Volume 4, Issue 3 (Aug 2019)                   JNFS 2019, 4(3): 161-169 | Back to browse issues page


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Talaei B, Asghari G, Mirmiran P, Azizi F, Bahreini S. Knowledge, Attitude, and Practice of Diabetic Patients toward Herbal Products in Iran: A Cross-sectional Study. JNFS. 2019; 4 (3) :161-169
URL: http://jnfs.ssu.ac.ir/article-1-174-en.html
Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, I.R. Iran
Abstract:   (254 Views)
Background: Considering that herbal medicines are commonly used for treatment or management of type 2 diabetes, the aim of this study was to determine the knowledge, attitude, and practice (KAP) of patients with diabetes regarding herbal products. Methods: A cross-sectional study was conducted on 421 patients with diabetes who referred to the Iran Diabetes Association in Tehran, Iran in 2014. The KAP of participants on herbal products were determined by a pre-designed questionnaire containing close ended questions. Results: The participnats' age Mean ± SD was 38.0 ± 20.6 years. Of 421 participants, 163 used some type of herbal products during the past year for controlling diabetes. Of these patients, 40 to 60% did not have knowledge about the possibility and desirability of using herbs along with or instead of the anti-diabetic chemical drugs. However, 71% of patients believed that they could not use herbal products without physician's prescription. Participants had a negative attitude towards using herbal products instead of conventional drugs, especially without the physician's prescription (40–60% of patients). Among users of herbal products, 53.0% believed that these products caused no side effects. One-third of patients used herbal products at least once a month for controlling or treating their disease. Most participnats (64.4%) informed their physiciens about consumingherbal drugs and 15.8% had self-prescribed use of these herbal products. Conclusion: Our findings indicated that nearly a third of patients with diabetes used herbal remedies and most of them considered these products safe. However, more than half of the patients informed their physician about using herbal medicines.
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Type of article: orginal article | Subject: public specific
Received: 2018/06/24 | Accepted: 2018/12/26 | Published: 2019/08/1

