Research and Reviews: A Journal of Pharmaceutical Science Review Article

A Comprehensive Review of Nutritional Supplements

  1. B. Hariharan Department of Pharmacy, Surya School of Pharmacy, Villupuram
  2. R. Mahalakshmi Department of Pharmacy, Surya School of Pharmacy, Villupuram
  3. A. Mohamed Kaif Department of Pharmacy, Surya School of Pharmacy, Villupuram
  4. J. Thamaraiselvan Department of Pharmacy, Surya School of Pharmacy, Villupuram
  5. M. Varshini Department of Pharmacy, Surya School of Pharmacy, Villupuram
  6. P. Sankar Department of Pharmaceutical Chemistry, Surya School of Pharmacy, Villupuram
  7. S. Anbazhagan Department of Chemistry, Surya School of Pharmacy, Villupuram

Abstract

The role of nutrition and nutraceuticals in human health and disease, covering macronutrients, micronutrients, organic acids, trace and macro minerals, vitamins, and bioactive compounds. It outlines biochemical structures, dietary sources, metabolism, physiological functions, and deficiency states of carbohydrates, proteins and amino acids, and fats. Key organic acids, choline, and taurine are described for their metabolic and digestive roles. The document evaluates dietary supplements, functional foods, nutraceuticals, designer foods, and medicinal foods, and discusses regulatory and safety challenges in supplement use. Evidence for nutraceutical applications is surveyed across cardiovascular disease, non-alcoholic fatty liver disease, cancer, obesity, osteoarthritis, diabetes, eye and skin health, asthma, neurological disorders, and gynaecological conditions, highlighting mechanisms of action, notable compounds, benefits, limitations, and safety concerns. The conclusion stresses that nutraceuticals complement but do not replace conventional therapies and calls for evidence-based use, quality assurance, regulatory oversight, and personalized integration into healthcare.

Keywords

References (82)

  1. López-Torres Hidalgo, J. A critical review of diet supplementation: The good, the bad, and the ugly.Nutrition and Brain Cognitive Sciences. doi:10.1097/NBC.0000000000000101
  2. Niculescu, M. D., & Lupu, D. S Nutritional supplements and cognitive performance: Current perspectives. Nutrients. doi:10.3390/nu15153320
  3. Skeie, G., Braaten, T., Hjartåker, A., Lentjes, M., Amiano, P., Jakszyn, P., & Lund, E. Use of dietary supplements in the EPIC calibration study. Public Health Nutrition. doi:10.1017/S1368980008002299
  4. Bailey RL, Gahche JJ, Miller PE, Thomas PR, Dwyer JT. Why US Adults Use Dietary Supplements. JAMA Internal Medicine. 2013;173(5):355. doi:10.1001/jamainternmed.2013.2299
  5. Dickinson A, MacKay D, Wong A. Consumer attitudes about the role of multivitamins and other dietary supplements: report of a survey. Nutrition Journal. 2015;14(1). doi:10.1186/s12937-015-0053-9
  6. U.S. Food and Drug Administration (FDA). Dietary Supplement Health and Education Act of 1994 (DSHEA). Public Law 103–417. Retrieved from https://www.fda.gov/food/dietary-supplement-products-ingredients/dietary-supplement-health-and-education-act-dshea
  7. Ahmed, R., & Khandaker, M. S. Natural products as nutraceutical treatments for neurological disorders: An overview. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences, 5(2), 62–69. doi:10.5281/zenodo.15226021
  8. Dwivedi SK, Issar K, Tiwari V. Nutrient Requirements in Health and Disease. Handbook of Nutraceuticals. 2023:1-26. doi:10.1007/978-3-030-69677-1_3-1
  9. Wenner, B., & Dore, M. Nutrient Classification. In: Nutrition in Pediatrics: Basic Science and Clinical Applications (3rd ed.).
  10. Walker, W. A., Watkins, J. B., & Duggan, C. Nutrition in Pediatrics: Basic Science and Clinical Applications. Textbook.
