ECZACILIK ÖĞRENCİLERİNİN PROBİYOTİKLER HAKKINDA BİLGİ, TUTUM VE UYGULAMALARI
Yıl 2024,
, 920 - 928, 10.09.2024
Aslınur Albayrak
,
Şimal Mülazım
Öz
Amaç: Probiyotikler önemli ve hızla büyüyen fonksiyonel bir gıda grubudur. Geleceğin eczacıları olarak eczacılık öğrencilerinin bu konuda yeterli bilgiye sahip olmaları gerekmektedir. Bu nedenle bu çalışmada eczacılık öğrencilerinin probiyotiklere ilişkin bilgi, tutum ve uygulamalarının değerlendirilmesi amaçlanmaktadır.
Gereç ve Yöntem: Kesitsel bir anket çalışması Türkiye'de Süleyman Demirel Üniversitesi Eczacılık Fakültesi öğrencileri arasında 9 Ekim - 30 Ekim 2023 tarihleri arasında gerçekleştirildi. Kağıt bazlı anketler 23 sorudan oluşmaktaydı ve yaklaşık 10-15 dakika süreyle uygulandı.
Sonuç ve Tartışma: Anketler 347 (%74.7) öğrenci tarafından yanıtlanmıştır. Bilgi puanının ortalama±SS'si 5.14±1.53 idi. Ankete katılanların çoğunluğu (%79) probiyotikleri doğru bir şekilde tanımlamıştı. Katılımcıların yaklaşık yarısı probiyotik üretiminde kullanılan bakteri türünü biliyordu. Tutum puanının ortalama±SS'si 11.13±1.44 idi. Katılımcıların çoğu (%91,9) probiyotik tüketiminin sağlığa faydalı olduğuna inanıyordu. Uygulama puanının ortalama±SS'si 3.72±2.77 idi. Ankete katılanların %45.2’si daha önce probiyotik takviyesi kullandığını ve %31.1'i probiyotikler hakkında çeşitli kaynaklardan ek bilgi aradığını belirtti. Katılımcıların %40.6'sı ailesine/yakın akrabalarına probiyotik önerdiğini belirtti. Bu çalışma eczacılık öğrencilerinin tutumlarının kabul edilebilir olmasına rağmen bilgi eksikliklerinin olduğunu ve uygulamalarının zayıf olduğunu gösterdi. Eczacılık öğrencilerinin probiyotikler konusundaki bilgi ve uygulamalarını arttırmak için lisans eğitiminde bu konuya daha fazla yer verilmeli ve konuyla ilgili bilimsel etkinlikler düzenlenmelidir.
Kaynakça
- 1. Abuajah, C.I., Ogbonna, A.C., Osuji, C.M. (2015). Functional components and medicinal properties of food: A review. Journal of Food Science and Technology, 52, 2522-2529. [CrossRef]
- 2. Horasan, B., Sevinç, Ö., Çelikyürek, N.A. (2021). Üniversite öğrencilerinin probiyotik bilgi düzeyi ve tüketim durumlarının belirlenmesi. Avrupa Bilim ve Teknoloji Dergisi, (31), 446-453. [CrossRef]
- 3. Birch, C.S., Bonwick, G.A. (2019). Ensuring the future of functional foods. International Journal of Food Science & Technology, 54(5), 1467-1485. [CrossRef]
- 4. Hotel, A.C.P., Cordoba, A. (2001). Health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria. Prevention, 5(1), 1-10.
