.: ORİJİNAL ARAŞTIRMA
Supportive Product Use in Healthcare Professionals During the COVID-19 Pandemic: Survey Report
COVID-19 Pandemi Döneminde Sağlık Profesyonellerinde Destekleyici Ürün Kullanımı: Anket Çalışması
J Tradit Complem Med. 2021;4(1):27-32
doi: 10.5336/jtracom.2020-77905
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: In this survey study; we aim to investigate the approach of healthcare professionals (HCPs) to supportive products that are thought to have immune regulating, antioxidant or probiotic properties during the COVID-19 pandemic. Material and Methods: A total of 724 volunteers, consisting of doctors and nurses, participated. Demographic features, dietary supplement use and Hospital Anxiety Depression Scale-Anxiety (HADS-A) parameters were questioned. Results: In our study 72.8% of HCPs were using at least one dietary supplement during the COVID-19 pandemic period. We have found that 75.5% of women and 67.2% of men used at least one type of supportive product during the COVID-19 outbreak, and this difference was statistically significant (p=0.019). Vitamin C (24.6%), vitamin D (17.5%), zinc (12.0%) multivitamin/mineral complexes (11.7%), ginger (11.5%) were most often preferred. No relationship was found between age and supportive product use (SPU) when evaluated separately for women and men. HADS-A score was significantly higher in women than in men. There was no correlation between age and HADS-A score (r=0.04, p=0.378). No relation was found between the use of supportive products and anxiety levels (p=0.183). Conclusions: Our study objectively demonstrated that the rate of SPU was quite high in HCPs during the COVID-19 pandemic.
Keywords: COVID-19; healthcare personnel; dietary supplements; vitamin C; vitamin D; hospital anxiety Depression Scale-Anxiety
Objective: In this survey study; we aim to investigate the approach of healthcare professionals (HCPs) to supportive products that are thought to have immune regulating, antioxidant or probiotic properties during the COVID-19 pandemic. Material and Methods: A total of 724 volunteers, consisting of doctors and nurses, participated. Demographic features, dietary supplement use and Hospital Anxiety Depression Scale-Anxiety (HADS-A) parameters were questioned. Results: In our study 72.8% of HCPs were using at least one dietary supplement during the COVID-19 pandemic period. We have found that 75.5% of women and 67.2% of men used at least one type of supportive product during the COVID-19 outbreak, and this difference was statistically significant (p=0.019). Vitamin C (24.6%), vitamin D (17.5%), zinc (12.0%) multivitamin/mineral complexes (11.7%), ginger (11.5%) were most often preferred. No relationship was found between age and supportive product use (SPU) when evaluated separately for women and men. HADS-A score was significantly higher in women than in men. There was no correlation between age and HADS-A score (r=0.04, p=0.378). No relation was found between the use of supportive products and anxiety levels (p=0.183). Conclusions: Our study objectively demonstrated that the rate of SPU was quite high in HCPs during the COVID-19 pandemic.
Keywords: COVID-19; healthcare personnel; dietary supplements; vitamin C; vitamin D; hospital anxiety Depression Scale-Anxiety
ÖZET
Amaç: Bu anket çalışmasında, COVID-19 salgını döneminde sağlık profesyonellerinin bağışıklık düzenleyici, antioksidan veya probiyotik özelliklere sahip olduğu düşünülen diyet takviyelerine yaklaşımlarını araştırmayı amaçladık. Gereç ve Yöntemler: Doktor ve hemşirelerden oluşan, 724 kişiye anket soruları yöneltilerek demografik verileri, diyet takviyeleri kullanımı, Hastane Anksiyete Depresyon Ölçeği-Anksiyete (HADS-A) ile kaygı durumları sorgulandı. Bulgular: Çalışmamızda, COVID-19 pandemi döneminde HCP'lerin %72,8'i en az bir diyet takviyesi kullanıyordu. COVID-19 salgını sırasında kadınların %75,5'inin ve erkeklerin %67,2'sinin en az bir tip destekleyici diyet takviyesi kullandığını ve bu farkın istatistiksel olarak anlamlı olduğunu bulduk (p=0,019). Vitamin C (%24,6), vitamin D (%17,5), çinko (%12,0), multivitamin / mineral kompleksleri (%11,7), zencefil (%11,5) en sık tercih edilen ürünlerdi. Kadınlar ve erkekler için ayrı ayrı değerlendirildiğinde, yaş ile destekleyici ürün kullanımı arasında ilişki bulunmamıştır. HADS-A skoru kadınlarda erkeklerden anlamlı olarak daha yüksekti. Yaş ile HADS-A skoru arasında korelasyon yoktu (r=0,04, p=0,378). Destekleyici ürünlerin kullanımı ile anksiyete düzeyi arasında ilişki bulunmadı (p=0,183). Sonuç: Çalışmamız, COVID19 pandemi döneminde sağlık çalışanlarında diyet takviyesi kullanım oranının yüksek olduğunu objektif olarak göstermiştir.