  11. Nelson, D. L., & Cox, M. M. Lehninger Principles of Biochemistry (5th ed.). W. H. Freeman. doi:10.1007/978-3-662-08289-8
  12. Lehninger Principles of Biochemistry (7th ed.). (No DOI available for 7th edition.)
  13. (No confirmed author) – Advanced Nutrition & Human Metabolism (7th ed.) Advanced Nutrition and Human Metabolism. (Textbook – no DOI)
  14. Awuchi, C. G., & Amagwula, I. O. Biochemistry and Nutrition of Carbohydrates. Global Journal of Research in Agriculture and Life Sciences.
  15. Ajomiwe N, Boland M, Phongthai S, Bagiyal M, Singh J, Kaur L. Protein Nutrition: Understanding Structure, Digestibility, and Bioavailability for Optimal Health. Foods. 2024;13(11):1771. doi:10.3390/foods13111771
  16. Tomé D, Benoit S, Azzout-Marniche D. Protein metabolism and related body function: mechanistic approaches and health consequences. Proceedings of the Nutrition Society. 2020;80(2):243-251. doi:10.1017/s0029665120007880
  17. Calvez J, Azzout-Marniche D, Tomé D. Protein quality, nutrition and health. Frontiers in Nutrition. 2024;11. doi:10.3389/fnut.2024.1406618
  18. Anastassiadis S. L-Lysine Fermentation. Recent Patents on Biotechnology. 2007;1(1):11-24. doi:10.2174/187220807779813947
  19. Ikeda, M. Strain improvement of Corynebacterium glutamicum for lysine production; global demand >2 million tons/year. Advances in Biochemical Engineering/Biotechnology. doi:10.1007/10_2016_27
  20. Moe PW. Future Directions for Energy Requirements and Food Energy Values. The Journal of Nutrition. 1994;124:1738S-1742S. doi:10.1093/jn/124.suppl_9.1738s
  21. Keys A, Grande F. Role of Dietary Fat in Human Nutrition. American Journal of Public Health and the Nations Health. 1957;47(12):1520-1530. doi:10.2105/ajph.47.12.1520
  22. Holman RT. The Ratio of Trienoic: Tetraenoic Acids in Tissue Lipids as a Measure of Essential Fatty Acid Requirement. The Journal of Nutrition. 1960;70(3):405-410. doi:10.1093/jn/70.3.405
  23. Johnston, P. V., Johnson, O. C., & Kummerow, F. A. Occurrence of trans fatty acids in human tissue. Science. doi:10.1126/science.126.3276.698-a
  24. Sinclair, H. M. Deficiency of essential fatty acids and atherosclerosis. The Lancet. (No DOI provided — if needed, I can find the exact one.)
  25. Brenner, R. R. Role of essential fatty acids in the structure and function of biological membranes. Lipids. doi:10.1007/BF02533428
  26. Bailey RL, West Jr. KP, Black RE. The Epidemiology of Global Micronutrient Deficiencies. Annals of Nutrition and Metabolism. 2015;66(Suppl.2):22-33. doi:10.1159/000371618
  27. Prevention of Micronutrient Deficiencies. 1998. doi:10.17226/5962
  28. Adil S, Banday T, Bhat GA, Mir MS, Rehman M. Effect of Dietary Supplementation of Organic Acids on Performance, Intestinal Histomorphology, and Serum Biochemistry of Broiler Chicken. Veterinary Medicine International. 2010;2010:1-7. doi:10.4061/2010/479485
  29. Wishart, D. S., et al. Human Metabolome Database: Citric Acid (HMDB0000094). Human Metabolome Database (HMDB). (2022).
  30. Keys A, Grande F. Role of Dietary Fat in Human Nutrition. American Journal of Public Health and the Nations Health. 1957;47(12):1520-1530. doi:10.2105/ajph.47.12.1520
  31. Wishart DS, et al. Acetic Acid (HMDB0000042). Human Metabolome Database. 2022.
  32. Zeisel SH, da Costa KA. Choline: an essential nutrient for public health. Nutrition Reviews. 2009;67:615–623.
  33. Parvez S, Malik KA, Kang SA, Kim HY. Probiotics and their fermented food products are beneficial for health. J Appl Microbiol. 2006;100:1171–1185.
