Araştırma Makalesi
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Knowledge, Attitudes and Behaviors About Probiotic Activities of Family Doctors, Pediatrician and Pharmacists in Turkey

Yıl 2018, Cilt: 2 Sayı: 2, 108 - 116, 29.09.2018

Öz

Objective: Today, there is growing interest in the potential health benefi ts of probiotic foods by both health professionals and consumers. Health professionals should have
adequate knowledge of probiotics that play an important role in the protection and development of health. This study was planned to determine the knowledge and
attitudes of family physicians and pediatricians on the subject of probiotic products
Material and
Method:
Information on determining demographic data and probiotic content, usage and behavior of family physicians, pharmacists and pediatricians in Sakarya
The questionnaire form was completed with face to face interview method and online. The study included 135 family physicians, 74 pediatricians and 97 pharmacists.
Data evaluated by SPSS 24.0 package program.
Findings and
Results:
Family physicians answered the questions about their general knowledge about probiotics in 67.4% of them and 16.3% in poor / very poor answers. 59.5% of
pediatricians in the middle, 36.5% considered good. 70.1% of pharmacists stated that they know microorganisms in probiotics.
Conclusion: Physicians are observed to have distrusts of probiotics. Possible reasons for this may be that the level of evidence for probiotics is controversial and there are no
guidelines on which microorganisms may be used in which indications of reliable organizations. As a result, in parallel with the ever-increasing progress of studies
showing positive effects of probiotics on health, informing about the rational use of probiotics has been found necessary. It is thought that physicians and Pharmacists
need to support existing information through various trainings, bearing in mind that this information is a key factor in the transfer and implementation.

Kaynakça

  • Vaillancourt J. Regulating pre- and probiotics: a U.S. FDA perspective. In: Institute of Medicine of the National Academies. Ending the war metaphor: the changing agenda for unraveling the host-microbe relationship. Washington, DC: National Academies Press, 2006:229–37. Stanczak, M. and Heuberger, R. (2009), “Assessment of the knowledge and beliefs regarding probiotic use”, American Journal of Health Education, Vol. 40 No. 4, pp. 207-211. Rijkers, G.T., Bengmark, S. and Enck, P. (2010). Guidance for substantiating the evidence for beneficial effects of probiotics: current status and recommendations for future research. Journal of Nutrition; 140(3): 671-676. Arora, M., Sharma, S. and Bald, A. (2013), “Comparative insight of regulatory guidelines for probiotics in Usa, India and Malaysia: a critical review”, International Journal of Biotechnology for Wellness Industries; 2: 51-64. Kaur, P.S. and Pandit, R.K. (2016), “Probiotic products in Punjab region”, International Journal of Applied Biology and Pharmaceutical Technology; 7(1): 154-160. Diplock, A.T. (1999), “Scientific concepts of functional foods in Europe consensus document”, British Journal of Nutrition; 81: 1-27. Bjerrum, M., Tewes, M. and Pedersen, P. (2011), “Nurses’ self-reported knowledge about and attitude to nutrition before and after a training programme”, Scandinavian Journal of Caring Sciences; 26(1): 81-89. DiMaria-Ghalili, R.A., Mirtallo, J.M., Tobin, B.W., Hark, L., Van Horn, L. and Palmer, C.A. (2014), “Challenges and opportunities for nutrition education and training in the health care professions: intraprofessional and interprofessional call to action”, American Journal of Clinical Nutrtion; 99(5): 1184-1193. Guigoz, Y., Dore, J. and Schiffrin, E.J. (2008), “The inflammatory status of old age can be nurtured from the intestinal environment”, Current Opinion in Clinical Nutrition and Metabolic Care; 11(1): 13-20. Rasmussen H, Oliver L, Gregoire M, Chen Y. (2012). Knowledge, use and perceptions of probiotics and prebiotics in medical center healthcare providers. The Official Journal of Federation of American Society of Experimental Biology; 26(1): lb 405. Oliver L, Rasmussen H, Gregoire MB, Chen Y. (2014), “Health care provider’s knowledge, perception and use of probiotics and prebiotics”, Topics in Clinical Nutrition; 29(2): 139-149. Menrad K. (2003), “Market and marketing of functional foods in Europe”, Journal of Food Engineering; 56(2/3): 181-188. Verbeke, W. (2005), “Consumer acceptance of functional foods: socio-demographic, cognitive and attitudinal determinants”, Food Quality and Preference; 16(1): 45-57. Anukam KC, Osazuwa EO, Reid G. Knowledge of probiotics by Nigerian clinicians. International Journal of Probiotics and Prebiotics. 2006;1(1):57-62. Anukam KC, Osazuwa EO, Reid G, Katsivo MN. 2004. Receptivity for probiotic product among premenopausal female students in an African University. Sexually Transmitted Diseases; 31(8): 460-464. Chukwu E, Nwaokorie FO, Yisau J, Coker A. 2015. Assessment of the Knowledge and Perception of Probiotics among Medical Science Students and Practitioners in Lagos State. BJMMR; 5(10): 1239-1246. Richa Soni, Kamna Tank, Nayan Jain. (2018). Knowledge, attitude and practice of health professionals about probiotic use in Ahmedabad, India. Nutrition & Food Science; 48(1): 125-135. Payahoo, L., Nikniaz, Z., Mahdavi, R. and Asghari Jafar Abadi, M. (2012), “Perceptions of medical sciences students towards probiotics”, Health Promotion Perspective; 2(1): 96-102. Rasmussen, H., Oliver, L., Gregoire, M. and Chen, Y. (2012), “Knowledge, use and perceptions of probiotics and prebiotics in medical center healthcare providers”, The Official Journal of Federation of American Society of Experimental Biology; 26(1): lb 405. Oliver, L., Rasmussen, H., Gregoire, M.B. and Chen, Y. (2014), “Health care provider’s knowledge, perception and use of probiotics and prebiotics”, Topics in Clinical Nutrition; 29(2): 139-149. Stanton, C., Gardiner, G., Meehan, H., Collins, K., Fitzgerald, G., Lynch, P.B. and Ross, R.P. (2001), “Market potential for probiotics”, The American Journal of Clinical Nutrition; 73(2): 476-483.

