Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
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Analysis of Perceptions and Behaviors Associated with Health Functional Food Use: a cross-sectional survey

건강기능식품에 관한 인식도 및 소비양식의 분석

  • Received : 2014.01.19
  • Accepted : 2014.03.25
  • Published : 2014.03.31
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Abstract

Background: The use of health functional food (HFF) is increasing and will continue to rise worldwide. Concerns about HFF-drug interactions are increasing as HFF are becoming more widely used. Therefore, awareness of consumers' perceptions and behaviors associated with HFF use may help health care providers improve their communications with patients. Purpose: The aim of this study was to assess the characteristics, perceptions, and behaviors associated with HFF use in South Korea. Method: The online survey was conducted from September 21th to October 7th, 2013. With the aid of Social Network Service (SNS) and google, the questionnaire was posted online on internet website targeting people aged 15 years or older so that self-reported data covering 4 domains were collected from 257 Koreans. Results: A total of 257 people responded the questionnaire. Among them, 81.3% reported experiences of HFF use. Female were more likely than male to use HFFs. There were no differences in demographic characteristics between HFF users and non-users in relation to age, education, and household income. Higher level of education was associated with high-level perception of HFF function (OR 3.9, 95% CI 1.48, 10.1) and a positive relationship was observed between the maximum number of HFFs used concurrently and age of the respondents. Among the HFF users, 42.6% reported concurrent HFF-medication use. However 73.3% of them did not disclose their use to physician or pharmacist and only 30.2% were informed about potential drug-HFF interactions. Pharmacy was most commonly reported as the source from which the respondents were informed about potential interactions. Conclusion: Many people had used HFF and medications concurrently while not being informed about potential HFF-drug interactions. Pharmacists and physicians should be vigilant for risk of the interactions and actively determine whether the patient is using an HFF before prescribing and administrating medications.