- 5. Das, T.K., Pradhan, S., Chakrabarti, S., Mondal, K.C., Ghosh, K. (2022). Current status of probiotic and related health benefits. Applied Food Research, 2(2), 100185. [CrossRef]
- 6. Milner, E., Stevens, B., An, M., Lam, V., Ainsworth, M., Dihle, P., Segars, K. (2021). Utilizing probiotics for the prevention and treatment of gastrointestinal diseases. Frontiers in Microbiology, 12, 689958. [CrossRef]
- 7. Minelli, E.B., Benini, A. (2008). Relationship between number of bacteria and their probiotic effects. Microbial Ecology in Health and Disease, 20(4), 180-183. [CrossRef]
- 8. Fijan, S., Frauwallner, A., Varga, L., Langerholc, T., Rogelj, I., Lorber, M., Povalej Bržan, P. (2019). Health professionals’ knowledge of probiotics: An international survey. International Journal Of Environmental Research And Public Health, 16(17), 3128. [CrossRef]
- 9. Ogbogu, U., Necyk, C. (2016). Community pharmacists’ views and practices regarding natural health products sold in community pharmacies. PloS one, 11(9), e0163450. [CrossRef]
- 10. Häußinger, C., Ruhl, U.E., Hach, I. (2009). Health beliefs and over-the-counter product use. Annals of Pharmacotherapy, 43(6), 1122-1127. [CrossRef]
- 11. Seubert, L.J., Whitelaw, K., Hattingh, L., Watson, M.C., Clifford, R.M. (2018). Interventions to enhance effective communication during over-the-counter consultations in the community pharmacy setting: A systematic review. Research in Social and Administrative Pharmacy, 14(11), 979-988. [CrossRef]
- 12. Marupuru, S., Axon, D.R., Slack, M.K. (2019). How do pharmacists use and recommend vitamins, minerals, herbals and other dietary supplements? BMC Complementary and Alternative Medicine, 19, 1-9. [CrossRef]
- 13. Fei, Y.Y., Steen, J., Tutt, E., Ng, J.Y., Dobbins, M. (2023). The impact of knowledge and attitudes on physicians', nurses' and pharmacists' recommendation of probiotics: A systematic review. European Journal of Integrative Medicine, 102272. [CrossRef]
- 14. Raosoft Inc. (2004) RaoSoft® sample size calculator. Available at: http://www.raosoft.com/samplesize. html. Accessed date: 01.06.2023.
- 15. Rahmah, P.A., Khairani, A.F., Atik, N., Arisanti, N., Fatimah, S.N. (2021). Correlation of knowledge, attitude, and practice toward probiotics for the digestive system among health science students. Journal of Multidisciplinary Healthcare, 1135-1144. [CrossRef]
- 16. Ong, T.S., Tan, S.T., Tan, S.S., Tan, C.X. (2023). Knowledge, attitudes, and practices towards probiotics for gut-skin axis among health science undergraduates: An online cross-sectional study. Food and Humanity, 1, 38-43. [CrossRef]
- 17. AbuKhader, M., Ashouri, Y., Yasir Al-Ani, S., Al-Harthy, N., Aljebouri, A. (2022). Probiotics in medical sciences education: A survey-based study in Oman. International Journal of Health Promotion and Education, 1-16. [CrossRef]
- 18. Babina, K., Salikhova, D., Polyakova, M., Zaytsev, A., Egiazaryan, A., Novozhilova, N. (2023). Knowledge and attitude towards probiotics among dental students and teachers: A cross-sectional survey. Dentistry Journal, 11(5), 119. [CrossRef]
- 19. Chukwu, E.E., Nwaokorie, F.O., Yisau, J.I., Coker, A.O. (2015). Assessment of the knowledge and perception of probiotics among medical science students and practitioners in Lagos state. British Journal of Medicine and Medical Research, 5(10), 1239. [CrossRef]
- 20. Wilson, Z., Whitehead, K. (2019). A cross sectional survey to assess healthcare professionals' attitudes to and understanding of probiotics. Clinical Nutrition ESPEN, 34, 104-109. [CrossRef]
- 21. Arshad, M.S., Saqlain, M., Majeed, A., Imran, I., Saeed, H., Saleem, M.U., Rasool, M.F. (2021). Cross-sectional study to assess the healthcare professionals’ knowledge, attitude and practices about probiotics use in Pakistan. BMJ Open, 11(7), e047494. [CrossRef]
