Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
To Determined Using of Herbal Product in Elderly People
Yaşlı Bireylerde Bitkisel Ürün Kullanımının Belirlenmesi
Emine KARAMANa, Pınar TOSUN TAŞARb, Özge TİMURc, Tuğba KİPER YILMAZc, Yasemin YILDIRIMa
aDepartment of Internal Medicine Nursing, Ege University Faculty of Nursing, İzmir, TURKEY
bDepartment of Geriatrics, Atatürk University Faculty of Medicine,
cClinic of Internal Medicine, Erzurum Regional Training and Research Hospital, Erzurum, TURKEY
Turkiye Klinikleri J Med Sci. 2019;39(2):170-8
doi: 10.5336/medsci.2018-63044
Article Language: EN
Full Text
ABSTRACT
 Objective: To determine the use of herbal supplements by old people. Material and Methods: This descriptive study was a cross-sectional study and conducted between December 30, 2016-March 01, 2017 in Eastern Turkey. Random samples of 185 older participants who agreed to participate in the study took part in structured interviews at geriatrics clinic of the hospital in Turkey. The data were collected from the geriatric individuals owing to a face-to-face interview guided by a questionnaire. The data were analyzed by using with number, percentage and chisquare test. Results: Of the 185 subjects (56.2% female), 15.7% (n=29) reported using at least one of the herbal supplement. The mean age of the individuals was 76.24±8.22 (min.63-max.98) years. The most commonly used herbal supplement were stinging nettle (13.8%) and black cumin oil (10.3%). No differences in demographic characteristics were found for users and non-users. A significant difference was found between users and non-users of plant products according to their place of residence, most of the users lived in the provincial capital. We found that herbal supplement use was higher among older women (69% of those who use herbal products are old female person). Conclusion: The study shown that 15.7% of old people have used herbal supplements. There is a need for extensive research on the use of plant products by older people.

Keywords: Culture; elderly; herbal product
ÖZET
 Amaç: Yaşlı bireylerde bitkisel ürün kullanımlarının belirlenmesidir. Gereç ve Yöntemler: Tanımlayıcı nitelikteki bu çalışma kesitsel bir çalışmadır ve Doğu Anadolu Bölgesi'nde 30 Aralık 2016-01 Mart 2017 tarihleri arasında gerçekleştirilmiştir. Çalışmaya katılmayı kabul eden 185 yaşlı katılımcı rastgele örneklem yöntemi ile Türkiye'deki bir üniversite hastanesinesinin geriatri kliniğinden seçilmiş ve yapılandırılmış görüşmelere katılmıştır. Veriler, geriatrik bireylerden bir anket formu ile yüz yüze görüşmelerle toplanmıştır. Veriler, sayı, yüzde ve ki-kare testi kullanılarak analiz edilmiştir. Bulgular: Bireylerin çoğu kadın (%56,2) olup, %15,7'si bitkisel takviyelerden en az birini kullandığını bildirmiştir. Bireylerin yaş ortalaması 76,24±8,22 (min.63-max.98) yıl idi. En çok kullanılan bitkiler ısırgan otu (%13,8) ve çörek otu yağı (%10,3) idi. Demografik özelliklerde, bitkisel ürün kullanan ve kullanmayanlar arasında fark bulunmadı. Bitkisel ürün kullananlar ve kullanmayanlar arasında yaşanılan yere göre anlamlı bir fark bulunmuştur, bitkisel ürün kullanan bireylerin çoğu il merkezinde yaşamaktadır. Bitkisel ürün kullanımının yaşlı kadınlar arasında daha yaygın olduğunu tespit ettik (bitkisel ürünler kullananların %69'u yaşlı kadın kişilerdir). Sonuç: Çalışma, yaşlı insanların %15.7'sinin bitkisel takviyeleri kullandığını göstermiştir. Yaşlıların bitki ürünleri kullanımı hakkında kapsamlı bir araştırmaya ihtiyaç vardır.

Anahtar Kelimeler: Kültür; yaşlı; bitkisel ürün
REFERENCES:
  1. Karaman E, Erkin O, Senman S, Yildirim Y. The use of herbal supplements by individuals with diabetes mellitus. J Pak Med Assoc. 2018;68(4):587-94.
