Vitamin/mineral supplements are often used by athletes as ergogenic ai
ds to improve performance. This paper reviews studies of the prevalenc
e, patterns, and explanations for vitamin/mineral supplement use among
athletes. Fifty-one studies provided quantitative prevalence data on
10,274 male and female athletes at several levels of athletic particip
ation in over 15 sports. The overall mean prevalence of athletes' supp
lement use was 46%. Most studies reported that over half of the athlet
es used supplements (range 6% to 100%), and the larger investigations
found lower prevalence levels. Elite athletes used supplements more th
an college or high school athletes. Women used supplements more often
than men. Varying patterns existed by sport. Athletes appear to use su
pplements more than the general population, and some take high doses t
hat may lead to nutritional problems. Sport nutritionists should inclu
de a vitamin/mineral supplement history as part of their dietary asses
sment so they can educate athletes about vitamin/mineral supplements a
nd athletic performance.