_CR14) 2017; 73
J Ampuero (3223_CR24) 2014; 37
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JR Archer (3223_CR43) 2015; 7
G Avelar-Escobar (3223_CR28) 2012; 11
C El Rahi (3223_CR29) 2015; 35
T Rocha (3223_CR34) 2016; 15
PA Cohen (3223_CR6) 2016; 21
S Dehoney (3223_CR19) 2009; 66
MJ Eliason (3223_CR40) 2012; 177
H Saidi (3223_CR39) 2010; 28
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CA Naranjo (3223_CR18) 1981; 30
T Agbabiaka (3223_CR15) 2008; 31
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IJ Onakpoya (3223_CR38) 2017; 40
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IR Edwards (3223_CR12) 1999; 48
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YA Patel (3223_CR21) 2017; 18
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PA Cohen (3223_CR4) 2015; 162
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SD Mukherjee (3223_CR16) 2011; 29
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AI Geller (3223_CR5) 2015; 373
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References_xml – reference: Grand View Research (2018) Sports Nutrition Market Size, Share & Trends Analysis Report By Product (Drinks, Supplements, Foods), By Distribution Channel (E-Commerce, Brick & Mortar), By Region, and Segment Forecasts, 2018 - 2025.  https://www.grandviewresearch.com/industry-analysis/sports-nutrition-market. Accessed 31 Jan 2020
– reference: European Union (2002) Regulation (EC) No 178/2002 of the European Parliament and of the Council of 28 January 2002 laying down the general principles and requirements of food law, establishing the European Food Safety Authority and laying down procedures in matters of food safety. Official Journal of the European Union. L31/1. Accessed 1 Feb 2002
– reference: TeschkeRHepatotoxicity by drugs and dietary supplements: safety perspectives on clinical and regulatory issuesAnn Hepatol20098318419510.1016/S1665-2681(19)31764-8
– reference: SaidiHManiMSevere metabolic acidosis secondary to coadministration of creatine and metformin, a case reportAm J Emerg Med2010283388.e5610.1016/j.ajem.2009.07.016
– reference: Danan G, Benichou C (1993) Causality assessment of adverse reactions to drugs—I. A novel method based on the conclusions of international consensus meetings: Application to drug-induced liver injuries. J Clin Epidemiol. 46(11):1323–30
– reference: BenichouCDananGA new method for drug causality assessment: RUCAM1994Adverse Drug Reactions A Practical guide to Diagnosis and Management ChistesterJohn Wily & Sons Ltd.277283
– reference: García-CortésMLucenaMIPachkoriaKBorrazYHidalgoRAndradeRJEvaluation of naranjo adverse drug reactions probability scale in causality assessment of drug-induced liver injuryAliment Pharmacol Ther200827978078910.1111/j.1365-2036.2008.03655.x
– reference: DasSBeheraSKXavierASVelupulaSDkharSASelvarajanSAgreement Among Different Scales for Causality Assessment in Drug-Induced Liver InjuryClin Drug Investig20183832112181:CAS:528:DC%2BC2sXhvFekt7bF10.1007/s40261-017-0601-5
– reference: DehoneySWelleinMRhabdomyolysis associated with the nutritional supplement HydroxycutAm J Health Syst Pharm20096621421481:CAS:528:DC%2BD1MXitF2jt78%3D10.2146/ajhp070640
– reference: ArcherJRDarganPILostiaAMvan der WaltJHendersonKDrakeNRunning an unknown risk: a marathon death associated with the use of 1,3-dimethylamylamine (DMAA)Drug Test Anal2015754334381:CAS:528:DC%2BC2MXmslOjtw%3D%3D10.1002/dta.1764
– reference: El RahiCThompson-MooreNMejiaPDe HoyosPSuccessful use of N-acetylcysteine to treat severe hepatic injury caused by a dietary fitness supplementPharmacotherapy2015356e96e10110.1002/phar.1572
– reference: The Uppsala monitoring centre (2020) The use of WHO-UMC system for standardised case causality assessment. http://www.who-umc.org/. Accessed 11 Dec 2020
– reference: TimboBBRossMPMcCarthyPVLinCTDietary supplements in a national survey: Prevalence of use and reports of adverse eventsJ Am Diet Assoc200610612196619741:CAS:528:DC%2BD2sXhvVymsg%3D%3D10.1016/j.jada.2006.09.002