Anahtar Kelimeler: COVID-19; sağlık personeli; diyet takviyesi; vitamin C; vitamin D; Hastane Anksiyete Depresyon Ölçeği-Anksiyete
Amaç: Bu anket çalışmasında, COVID-19 salgını döneminde sağlık profesyonellerinin bağışıklık düzenleyici, antioksidan veya probiyotik özelliklere sahip olduğu düşünülen diyet takviyelerine yaklaşımlarını araştırmayı amaçladık. Gereç ve Yöntemler: Doktor ve hemşirelerden oluşan, 724 kişiye anket soruları yöneltilerek demografik verileri, diyet takviyeleri kullanımı, Hastane Anksiyete Depresyon Ölçeği-Anksiyete (HADS-A) ile kaygı durumları sorgulandı. Bulgular: Çalışmamızda, COVID-19 pandemi döneminde HCP'lerin %72,8'i en az bir diyet takviyesi kullanıyordu. COVID-19 salgını sırasında kadınların %75,5'inin ve erkeklerin %67,2'sinin en az bir tip destekleyici diyet takviyesi kullandığını ve bu farkın istatistiksel olarak anlamlı olduğunu bulduk (p=0,019). Vitamin C (%24,6), vitamin D (%17,5), çinko (%12,0), multivitamin / mineral kompleksleri (%11,7), zencefil (%11,5) en sık tercih edilen ürünlerdi. Kadınlar ve erkekler için ayrı ayrı değerlendirildiğinde, yaş ile destekleyici ürün kullanımı arasında ilişki bulunmamıştır. HADS-A skoru kadınlarda erkeklerden anlamlı olarak daha yüksekti. Yaş ile HADS-A skoru arasında korelasyon yoktu (r=0,04, p=0,378). Destekleyici ürünlerin kullanımı ile anksiyete düzeyi arasında ilişki bulunmadı (p=0,183). Sonuç: Çalışmamız, COVID19 pandemi döneminde sağlık çalışanlarında diyet takviyesi kullanım oranının yüksek olduğunu objektif olarak göstermiştir.
Anahtar Kelimeler: COVID-19; sağlık personeli; diyet takviyesi; vitamin C; vitamin D; Hastane Anksiyete Depresyon Ölçeği-Anksiyete
REFERANSLAR:
- Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9(1):29. [Crossref] [PubMed] [PMC]
- Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. [Crossref] [PubMed] [PMC]
- Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. [Crossref] [PubMed]
- Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936. [Crossref] [PubMed] [PMC]
- Wang H, Huang D, Huang H, Zhang J, Guo L, Liu Y, et al. The psychological impact of COVID-19 pandemic on medical staff in Guangdong, China: a cross-sectional study. Psychol Med. 2020:1-9. [Crossref] [PubMed] [PMC]
- Metin N, Turan Ç, Utlu Z. Changes in dermatological complaints among healthcare professionals during the COVID-19 outbreak in Turkey. Acta Dermatovenerol Alp Pannonica Adriat. 2020;29(3):115-122. [Crossref] [PubMed]
- Li X, Xu S, Yu M, Wang K, Tao Y, Zhou Y, et al. Risk factors for severity and mortality in adult COVID-19 inpatients in Wuhan. J Allergy Clin Immunol. 2020;146(1):110-8. [Crossref] [PubMed] [PMC]
- Alwarawrah Y, Kiernan K, MacIver NJ. Changes in Nutritional Status Impact Immune Cell Metabolism and Function. Front Immunol. 2018;9:1055. [Crossref] [PubMed] [PMC]
- Romano L, Bilotta F, Dauri M, Macheda S, Pujia A, De Santis GL, et al. Short Report - Medical nutrition therapy for critically ill patients with COVID-19. Eur Rev Med Pharmacol Sci. 2020;24(7):4035-9. [PubMed]
- Aydemir Ö, Guvenir T, Kuey L, Kultur S. [Validity and reliability of Turkish version of hospital anxiety and depression scale]. Turk Psikiyatri Derg. 1997;8(4):280-7. [Link]
- Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH, et al. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2020:1-9. [Crossref] [PubMed] [PMC]
- Gardiner P, Woods C, Kemper KJ. Dietary supplement use among health care professionals enrolled in an online curriculum on herbs and dietary supplements. BMC Complement Altern Med. 2006;6:21. [Crossref] [PubMed] [PMC]
