Uso de suplementos dietéticos: patrones, prevalencia y determinantes entre adultos físicamente activos en Albania
DOI:
https://doi.org/10.47197/retos.v77.118294Palabras clave:
Albania, suplemento dietético, patrón de SD, actividad física, prevalenciaResumen
Introducción: Los suplementos dietéticos (SD) son productos destinados a abordar deficiencias nutricionales y apoyar la salud general. Aunque el consumo de SD ha aumentado globalmente, la evidencia sobre su uso, patrones y determinantes entre adultos físicamente activos en Albania sigue siendo muy limitada.
Objetivos: Este estudio exploró el uso de SD entre adultos que practican actividad física en Albania, centrándose en los patrones de consumo, las motivaciones y los factores que influyen en su ingesta.
Métodos: Se realizó un estudio transversal entre marzo y septiembre de 2025. Se distribuyó un cuestionario anónimo a 570 individuos físicamente activos en Albania.
Resultados: En total, el 52,3% de los participantes informó utilizar SD. Las proteínas (58,1%), las vitaminas y minerales (46,0%) y la creatina (27,5%) fueron los suplementos más consumidos. Las principales razones para el uso de suplementos fueron el aumento de energía (44,9%), la ganancia muscular (34,2%) y la mejora del rendimiento (34,2%), todas significativamente asociadas con el estado de usuario de suplementos (p < 0,001; q = 0,002). El tipo de suplemento se relacionó significativamente con las motivaciones de uso (todos p < 0,001; q = 0,014). Las horas semanales de entrenamiento y recibir asesoramiento de un entrenador fueron los predictores más fuertes del uso de SD en los análisis multivariados (OR = 28,90 y OR = 16,62; ambos p < 0,001).
Conclusión: El uso de SD es común entre los adultos físicamente activos en Albania y está influenciado principalmente por la carga de entrenamiento y el asesoramiento del entrenador. Las prácticas de suplementación reflejan motivaciones relacionadas con el rendimiento y la ganancia muscular, mientras que el no uso se debe a la percepción de una dieta adecuada y a la incertidumbre sobre la eficacia de los suplementos. Estos hallazgos proporcionan evidencia basal para orientar futuras investigaciones y promover un uso seguro e informado de suplementos en esta población.
Referencias
Aguilar-Navarro, M., Baltazar-Martins, G., Brito de Souza, D., Muñoz-Guerra, J., Del Mar Plata, M., & Del Coso, J. (2021). Gender Differences in Prevalence and Patterns of Dietary Supplement Use in Elite Athletes. Research quarterly for exercise and sport, 92(4), 659–668. https://doi.org/10.1080/02701367.2020.1764469
Alvarez-Rayón, G., García-Rodríguez, J., Martínez-Quintero, F., Escoto Ponce de León, C., & Ortega-Luyando, M. (2022). Use of ergogenic substances among Mexican men who practice weight training: a cross-sectional study. Retos, 46, 801-808. https://doi.org/10.47197/retos.v46.89712
Anugrah, S. M., Kusnanik, N. W., Wahjuni, E. S., Muhammad, H. N., Sulistyarto, S., Purwanto, B., Resmana, D., Juniarsyah, A. D., Ayubi, N., Sari, E. (2024). Herbal Supplements That Have the Potential to Accelerate Recovery of Exercise-Induced Muscle Damage: Systematic Review. Retos, 51, 840-848. https://doi.org/10.47197/RETOS.V51.100616
Athanasopoulou, P., Deligiannidou, G.-E., Basdeki, P., Deligianni, E., Kryona, P., Kaltsos, G., Lazari, D., Papadopoulos, A., Papadimitriou, K., &Kontogiorgis, C. (2025). Trends in protein supplement use among non-professional athletes: Insights from a survey in Greece. Physiologia, 5(2), 18. https://doi.org/10.3390/physiologia5020018
Attlee, A., Haider, A., Hassan, A., Alzamil, N., Hashim, M., & Obaid, R. S. (2018). Dietary supplement intake and associated factors among gym users in a university community. Journal of Dietary Supple-ments, 15(1), 88–97. https://doi.org/10.1080/19390211.2017.1326430
Bollano, S. (2024). The study of “Cities of the Future” urban planning and development decision-making experience. Architectural Studies. 10. 47-57. https://doi.org/10.56318/as/1.2024.47