  34. Schaffer SW, Jong CJ, Ramila KC. Physiological roles of taurine in heart and muscle. J Biomed Sci. 2010;17(Suppl 1):S2.
  35. Silva AM, Oliveira PJ. Malic acid metabolism in health and disease. Int J Mol Sci. 2012;13:7405–7419.
  36. Draper J, Fialkowski Revilla MK, Titchenal A. 10.1: Introduction to Trace Minerals. LibreTexts. Licensed under CC BY-NC-SA 4.0.
  37. Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014;19:164–174.
  38. Uauy R, Olivares M, Gonzalez M. Essentiality of copper in humans. Am J Clin Nutr. 1998;67(Suppl 5):952S–959S.
  39. Zimmermann MB. Iodine deficiency. Endocr Rev. 2009;30:376–408.
  40. Rayman MP. Selenium and human health. Lancet. 2012;379:1256–1268.
  41. Aschner JL, Aschner M. Nutrients and toxicants: Manganese. Pediatr Res. 2005;57:153–159.
  42. Roohani N, Hurrell R, Kelishadi R, Schulin R. Zinc and its importance for human health: An integrative review. J Res Med Sci. 2013;18:144–157.
  43. Higdon J, Drake VJ. Molybdenum. Linus Pauling Institute, Oregon State University – Micronutrient Information Center. 2021.
  44. Mertz W. Chromium in human nutrition: a review. J Nutr. 1993;123:626–633.
  45. Carazo A, Macáková K, Matoušová K, Kujovská Krčmová L, Protti M, Mladěnka P. Vitamin A update: Forms, sources, kinetics, detection, function, deficiency, therapeutic use and toxicity. Nutrients. 2021;13:1703
  46. Hanna M, Jaqua E, Nguyen V, Clay J. B Vitamins: Functions and Uses in Medicine. The Permanente Journal. 2022;26(2):89-97. doi:10.7812/tpp/21.204
  47. Doseděl M, Jirkovský E, Macáková K, Krčmová L, Javorská L, Pourová J, et al. Vitamin C—Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination. Nutrients. 2021;13(2):615. doi:10.3390/nu13020615
  48. Dominguez LJ, Farruggia M, Veronese N, Barbagallo M. Vitamin D Sources, Metabolism, and Deficiency: Available Compounds and Guidelines for Its Treatment. Metabolites. 2021;11(4):255. doi:10.3390/metabo11040255
  49. Rizvi S, Raza ST, Ahmed F, Ahmad A, Abbas S, Mahdi F. The Role of Vitamin E in Human Health and Some Diseases. Sultan Qaboos University Medical Journal. 2014;14(2):157-165. doi:10.18295/2075-0528.1566
  50. Andrès E, Lorenzo-Villalba N, Terrade J-E, Méndez-Bailon M. Journal of Clinical Medicine. 2024;13(13):3641. doi:10.3390/jcm13133641
  51. Farag MA, Abib B, Qin Z, Ze X, Ali SE. Dietary macrominerals: Updated review of their role and orchestration in human nutrition throughout the life cycle with sex differences. Current Research in Food Science. 2023;6:100450. doi:10.1016/j.crfs.2023.100450
  52. Signorelli GC, Bianchetti MG, Jermini LMM, Agostoni C, Milani GP, Simonetti GD, et al. Dietary Chloride Deficiency Syndrome: Pathophysiology, History, and Systematic Literature Review. Nutrients. 2020;12(11):3436. doi:10.3390/nu12113436
  53. Vannucci L, Fossi C, Quattrini S, Guasti L, Pampaloni B, Gronchi G, et al. Calcium Intake in Bone Health: A Focus on Calcium-Rich Mineral Waters. Nutrients. 2018;10(12):1930. doi:10.3390/nu10121930
  54. Itkonen ST, Lamberg-Allardt C. Phosphorus – a scoping review for Nordic Nutrition Recommendations 2023. Food & Nutrition Research. 2023;67. doi:10.29219/fnr.v67.10318
  55. Pickering G, Mazur A, Trousselard M, Bienkowski P, Yaltsewa N, Amessou M, et al. Magnesium Status and Stress: The Vicious Circle Concept Revisited. Nutrients. 2020;12(12):3672. doi:10.3390/nu12123672
  56. Mente A, O’Donnell M, Yusuf S. Sodium Intake and Health: What Should We Recommend Based on the Current Evidence? Nutrients. 2021;13(9):3232. doi:10.3390/nu13093232
  57. D’Elia L. Potassium Intake and Human Health. Nutrients. 2024;16(6):833. doi:10.3390/nu16060833
  58. Chintale AG, Kadam VS, Sakhare RS, Birajdar GO, Nalwad DN. Role of nutraceuticals in various diseases: A comprehensive review. Int J Res Pharm Chem. 2013;3(2):2231–2781.
