School of Medicine, University of Lausanne, Switzerland.
Swiss Med Wkly. 2013 Sep 6;143:w13807. doi: 10.4414/smw.2013.13807. eCollection 2013.
Dietary supplement (DS) use increased rapidly in recent years. However, evidence of benefits of many DSs for healthy users is scarce and may not equate with known risks of overdose, drug interaction and recently discovered negative long-term effects. This exploratory study aimed to investigate the perceptions and motivations of DS users in Lausanne, Switzerland.
A convenience sample (n = 147) was recruited at the entrances of local sales points. Data were collected in on-site semistructured interviews that assessed dietary supplementation habits.
The majority of DSs were all-in-one products, containing a mixture of minerals and vitamins, or products containing only minerals. Among the 147 users, 72 (49%) used one all-in-one product and 3 (2%) used two all-in-one products. Thirty-one (21%) consumers did not know for at least one product what the purpose of their DS use was. Seventy-five percent of participants thought that DS use presents no risk or nearly no risk. Only 49% of participants stated that their physicians were informed about their consumption. Although men searched more often for potential risks (p <0.001), they turned less frequently to health professionals to get this information (p = 0.007).
As in other surveys performed elsewhere, our study shows that, in Lausanne (Switzerland), DSs are commonly used as mixed products. Risk perception seems generally low among DS users. Physicians should be trained to evaluate patients' perceived needs and DS consumption in order to provide good evidence-based information or to propose alternatives to DS use.
近年来,膳食补充剂(DS)的使用迅速增加。然而,对于健康使用者而言,许多 DS 的益处证据很少,并且可能与过量、药物相互作用以及最近发现的负面长期影响的已知风险不相等。这项探索性研究旨在调查瑞士洛桑 DS 用户的看法和动机。
在当地销售点的入口处招募了便利样本(n = 147)。通过现场半结构化访谈收集了数据,该访谈评估了膳食补充剂的习惯。
大多数 DS 是多合一产品,包含矿物质和维生素的混合物,或仅含矿物质的产品。在 147 名使用者中,有 72 名(49%)使用一种多合一产品,有 3 名(2%)使用两种多合一产品。有 31 名(21%)消费者至少有一种 DS 的用途不明。75%的参与者认为 DS 使用没有风险或几乎没有风险。只有 49%的参与者表示他们的医生了解他们的消费情况。尽管男性更经常寻找潜在风险(p <0.001),但他们更不愿意向医疗保健专业人员获取此信息(p = 0.007)。
与在其他地方进行的其他调查一样,我们的研究表明,在瑞士洛桑,DS 通常作为混合产品使用。DS 用户的风险感知似乎普遍较低。医生应接受培训,以评估患者的感知需求和 DS 消费,以便提供良好的基于证据的信息或提出替代 DS 使用的方法。