Muncie H L, Sobal J
J Fam Pract. 1987 Apr;24(4):365-8.
The prolonged use of vitamin or mineral supplements in amounts greater than their recommended dietary allowance (RDA) can lead to medical complications or interfere with the treatment of some diseases. A vitamin-mineral supplement history is necessary to determine whether patients may be contributing to a medical problem and for physicians to counsel patients about the appropriate use of vitamins and minerals. This article provides a three-phased guide for obtaining a comprehensive history of vitamin-mineral supplement use. Phase 1 determines current and past behaviors with respect to kind, dosage, frequency, duration, and constancy of supplement intake. Phase 2 considers patient beliefs about taking supplements and outcomes of supplement usage. Phase 3 outlines considerations important for patient guidance. A vitamin-mineral supplement history should be a routine component of every complete medical history.
长期大量服用超过膳食推荐摄入量（RDA）的维生素或矿物质补充剂可能会导致医学并发症或干扰某些疾病的治疗。了解患者的维生素 - 矿物质补充剂服用史对于确定患者是否可能引发医疗问题以及医生为患者提供有关维生素和矿物质正确使用的建议非常必要。本文提供了一个三阶段指南，用于全面了解维生素 - 矿物质补充剂的服用史。第一阶段确定当前和过去在补充剂摄入的种类、剂量、频率、持续时间和稳定性方面的行为。第二阶段考虑患者对服用补充剂的信念以及补充剂使用的结果。第三阶段概述了对患者指导很重要的注意事项。维生素 - 矿物质补充剂服用史应成为每份完整病历的常规组成部分。