– reference: EdwardsIRSpontaneous reporting–of what? Clinical concerns about drugsBr J Clin Pharmacol19994821381411:STN:280:DyaK1MzkvVSltw%3D%3D10.1046/j.1365-2125.1999.00000.x
– reference: MukherjeeSDCoombesMELevineMCosbyJKowaleskiBArnoldAA qualitative study evaluating causality attribution for serious adverse events during early phase oncology clinical trialsInvest New Drugs2011295101310201:CAS:528:DC%2BC3MXhtVOrtLrF10.1007/s10637-010-9456-920512397
– reference: PalleriaCLeporiniCChimirriSMarrazzoGSacchettaSBrunoLLimitations and obstacles of the spontaneous adverse drugs reactions reporting: Two "challenging" case reportsJ Pharmacol Pharmacother20134Suppl 16672
– reference: National Institutes of Health (2020) Dietary Supplement Health and Education Act of 1994 (§3 Definitions; §6 Statements of Nutritional Support). National Institutes of Health - Office of Dietary Supplements, USA.  https://ods.od.nih.gov/About/DSHEA_Wording.aspx#sec3. Accessed 30 Jan 2020
– reference: Vilella AL, Limsuwat C, Williams DR, Seifert CF (2013) Cholestatic jaundice as a result of combination designer supplement ingestion. Ann Pharmacother. 47(7–8):e33
– reference: KellyWNArellanoFMBarnesJBergmanUEdwardsRIFernandezAMGuidelines for submitting adverse event reports for publicationDrug Saf200730536737310.2165/00002018-200730050-00001
– reference: U.S. Food and Drug Administration (FDA) (2009) Guidance for Industry: Questions and Answers Regarding Adverse Event Reporting and Recordkeeping for Dietary Supplements as Required by the Dietary Supplement and Nonprescription Drug Consumer Protection Act. USA. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-industry-questions-and-answers-regarding-adverse-event-reporting-and-recordkeeping-dietary. Accessed 3 Feb 2020
– reference: Ide K, Yamada H, Kitagawa M, Kawasaki Y, Buno Y, Matsushita K et al (2015) Methods for estimating causal relationships of adverse events with dietary supplements. BMJ Open. 5(11)
– reference: GellerAIShehabNWeidleNJLovegroveMCWolpertBJTimboBBEmergency Department Visits for Adverse Events Related to Dietary SupplementsN Engl J Med201537316153115401:CAS:528:DC%2BC28Xot1ajs7g%3D10.1056/NEJMsa1504267
– reference: YoungCOladipoOFrasierSPutkoRChronisterSMarovichMHemorrhagic stroke in young healthy male following use of sports supplement Jack3dMil Med2012177121450145410.7205/MILMED-D-11-00342
– reference: PereraNJSteinbeckKSShackelNThe adverse health consequences of the use of multiple performance-enhancing substances–a deadly cocktailJ Clin Endocrinol Metab20139812461346181:CAS:528:DC%2BC3sXhvF2ksr7F10.1210/jc.2013-2310
– reference: PatelYAMarzellaNDietary Supplement-Drug Interaction-Induced Serotonin Syndrome Progressing to Acute Compartment SyndromeAm J Case Rep20171892693010.12659/AJCR.904375
– reference: EliasonMJEichnerACancioABesterveltLAdamsBDDeusterPACase reports: Death of active duty soldiers following ingestion of dietary supplements containing 1,3-dimethylamylamine (DMAA)Mil Med2012177121455145910.7205/MILMED-D-12-00265
– reference: RochaTAmaralJSOliveiraMBPPAdulteration of Dietary Supplements by the Illegal Addition of Synthetic Drugs: A ReviewCompr Rev Food Sci Food Saf2016151436210.1111/1541-4337.12173
– reference: AmpueroJGarcíaESLorenzoMMCalleRFerreroPGómezMRStanozolol-induced bland cholestasisGastroenterol Hepatol2014372717210.1016/j.gastrohep.2013.09.009
– reference: Avelar-EscobarGMéndez-NavarroJOrtiz-OlveraNXCastellanosGRamosRGallardo-CabreraVEHepatotoxicity associated with dietary energy supplements: use and abuse by young athletesAnn Hepatol201211456456910.1016/S1665-2681(19)31474-7
– reference: LavonasEJReynoldsKMDartRCTherapeutic acetaminophen is not associated with liver injury in children: a systematic reviewPediatrics20101266e1430e144410.1542/peds.2009-3352