Bozo, D., Hoxha-Lami, B., Bozo, S., Pojani, E., &Ikonomi-Hoxha, I. (2024). Dietary supplement use and their role in fitness and sports performance. South Eastern European Journal of Public Health, 2603–2612. https://www.seejph.com/index.php/seejph/article/view/3062
Burnett, A. J., Livingstone, K. M., Woods, J. L., & McNaughton, S. A. (2017). Dietary supplement use among Australian adults: Findings from the 2011–2012 National Nutrition and Physical Activity Survey. Nutrients, 9(11), 1248. https://doi.org/10.3390/nu9111248
Carlsohn, A. (2025). Mikronährstoffbedarfe im Sport [Micronutrient requirement in sports and exer-cise]. Bundesgesundheitsblatt–Gesundheitsforschung–Gesundheitsschutz, 68(11), 1264–1271. https://doi.org/10.1007/s00103-025-04132-3
Čaušević, D., Alexe, C. I., Čović, N., Panaet, E. A., Abazović, E., Todor, R. M., Rani, B., Lupu, G., & Alexe, D. I. (2025). Supplement use among athletes: Insights from gyms in Sarajevo. Applied Sciences, 15(9), 4747. https://doi.org/10.3390/app15094747
Cohen, P. A., Wen, A., & Gerona, R. (2018). Prohibited stimulants in dietary supplements after enforce-ment action by the US Food and Drug Administration. JAMA Internal Medicine, 178(12), 1721–1723. https://doi.org/10.1001/jamainternmed.2018.4846
Coopoo, Y., McCreanor, X., & Gabriels, G. (2020). Nutritional supplements use, cost, source of informa-tion, and practices by Johannesburg North gym goers. South African Journal of Sports Medicine, 32, v32i1a6771. https://doi.org/10.17159/2078-516X/2020/v32i1a6771
D’Angelo, S., & Tafuri, D. (2020). Nutraceuticals: Their role in improving sports performance. Sport Science, 13(Suppl. 1), 7–12. https://www.researchgate.net/publication/358705055_Nutraceuticals_Their_role_in_improving_sports_performance
Daher, J., Mallick, M., & El Khoury, D. (2022). Prevalence of Dietary Supplement Use among Athletes Worldwide: A Scoping Review. Nutrients, 14(19), 4109. https://doi.org/10.3390/nu14194109
Díaz-Jiménez, J., Sánchez-Sánchez, E., Ordoñez, F. J., Rosety, I., Díaz, A. J., Rosety-Rodriguez, M., Rosety, M. Á., & Brenes, F. (2021). Impact of Probiotics on the Performance of Endurance Athletes: A Systematic Review. International journal of environmental research and public health, 18(21), 11576. https://doi.org/10.3390/ijerph182111576
Djaoudene, O., Romano, A., Bradai, Y. D., Zebiri, F., Ouchene, A., Yousfi, Y., Amrane-Abider, M., Sahraoui-Remini, Y., & Madani, K. (2023). A global overview of dietary supplements: Regulation, market trends, usage during the COVID-19 pandemic, and health effects. Nutrients, 15(15), 3320. https://doi.org/10.3390/nu15153320
El Khoury, D., &Jonville, S. (2012). Intake of nutritional supplements among people exercising in gyms in Beirut city. Journal of Nutrition and Metabolism, 2012, 703490. https://doi.org/10.1155/2012/703490
Erdağ, D., Tosun, Ö., & Yavuz, H. U. (2021). Prevalence and patterns of sport supplements use among gym attendants and competitive athletes in North Cyprus. Journal of Pharmaceutical Research International, 33(60A), 860–870. https://doi.org/10.9734/jpri/2021/v33i60A34559
Evans, G., Lippitt, J., Bolt, J. H., Shah, Z., Ahmed, J., &Coulthwaite, L. (2017). Prevalence of nutritional supplement and performance enhancing drug use in recreational exercisers. https://doi.org/10.1136/bjsports-2017-098966.5
Ewan, T., Bettina, K., Fatma Nese, S., Goktug, E., Francesco, M., Vincenza, L., Antonio, P., Paulo, G., Anto-nio, P., & Antonino, B. (2019). Protein supplement consumption is linked to time spent exerci-sing and high-protein content foods: A multicentric observational study. Heliyon, 5(4), e01508. https://doi.org/10.1016/j.heliyon.2019.e01508
Finamore, A., Benvenuti, L., De Santis, A., Cinti, S., & Rossi, L. (2022). Sportsmen’s attitude towards die-tary supplements and nutrition knowledge: An investigation in selected Roman area gyms. Nu-trients, 14(5), 945. https://doi.org/10.3390/nu14050945