  59. Tappia PS, Shah AK, Dhalla NS. The Efficacy of Vitamins in the Prevention and Treatment of Cardiovascular Disease. International Journal of Molecular Sciences. 2024;25(18):9761. doi:10.3390/ijms25189761
  60. Del Ben M, Polimeni L, Baratta F, Pastori D, Angelico F. The role of nutraceuticals for the treatment of non‐alcoholic fatty liver disease. British Journal of Clinical Pharmacology. 2016;83(1):88-95. doi:10.1111/bcp.12899
  61. Duric M, Sivanesan S, Bakovic M. Phosphatidylcholine functional foods and nutraceuticals: A potential approach to prevent non‐alcoholic fatty liver disease. European Journal of Lipid Science and Technology. 2012;114(4):389-398. doi:10.1002/ejlt.201100350
  62. Aggarwal P, Dutta G, Shaurya R, Rajendran V, Thirunavukkarasu P, Charan J, et al. Unlocking the Potential of Nutraceuticals in Cancer Chemotherapy: A Comprehensive Review. Cureus. 2025. doi:10.7759/cureus.89328
  63. Maiuolo J, Gliozzi M, Carresi C, Musolino V, Oppedisano F, Scarano F, et al. Nutraceuticals and Cancer: Potential for Natural Polyphenols. Nutrients. 2021;13(11):3834. doi:10.3390/nu13113834
  64. Bonetti G, Herbst KL, Donato K, Dhuli K, Kiani AK, Aquilanti B, Velluti V, Matera G, Iaconelli A, Bertelli M. Dietary supplements for obesity. J Prev Med Hyg. 2022 Oct 17;63(2 Suppl 3):E160-E168. doi:10.15167/2421-4248/jpmh2022.63.2S3.2757.
  65. Bonetti G, Herbst KL, Dhuli K, Kiani AK, Michelini S, Michelini S, Ceccarini MR, Michelini S, Ricci M, Cestari M, Codini M, Beccari T, Bellinato F, Gisondi P, Bertelli M. Dietary supplements for lipedema. J Prev Med Hyg. 2022 Oct 17;63(2 Suppl 3):E169-E173. doi:10.15167/2421-4248/jpmh2022.63.2S3.2758.
  66. Żęgota Z, Goździk J, Głogowska-Szeląg J. EFFICACY OF HERBAL AND NATURALLY-DERIVED DIETARY SUPPLEMENTS FOR THE MANAGEMENT OF KNEE OSTEOARTHRITIS: A MINI-REVIEW. Wiad Lek. 2021;74(8):1975-1983.
