This page is on the Web site of NutriWatch, not the FTC.
for Kids' Dietary Supplements
Used to be that you couldn't expect a kid to stomach much more than a daily dose of cod liver oil or a multivitamin supplement. But lately, with the trend toward marketing herbs and other non-traditional dietary supplements for children's use, it's the Federal Trade Commission that's raising objections. The products are being advertised for maintaining kids' health as well as for treating their ailments.
"We're very concerned about how some of these products are being portrayed in advertisements," says Jodie Bernstein, director of the FTC's Bureau of Consumer Protection. "There are many worrisome unfounded claims. A lot of these products have not been proven to provide any benefit and in some cases, may even present safety risks."
The FTC has noted an increase in dietary supplement advertising that promotes products as preventives or cures for a variety of childhood ailments, ranging from colds and ear infections to serious conditions like asthma and chronic bronchitis. In the past two years, the Commission has taken action against several marketers of kids' supplements for making unsubstantiated advertising claims. The marketers touted their products as safe, effective treatments for colds in children and attention deficit/hyperactivity disorder (AD/HD), which affects as many as 2.5 million school-aged kids in the United States.
"Our concern with these claims is that parents fall for the products and ignore proven, perhaps essential, treatments for their child's disorder," Bernstein says.
Though the marketers charged in these cases agreed to stop making the fraudulent claims, there's no guarantee that similarly egregious claims about certain supplements for kids will not surface in the marketplace. Says Bernstein, "The bottom line for parents is to exercise caution in giving supplements to kids."
Supplements for Kids
The need for vitamins and minerals is well-established. These nutrients are necessary for life and are widely available in food. Sometimes, though, nutrients must be consumed as supplements to treat or prevent nutritional deficiencies. Other supplements, such as some herbs, may offer health benefits, too, but the science on that issue is still developing.
For most healthy children who eat a variety of foods, experts generally agree that dietary supplements beyond a daily multivitamin and mineral supplement are not necessary, let alone safe or effective. "I don't recommend dietary supplements for children under 12," says Varro Tyler, professor emeritus at Purdue University and a leading authority on herbal medicines. Many of the products being marketed for kids have not been adequately tested in children to determine their safety and value.
"We have no systematic scientific data," says Dennis Bier, a pediatrician and researcher at the Children's Nutrition Research Center in Houston. "Yes, some of these products may have been used for millions of years, but no one has ever systematically collected data on their use in children. We don't know if these products are safe."
Experts also advise against giving children dietary supplements because unlike medicines in this country, their manufacture is not currently held to any set of federal standards to ensure purity and quality.
"It's a crapshoot," says Susan Baker, a professor of pediatrics at the Medical University of South Carolina. "You have no idea what these products contain."
Professor Tyler believes that the risk of consuming substances not made according to any national standards is one that adults can weigh for themselves. "But," he says, "they shouldn't push that risk off on children."
Taking Aim at Disease
"False claims exploit parents' fears about giving their children prescription drugs, " the FTC's Jodie Bernstein says. "But these alternative therapies may actually do the children more harm than good."
Often, the deceptive ads describe the supplement products as "natural," a term that consumers generally take to mean as "safe," especially when compared with prescription medicines. But according to Michelle Rusk, an attorney in the FTC's Division of Advertising Practices, natural is not necessarily safe. "Botanical products, like drugs, can have potent pharmacological effects," she says.
In the FTC's experience, many deceptive ads have focused on AD/HD, a disorder whose diagnosis and treatment arouse controversy among parents and health care providers alike.
Kids with AD/HD usually display inappropriate activity for their age, are easily distracted and act impulsively. They often cannot sit still or pay attention in class, and their behavior often can lead to academic and social problems. The recommended treatment combines medicine, usually a stimulant such as Ritalin, with behavior management and parent training. Studies have found this regimen to be safe and effective.
"AD/HD is a difficult, frustrating problem," pediatrician Bier says. "It interferes with a child's growth...and with family lives. Parents want to find something that will work. They're looking for a magic bullet."
The traditional treatment is viewed as time-consuming and inconvenient, and many parents, concerned about long-term effects, balk at giving their children stimulants.
In one of the cases brought by the FTC, the marketers were promoting dietary supplements as safe and effective treatments for AD/HD. Ads for the product, called God's Recipe, claimed it was a safe alternative to the prescription drug Ritalin. God's Recipe was widely advertised on the Internet.
"Children may take steroid hormone supplements to emulate popular athletes," the FTC's Rusk says. "But there's a potential for harm, especially considering that, as children, they're still growing and developing."
Some products that contain gamma butyrolactone (GBL) -- like Renewtrient, Revivarant, Blue Nitro and Gamma G -- are touted as performance enhancers. Taken orally, GBL is converted in the body to gamma hydroxybutyrate (GHB), an illegal drug that can cause unconsciousness, coma and even death.
Giving children dietary supplements raises still another concern: that products recommended for adults will be given to children. "Parents shouldn't assume that supplements work the same way in children as they do in adults," Rusk says. "What's safe for an adult may be risky for children."
Some dietary supplements are not deemed safe even for adults. According to the Food and Drug Administration, the following supplements are potentially dangerous: chaparral, comfrey, lobelia, germander, willow bark, ephedra (ma huang), L-tryptophan, germanium, magnolia-stephania preparations, dieter's teas, and excess amounts of some vitamins and minerals.
Because these substances are sold in products for kids, parents should always read the ingredient list on the labels of dietary supplements and avoid giving their children any that contain these potentially dangerous substances. But what about other dietary supplements? How can parents determine whether they are safe to give to their children?
Ask an expert -- for example, a pediatrician or other health care practitioner who is knowledgeable about herbal medicine and the disorder or condition for which the product might be used.
"Parents need to be careful," says New York City dietitian Wahida Karmally. "There are so many kinds of supplement products on the shelf, and none of them may be necessary or safe for their child."
Pointers for Parents
Before you give your child a dietary supplement, be aware that: u Many dietary supplements, especially herbal products, have not been tested in kids to determine their safety or effectiveness.