Food and Agriculture Organization of the United Nations (FAO) (2014). Guidelines for assessing nutri-tion-related knowledge, attitudes and practices (KAP manual). Food and Agriculture Organiza-tion of the United Nations. https://www.fao.org/3/i3545e/i3545e.pdf
Galman, A., Chikhaoui, M., Bouhrim, M., Eto, B., Shahat, A. A., Herqash, R. N., Lotfi, R., Belamgharia, H., Daoudi, D., Kaddouri, M., Dlimi, C., Alahyane, H., Liba, H., Reda Kachmar, M., &Boutoial, K. (2024). Fitness and Dietary Supplements: A Cross-Sectional Study on Food Practices and Nutri-vigilance. Nutrients, 16(22), 3928. https://doi.org/10.3390/nu16223928
Graybeal, A. J., Kreutzer, A., Willis, J. L., Moss, K., Braun-Trocchio, R., & Shah, M. (2023). Age Drives the Differences in Dietary Supplement Use in Endurance Athletes: A Cross-Sectional Analysis of Cy-clists, Runners, and Triathletes. Journal of dietary supplements, 20(4), 602–620. https://doi.org/10.1080/19390211.2022.2056670
Gurazi V, Zejnelhoxha S, Sulenji M, Koxha L, Protoduari H, Arapi K, Rexha E, Gjata F, Spahiu O, Llanaj E. Cardiometabolic Phenotypes and Dietary Patterns in Albanian University-Enrolled Young Adults: Cross-Sectional Findings from the Nutrition Synergies WHO-Aligned Sentinel Platform. Nutrients. 2025; 17(21):3395. https://doi.org/10.3390/nu17213395
Hernandez, S. V., Ahadia, L., Ali Redha, A., Zare, R., Devrim-Lanpir, A., & Aragon, A. A. (2025). Knowledge, attitudes and practices of gym users towards the use of dietary supplements: A systematic re-view. Performance Enhancement and Health, 13(1), 100307. https://doi.org/10.1016/j.peh.2024.100307
Institute of Public Health. (2014). National health report: Health status of the Albanian population. Ti-rana, Albania. https://ishp.gov.al/wp-content/uploads/2015/04/Health-report-English-version.pdf
Institute of Statistics of Albania (INSTAT). (2023). Albania population and housing census 2023. https://www.instat.gov.al/media/13626/cens-2023-census-botim.pdf
Jawadi, A. H., Addar, A. M., Alazzam, A. S., Alrabieah, F. O., Al Alsheikh, A. S., Amer, R. R., Aldrees, A. A. S., Al Turki, M. A., Osman, A. K., & Badri, M. (2017). Prevalence of Dietary Supplements Use among Gymnasium Users. Journal of nutrition and metabolism, 2017, 9219361. https://doi.org/10.1155/2017/9219361
Kalfin, D.K., Yuningsih, S.H., & Prabowo, A. (2024). Significant Positive Impact of Regular Exercise on Mental and Physical Health. International Journal of Health, Medicine, and Sports. 2(3), 89-93. https://doi.org/10.46336/ijhms.v2i3.126
Kerksick, C. M., Wilborn, C. D., Roberts, M. D., Smith-Ryan, A., Kleiner, S. M., Jäger, R., Collins, R., Cooke, M., Davis, J. N., Galvan, E., Greenwood, M., Lowery, L. M., Wildman, R., Antonio, J., & Kreider, R. B. (2018). ISSN exercise & sports nutrition review update: research & recommendations. Journal of the International Society of Sports Nutrition, 15(1), 38. https://doi.org/10.1186/s12970-018-0242-y
Khubchandani, J., & Batra, K. (2024). Diet fads and supplements: Navigating the allure, risks, and reality. Journal of Medicine, Surgery, and Public Health, 4, 100168. https://doi.org/10.1016/j.glmedi.2024.100168
Kreider, R. B., Kalman, D. S., Antonio, J., Ziegenfuss, T. N., Wildman, R., Collins, R., Candow, D. G., Kleiner, S. M., Almada, A. L., & Lopez, H. L. (2017). International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. Journal of the International Society of Sports Nutrition, 14, 18. https://doi.org/10.1186/s12970-017-0173-z
Kuvendi I Republikës së Shqipërisë. (2014, July). Ligji nr. 115/2014 Për ndarjen administrativo-territoriale të njësive të qeverisjes vendore në Republikën e Shqipërisë. FletorjaZyrtare, (137), 1 September 2014. http://qbz.gov.al/eli/ligj/2014/07/31/115
