Folna kiselina - što znaju i koliko ju koriste rodilje u Zadarskoj županiji

Autor: Ksenija Vitale, Slavica Sović, Marko Milić, Ljilja Balorda, Goran Todorović, Branko Uhoda
Jazyk: chorvatština
Rok vydání: 2011
Předmět:
Zdroj: Medica Jadertina
Volume 41
Issue 3-4
ISSN: 1848-817X
0351-0093
Popis: Cilj ovoga rada je utvrditi koliko su rodilje u Zadarskoj županiji upoznate s folnom kiselinom, te koliko su je uzimale. Iako je 80% od 339 ispitanica odgovorilo da zna što je folna kiselina i skoro 85% njih da vjeruje da je korisna, pravilno ju je uzimalo samo 16,5%, dok je 23% njih uzimalo neki multivitamin. Savjet da uzima folnu kiselinu dobilo je 49% ispitanica, i to skoro 90% njih od ljekarnika. Liječnici su savjetovali samo 2% ispitanica i od toga niti jednu s niskom stručnom spremom. Samoinicijativno je 39% ispitanica uzelo neki preparat. Logistička regresija pokazala je da su glavni prediktori za uzimanje folne kiseline planirana trudnoća i spontani prekid trudnoće i/ili mrtvorođenost. Negativni prediktor je pušenje. Žene s višom edukacijom više su konzumirale folnu kiselinu. Ispitanice s nižim obrazovanjem višestruko su u nepovoljnijem položaju, budući da nemaju dovoljno spoznaja, baš uslijed nedovoljnog školovanja, a socijalna mreža kojoj pripadaju nije dovoljno snažna, a niti zdravstveni sustav ne dopire do njih. Za pretpostaviti je da, dok to ne bude pravilo u EU, Hrvatska neće obogaćivati hranu folnom kiselinom, pa je potrebno iznaći pravilnu kombinaciju svih raspoloživih metoda kako bi se ženama u fertilnoj dobi u Zadarskoj županiji omogućio njezin pravilan unos. Integrativan pristup bi kroz edukaciju o prehrani, stilu života, te pravilnu suplementaciju folnom kiselinom, mogao utjecati na smanjenje incidencije DNC-a (defekta neuralne cijevi). Također, integrativni pristup podrazumijeva da treba iskoristiti dostupnost ljekarnika, utjecaj obitelji i prijatelja, ali svakako treba povećati dostupnost i savjetovanje kroz primarnu zdravstvenu zaštitu.
The aim of this study is to establish what pregnant women in Zadar County know about folic acid (FA) and how much they were using it. Out of 339 women 16.5% took FA correctly, 23% took some multivitamin, despite the fact that 80% knew what is FA, and 85% believed that it is useful. Some recommendation got 49% of women, mostly from pharmacists, only 2% got recommendation from physicians, out of whom not a single women with lower education. 39% of women decided to take FA on their own. Logistic regression analysis showed that the strongest positive predictor for taking FA is planned pregnancy and spontaneous abortion or stillborn. Smoking is a negative predictor. Women with higher education took more FA. Women with lower education are in multiple adverse positions due to poorer general knowledge, weaker social network and poorer access to the health care system. Under the presumption that Croatia will not introduce mandatory FA food fortification, until it is obligatory in the EU, it is necessary to use a combination of all available methods in order to supplement all women in childbearing age in Zadar County. An integrative approach through education on nutrition and lifestyle along with right supplementation could lead to decreased neural tube defects. An integrative approach implies benefit from the availability of pharmacists, influence of family and friends and above all increased availability and recommendations of through the primary health care system.
Databáze: OpenAIRE
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