- Modi PD, Nair G, Uppe A, Modi J, Tuppekar B, Gharpure AS, et al. COVID-19 Awareness Among Healthcare Students and Professionals in Mumbai Metropolitan Region: A Questionnaire-Based Survey. Cureus. 2020;12(4):e7514. [Crossref] [PubMed] [PMC]
- Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging. 2010;5:207-16. [Crossref] [PubMed] [PMC]
- Dickinson A, Boyon N, Shao A. Physicians and nurses use and recommend dietary supplements: report of a survey. Nutr J. 2009;8:29. [Crossref] [PubMed] [PMC]
- Gahche JJ, Bailey RL, Potischman N, Dwyer JT. Dietary Supplement Use Was Very High among Older Adults in the United States in 2011-2014. J Nutr. 2017;147(10):1968-76. [Crossref] [PubMed] [PMC]
- Nural N, Çakmak S. [Status of using complementary and alternative treatments of ındividuals with chronic disease]. Geleneksel ve Tamamlayıcı Tıp Dergisi. 2018;1(1):1-9. [Crossref]
- Su TP, Lien TC, Yang CY, Su YL, Wang JH, Tsai SL, et al. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. J Psychiatr Res. 2007;41(1-2):119-30. [Crossref] [PubMed] [PMC]
- Coghlan ML, Maker G, Crighton E, Haile J, Murray DC, White NE, et al. Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM). Sci Rep. 2015;5:17475. [Crossref] [PubMed] [PMC]
- Gombart AF, Pierre A, Maggini S. A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients. 2020;12(1):236. [Crossref] [PubMed] [PMC]
- Colunga Biancatelli RML, Berrill M, Marik PE. The antiviral properties of vitamin C. Expert Rev Anti Infect Ther. 2020;18(2):99-101. [Crossref] [PubMed]
- Kashiouris MG, L'Heureux M, Cable CA, Fisher BJ, Leichtle SW, Fowler AA, et al. The Emerging Role of Vitamin C as a Treatment for Sepsis. Nutrients. 2020;12(2):292. [Crossref] [PubMed] [PMC]
- Carr AC. A new clinical trial to test high-dose vitamin C in patients with COVID-19. Crit Care. 2020;24(1):133. [Crossref] [PubMed] [PMC]
- Berry DJ, Hesketh K, Power C, Hyppönen E. Vitamin D status has a linear association with seasonal infections and lung function in British adults. Br J Nutr. 2011;106(9):1433-40. [Crossref] [PubMed]
- Cannell JJ, Vieth R, Umhau JC, Holick MF, Grant WB, Madronich S, et al. Epidemic influenza and vitamin D. Epidemiol Infect. 2006;134(6):1129-40. [Crossref] [PubMed] [PMC]
- Ginde AA, Mansbach JM, Camargo CA Jr. Association between serum 25-hydroxyvitamin D level and upper respiratory tract infection in the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2009;169(4):384-90. [Crossref] [PubMed] [PMC]
- Ilie PC, Stefanescu S, Smith L. The role of vitamin D in the prevention of coronavirus disease 2019 infection and mortality. Aging Clin Exp Res. 2020;32(7):1195-8. [Crossref] [PubMed] [PMC]
- Bergman P, Lindh AU, Björkhem-Bergman L, Lindh JD. Vitamin D and Respiratory Tract Infections: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One. 2013;8(6):e65835. [Crossref] [PubMed] [PMC]
- Zhang L, Liu Y. Potential interventions for novel coronavirus in China: A systematic review. J Med Virol. 2020;92(5):479-90. [Crossref] [PubMed] [PMC]
- Grant WB, Lahore H, McDonnell SL, Baggerly CA, French CB, Aliano JL, et al. Evidence that Vitamin D Supplementation Could Reduce Risk of Influenza and COVID-19 Infections and Deaths. Nutrients. 2020;12(4):988. [Crossref] [PubMed] [PMC]
- Chen L, Hu C, Hood M, Zhang X, Zhang L, Kan J, et al. A Novel Combination of Vitamin C, Curcumin and Glycyrrhizic Acid Potentially Regulates Immune and Inflammatory Response Associated with Coronavirus Infections: A Perspective from System Biology Analysis. Nutrients. 2020 Apr 24;12(4):1193. [Crossref] [PubMed] [PMC]
.: İşlem Listesi