Khawagi, W. Y., Alghamdi, M. M., Alfalqi, L. M., Alzahrani, A. A., Alotaibi, S. K., Alsuwat, J. J., Baali, F. H., Alruqayb, W. S., Alfian, S. D., & Alshehri, A. A. (2025). Prevalence and patterns of dietary supplement use and potential drug interactions among older adults in Saudi Arabia. Frontiers in pharmacology, 16, 1654337. https://doi.org/10.3389/fphar.2025.1654337
Lentjes M. A. H. (2019). The balance between food and dietary supplements in the general population. The Proceedings of the Nutrition Society, 78(1), 97–109. https://doi.org/10.1017/S0029665118002525
Li, F. (2023). Exploring the World of Dietary Supplements: Benefits, Risks, and Considerations. Journal of Nutrition and Dietetics. 6: 195. https://www.omicsonline.org/open-access-pdfs/exploring-the-world-of-dietary-supplements-benefits-risks-andconsiderations.pdf
Lopes, S., Cunha, M., Costa, J. G., & Ferreira-Pêgo, C. (2024). Analysis of food supplements and sports foods consumption patterns among gym-goers in Portugal. Journal of the International Society of Sports Nutrition, 21(1), 2388077. https://doi.org/10.1080/15502783.2024.2388077
Maughan, R. J., Burke, L. M., Dvorak, J., Larson-Meyer, D. E., Peeling, P., Phillips, S. M., Rawson, E. S., Walsh, N. P., Garthe, I., Geyer, H., Meeusen, R., van Loon, L., Shirreffs, S. M., Spriet, L. L., Stuart, M., Vernec, A., Currell, K., Ali, V. M., Budgett, R. G. M., Ljungqvist, A., … Engebretsen, L. (2018). IOC Consensus Statement: Dietary Supplements and the High-Performance Athlete. International journal of sport nutrition and exercise metabolism, 28(2), 104–125. https://doi.org/10.1123/ijsnem.2018-0020
Mazzilli, M., Macaluso, F., Zambelli, S., Picerno, P., & Iuliano, E. (2021). The use of dietary supplements in fitness practitioners: A cross-sectional observation study. International Journal of Environ-mental Research and Public Health, 18(9), 5005. https://doi.org/10.3390/ijerph18095005
Metani, G., Isufaj, D., &Yzbashi, B. (2024). Albanian gyms and nutritional supplements: Exploring beliefs and motivations for product sales. POLIS, 23(1). https://uet.edu.al/polis/wp-content/uploads/2024/10/Gerti-METANI-Dorjan-ISUFAJ-Barjam-YZBASHI-Albanian-Gyms-and-Nutritional-Supplements-Exploring-Beliefs-and-Motivations-for-Product-Sales.pdf
Mettler, S., Bosshard, J. V., Häring, D., & Morgan, G. (2020). High prevalence of supplement intake with a concomitant low information quality among Swiss fitness center users. Nutrients, 12(9), 2595. https://doi.org/10.3390/nu12092595
Miragaia, D. A., Trindade, M. N., & Pereira, C. A. (2023). Qualifications and competence to prescribe die-tary supplements: Perception of fitness instructors. Journal of Dietary Supplements, 20, 68–88. https://doi.org/10.1080/19390211.2021.1963025
Morton, R. W., Murphy, K. T., McKellar, S. R., Schoenfeld, B. J., Henselmans, M., Helms, E., Aragon, A. A., Devries, M. C., Banfield, L., Krieger, J. W., & Phillips, S. M. (2018). A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. British journal of sports medicine, 52(6), 376–384. https://doi.org/10.1136/bjsports-2017-097608
Parada-Flores, B., Valenzuela Contreras, L., Aldana-Lara, S., Salgado-Abasolo, V., Martínez Salazar, C., Flández Valderrama, J., Flores-Rivera, C., Luna-Villouta, P.F., & Vargas Vitoria, R. (2025). Effects of creatine monohydrate supplementation on muscle mass and physical performance in trained young adults: a systematic review. Retos , 62 , 958-965. https://doi.org/10.47197/retos.v62.110771
Parada-Rivera, I., Sánchez-Grau, J., Ferrer-Ramos, P., Toro-Román, V., Illera-Domínguez, V., Font, R., Sarola, J., & García-Fresneda, A. (2025). Acute effect of caffeine supplementation on neuromus-cular performance and the ability to perform repeated sprints in wheelchair rugby players: a case study. Retos , 65 , 895-908. https://doi.org/10.47197/retos.v65.111739
Peç Uli, A. (2021, February). Dietary supplement consumption by Albanian consumers. 3rd Internatio-nal Conference on Agriculture and Life Sciences (ICOALS III), Campobasso–Tirana, Albania.