- 22. Keeney, K.M., Yurist-Doutsch, S., Arrieta, M.C., Finlay, B.B. (2014). Effects of antibiotics on human microbiota and subsequent disease. Annual Review of Microbiology, 68, 217-235. [CrossRef]
- 23. Liao, W., Chen, C., Wen, T., Zhao, Q. (2021). Probiotics for the prevention of antibiotic-associated diarrhea in adults: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Gastroenterology, 55(6), 469-480. [CrossRef]
- 24. Kopacz, K., Phadtare, S. (2022). Probiotics for the prevention of antibiotic-associated diarrhea. Healthcare (Basel, Switzerland), 10(8), 1450. [CrossRef]
- 25. Johnston, B.C., Ma, S.S., Goldenberg, J.Z., Thorlund, K., Vandvik, P.O., Loeb, M., Guyatt, G.H. (2012). Probiotics for the prevention of Clostridium difficile-associated diarrhea: A systematic review and meta-analysis. Annals of Internal Medicine, 157(12), 878-888. [CrossRef]
- 26. Taner, N., Tatlıpınar, E., Büyükuslu, N. (2021). Evaluation of probiotic use of the students of Istanbul Medipol University. ACTA Pharmaceutica Sciencia, 59(1), 535-557. [CrossRef]
- 27. Özgür, M., Dinçoğlu, A.H. (2023). Knowledge levels and attitudes of nutrition and dietetics department students towards probiotic products: The example of Burdur Mehmet Akif Ersoy University: Cross-sectional study. Journal of Traditional Medical Complementary Therapies, 6(1), 11-23. [CrossRef]
- 28. Doron, S., Snydman, D.R. (2015). Risk and safety of probiotics. Clinical Infectious Diseases, 60 (Suppl 2), 129–134. [CrossRef]
- 29. Fisberg, M., Machado, R. (2015). History of yogurt and current patterns of consumption. Nutrition Reviews, 73 (Suppl 1), 4-7. [CrossRef]
- 30. Yangılar, F. (2024). Yogurt consumption in Türkiye, commercial use of yogurt yeast and evaluation of consumers' attitudes to yogurt-like products produced using different yeasts. Gümüşhane Üniversitesi Fen Bilimleri Dergisi, 14(1), 1-14. [CrossRef]
- 31. Ababneh, M., Elrashed, N., Al-Azayzih, A. (2020). Evaluation of Jordanian healthcare providers’ knowledge, attitudes, and practice patterns towards probiotics. Expert Review of Pharmacoeconomics & Outcomes Research, 20(1), 93-97. [CrossRef]
PHARMACY STUDENTS' KNOWLEDGE, ATTITUDES AND PRACTICES ABOUT PROBIOTICS
Yıl 2024,
, 920 - 928, 10.09.2024
Aslınur Albayrak
,
Şimal Mülazım
Öz
Objective: Probiotics are an important and fast-growing functional food group. Pharmacy students, as pharmacists of the future, need to have sufficient knowledge on this subject. Therefore, this study aims to evaluate pharmacy students' knowledge, attitudes, and practices about probiotics.
Material and Method: A cross-sectional survey study was conducted among students of Suleyman Demirel University Faculty of Pharmacy in Türkiye between 9 October and 30 October 2023. The paper-based questionnaires consisted of 23 questions and were administered for approximately 10-15 minutes.
Result and Discussion: The questionnaires were answered by 347 (74.7%) students. The mean±SD of the knowledge score was 5.14±1.53. The majority of respondents (79%) correctly identified probiotics. Approximately half of the participants knew the type of bacteria used in probiotic production The mean±SD of the attitude score was 11.13±1.44. Most respondents (91.9%) believed that probiotic consumption was beneficial for health. The mean±SD of the practice score was 3.72±2.77. 45.2% of respondents stated that they had used probiotic supplements before and 31.1% stated that they had sought additional information about probiotics from various sources. 40.6% of the respondents stated that they recommend probiotics to their family/close relatives. This study showed that although the attitudes of pharmacy students were acceptable, they had some knowledge deficiencies and their practices were poor. To increase the knowledge and practices of pharmacy students about probiotics, this subject should be given more space in undergraduate education and relevant scientific events should be organized.