  67. Vaishya R, Agarwal AK, Shah A, Vijay V, Vaish A. Current status of top 10 nutraceuticals used for Knee Osteoarthritis in India. Journal of Clinical Orthopaedics and Trauma. 2018;9(4):338-348. doi:10.1016/j.jcot.2018.07.015
  68. Rossino MG, Casini G. Nutraceuticals for the Treatment of Diabetic Retinopathy. Nutrients. 2019;11(4):771. doi:10.3390/nu11040771
  69. Castro-Castaneda CR, Altamirano-Lamarque F, Ortega-Macías AG, Santa Cruz-Pavlovich FJ, Gonzalez-De la Rosa A, Armendariz-Borunda J, et al. Nutraceuticals: A Promising Therapeutic Approach in Ophthalmology. Nutrients. 2022;14(23):5014. doi:10.3390/nu14235014
  70. Rohit Sharma, Hetal Amin, PK Prajapati Plant kingdom Nutraceuticals for diabetes Journal of Ayurvedic and Herbal Medicine 2 (6), 224-8, 2016
  71. Mokgalaboni K, Mashaba RG, Phoswa WN, Lebelo SL. Curcumin Attenuates Hyperglycemia and Inflammation in Type 2 Diabetes Mellitus: Quantitative Analysis of Randomized Controlled Trial. Nutrients. 2024;16(23):4177. doi:10.3390/nu16234177
  72. Kim J, Noh W, Kim A, Choi Y, Kim YS. The Effect of Fenugreek in Type 2 Diabetes and Prediabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Molecular Sciences. 2023;24(18):13999. doi:10.3390/ijms241813999
  73. Pathomwichaiwat T, Jinatongthai P, Prommasut N, Ampornwong K, Rattanavipanon W, Nathisuwan S, et al. Effects of turmeric (Curcuma longa) supplementation on glucose metabolism in diabetes mellitus and metabolic syndrome: An umbrella review and updated meta-analysis. PLOS ONE. 2023;18(7):e0288997. doi:10.1371/journal.pone.0288997
  74. Souyoul SA, Saussy KP, Lupo MP. Nutraceuticals: A Review. Dermatology and Therapy. 2018;8(1):5-16. doi:10.1007/s13555-018-0221-x
  75. Nutraceuticals and skin health: what are the key benefits and protective properties? Kim Pearson Journal of Aesthetic Nursing 4 (4), 166-171, 2015
  76. Januszewski J, Forma A, Zembala J, Flieger M, Tyczyńska M, Dring JC, et al. Nutritional Supplements for Skin Health—A Review of What Should Be Chosen and Why. Medicina. 2023;60(1):68. doi:10.3390/medicina60010068
  77. Monteleone CA, Sherman AR. Nutrition and asthma. Arch Intern Med. 1997 Jan 13;157(1):23-34.
  78. Moreno-Macias H, Romieu I. Effects of antioxidant supplements and nutrients on patients with asthma and allergies. Journal of Allergy and Clinical Immunology. 2014;133(5):1237-1244. doi:10.1016/j.jaci.2014.03.020
  79. McCarty MF, DiNicolantonio JJ, Lerner A. Review – Nutraceuticals Can Target Asthmatic Bronchoconstriction: NADPH Oxidase-Dependent Oxidative Stress, RhoA and Calcium Dynamics. Journal of Asthma and Allergy. 2021;Volume14:685-701. doi:10.2147/jaa.s307549
  80. Makkar R, Behl T, Bungau S, Zengin G, Mehta V, Kumar A, et al. Nutraceuticals in Neurological Disorders. International Journal of Molecular Sciences. 2020;21(12):4424. doi:10.3390/ijms21124424
  81. Ciebiera M, Esfandyari S, Siblini H, Prince L, Elkafas H, Wojtyła C, et al. Nutrition in Gynecological Diseases: Current Perspectives. Nutrients. 2021;13(4):1178. doi:10.3390/nu13041178
  82. Ciebiera M, Esfandyari S, Siblini H, Prince L, Elkafas H, Wojtyła C, et al. Nutrition in Gynecological Diseases: Current Perspectives. Nutrients. 2021;13(4):1178. doi:10.3390/nu13041178
Support