Peeling, P., Castell, L. M., Derave, W., de Hon, O., & Burke, L. M. (2019). Sports Foods and Dietary Supplements for Optimal Function and Performance Enhancement in Track-and-Field Athletes. International journal of sport nutrition and exercise metabolism, 29(2), 198–209. https://doi.org/10.1123/ijsnem.2018-0271
Puya-Braza, JM, & Sanchez-Oliver, AJ (2018). Sports supplement consumption in national-level power-lifters. Retos , 34 , 276-281. https://doi.org/10.47197/retos.v0i34.65027
Rippe, J. M. (2024). Regular physical activity: A key to healthy living and an indispensable pillar of lifes-tyle medicine. American Journal of Lifestyle Medicine, 19(1), 9–11. https://doi.org/10.1177/15598276241263790
Ruano, J., & Teixeira, V. H. (2020). Prevalence of dietary supplement use by gym members in Portugal and associated factors. Journal of the International Society of Sports Nutrition, 17, 11. https://doi.org/10.1186/s12970-020-00342-z
Schlickmann, D. da S., Uebel, G. C., Molz, P., Colombelli, R. A. W., de Castro, E. A., da Luz, A. A., Eisenhardt, M. M., Castilhos, E. da S. L., Peinado, P. J. B., Rieger, A., &Franke, S. I. R. (2023). Prevalence of die-tary supplement use and associated factors among fitness center users in Madrid, Spain. Contri-buciones a las Ciencias Sociales, 16(7), 5264–5280. https://doi.org/10.55905/revconv.16n.7-005
Siddiqui, R. A., & Moghadasian, M. H. (2020). Nutraceuticals and Nutrition Supplements: Challenges and Opportunities. Nutrients, 12(6), 1593. https://doi.org/10.3390/nu12061593
Tardy, A. L., Pouteau, E., Marquez, D., Yilmaz, C., & Scholey, A. (2020). Vitamins and minerals for energy, fatigue and cognition: A narrative review of the biochemical and clinical evidence. Nutrients, 12(1), 228. https://doi.org/10.3390/nu12010228
Tsitsimpikou, C., Chrisostomou, N., Papalexis, P., Tsarouhas, K., Tsatsakis, A., & Jamurtas, A. (2011). The use of nutritional supplements among recreational athletes in Athens, Greece. International Journal of Sport Nutrition and Exercise Metabolism, 21(5), 377–384. https://doi.org/10.1123/ijsnem.21.5.377
Vignesh, A., Amal, T. C., Sarvalingam, A., & Vasanth, K. (2024). A review on the influence of nutraceuti-cals and functional foods on health. Food Chemistry Advances, 5, 100749. https://doi.org/10.1016/j.focha.2024.100749
Vliet, S. V., Beals, J. W., Martinez, I. G., Skinner, S. K., & Burd, N. A. (2018). Achieving optimal post-exercise muscle protein remodeling in physically active adults through whole food consum-ption. Nutrients, 10(2), 224. https://doi.org/10.3390/nu10020224
Wafi, A. M., Alhazmi, O. A., Jathmi, A. J., Otaif, A. A., Sharif, M. A., Ismael, A. I., Qadry, E. A., Shaikh, A. Y., Alfaify, F. H., Jesudoss, H. J., & Salih, S. (2024). Protein supplement intake by non-athlete gym at-tendees in Jazan region: misconceptions and gender differences. The Journal of sports medicine and physical fitness, 64(2), 151–159.https://doi.org/10.23736/S0022-4707.23.15251-0
Wang, Z., Qiu, B., Li, R., Han, Y., Petersen, C., Liu, S., Zhang, Y., Liu, C., Candow, D. G., & Del Coso, J. (2024). Effects of creatine supplementation and resistance training on muscle strength gains in adults <50 years of age: A systematic review and meta-analysis. Nutrients, 16(21), 3665. https://doi.org/10.3390/nu16213665
Wilda Welis, W. W., Rully Effendi, R. E., Ilham, I., Deby Tri Mario, D. T. M., Bafirman, B., & Nurul Ihsan, N. I. (2024). Suplemento de harina de soja a base de proteínas para respaldar los efectos del entre-namiento con pesas sobre la hipertrofia muscular (Protein-Based Soy Flour Supplementation to Support the Effects of Weight Training on Muscle Hyper-trophy Suplemento de harina de soja a base de proteínas para respaldar). Retos, 51, 923-929. https://doi.org/10.47197/retos.v51.99162
World Health Organization (WHO). (2010). Global recommendations on physical activity for health. https://www.who.int/publications/i/item/9789241599979
Zhao, L., Zhang, Y., Liu, J., et al. (2025). Trends in dietary supplement use among U.S. adults between 2011 and 2023. European Journal of Nutrition, 64, 304. https://doi.org/10.1007/s00394-025-03825-4
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