Ranno B S, Wardlaw G M, Geiger C J
Division of Foods and Nutrition, College of Health, University of Utah, Salt Lake City.
J Am Diet Assoc. 1988 Mar;88(3):347-8.
This study has identified some potentially important characteristics of elderly women who overuse vitamin and mineral supplements. These women tended to live alone and to have medical problems. The supplements were usually self-prescribed and purchased in a drugstore. The sources of information that supported supplement use were primarily the print media and family and friends rather than health professionals. Other studies have made similar findings. The degree of IHLC orientation failed to predict the amount of supplement use, although IHLC was shown to be useful in a recent study that included both young and elderly women. Thus, from our perspective, the identification of possible overusers of supplements should begin with elderly women who have health problems and live alone; point-of-purchase information should be targeted to drugstores. In this study and in other, either the actual reasons for supplement use were often inappropriate or the diets were adequate in many of the vitamins taken by supplements, such as vitamins A and C. Thus, education for elderly women that stresses the appropriate reasons for nutrient supplement use is clearly needed so that a correct link between nutrition need and use always is maintained. The high IHLC scores suggest that the majority of women in this study want to make their own decisions about their health. Given better information, overusers of supplements might instead choose a more reasonable approach for improving their diets. Dietitians/nutritionists were not usually used as a source of nutrition information by the elderly women in this study.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究已确定了过度使用维生素和矿物质补充剂的老年女性的一些潜在重要特征。这些女性往往独居且有健康问题。补充剂通常是自行开方并在药店购买。支持使用补充剂的信息来源主要是印刷媒体以及家人和朋友,而非健康专业人士。其他研究也有类似发现。尽管在最近一项涵盖年轻和老年女性的研究中显示健康控制点(IHLC)很有用,但IHLC的导向程度未能预测补充剂的使用量。因此,从我们的角度来看,识别可能过度使用补充剂的人群应从有健康问题且独居的老年女性开始;购买点信息应以药店为目标。在本研究及其他研究中,要么补充剂使用的实际原因往往不恰当,要么许多通过补充剂摄入的维生素(如维生素A和C)的饮食是充足的。因此,显然需要对老年女性进行强调营养补充剂使用恰当理由的教育,以便始终保持营养需求与使用之间的正确联系。高IHLC分数表明本研究中的大多数女性希望对自己的健康做出自主决定。若有更充分的信息,补充剂过度使用者可能会选择更合理的方式来改善饮食。在本研究中,老年女性通常不会将营养师/营养学家作为营养信息来源。(摘要截选至250字)