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Published in: BMC Complementary Medicine and Therapies 1/2021

Open Access 01-12-2021 | Research article

The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia

Authors: Mohd Shahezwan Abd Wahab, Muhammad Helmi Zaini, Aida Azlina Ali, Shariza Sahudin, Muhammad Zulfadli Mehat, Hafizah Abdul Hamid, Mohd Faiz Mustaffa, Noordin Othman, Sandra Maniam

Published in: BMC Complementary Medicine and Therapies | Issue 1/2021

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Abstract

Background

The use of herbal and dietary supplement (HDS) in health and disease management has gained global attention. HDS are generally accepted by the public and are associated with positive health behaviours. However, several reports have been documented with regards to their potential adverse effects and interaction with conventional medicines. Limited data is currently available on the use of HDS among elderly population in Malaysia. This present study aims to investigate the prevalence of and pattern of HDS use among a sample of community-dwelling elderly in a suburban town in Malaysia.

Methods

A cross-sectional survey was conducted between March and May 2019 among the elderly aged ≥60 years old. The participants with the following criteria were included in the study: aged ≥60 years, residing in Puncak Alam and able to understand Malay or English language. Data were collected using a pre-validated questionnaire. All statistical analysis was conducted using IBM SPSS ver. 23.

Results

Overall, 336 out of 400 elderly responded to the survey, achieving a response rate of 84%. This study observed that almost 50% of the respondents were using at least one type of HDS in the past one month of the survey. Among HDS non-users, most of them preferred to use modern medicines (62.6%, 114/182). Among the HDS users, 75.3% (116/154) were using at least one type of modern medicine (prescription or over-the-counter medicine). Multivariate analysis showed that having good to excellent perceived health (adjusted OR = 2.666, 95% CI = 1.592–4.464), having felt sick at least once in the past one month (adjusted OR = 2.500, 95% CI = 1.426–4.383), and lower body mass index (adjusted OR = 0.937, 95% CI = 0.887–0.990) were associated with HDS use. It was noted that only a small percentage of HDS users (16.2%, 25/154) had informed healthcare providers on their HDS use.

Conclusion

The use of HDS is common among the elderly sampled. Hence, healthcare providers should be more vigilant in seeking information of HDS use for disease management in their elderly patients. Campaigns that provide accurate information regarding the appropriate use of HDS among the elderly are pertinent to prevent misinformation of the products.
Literature
2.
go back to reference Frass M, Strassl RP, Friehs H, Müllner M, Kundi M, Kaye AD. Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner J. 2012;12(1):45–56.PubMedPubMedCentral Frass M, Strassl RP, Friehs H, Müllner M, Kundi M, Kaye AD. Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner J. 2012;12(1):45–56.PubMedPubMedCentral
11.
go back to reference Chen S-Y, Lin J-R, Kao M-D, Hang C-M. The usage of dietary supplements among elderly individuals in Taiwan. Asia Pac J Clin Nutr. 2005;14:3. Chen S-Y, Lin J-R, Kao M-D, Hang C-M. The usage of dietary supplements among elderly individuals in Taiwan. Asia Pac J Clin Nutr. 2005;14:3.
12.
go back to reference Aryeetey RN, Tamakloe SM. Use of dietary and herbal supplements among 623 elderly Ghanaians in the Keta municipality. J Hum Nutr Food Sci. 2015;3(4):1072. Aryeetey RN, Tamakloe SM. Use of dietary and herbal supplements among 623 elderly Ghanaians in the Keta municipality. J Hum Nutr Food Sci. 2015;3(4):1072.
21.
go back to reference Kinsella LJ, Grossberg GT, Prakash N. Drug-Dietary Interactions: Over-the-Counter Medications, Herbs, and Dietary Supplements. In: Clinical Psychopharmacology for Neurologists. Springer; 2018. p. 213–24. Kinsella LJ, Grossberg GT, Prakash N. Drug-Dietary Interactions: Over-the-Counter Medications, Herbs, and Dietary Supplements. In: Clinical Psychopharmacology for Neurologists. Springer; 2018. p. 213–24.
26.
go back to reference Schnabel K, Binting S, Witt CM, Teut M. Use of complementary and alternative medicine by older adults–a cross-sectional survey. BMC Geriatr. 2014;14:1.CrossRef Schnabel K, Binting S, Witt CM, Teut M. Use of complementary and alternative medicine by older adults–a cross-sectional survey. BMC Geriatr. 2014;14:1.CrossRef
28.
go back to reference Zawawi R. Active ageing in Malaysia. Malaysia: The second meeting of the committee on international cooperation on active ageing; 2013. Zawawi R. Active ageing in Malaysia. Malaysia: The second meeting of the committee on international cooperation on active ageing; 2013.
34.
go back to reference Lim LM, McStea M, Chung WW, Azmi NN, Aziz SAA, Alwi S, et al. Prevalence, risk factors and health outcomes associated with polypharmacy among urban community-dwelling older adults in multi-ethnic Malaysia. PLoS One. 2017;12(3):1–18. Lim LM, McStea M, Chung WW, Azmi NN, Aziz SAA, Alwi S, et al. Prevalence, risk factors and health outcomes associated with polypharmacy among urban community-dwelling older adults in multi-ethnic Malaysia. PLoS One. 2017;12(3):1–18.
35.
go back to reference Neoh CF, Long CM, Lim SM, Ramasamy K, Shahar S, Majeed ABA. Medication use and adherence among multi-ethnic community dwelling older adults in Malaysia. Geriatr Gerontol Int. 2017;17(8):1–7.CrossRef Neoh CF, Long CM, Lim SM, Ramasamy K, Shahar S, Majeed ABA. Medication use and adherence among multi-ethnic community dwelling older adults in Malaysia. Geriatr Gerontol Int. 2017;17(8):1–7.CrossRef
36.
go back to reference Brownie S. Predictors of dietary and health supplement use in older Australians. Aust J Adv Nurs. 2006;23(3):267. Brownie S. Predictors of dietary and health supplement use in older Australians. Aust J Adv Nurs. 2006;23(3):267.
39.
go back to reference Astin JA, Pelletier KR, Marie A, Haskell WL. Complementary and alternative medicine use among elderly persons: one-year analysis. J Gerontol Med Sci. 2000;55:M4–9.CrossRef Astin JA, Pelletier KR, Marie A, Haskell WL. Complementary and alternative medicine use among elderly persons: one-year analysis. J Gerontol Med Sci. 2000;55:M4–9.CrossRef
50.
go back to reference Complementary and alternative medicine. What people 50 and older are using and discussing with their physicians. Washington: AARP; 2007. Complementary and alternative medicine. What people 50 and older are using and discussing with their physicians. Washington: AARP; 2007.
Metadata
Title
The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia
Authors
Mohd Shahezwan Abd Wahab
Muhammad Helmi Zaini
Aida Azlina Ali
Shariza Sahudin
Muhammad Zulfadli Mehat
Hafizah Abdul Hamid
Mohd Faiz Mustaffa
Noordin Othman
Sandra Maniam
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2021
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-021-03287-1

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