Etik Beyan
Ethical approval for the research was received from Suleyman Demirel University Clinical Research Ethics Committee (No:156 / Date:21.07.2023).
Teşekkür
Authors would like to thank all students who participated in this study.
Kaynakça
- 1. Abuajah, C.I., Ogbonna, A.C., Osuji, C.M. (2015). Functional components and medicinal properties of food: A review. Journal of Food Science and Technology, 52, 2522-2529. [CrossRef]
- 2. Horasan, B., Sevinç, Ö., Çelikyürek, N.A. (2021). Üniversite öğrencilerinin probiyotik bilgi düzeyi ve tüketim durumlarının belirlenmesi. Avrupa Bilim ve Teknoloji Dergisi, (31), 446-453. [CrossRef]
- 3. Birch, C.S., Bonwick, G.A. (2019). Ensuring the future of functional foods. International Journal of Food Science & Technology, 54(5), 1467-1485. [CrossRef]
- 4. Hotel, A.C.P., Cordoba, A. (2001). Health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria. Prevention, 5(1), 1-10.
- 5. Das, T.K., Pradhan, S., Chakrabarti, S., Mondal, K.C., Ghosh, K. (2022). Current status of probiotic and related health benefits. Applied Food Research, 2(2), 100185. [CrossRef]
- 6. Milner, E., Stevens, B., An, M., Lam, V., Ainsworth, M., Dihle, P., Segars, K. (2021). Utilizing probiotics for the prevention and treatment of gastrointestinal diseases. Frontiers in Microbiology, 12, 689958. [CrossRef]
- 7. Minelli, E.B., Benini, A. (2008). Relationship between number of bacteria and their probiotic effects. Microbial Ecology in Health and Disease, 20(4), 180-183. [CrossRef]
- 8. Fijan, S., Frauwallner, A., Varga, L., Langerholc, T., Rogelj, I., Lorber, M., Povalej Bržan, P. (2019). Health professionals’ knowledge of probiotics: An international survey. International Journal Of Environmental Research And Public Health, 16(17), 3128. [CrossRef]
- 9. Ogbogu, U., Necyk, C. (2016). Community pharmacists’ views and practices regarding natural health products sold in community pharmacies. PloS one, 11(9), e0163450. [CrossRef]
- 10. Häußinger, C., Ruhl, U.E., Hach, I. (2009). Health beliefs and over-the-counter product use. Annals of Pharmacotherapy, 43(6), 1122-1127. [CrossRef]
- 11. Seubert, L.J., Whitelaw, K., Hattingh, L., Watson, M.C., Clifford, R.M. (2018). Interventions to enhance effective communication during over-the-counter consultations in the community pharmacy setting: A systematic review. Research in Social and Administrative Pharmacy, 14(11), 979-988. [CrossRef]
- 12. Marupuru, S., Axon, D.R., Slack, M.K. (2019). How do pharmacists use and recommend vitamins, minerals, herbals and other dietary supplements? BMC Complementary and Alternative Medicine, 19, 1-9. [CrossRef]
- 13. Fei, Y.Y., Steen, J., Tutt, E., Ng, J.Y., Dobbins, M. (2023). The impact of knowledge and attitudes on physicians', nurses' and pharmacists' recommendation of probiotics: A systematic review. European Journal of Integrative Medicine, 102272. [CrossRef]
- 14. Raosoft Inc. (2004) RaoSoft® sample size calculator. Available at: http://www.raosoft.com/samplesize. html. Accessed date: 01.06.2023.
