Use of Herbal Therapies by Adults Seen in an Ambulatory Care Research Setting: An Exploratory Survey

Johnson, Eunice; Wootton, Jacqueline C.; Kimzey, Rene; McCullagh, Linda; Wesley, Robert M.; Byrd, Debbie C.; Singh, Kulvinder K.; Rubino, Domenica; Pucino, Frank

doi:10.1089/acm.2000.6.429

Cited by 18 publications

(29 citation statements)

References 12 publications

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“…While some investigators found no correlation between HP/DS use and sociodemographic factors [26,27]; the present survey revealed that the woman gender, as well as middleage (especially the 50-59 years age group) were positive predictors. This finding is consistent with other surveys conducted in the US population reporting highest HP/DS use in women aged 50-59 years [11,15,28,29].…”

Section: Predicting Factors Of Hp/ds Usecontrasting

confidence: 86%

Herbal Products and Dietary Supplements: A Cross-Sectional Survey of Use, Attitudes, and Knowledge Among the Lebanese Population

2015

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There has been a marked increase in use of herbal products and dietary supplements (HP/DS) in many developed and developing countries. However, data about consumption patterns and awareness about these products in the Lebanese population is scarce. The present study aimed to examine the determinants of HP/DS use in Lebanese adults, identify potential interactions and safety concerns and assess the knowledge and attitudes of consumers towards the efficacy and safety of these products. A face-to-face, 28-item survey was administered to Lebanese adults (n = 726) in community pharmacies across the country. Thirty-five percent of participants reported to be currently consuming at least one HP/DS including 23 % who were consuming vitamins and/or mineral supplements and 18 % consuming herbal products. Significant safety concerns were identified among consumers in the form of disease-supplement, drug-supplement as well as supplement-supplement interactions. Logistic multivariate regression analysis indicated that use of supplements was positively associated with the female gender and increasing age. The majority of respondents falsely believed that HP/DS pose no risk to the general population and that they must be safe to be sold in Lebanon. Moreover, most participants were consuming these products based on recommendations from friends or relatives rather than from healthcare professionals. Substantial misconceptions about HP/DS exist among Lebanese adults, indicating a need for consumers' education from professional and reliable sources on the efficacy and safety of such products.

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Section: Predicting Factors Of Hp/ds Usecontrasting

confidence: 86%

Herbal Products and Dietary Supplements: A Cross-Sectional Survey of Use, Attitudes, and Knowledge Among the Lebanese Population

2015

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“…Sixty-eight percent of the women taking the target herbs (and not taking hormone or antidepressant therapy) reported that their symptoms were improved. Johnson et al 25 reported that 50% of herb users believed that their herbs "work," and 54% considered the herbs to be effective (42% were unsure). Seidl and Stewart, 11 Hardy, 15 and Kronenberg and FughBerman 53 concluded in their reviews that phytoestrogens and black cohosh provided the strongest evidence for vasomotor symptom reduction.…”

Section: Herbal Products and Menopause Symptom Relief 637mentioning

confidence: 99%

“…13 Four popular herbal remedies for menopause and their purported benefit are phytoestrogens (found in black cohosh and soy foods containing isoflavones) for vasomotor symptom relief, 4,11,14,15 St. John's wort to reduce depression and anxiety, 12,14,16 ginseng to reduce fatigue and hot flashes and to increase libido, 4,14,17 and Ginkgo biloba to improve memory loss and mental performance. 4,12,14 Several investigators have described CAM use and knowledge among men and women in the general population, 18-23 specialist ambulatory care clinics, 24,25 or family practice clinics. [26][27][28][29][30] Although there are several reviews 4,11,12,15 and a study 31 that address common CAM treatments and herbal medications used by women to treat menopause symptoms, they did not focus on such use in primary care patients and did not reach a conclusion regarding perceived efficacy of herbal products for menopause symptom relief.…”

Section: Introductionmentioning

confidence: 99%

Herbal Product Use and Menopause Symptom Relief in Primary Care Patients: A MetroNet Study

Dailey

Neale

Northrup

et al. 2003

Journal of Women's Health

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Primary care patients experiencing common menopausal symptoms are likely to use herbal products that are purported to provide menopause symptom relief, and many believe that these products improve their menopausal symptoms. Healthcare providers should be aware of patient's positive attitude, use patterns, and lack of disclosure of use of herbal medicines. Inquiry of herbal product use is another way for physicians to learn about patient self-medication of bothersome symptoms.

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“…Numerous other investigators [9][10][11][12][13][14][15][16][17][18] have subsequently corroborated these data, in essence highlighting autonomous naturoceutical implementation by consumers with the specific intention to treat or prevent chronic illness (table II). Surveys consistently reveal higher prevalence rates of naturoceutical consumption when assessing populations of patients with chronic disabling or life-threatening disease than found those in the general population.…”

Section: Who Uses Naturoceuticals?mentioning

confidence: 80%

Naturoceutical Agents in the Management of Cardiovascular Disease

Hermann

2002

American Journal of Cardiovascular Drugs

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During the past decade, complementary and alternative medicine (CAM) has grown in attractiveness to the Western public, and in recognition by practitioners of traditional medicine. The incorporation of effective CAM therapies into traditional practice is termed 'integrative medicine'. One form of CAM demonstrating exponential growth through mass public consumerism is the use of naturoceuticals. Naturoceutical (or nutraceutical) agents are defined as mega-dose vitamins, herbal products or other 'natural' supplements purchased and consumed with premeditated 'pharmaceutical' intention to treat or prevent an illness or disease. Dietary supplements per se, are intended to supply adequate nutrients that may be lacking from the diet, and are thus, generally health promoting. A regulatory paradox exists since naturoceuticals are classified as dietary supplements although many possess measurable pharmacologic activity. In reference to cardiovascular disorders, consumers use naturoceuticals for three distinctly recognizable purposes. These are the primary and secondary prevention of cardiovascular diseases and the treatment of diagnosed disorders such as heart failure, angina pectoris or arrhythmia. The evidence base supporting the routine use of naturoceutical products for these intentions is sparse, although the likelihood of harm from their consumption is low for an average, healthy adult. Evidence of significant harm (including fatalities) has been observed when certain herbal products are used in excess or in combination with, other herbs or prescription drugs. The safety of use at the extremes of age, or by persons with cardiac, renal or hepatic impairment is also a concern. Healthcare professionals should routinely document patient naturoceutical use, be alert for and report suspected adverse effects. Until well-designed clinical trials determine the proper indication(s), dose safety profile and risk/benefit ratio for these products, their routine use should not be advocated. Thus, the role of naturoceutical agents in the integrative management of cardiovascular disorders remains undefined.

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Use of Herbal Therapies by Adults Seen in an Ambulatory Care Research Setting: An Exploratory Survey

Cited by 18 publications

References 12 publications

Herbal Products and Dietary Supplements: A Cross-Sectional Survey of Use, Attitudes, and Knowledge Among the Lebanese Population

Herbal Products and Dietary Supplements: A Cross-Sectional Survey of Use, Attitudes, and Knowledge Among the Lebanese Population

Herbal Product Use and Menopause Symptom Relief in Primary Care Patients: A MetroNet Study

Naturoceutical Agents in the Management of Cardiovascular Disease

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