– reference: MiltonRMKelly-RehmMBrahmNFoxMDHypertension in an Adolescent Secondary to Performance-Enhancement Supplement UseJ Pharm Technol201430381861:CAS:528:DC%2BC28XhsVWgtLfM10.1177/8755122513503790
– reference: JabbarSBHanlyMGFatal caffeine overdose: a case report and review of literatureAm J Forensic Med Pathol201334432132410.1097/PAF.0000000000000058
– reference: Wah ChanLYangBASachdevaVChongHSBalancing Pre and Post-Market Control of Health SupplementsPharm Eng201636594100
– reference: CohenPAZeijlonRNardinRKeizersPHJVenhuisBHemorrhagic Stroke Probably Caused by Exercise Combined With a Sports Supplement Containing β-Methylphenyl-ethylamine (BMPEA): A Case ReportAnn Intern Med20151621287988010.7326/L15-0106
– reference: BeheraSKDasSXavierASVelupulaSSandhiyaSComparison of different methods for causality assessment of adverse drug reactionsInt J Clin Pharm20184049039101:CAS:528:DC%2BC1cXhtl2lsbbL10.1007/s11096-018-0694-930051231
– reference: CohenPAEmergency department visits and hospitalisations for adverse events related to dietary supplements are commonEvid Based Med20162127910.1136/ebmed-2015-110362
– reference: PlessisLGómezAGarcíaNCerezaGFiguerasALack of essential information in spontaneous reports of adverse drug reactions in Catalonia—a restraint to the potentiality for signal detectionEur J Clin Pharmacol20177367517581:CAS:528:DC%2BC2sXjs1Sitb0%3D10.1007/s00228-017-2223-5
– reference: ShahRImportance of Publishing Adverse Drug Reaction Case Reports: Promoting Public Health and Advancing Pharmacology and TherapeuticsDrug Saf - Case Reports20174111010.1007/s40800-016-0042-8
– reference: National Institutes of Health. Dietary Supplements for Exercise and Athletic Performance (2020) https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/. Accessed 31 Jan 2020
– reference: Venes D (2017) Taber’s cyclopedic medical dictionary. 23 ed. United States. FA Davis Company. 492 p
– reference: AgbabiakaTSavovićJErnstEMethods for Causality Assessment of Adverse Drug ReactionsDrug Saf2008311213710.2165/00002018-200831010-00003
– reference: NaranjoCABustoUSellersEMSandorPRuizIRobertsEAA method for estimating the probability of adverse drug reactionsClin Pharmacol Ther19813022392451:CAS:528:DyaL3MXltVygsLk%3D10.1038/clpt.1981.154
– reference: OnakpoyaIJHeneghanCJAronsonJKPost-marketing regulation of medicines withdrawn from the market because of drug-attributed deaths: an analysis of justificationDrug Saf201740543110.1007/s40264-017-0515-4
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Snippet Purpose This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs),...
This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs), specifically...
PurposeThis meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs),...
Purpose This meta-epidemiological study aimed to systematically review case reports regarding sports nutrition supplements and adverse events (AEs),...
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SubjectTerms Adolescent
Adult
Adverse
Adverse events
Biomedical and Life Sciences
Biomedicine
Case reports
Causality
Causality assessment
Clinical reasoning
death
Dietary supplement
Dietary supplements
Dietary Supplements - adverse effects
drug-reactions
Epidemiologic Studies
Epidemiology
event
Farmakologi och toxikologi
Female
hemorrhagic stroke
hepatotoxicity
Humans
Male
Middle Aged
Nutrition
Pharmacology & Pharmacy
Pharmacology and Toxicology
Pharmacology/Toxicology
probability
Review
Sports Nutritional Sciences
Young Adult
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Title Sports nutrition supplements and adverse events – a meta-epidemiological study of case reports specifically addressing causality assessment
URI https://link.springer.com/article/10.1007/s00228-021-03223-9
https://www.ncbi.nlm.nih.gov/pubmed/34599661
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Volume 78
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