  2. Aleyeidi NA, Aseri KS, Matbouli SM, Sulaiamani AA, Kobeisy SA. Effects of wet-cupping on blood pressure in hypertensive patients: a randomized controlled trial. J Integr Med. 2015;13(6):391-9. [Crossref]
  3. Al-Zahim AA, Al-Malki NY, Al-Abdulkerim FM, Al-Sofayan SA, Abunab HA, Abdo AA. Use of alternative medicine by Saudi liver disease patients attending a tertiary care center: prevalence and attitudes. Saudi J Gastroenterol. 2013;19(2):75-80. [Crossref] [PubMed] [PMC]
  4. Jazieh AR, Al Sudairy R, Abulkhair O, Alaskar A, Al Safi F, Sheblaq N, et al. Use of complementary and alternative medicine by patients with cancer in Saudi Arabia. J Altern Complement Med. 2012;18(11):1045-9. [Crossref] [PubMed]
  5. Al-Rowais N, Al-Faris E, Mohammad AG, AlRukban M, Abdulghani HM. Traditional healers in Riyadh region: reasons and health problems for seeking their advice. A household survey. J Altern Complement Med. 2010;16(2):199-204. [Crossref] [PubMed] [PMC]
  6. Al Moamary MS. Unconventional therapy use among asthma patients in a tertiary care center in Riyadh, Saudi Arabia. Ann Thorac Med. 2008;3(2):48-51. [Crossref] [PubMed] [PMC]
  7. Sohal T, Sohal P, King-Shier KM, Khan NA. Barriers and facilitators for type-2 diabetes management in South Asians: a systematic review. PLoS One. 2015;10(9):e0136202.[Crossref] [PubMed] [PMC]
  8. Surucu HA, Kizilci S, Ugur O. Use of complementary and alternative medicine among patients with diabetes in Turkey: systematic review. IJBCS. 2013;2(2):16-30.
  9. Kesavadev J. Efficacy and safety concerns regarding complementary and alternative medicine use among diabetes patients. J Pak Med Assoc. 2017;67(2):316-9.
  10. Alami Z, Aynaou H, Alami B, Latrech H. Herbal medicines use amoung diabetic patients in Oriental Morocco. J Pharmacognosy Phytother. 2015;7(2):9-14. [Crossref]
  11. Pandey A, Tripathi P, Pandey R, Srivatava R, Goswami S. Alternative therapies useful in the management of diabetes: a systematic review. J Pharm Bioallied Sci. 2011;3(4):504-12. [Crossref] [PubMed] [PMC]
  12. Hussin Hj A. Adverse effects of herbs and drug-herbal interactions. Malaysian Journal of Pharmacy. 2001;1(2):39-44.
  13. Yildirim Y, Karadakovan A. The relationship between fear of falling, activities of daily livingand quality of life among elderly individuals. Turkish Journal of Geriatrics. 2004;7(2):7883.
  14. Aryeetey RNO, Tamakloe SM. Use of dietary and herbal supplements among elderly ghanaians in the keta municipality. Journal of Human Nutrition & Food Science. J Hum Nutr Food Sci. 2015;3(4):1072.
  15. Sagkal T, Demiral S, Odabas H, Altunok E. Complementary and alternative treatment methods among elderly individuals in living rural setting. Fırat University Medical Journal of Health Sciences. 2013;27(1):19-26.
  16. European Commission. Science for Environment Policy in-Depth Report Soil Contamination. Impacts on Human Health. 2013;(5):523.
  17. Kaplowitz N. Hepatotoxicity of herbal remedies: insights in to the intricacies of plant-animal warfare and cell death. Gastroenterology. 1997;113(4):1408-12. [Crossref] [PubMed]
  18. Nisly NL, Gryzlak BM, Zimmerman MB, Wallace RB.Dietary supplement polypharmacy: an unrecognized public health problem? Evid Based Complement Alternat Med. 2010;7(1): 107-13. [Crossref] [PubMed] [PMC]
  19. Eisenberg DM, Kessler RC, Van Rompay MI, et al. Perceptions about complementary therapies relative to conventional therapies among adults who use both: results from a national survey. Ann Intern Med. 2001;135(5):344-51.[Crossref] [PubMed]
  20. Ozcelik G, Toprak D. [Why is phytotherapy preferred?]. Ankara Med J. 2015;15(2):48-58.[Crossref]
  21. Ozturk S, Gundogdu YP, Gursu M, Yamak M, Özkan O, Şar F, et al. Use of herbal products in type 2 diabetic patients. The Medical Bulletin of Haseki. 2015;53:214-9. [Crossref]
  22. Raji MA, Kuo YF, Snih SA, Sharaf BM, Loera JA. Ethnic differences in herb and vitamin/mineral use in the elderly. Ann Pharmacother. 2005;39(6):1019-23. [Crossref] [PubMed]
  23. Dedeli O, Karadakovan A. [Investigation of complementary and alternative medicine practice and drug use in the elderly]. Spatula DD. 2011;1(1):23-32. [Crossref]
  24. Stjernberg L, Berglund J, Halling A. Age and gender effect on the use of herbal medicine products and food supplements among the elderly. Scand J Prim Health Care. 2006;24(1):50-5. [Crossref] [PubMed]