Keywords

References

  1. Gahche J, Bailey R, Burt V, et al. Dietary supplement use among U.S. adults has increased since NHANES III (1988-1994). NCHS Data Brief 2011; 61: 1-8.
  2. Li L, Su D. Trends in the use of complementary and alternative medicine in the United States: 2002-2007. J Health Care Poor Underserved 2011; 22(1): 296-310.
  3. Hunt KJ, Coelho HF, Wider B, et al. Complementary and alternative medicine use in England: results from a national survey. Int J Clin Pract 2010; 64: 1496-502. https://doi.org/10.1111/j.1742-1241.2010.02484.x
  4. Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA 1998; 280(18): 1569-75. https://doi.org/10.1001/jama.280.18.1569
  5. Ministry of Food and Drug Safety. 2013 Food & drug statistical yearbook. P 38.
  6. Butterweck V, Derendorf H. Potential of pharmacokinetic profiling for detecting herbal interactions with drugs. Clin Pharmacokinet 2008; 47(6): 383-97. https://doi.org/10.2165/00003088-200847060-00003
  7. Tarirai C, Viljoen AM, Hamman JH. Herb-drug pharmacokinetic interactions reviewed. Expert Opin Drug Metab Toxicol 2010; 6(12): 1515-38. https://doi.org/10.1517/17425255.2010.529129
  8. McFadden R, Peterson N. Interactions between drugs and four common medicinal herbs. Nurs Stand 2011; 25(19):65-8. https://doi.org/10.7748/ns2011.01.25.19.65.c8273
  9. Gershwin ME, Borchers AT, Keen CL, et al. Public safety and dietary supplementation. Ann N Y Acad Sci 2010; 1190: 104-17. https://doi.org/10.1111/j.1749-6632.2009.05270.x
  10. Matthews Jr M.K. Association of Ginkgo biloba with intracerebral hemorrhage. Neurology 1998; 50(6): 1993-4.
  11. Lee A, Chui PT, Aun CS, et al. Possible interaction between sevoflurane and Aloe vera. Ann Pharmacother 2004; 38(10): 1651-4. https://doi.org/10.1345/aph.1E098
  12. Izzo AA. Herb-drug interactions: an overview of the clinical evidence. Fundam Clin Pharmacol 2005; 19: 1-16. https://doi.org/10.1111/j.1472-8206.2004.00301.x
  13. Kennedy J, Wang CC, Wu CH. Patient disclosure about herb and supplement use among adults in the US. Evid Based Complement Alternative Med 2008; 5(4): 451-6.
  14. Giveon SM, Liberman N, Klang S, et al. Are people who use 'natural drugs' aware of their potentially harmful side effects and reporting to family physician? Patient Educ Couns 2004; 53: 5-11. https://doi.org/10.1016/S0738-3991(03)00241-6
  15. Weiss SJ, Takakuwa KM, Ernst AA. Use, understanding, and beliefs about complementary and alternative medicines among emergency department patients. Acad Emerg Med 2001; 8: 41-7. https://doi.org/10.1111/j.1553-2712.2001.tb00548.x
  16. Leung JM, Dzankic S, Manku K, et al. The prevalence and predictors of the use of alternative medicine in presurgical patients in five California hospitals. Anesth Analg 2001; 93: 1062-8. https://doi.org/10.1097/00000539-200110000-00053
  17. Bjmbmdwkj BR. Users' views of dietary supplements. Arch Intern Med 2012: 1-2.
  18. Neuhouser ML, Patterson RE, Levy L. Motivations for using vitamin and mineral supplements. J Am Diet Assoc 1999; 99(7): 851-4. https://doi.org/10.1016/S0002-8223(99)00202-3
  19. Chiu YW, Weng YH, Wahlqvist ML, et al. Do registered dietitians search for evidence-based information? A nationwide survey of regional hospitals in Taiwan. Asia Pac J Clin Nutr 2012; 21(4): 630-7.
  20. Malik IA, Gopalan S. Use of CAM results in delay in seeking medical advice for breast cancer. European Journal of Epidemiology 2003; 18(8): 817-22.
  21. Ock SM, Hwang SS, Lee JS, et al. Dietary supplement use by South Korean adults: Data from the national complementary and alternative medicine use survey (NCAMUS) in 2006. Nutr Res Pract 2010; 4(1): 69-74. https://doi.org/10.4162/nrp.2010.4.1.69
  22. Misra R, Balagopal P, Klatt M, et al. Complementary and alternative medicine use among Asian Indians in the United States: A National Study. The journal of alternative and complementary medicine 2010; 16(8):843-52. https://doi.org/10.1089/acm.2009.0517
  23. Barnes PM, Powell-Griner E, MiFann K, et al. Complementary and alternative medicine use among adults: Unites States, 2004. Adv Data 2004; 343: 1-20.
  24. KFDA. Website http://www.mfds.go.kr
  25. Marques-Vidal P, Pecoud A, Hayoz D, et al. Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus Study. Eur J Clin Nutr 2009; 63(2): 273-281. https://doi.org/10.1038/sj.ejcn.1602932
  26. Samuels N, Zisk-Rony RY, Zevin S, et al. Use of nonvitamin, non-mineral (NVNM) supplements by hospitalized internal medicine patients and doctor-patient communication. Patient Education and Counseling 2012; 89: 392-8. https://doi.org/10.1016/j.pec.2012.07.005
  27. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report 2008; 12: 1-23.
  28. Tangkiatkumjai M, Boardman H, Praditpornsilpa K, et al. Prevalence of herbal and dietary supplement usage in Thai outpatients with chronic kidney disease: a crosssectional survey. BMC Complementary and Alternative Medicine 2013; 13: 153. https://doi.org/10.1186/1472-6882-13-153
  29. Niva M. Can we predict who adopts health-promoting foods? Users of functional foods in Finland. Scandinavian Journal of Food and Nutrition 2006; 50 (1): 13-24.
  30. Malik IA, Gopalan S. Use of CAM results in delay in seeking medical advice for breast cancer. European Journal of Epidemiology 2003; 18(8): 817-22.
  31. Hasan SS, Ahmed SI, Bukhari NI, et al. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract 2009; 15(3): 152-7. https://doi.org/10.1016/j.ctcp.2009.02.003
  32. Saw JT, Bahari MB, Ang HH, et al. Herbal use amongst multiethnic medical patients in Penang Hospital: pattern and perceptions. Med J Malaysia 2006; 61(4): 422-32.
  33. Levine MA, Xu S, Gaebel K, et al. Self-Reported use of natural health products: A cross-sectional telephone survey in older ontarians. Am J Geriatr Pharmacother 2009; 7: 383-92. https://doi.org/10.1016/j.amjopharm.2009.12.003
  34. Arcury TA, Grzywacz JG, Bell RA, et al. Herbal remedy use as health self-management among older adults. J Gerontol B Psychol Sci Soc Sci. 2007; 62: S142-9. https://doi.org/10.1093/geronb/62.2.S142
  35. Junaid R, Abaas M, Fatima B, et al. Attitude and practice of patients and doctors towards complementary and alternative medicine. J Pak Med Assoc 2012; 62(8): 865-8.