The Legal Framework: DSHEA and the Special Category of Food
In the United States, the legal classification of dietary supplements is primarily governed by the Dietary Supplement Health and Education Act (DSHEA) of 1994. This act defines dietary supplements as a special category of food, distinct from drugs. This classification significantly impacts their regulation, particularly regarding market entry and oversight, differing from the stringent pre-market approval required for new drugs.
Under DSHEA, manufacturers are responsible for the safety and truthful labeling of their products. Unlike drugs, dietary supplements do not require FDA approval before being sold. The FDA must prove a supplement is unsafe after it is on the market to take action, a contrast to the pre-market safety requirements for conventional foods or drugs.
Labeling: The Telling Difference Between 'Nutrition Facts' and 'Supplement Facts'
A key difference between conventional foods and dietary supplements is their labeling. Conventional foods feature a “Nutrition Facts” panel, while dietary supplements are required to display a “Supplement Facts” panel. The content within these panels also varies. The 'Supplement Facts' panel lists “dietary ingredients” and their amounts per serving, even for ingredients without an established Recommended Daily Intake (RDI). It can also specify the source or part of a plant used for an ingredient, which is typically not allowed on a 'Nutrition Facts' panel.
Required Label Disclaimers for Dietary Supplements
Supplements often make 'structure/function claims' about the body's processes. These claims must include a mandatory disclaimer that the statement has not been evaluated by the FDA and the product is not intended to diagnose, treat, cure, or prevent any disease. This reinforces the product's status as a food, not a drug, and indicates that the FDA has not scientifically validated the claim.
Key Ingredients and Intended Use
The composition and intended purpose are crucial for distinguishing conventional foods from supplements. Dietary ingredients permitted in supplements include vitamins, minerals, herbs, amino acids, and other substances, and cannot be marketed as conventional food or a meal replacement.
A Global Perspective on Supplement Regulation
Regulatory approaches for supplements vary globally. In the European Union, supplements are also under food law but must meet specific EU legislation and safety procedures. Health claims require prior approval from the European Food Safety Authority (EFSA), indicating a different level of pre-market review compared to the U.S.
Comparison of Conventional Food and Dietary Supplements
| Feature | Conventional Food | Dietary Supplements |
|---|---|---|
| Regulation | FDA regulated under the Federal Food, Drug, and Cosmetic Act (FFDCA). | FDA regulated under DSHEA (1994) as a special subcategory of food. |
| Premarket Approval | Food additives must be FDA-approved or GRAS before use. | No FDA pre-market approval for safety or efficacy required. |
| Labeling Panel | Requires a "Nutrition Facts" panel. | Requires a "Supplement Facts" panel. |
| Ingredient Claims | Nutrient content claims focus on nutritive value; strict rules on health claims. | Can make structure/function claims, but with a specific disclaimer. |
| Primary Purpose | Consumed for taste, aroma, and nutritive value. | Intended to add nutritional value to the diet. |
| Consumption Form | Eaten as part of meals or snacks. | Typically taken in controlled doses (capsules, tablets, liquids). |
| Safety Oversight | Focus on food additives and ensuring overall product safety. | Post-market enforcement action taken if product is unsafe or misbranded. |
The Role of the Consumer in Navigating the Supplement Market
Due to the different regulatory approach, consumers must be proactive in evaluating supplement safety and quality. Unlike drugs, efficacy is not established before market entry. Resources like the National Institutes of Health (NIH) provide safety information. Third-party testing certifications can also help verify product quality.
Conclusion
While the U.S. legally classifies dietary supplements as a subcategory of food under DSHEA, they are not regulated identically to conventional food products. This difference is clear in labeling requirements, the absence of pre-market FDA approval, and the types of claims allowed. Informed choices require understanding this framework.