  25. Bruno JJ, Ellis JJ. Herbal use among US elderly: 2002 National Health Interview Survey. Ann Pharmacother. 2005;39(4):643-8.[Crossref] [PubMed]
  26. Levine MA, Xu S, Gaebel K, Brazier N, Bédard M, Brazil K, et al. Selfreported use of natural health products: a cross-sectional telephone survey in older Ontarians. Am J Geriatr Pharmacother. 2009;7(6):383-92. [Crossref] [PubMed]
  27. Marliére LDP, Ribeiro AQ, Brandão MGL, Klein CH, Acurcio FA. Herbal drug use by elderly people: results from a domiciliary survey in Belo Horizonte (MG), Brazil. Braz J Med Biol Res. 2008;18:754-60. [Crossref]
  28. Ayele AA, Tegegn HG, Haile KT, Belachew SA, Mersha AG, Erku DA. Complementary and alternative medicine use among elderly patients living with chronic diseases in a teaching hospital in Ethiopia. Complement Ther Med. 2017;35:115-9. [Crossref] [PubMed]
  29. Chung V, Wong E, Woo J, Lo SV, Griffiths S. Use of traditional chinese medicine in the Hong Kong special administrative region of China. J Altern Complement Med. 2007;13(3): 361-7. [Crossref] [PubMed]
  30. Lim MK, Sadarangani P, Chan HL, Heng JY. Complementary and alternative medicine use in multiracial Singapore. Complement Ther Med. 2005;13(1):16-24. [Crossref] [PubMed]
  31. Özyazicioğlu N, Ogur P, Tanriverdi G, Vural P. Use of complementary and alternative medicine and the anxiety levels of mothers of children with chronic diseases. Jpn J Nurs Sci. 2012;9(1):19-27. [Crossref] [PubMed]
  32. Karalı Y, Demirkaya M, Sevinir B. Use of complementary and alternative medicine in children with cancer: effect on survival. Pediatr Hematol Oncol. 2012;29(4):335-44. [Crossref] [PubMed]
  33. Dickinson A, Boyon N, Shao H. Physicians and nurses use and recommend dietary supplements: report of a survey. Nutr J. 2009;8:29. [Crossref] [PubMed] [PMC]
  34. Satia-Abouta J, Kristal AR, Patterson RE, Littman AJ, Stratton KL, White E. Dietary supplement and medical conditions: the VITAL study. Am J Prev Med. 2003;24(1):43-51.[Crossref]
  35. Yildirim Y. Patterns of the use of complementary and alternative medicine in women with metastatic cancer. Cancer Nurs. 2010;33(3): 194-200. [Crossref] [PubMed]
  36. Ruparel P, Lockwood B. The quality of commercially available herbal products. Nat Prod Commun. 2011;6(5):733-44. [Crossref] [PubMed]
  37. Alhaj NH, Shamsudin MN, Alipiah NM, Zamri HF, Bustamam A, Ibrahim S, et al. Characterization of Nigella Sativa L. essential oil-loaded solid lipid nanoparticles. Am J Pharmacol Toxicol. 2010;5(1):52-7. [Crossref]
  38. Sarı I. Çörekotu, Nokta E-Book Publishing. Antalya, 2017. p.1-26.
  39. Kalkan, S. Drug Interactions in the Treatment with Herbal Products. Journal of Dokuz Eylul University Medical School. 2017;31(1):41-50.
  40. Erdem S, Eren PA. Adverse Effects of Herbal Medicines and Products. Turk Bull Hyg Exp Bio. 2009;66(3):133-41.
  41. Ascı A, Baydar T, Sahin G. Yaşlılarda Herbal Preparat Kullanımının ve İlaç Etkileşimlerinin Toksikolojik Açıdan Değerlendirilmesi, Turkish Journal of Geriatrics. 2007;10(4):20314.
  42. Ventola CL. Current ıssues regarding complementary and alternative medicine (CAM) in the United States: Part 1: The widespread use of CAM and the need for beter-informed health care professionals to provide patient counseling. P T. 2010;35(8):461-8.
  43. Stone JA, Lester CA, Aboneh EA, Phelan CH, Welch LL, Chui MA. A preliminary examination of over-the-counter medication misuse rates in older adults. Res Social Adm Pharm. 2017;13(1):187-92. [Crossref] [PubMed] [PMC]
  44. Veiga JVF, Valdir F, Pinto AC, Maciel MAM. Plantas medicinais: cura segura? Quím Nova. 2005;28(3):519-28. [Crossref]
  45. Dergal JM, Gold JL, Laxer DA, Lee MS, Binns MA, Lanctôt KL, et al. Potential interactions between herbal medicines and conventional drug therapies used by older adults attending a memory clinic. Drugs Aging. 2002;19(11): 879-86. [Crossref] [PubMed]
  46. de Souza Silva JE, Santos Souza CA, da Silva TB, Gomes IA, Brito Gde C, de Souza Araújo AA, et al. Use of herbal medicines by elderly patients: a systematic review. Arch Gerontol Geriatr. 2014;59(2):227-33. [Crossref] [PubMed]

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