References
1. Ahmad A, et al. 2015. Knowledge, attitude and practice of B.Sc. Pharmacy students about antibiotics in Trinidad and Tobago. Journal of Research in Pharmacy Practice. 4 (1): 37-41.
2. Al Saeedi M, El Zubier A, Bahnassi A & Al Dawood K 2003. Patterns of belief and use of traditional remedies by diabetic patients in Mecca, Saudi Arabia. Eastern Mediterranean Health Journal. 9 (1-2): 99-107.
3. Barnes J 2003. Pharmacovigilance of herbal medicines. Drug Safety. 26 (12): 829-851.
4. Bent S & Ko R 2004. Commonly used herbal medicines in the United States: a review. American Journal of Medicine. 116 (7): 478-485.
5. Calixto JB 2000. Efficacy, safety, quality control, marketing and regulatory guidelines for herbal medicines (phytotherapeutic agents). Brazilian Journal of Medical and Biological Research. 33 (2): 179-189.
6. Chang CLT, et al. 2013. Herbal Therapies for Type 2 Diabetes Mellitus: Chemistry, Biology, and Potential Application of Selected Plants and Compounds. Evidence-based Complementary and Alternative Medicine 2013: 378657.
7. Chavez ML, Jordan MA & Chavez PI 2006. Evidence-based drug--herbal interactions. Life sciences. 78 (18): 2146-2157.
8. Dutta AP, Miederhoff PA & Pyles M 2003. Complementary and alternative medicine education: students’ perspectives. American Journal of Pharmaceutical Education 67 (2): 46.
9. Ebrahim S & Smith GD 2001. Exporting failure? Coronary heart disease and stroke in developing countries. International Journal of Epidemiology. 30 (2): 201-205.
10. Elder NC, Gillcrist A & Minz R 1997. Use of alternative health care by family practice patients. Archives of Family Medicine. 6 (2): 181.
11. Ernst E 2000. The role of complementary and alternative medicine. British Medical Journal. 321 (7269): 1133.
12. Ernst E & Pittler MH 2002. Risks associated with herbal medicinal products. Wiener medizinische Wochenschrift. 152 (7-8): 183-189.
13. Esteghamati A, et al. 2007. Prevalence of Diabetes Mellitus and Impaired Fasting Glucose in the Adult Population of Iran: The National Survey of Risk Factors for Non-Communicable Diseases of Iran. Diabetes Care.
14. Esteghamati A, et al. 2008. Prevalence of diabetes and impaired fasting glucose in the adult population of Iran: National Survey of Risk Factors for Non-Communicable Diseases of Iran. Diabetes Care. 31 (1): 96-98.
15. Expert Committee on the Diagnosis and Classification of Diabetes Mellitus 2003. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 26 Suppl 1: S5-20.
16. Gregg EW, et al. 2014. Trends in lifetime risk and years of life lost due to diabetes in the USA, 1985–2011: a modelling study. Lancet Diabetes & Endocrinology. 2 (11): 867-874.
17. Hasan M, Das M & Behjat S 2000. Alternative medicine and the medical profession: View of medical students and general practitioners. Eastern Mediterranean Health Journal. 6 (1): 25-33.
18. Larijani B & Zahedi F 2002. Epidemiology of diabetes mellitus in Iran. Journal of Diabetes & Metabolic Disorders. 1 (1): 7-.
19. Li GQ, et al. 2012. Herbal medicines for the management of diabetes. Advances in Experimental Medicine and Biologyl. 771: 396-413.
20. Li WL, Zheng HC, Bukuru J & De Kimpe N 2004. Natural medicines used in the traditional Chinese medical system for therapy of diabetes mellitus. Journal of Ethnopharmacology. 92 (1): 1-21.
21. Moolasarn S, et al. 2005. Usage of and cost of complementary/alternative medicine in diabetic patients. Journal of the Medical Association of Thailand. 88 (11): 1630-1637.
22. Naidu S, Wilkinson JM & Simpson MD 2005. Attitudes of Australian pharmacists toward complementary and alternative medicines. Annals of Pharmacotherapy. 39 (9): 1456-1461.
23. Najm W & Lie D 2010. Herbals used for diabetes, obesity, and metabolic syndrome. Primary care. 37 (2): 237-254.
24. Nasri H & Rafieian-Kopaei M 2014. Protective effects of herbal antioxidants on diabetic kidney disease. Journal of Research in Medical Sciences 19 (1): 82-83.
25. Omar EA, et al. 2010. Herbal medicines and nutraceuticals for diabetic vascular complications: mechanisms of action and bioactive phytochemicals. Current pharmaceutical design. 16 (34): 3776-3807.
26. Pinn G 2001. Adverse effects associated with herbal medicine. Australian family physician. 30 (11): 1070-1075.
27. Poss JE, Jezewski MA & Stuart AG 2003. Home remedies for type 2 diabetes used by Mexican Americans in El Paso, Texas. Clinical Nursing Research. 12 (4): 304-323.
28. Rush E, Li L, Chandu V & Whiting R 2003. Hair zinc concentrations not subject to seasonal variation in adults in New Zealand. Biological trace element research. 95 (3): 193-202.
29. Shapiro K & Gong WC 2002. Natural Products Used for Diabetes. Journal of the American Pharmaceutical Association. 42 (2): 217-226.
30. Thomson P, Jones J, Evans JM & Leslie SL 2012a. Factors influencing the use of complementary and alternative medicine and whether patients inform their primary care physician. Complementary Therapies in Medicine. 20 (1): 45-53.
31. Thomson P, Jones J, Evans JM & Leslie SL 2012b. Factors influencing the use of complementary and alternative medicine and whether patients inform their primary care physician. Complementary therapies in medicine. 20 (1-2): 45-53.
32. World Health Organization 2010. Global tuberculosis control: WHO report 2010. World Health Organization.
33. World Health Organization 2011. Traditional medicine fact sheet No 134. December, 2008.
34. Yeh GY, Eisenberg DM, Kaptchuk TJ & Phillips RS 2003. Systematic review of herbs and dietary supplements for glycemic control in diabetes. Diabetes care. 26 (4): 1277-1294.
35. Zollman C & Vickers A 1999. ABC of complementary medicine: What is complementary medicine? British Medical Journal. 319 (7211): 693.

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