TY - JOUR T1 - Dosage forms and sales of sports supplements: safety, health, and legal considerations AU - Khanmoradi, Saeed PY - 2025 DA - August Y2 - 2025 DO - 10.20518/tjph.1629268 JF - Turkish Journal of Public Health JO - TJPH PB - Halk Sağlığı Uzmanları Derneği WT - DergiPark SN - 1304-1088 SP - 227 EP - 232 VL - 23 IS - 2 LA - en AB - Objective: Regular physical activity is recognized as one of the key factors in improving public health. Athletes turn to sportssupplements to enhance their athletic performance, and these supplements can have positive effects on the quality of their sportsperformance. However, supplements may be associated with safety and health risks, which require further investigation. Therefore,the aim of this research is to examine the impact of dosage forms on the sales of sports supplements to provide legal, health, and safetyconsiderations.Methods: The research data comprised 993 sports supplement products produced by Iranian pharmaceutical companies in 2023,collected from Iran’s Syndicate of Dietary Supplements Manufacturers website. Descriptive statistics (mean, standard deviation) andinferential statistics (Kruskal-Wallis test and Mann-Whitney U test) were used with the help oSf PSS software to analyze the data.Results: Tablets were significantly more distributed than powders (p<0.001), but less than solutions (p = p<0.001) and sachets (p=0.03).No significant difference was found between tablets and capsules (p=0.66). Solutions were preferred over powders (p<0.001) andcapsules (p=0.003). Capsules outperformed powders (p<0.001), while sachets exceeded powders (p=0.002). No significant differencewas observed between solutions and sachets (p=0.378), and a weak significance was found between capsules and sachets (p=0.05).Conclusion: Regulatory and educational measures, legal considerations, and dosage differences in sports supplements can improveconsumer health, foster trust, and ensure sustainable success for sports supplement manufacturers. The identified risks stem from theingredients, inconsistent regulations, adulteration, side effects, and overconsumption. Manufacturing companies can address theserisks by using methods such as labelling, commitment to quality, obtaining certifications, complying with regulations, and conductingrigorous testing. KW - Supplement KW - Dosage forms KW - Safety KW - Health KW - Sales performance CR - 1. Barban P, De Nazelle A, Chatelin S, Quirion P, Jean K. Assessing the Health Benefits of Physical Activity Due to Active Commuting in a French Energy Transition Scenario. Int J Public Health. 2022;67:1605012. CR - 2. Peeling P, Binnie MJ, Goods PSR, Sim M, Burke LM. Evidence-Based Supplements for the Enhancement of Athletic Performance. Int J Sport Nutr Exerc Metab. 2018;28(2):178-187. CR - 3. Karlic H, Krammer UDB, Haslberger A. Nutritional supplements for athletes and personalization; a short review. Funct Food Sci. 2022;2:224. CR - 4. Ayşe G-B, Melek Ç. A review of ergogenic nutritional supplements for athletes. Arch. Sports Med. Physiother. 2023;8:3-10. CR - 5. Adamchuk-Chala N, Chala Y. Exploring the environmental impact and nutriotional benefits of kombucha production for sports and work in extere conditions. The All-Ukrainian Scientific and Practical Conference of Young Scientists and Students Environmental Security of the State. 2024;18:70-73. CR - 6. García-Durán J, González-Jurado JA, Sánchez-Oliver AJ. Analysis of Sports Supplement Consumption in 1688 Federated Road Cyclists. Nutrients. 2023;16(1):123. CR - 7. Chapple CI, Russell CG, Burnett AJ, Woods JL. Sports foods are not all they shake up to be. An audit of formulated supplementary sports food products and packaging in Australian retail environments. Front Nutr. 2023;10:1042049. CR - 8. Saeedi P, Taib M, Haziz AS, Vafa M, Foroushani A. Nutritional supplement use among fitness club participants in Tehran, Iran. Appetite.2013;60:20-26. CR - 9. Binns CW, Lee MK, Lee AH. Problems and Prospects: Public Health Regulation of Dietary Supplements. Annu Rev Public Health. 2018;39:403-420. CR - 10. Benjamin S, Au TY, Assavarittirong C. Lack of supplement regulation: A potential for ethical and physiological repercussions. Nutr Health. 2022;28(4):495-499. CR - 11. http://www.idsms.org/section15/page4.aspx UR - https://doi.org/10.20518/tjph.1629268 L1 - https://dergipark.org.tr/en/download/article-file/4562274 ER -