Aile Hekimleri, Pediatristler ve Eczacıların Probiyotik Kullanımları Hakkında Bilgi, Tutum ve Davranışları

Yıl 2018, Cilt: 2 Sayı: 2, 108 - 116, 29.09.2018

Öz

Giriş ve Amaç: Günümüzde hem sağlık çalışanları hem de tüketiciler tarafından
probiyotik gıdaların potansiyel sağlık yararları konusunda artan ilgi vardır. Sağlığın
korunması ve geliştirilmesinde önemli bir rol oynayan probiyotikler hakkında
sağlık çalışanlarının yeterli bilgi sahibi olması gereklidir. Bu çalışma aile
hekimleri, pediatristler ve eczacıların probiyotik ürünler konusundaki bilgi ve
tutumlarının belirlenmesi amacıyla planlanmıştır.

Materyal ve Metod:
Sakarya’da görev yapan aile hekimi, eczacı ve pediatristlerden, demografik
veriler ve probiyotik içerik, kullanım ve davranışlarını belirlemeye yönelik
bilgiler 20 sorudan oluşan anket formu ile yüz yüze görüşme yöntemi ve online
olarak doldurulmuştur. Çalışmaya gönüllü 135 aile hekimi, 74 pediatrist ve 97
eczacı katılmıştır. Verilerin değerlendirilmesinde, SPSS 24.0 paket programı
kullanılmıştır.

Bulgular:
Aile hekimleri, probiyotiklerle ilgili genel bilgi düzeyleri hakkındaki
soruya  %67.4’ü orta, %16.3’ü kötü/çok
kötü cevabını vermiştir. Pediatristlerin %59.5’i orta, %36.5’i iyi olarak
değerlendirmişlerdir. Eczacıların ise %70,1’i probiyotiklerin içindeki
mikroorganizmaları bildiğini belirtmişlerdir.







Tartışma ve Sonuç:
Hekimlerde, probiyotiklerle ilgili güven sorunu olduğu gözlemlenmektedir. Bunun
olası nedenleri, probiyotiklerle ilgili kanıt düzeylerinin tartışmalı olması ve
güvenilir organizasyonların oluşturduğu hangi endikasyonlarda hangi mikroorganizmaların
kullanılacağına dair kılavuzların olmaması olabilir. Sonuç olarak
probiyotiklerin sağlık üzerine olumlu etkilerini gösteren çalışmaların her
geçen gün artmasına paralel olarak probiyotiklerin akılcı kullanımı üzerine de
bilgilendirme gerekliliği olduğu görülmüştür. Hekimler ve eczacıların bu
bilgileri aktarmada ve uygulamada temel etken olduğu akılda tutularak çeşitli
eğitimler aracılığı ile mecvut bilgilerin desteklenmesi gerektiği
düşünülmektedir.

