Journal Article10.1016/J.JSTROKECEREBROVASDIS.2021.105735
Prevalence and Predictors of Multivitamin Supplement Use After Stroke in Ghana.
1
TL;DR: In this paper, the prevalence and predictors of multivitamin supplementation among individual with chronic illnesses in sub-Saharan Africa, especially stroke, were assessed using a multivariable logistic regression analysis.
read more
Abstract: Background Multivitamins are commonly used supplements in high income countries, but their net benefit-risk, remains inconclusive. Little is known about the prevalence and predictors of multivitamin supplementation among individual with chronic illnesses in sub-Saharan Africa, especially stroke. Purpose To assess the frequency and factors associated with of use of multivitamin supplement among stroke survivors in Ghana. Methods We analyzed prospectively collected data on consecutively encountered stroke survivors seen at an out-patient clinic in Ghana between January 2018 and March 2020. We collected baseline demographic and clinical details, and use of multivitamins among other secondary prevention medications prescribed. We assessed factors associated with multivitamin supplementation using a multivariable logistic regression analysis. Results Among 1,101 stroke survivors, 324 (29.4%) were on multivitamin supplements. Factors independently associated with multivitamin use were being divorced (OR 2.88; 95% CI: 1.52–5.47), time since diagnosis of index per each month increase (OR 0.99; 95% CI: 0.99–1.00), and number of prescribed classes of antihypertensive medications (OR 0.81; 95% CI: 0.72–0.92). Conclusion Nearly a third of stroke survivors in this Ghanaian sample were on multivitamin supplementation, with select socio-clinical factors being linked to this practice. Future studies should examine how/if this practice is interfering with optimal stroke outcomes.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Dietary Supplement Use and Associated Factors Among Adults Working in Urban Settings in Tanzania: A Cross-Sectional Study
M.N. Lwakatare,Jane Mlimbila +1 more
TL;DR: The most commonly reported reason for dietary supplement use among working adults was to improve overall health (67.1%), while a third of the users admitted to self-prescribing dietary supplements without seeking professional medical advice as mentioned in this paper .
4
References
Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death: the Vitamin Intervention for Stroke Prevention (VISP) randomized controlled trial.
James F. Toole,M. Rene Malinow,Lloyd E. Chambless,J. David Spence,L. Creed Pettigrew,Virginia J. Howard,Elizabeth G. Sides,Chin-Hua Wang,Meir J. Stampfer +8 more
TL;DR: In this trial, moderate reduction of total homocysteine after nondisabling cerebral infarction had no effect on vascular outcomes during the 2 years of follow-up, and the consistent findings of an association of totalhomocysteines with vascular risk suggests that further exploration of the hypothesis is warranted and longer trials in different populations with elevated total homocrysteine may be necessary.
The burden of stroke in Africa: a glance at the present and a glimpse into the future.
Mayowa O. Owolabi,Sally N Akarolo-Anthony,Rufus Akinyemi,Donna K. Arnett,Mulugeta Gebregziabher,Carolyn Jenkins,Hemant K. Tiwari,Oyedunni Arulogun,Albert Akpalu,Fred Stephen Sarfo,Reginald Obiako,Lukman Owolabi,Kwamena W. Sagoe,Sylvia Melikam,Abiodun M. Adeoye,Daniel T. Lackland,Bruce Ovbiagele +16 more
TL;DR: While the available study data and evidence are limited, the burden of stroke in Africa appears to be increasing, and model-based estimates showed significant mean increases in age-standardised stroke incidence.
Dietary supplements and mortality rate in older women
TL;DR: In older women, several commonly used dietary vitamin and mineral supplements may be associated with increased total mortality risk; this association is strongest with supplemental iron, while calcium is associated with decreased risk.
Vitamin Intervention for Stroke Prevention Trial An Efficacy Analysis
TL;DR: In the era of folate fortification, B12 plays a key role in vitamin therapy for total homocysteine and those with B12 less than the median assigned to low-dose vitamin had the worst outcome.
259
Stroke incidence in rural and urban Tanzania: a prospective, community-based study
Richard Walker,Richard Walker,David Whiting,David Whiting,Nigel Unwin,Ferdinand Mugusi,Mark Swai,Eric Aris,Ahmed Jusabani,Gregory Kabadi,William K. Gray,Mary Lewanga,George Alberti +12 more
TL;DR: Age- standardised stroke incidence rates in Hai were similar to those seen in developed countries; however, age-standardised incidence ratesIn Dar-es-Salaam were higher than seen in most studies in developed nations; this could be because of a difference in the prevalence of risk factors and emphasises the importance of health screening at a community level.
258