- 15. Rahmah, P.A., Khairani, A.F., Atik, N., Arisanti, N., Fatimah, S.N. (2021). Correlation of knowledge, attitude, and practice toward probiotics for the digestive system among health science students. Journal of Multidisciplinary Healthcare, 1135-1144. [CrossRef]
- 16. Ong, T.S., Tan, S.T., Tan, S.S., Tan, C.X. (2023). Knowledge, attitudes, and practices towards probiotics for gut-skin axis among health science undergraduates: An online cross-sectional study. Food and Humanity, 1, 38-43. [CrossRef]
- 17. AbuKhader, M., Ashouri, Y., Yasir Al-Ani, S., Al-Harthy, N., Aljebouri, A. (2022). Probiotics in medical sciences education: A survey-based study in Oman. International Journal of Health Promotion and Education, 1-16. [CrossRef]
- 18. Babina, K., Salikhova, D., Polyakova, M., Zaytsev, A., Egiazaryan, A., Novozhilova, N. (2023). Knowledge and attitude towards probiotics among dental students and teachers: A cross-sectional survey. Dentistry Journal, 11(5), 119. [CrossRef]
- 19. Chukwu, E.E., Nwaokorie, F.O., Yisau, J.I., Coker, A.O. (2015). Assessment of the knowledge and perception of probiotics among medical science students and practitioners in Lagos state. British Journal of Medicine and Medical Research, 5(10), 1239. [CrossRef]
- 20. Wilson, Z., Whitehead, K. (2019). A cross sectional survey to assess healthcare professionals' attitudes to and understanding of probiotics. Clinical Nutrition ESPEN, 34, 104-109. [CrossRef]
- 21. Arshad, M.S., Saqlain, M., Majeed, A., Imran, I., Saeed, H., Saleem, M.U., Rasool, M.F. (2021). Cross-sectional study to assess the healthcare professionals’ knowledge, attitude and practices about probiotics use in Pakistan. BMJ Open, 11(7), e047494. [CrossRef]
- 22. Keeney, K.M., Yurist-Doutsch, S., Arrieta, M.C., Finlay, B.B. (2014). Effects of antibiotics on human microbiota and subsequent disease. Annual Review of Microbiology, 68, 217-235. [CrossRef]
- 23. Liao, W., Chen, C., Wen, T., Zhao, Q. (2021). Probiotics for the prevention of antibiotic-associated diarrhea in adults: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Gastroenterology, 55(6), 469-480. [CrossRef]
- 24. Kopacz, K., Phadtare, S. (2022). Probiotics for the prevention of antibiotic-associated diarrhea. Healthcare (Basel, Switzerland), 10(8), 1450. [CrossRef]
- 25. Johnston, B.C., Ma, S.S., Goldenberg, J.Z., Thorlund, K., Vandvik, P.O., Loeb, M., Guyatt, G.H. (2012). Probiotics for the prevention of Clostridium difficile-associated diarrhea: A systematic review and meta-analysis. Annals of Internal Medicine, 157(12), 878-888. [CrossRef]
- 26. Taner, N., Tatlıpınar, E., Büyükuslu, N. (2021). Evaluation of probiotic use of the students of Istanbul Medipol University. ACTA Pharmaceutica Sciencia, 59(1), 535-557. [CrossRef]
- 27. Özgür, M., Dinçoğlu, A.H. (2023). Knowledge levels and attitudes of nutrition and dietetics department students towards probiotic products: The example of Burdur Mehmet Akif Ersoy University: Cross-sectional study. Journal of Traditional Medical Complementary Therapies, 6(1), 11-23. [CrossRef]
- 28. Doron, S., Snydman, D.R. (2015). Risk and safety of probiotics. Clinical Infectious Diseases, 60 (Suppl 2), 129–134. [CrossRef]
- 29. Fisberg, M., Machado, R. (2015). History of yogurt and current patterns of consumption. Nutrition Reviews, 73 (Suppl 1), 4-7. [CrossRef]
- 30. Yangılar, F. (2024). Yogurt consumption in Türkiye, commercial use of yogurt yeast and evaluation of consumers' attitudes to yogurt-like products produced using different yeasts. Gümüşhane Üniversitesi Fen Bilimleri Dergisi, 14(1), 1-14. [CrossRef]
- 31. Ababneh, M., Elrashed, N., Al-Azayzih, A. (2020). Evaluation of Jordanian healthcare providers’ knowledge, attitudes, and practice patterns towards probiotics. Expert Review of Pharmacoeconomics & Outcomes Research, 20(1), 93-97. [CrossRef]