Food Supplements Usage During Covid-19 Pandemic

Food Supplements Usage During Covid-19 Pandemic

Millions of people worldwide use food supplements to maintain their body wellbeing and for immune boosting mainly against flu or other seasonal infections. Taking into consideration the great importance given to the use of supplements during COVID-19 pandemic, the aim of this study is to evaluate the importance and precaution of supplements and herbal products usage for immunity boosting during COVID-19 pandemic in Tirana region, Albania. According to the pharmacists, there is a wide range of supplements used during COVID-19 pandemic. One of the most used supplements in Albania during COVID-19 pandemic, was the combination of Vitamin C, Vitamin D3 direct and Zinc, a product from FORTEX nutraceuticals in the form of dispersible sachets for oral intake without water. Combinations of Vitamin D and Vitamin K are used also. Based on these facts, vitamin D level was measured in a group of 2295 randomly chosen individuals, presented in the laboratory for routine analysis. Compared to the data from previous studies during the period from 2009-2010, where a mean value of 21.49 (± 7.6) ng/ml for vitamin D was observed, there is a slight increase in vitamin D concentration from 2019-2022, with a mean value of 24.14 (± 9.07) ng/ml. Regardless the extra care and supplements intake, the range varies from 8-67 ng/ml and the level of vitamin D insufficiency is still high in the population. More than 87% of the individuals were taking supplements regularly, during COVID-19 pandemic. 57% of them were aware that interactions between supplements and medications could occur. The persons who were informed that interactions could occur were part of age group from 18-45 years old. About 21% of them approved that the pharmacist has always asked them about other medications or supplements they were administering in addition to those they buy to the pharmacy. Pharmacists recommend also taking medications and supplements at least an hour apart and to keep a diary about any side effects that come on along with supplements use. It is important to avoid using supplements that contain large amounts of ingredients too.