Kaynakça

  • Vaillancourt J. Regulating pre- and probiotics: a U.S. FDA perspective. In: Institute of Medicine of the National Academies. Ending the war metaphor: the changing agenda for unraveling the host-microbe relationship. Washington, DC: National Academies Press, 2006:229–37. Stanczak, M. and Heuberger, R. (2009), “Assessment of the knowledge and beliefs regarding probiotic use”, American Journal of Health Education, Vol. 40 No. 4, pp. 207-211. Rijkers, G.T., Bengmark, S. and Enck, P. (2010). Guidance for substantiating the evidence for beneficial effects of probiotics: current status and recommendations for future research. Journal of Nutrition; 140(3): 671-676. Arora, M., Sharma, S. and Bald, A. (2013), “Comparative insight of regulatory guidelines for probiotics in Usa, India and Malaysia: a critical review”, International Journal of Biotechnology for Wellness Industries; 2: 51-64. Kaur, P.S. and Pandit, R.K. (2016), “Probiotic products in Punjab region”, International Journal of Applied Biology and Pharmaceutical Technology; 7(1): 154-160. Diplock, A.T. (1999), “Scientific concepts of functional foods in Europe consensus document”, British Journal of Nutrition; 81: 1-27. Bjerrum, M., Tewes, M. and Pedersen, P. (2011), “Nurses’ self-reported knowledge about and attitude to nutrition before and after a training programme”, Scandinavian Journal of Caring Sciences; 26(1): 81-89. DiMaria-Ghalili, R.A., Mirtallo, J.M., Tobin, B.W., Hark, L., Van Horn, L. and Palmer, C.A. (2014), “Challenges and opportunities for nutrition education and training in the health care professions: intraprofessional and interprofessional call to action”, American Journal of Clinical Nutrtion; 99(5): 1184-1193. Guigoz, Y., Dore, J. and Schiffrin, E.J. (2008), “The inflammatory status of old age can be nurtured from the intestinal environment”, Current Opinion in Clinical Nutrition and Metabolic Care; 11(1): 13-20. Rasmussen H, Oliver L, Gregoire M, Chen Y. (2012). Knowledge, use and perceptions of probiotics and prebiotics in medical center healthcare providers. The Official Journal of Federation of American Society of Experimental Biology; 26(1): lb 405. Oliver L, Rasmussen H, Gregoire MB, Chen Y. (2014), “Health care provider’s knowledge, perception and use of probiotics and prebiotics”, Topics in Clinical Nutrition; 29(2): 139-149. Menrad K. (2003), “Market and marketing of functional foods in Europe”, Journal of Food Engineering; 56(2/3): 181-188. Verbeke, W. (2005), “Consumer acceptance of functional foods: socio-demographic, cognitive and attitudinal determinants”, Food Quality and Preference; 16(1): 45-57. Anukam KC, Osazuwa EO, Reid G. Knowledge of probiotics by Nigerian clinicians. International Journal of Probiotics and Prebiotics. 2006;1(1):57-62. Anukam KC, Osazuwa EO, Reid G, Katsivo MN. 2004. Receptivity for probiotic product among premenopausal female students in an African University. Sexually Transmitted Diseases; 31(8): 460-464. Chukwu E, Nwaokorie FO, Yisau J, Coker A. 2015. Assessment of the Knowledge and Perception of Probiotics among Medical Science Students and Practitioners in Lagos State. BJMMR; 5(10): 1239-1246. Richa Soni, Kamna Tank, Nayan Jain. (2018). Knowledge, attitude and practice of health professionals about probiotic use in Ahmedabad, India. Nutrition & Food Science; 48(1): 125-135. Payahoo, L., Nikniaz, Z., Mahdavi, R. and Asghari Jafar Abadi, M. (2012), “Perceptions of medical sciences students towards probiotics”, Health Promotion Perspective; 2(1): 96-102. Rasmussen, H., Oliver, L., Gregoire, M. and Chen, Y. (2012), “Knowledge, use and perceptions of probiotics and prebiotics in medical center healthcare providers”, The Official Journal of Federation of American Society of Experimental Biology; 26(1): lb 405. Oliver, L., Rasmussen, H., Gregoire, M.B. and Chen, Y. (2014), “Health care provider’s knowledge, perception and use of probiotics and prebiotics”, Topics in Clinical Nutrition; 29(2): 139-149. Stanton, C., Gardiner, G., Meehan, H., Collins, K., Fitzgerald, G., Lynch, P.B. and Ross, R.P. (2001), “Market potential for probiotics”, The American Journal of Clinical Nutrition; 73(2): 476-483.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma Makalesi
Yazarlar

Mustafa Altındiş 0000-0003-0411-9669

Mustafa Baran İnci 0000-0003-1893-5368

Bahri Elmas 0000-0001-9034-6109

Elif Özözen Şahin 0000-0002-8873-2884

Elmas Pınar Kahraman 0000-0003-1348-625X

Rıdvan Karagöz Bu kişi benim 0000-0002-7953-2434

Gökhan Küçükkara Bu kişi benim 0000-0002-0912-9359

Selma Altındiş 0000-0003-2805-5516

Yayımlanma Tarihi 29 Eylül 2018
Kabul Tarihi 19 Ağustos 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 2 Sayı: 2

Kaynak Göster

AMA Altındiş M, İnci MB, Elmas B, Özözen Şahin E, Kahraman EP, Karagöz R, Küçükkara G, Altındiş S. Aile Hekimleri, Pediatristler ve Eczacıların Probiyotik Kullanımları Hakkında Bilgi, Tutum ve Davranışları. J Biotechnol and Strategic Health Res. Eylül 2018;2(2):108-116.
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