歷年健康食品、特殊營養食品及膠囊錠狀食品非預期反應之分析   全文下載

Analysis of Case Reports for Unexpected Reactions of Health Food, Special Dietary Food, and Food in Capsule or Tablet Form

本研究彙整歷年健康食品、特殊營養食品及膠囊錠狀食品非預期反應通報案件共304件，通報者以民眾通報占多數；食用者年齡集中於31-60歲。扣除未提供取得來源外（67件），以直銷方式取得產品占多數，共計55件（23.2%），網路購物則有45件（19.0%）。成因相關性為可能相關以上案例，非預期反應症狀以「胃腸系統異常」（28件）、「皮膚及皮下組織異常」（28件）及「神經組織系統異常」（13件）較為常見，食用單一產品共計55件（64.0%）；無併用藥品共計56件（65.1%）。食用單一產品及無併用藥品（包含中、西藥）各有超過六成的民眾，代表部分民眾對食品食用方式有所認知，惟仍約有三成左右民眾對於併用食品或藥品可能產生交互作用的敏感度較低，仍需持續衛教宣導併用食品或藥品之食用方式。

From 2008 to 2021, the Taiwan Food and Drug Administration (TFDA) received 304 cases reports for unexpected reactions on health food, special dietary food, and food in capsule or tablet forms (URHFSDFCT), mainly from consumers. Age between 31 to 60 were the largest group of cases reported. The products were mostly sourced from direct selling (23.2%) and online shopping (19.0%). Most symptoms of unexpected reaction were the gastrointestinal disorders, skin and subcutaneous tissue, as well as nervous system disorders. Among cases assigned causality categories of possible, probable, and certain, 55 cases (64.0%) were associated with taking a single product and 56 cases (65.1%) were associated with no concurrent medication. More than 60% of the consumers used a single food product or no concurrent use of food product with medicines, which showed that most consumers already have the concept on how to used food products. However, there were still about 30% of the consumers with low sensitivity on the possible interaction of concurrent use of food products or with medicine. Hence, there is a need for health education and promotion.