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  • Anisa Peçuli, Arbenita Hasani, Anila Kopali, Armino Paraj, Elena Kokthi. Dietary supplement consumption by Albanian consumers Conference: 3rd INTERNATIONAL CONFERENCE on Agriculture and Life Sciences (ICOALS III) Campobasso - Tirana 202; Conference paper, February 2022, Tirana, Albania
  • Arlauskas R, Austys D, Stukas R. COVID-19 Pandemic and Consumption of Dietary Supplements among Adult Residents of Lithuania. Int J Environ Res Public Health. 2022;19(15):9591. Published 2022 Aug 4. doi:10.3390/ijerph19159591
  • Barnes K, Ball L, Desbrow B, Alsharairi N, Ahmed F. Consumption and reasons for use of dietary supplements in an Australian university population. Nutrition. 2016;32(5):524-530. doi:10.1016/j.nut.2015.10.022
  • Cowan AE, Jun S, Gahche JJ, et al. Dietary Supplement Use Differs by Socioeconomic and Health-Related Characteristics among U.S. Adults, NHANES 2011⁻2014. Nutrients. 2018;10(8):1114. Published 2018 Aug 17. doi:10.3390/nu10081114
  • Czerwiński, A., Liebers, D. 2019. Poland and supplements: opportunities for European leadership. Polish Economic Institute: Warsaw, Poland.
  • Ela Bebeçi, Vilma Papajani, Josif Risto. Knowledge and awareness of nutritional supplements and drug interactions and the role of pharmacist in the preventıon. International Journal of Pharma Sciences and Research (IJPSR). ISSN : 0975-9492. Vol 6 No 01 Jan 2015.
  • European Food Safety Authority (EFSA) Dietary Supplements. [(accessed on 13 June 2022)]. Available online: https://www.efsa.europa.eu/en/topics/topic/food-supplements
  • Flynn, A., Hirvonen, T., Mensink, G. B., Ocké, M. C., Serra-Majem, L., Stos, K., Szponar, L., Tetens, I., Turrini, A., Fletcher, R., & Wildemann, T. (2009). Intake of selected nutrients from foods, from fortification and from supplements in various European countries. Food & nutrition research, 53, 10.3402/fnr.v53i0.2038. https://doi.org/10.3402/fnr.v53i0.2038
  • Grand View Research. “Dietary Supplements Market Size, Share & Trends Analysis Report By Ingredient (Vitamins, Minerals), By Form, By Application, By End User, By Distribution Channel, By Region, And Segment Forecasts, 2022 – 2030.” Accessed on April 7th, 2022.
  • Hamulka J, Jeruszka-Bielak M, Górnicka M, Drywień ME, Zielinska-Pukos MA. Dietary Supplements during COVID-19 Outbreak. Results of Google Trends Analysis Supported by PLifeCOVID-19 Online Studies. Nutrients. 2020;13(1):54. Published 2020 Dec 27. doi:10.3390/nu13010054
  • Kantor ED, Rehm CD, Du M, White E, Giovannucci EL. Trends in Dietary Supplement Use Among US Adults From 1999-2012. JAMA. 2016;316(14):1464-1474. doi:10.1001/jama.2016.14403
  • Lentjes M. A. H. (2019). The balance between food and dietary supplements in the general population. The Proceedings of the Nutrition Society, 78(1), 97–109. https://doi.org/10.1017/S0029665118002525
  • Puścion-Jakubik A, Bielecka J, Grabia M, et al. Consumption of Food Supplements during the Three COVID-19 Waves in Poland-Focus on Zinc and Vitamin D. Nutrients. 2021;13(10):3361. Published 2021 Sep 25. doi:10.3390/nu13103361
  • Sekhri K, Kaur K. Public knowledge, use and attitude toward multivitamin supplementation: A cross-sectional study among general public. Int J Appl Basic Med Res. 2014;4(2):77-80. doi:10.4103/2229-516X.136780
  • Skeie, G., Braaten, T., Hjartåker, A., Lentjes, M., Amiano, P., Jakszyn, P., Pala, V., Palanca, A., Niekerk, E. M., Verhagen, H., Avloniti, K., Psaltopoulou, T., Niravong, M., Touvier, M., Nimptsch, K., Haubrock, J., Walker, L., Spencer, E. A., Roswall, N., Olsen, A., … Slimani, N. (2009). Use of dietary supplements in the European Prospective Investigation into Cancer and Nutrition calibration study. European journal of clinical nutrition, 63 Suppl 4, S226–S238. https://doi.org/10.1038/ejcn.2009.83
  • Rumano, M., Kola (Bida), L. & Rumano, E. (2021). Vitamin D status and its relationship with age, gender and parathyroid hormone. The Eurasia Proceedings of Health, Environment and Life Sciences (EPHELS), 1, 1-9.
  • Fuchikami H, Satoh H, Tsujimoto M, Ohdo S, Ohtani H, Sawada Y. Effects of herbal extracts on the function of human organic anion-transporting polypeptide OATP-B. Drug Metab Dispos. 2006;34(4):577-582.
  • Patel NM, Derkits RM. Possible increase in liver enzymes secondary to atorvastatin and black cohosh administration. J Pharm Pract. 2007;20(4):341-346.
  • Stoddard GJ, Archer M, Shane-McWhorter L, et al. Ginkgo and warfarin interaction in a large veterans administration population. AMIA Annu Symp Proc. 2015;2015:1174-1183.
  • Yuan CS, Wei G, Dey L, et al. Brief communication: American ginseng reduces warfarin's effect in healthy patients: a randomized, controlled trial. Ann Intern Med. 2004;141(1):23-27.
  • Han Y, Guo D, Chen Y, Chen Y, Tan ZR, Zhou HH. Effect of silymarin on the pharmacokinetics of losartan and its active metabolite E-3174 in healthy Chinese volunteers. Eur J Clin Pharmacol. 2009;65(6):585-591.
  • Fuchikami H, Et al. 2006; Patel NM& Derkits RM, 2007; Stoddard GJ, Et al. 2015; Yuan CS, Et al. 2004; Han Y, Et al.2009
  • Roby CA, Anderson GD, Kantor E, Dryer DA, Burstein AH. St John's wort: effect on CYP3A4 activity. Clin Pharmacol Ther. 2000;67(5):451-457.