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NCCIH Clinical Digest: Children’s Use of Complementary Health Approaches

February 24, 2015 Comments off

NCCIH Clinical Digest: Children’s Use of Complementary Health Approaches
Source: National Center for Complementary and Integrative Health (NCCIH)

A new report based on data from the 2012 National Health Interview Survey (NHIS)* found that nearly 12 percent of children aged 4 to 17 years use complementary health approaches. Although this was not a significant change from the previous survey in 2007, there were significant increases in children’s use of yoga, fish oil, and melatonin. The complementary health approach most commonly used by children was natural products (dietary supplements other than vitamins and minerals) at almost one-quarter the adult rate (4.9 percent vs. 17.6 percent). This issue of the digest highlights findings from the survey, which aims to provide the most current and comprehensive picture of U.S. children’s use of complementary health approaches, and may give you insight into your own patients’ use of these products and practices.

*The complementary health questionnaire was developed by NIH’s National Center for Complementary and Integrative Health (formerly NCCAM) and the Center for Disease Control and Prevention’s National Center for Health Statistics. The questionnaire is administered every 5 years as part of the NHIS, an annual study in which tens of thousands of Americans are interviewed about their health- and illness-related experiences. The 2012 survey results are based on combined data from 17,321 interviews with a knowledgeable adult about children aged 4 to 17 years.

See: Children and Complementary Health Approaches

Spinal Manipulation

February 23, 2015 Comments off

Spinal Manipulation
Source: National Center for Complementary and Integrative Health (NCCIH)

Spinal manipulation—sometimes called “spinal manipulative therapy”—is practiced by health care professionals such as chiropractors, osteopathic physicians, naturopathic physicians, physical therapists, and some medical doctors. Practitioners perform spinal manipulation by using their hands or a device to apply a controlled force to a joint of the spine. The amount of force applied depends on the form of manipulation used. The goal of the treatment is to relieve pain and improve physical functioning.

See also: Chiropractic: An Introduction

Strengthening Collaborations With the U.S. Department of Defense and U.S. Department of Veterans Affairs: Effectiveness Research on Mind and Body Interventions

February 23, 2015 Comments off

Strengthening Collaborations With the U.S. Department of Defense and U.S. Department of Veterans Affairs: Effectiveness Research on Mind and Body Interventions
Source: National Center for Complementary and Integrative Health (NCCIH)
From press release:

The feasibility of conducting larger-scale research studies on nondrug approaches for pain management in cooperation with the U.S. Department of Defense (DoD) and the U.S. Department of Veterans Affairs (VA) should be assessed by the National Center for Complementary and Integrative Health (NCCIH) at the National Institutes of Health (NIH). This recommendation was delivered in a report by a working group of the Center’s Advisory Council.

“Chronic pain is a major public health problem that affects more than 100 million Americans, and research shows that it may disproportionately affect military personnel and Veterans,” said Lloyd Michener, M.D., professor and chair, Department of Community and Family Medicine, Duke University, Durham, North Carolina; chair of the working group. “The high rates of chronic pain in the military and Veteran populations are alarming. New strategies for managing this widespread condition are urgently needed.”

The working group recommended that the proposed research should:

  • Assess the impact of pain on patient function and quality of life as primary outcome measures, with changes in the use of opioids and other drugs as a secondary outcome;
  • Evaluate an integrated package of nondrug treatments, an integrative model of care, or a holistic approach to care rather than focusing on individual complementary health approaches;
  • Focus on patients in the early stages of chronic pain;
  • Leverage natural experiments and existing resources whenever possible; and
  • Be pragmatic and embedded in the delivery of care.

Use of Complementary Health Approaches in the U.S. — National Health Interview Survey (NHIS)

February 20, 2015 Comments off

Use of Complementary Health Approaches in the U.S. — National Health Interview Survey (NHIS)
Source: National Center for Complementary and Integrative Health (NCCIH)

2012 NHIS Highlights

  • In 2012, 33.2% of U.S. adults used complementary health approaches. This is similar to the percentages in 2007 (35.5%) and 2002 (32.3%).
  • 11.6% of U.S. children age 4 to 17 used complementary health approaches in 2012. There was no meaningful change from 2007, when 12.0% used them.
  • In 2012, as in 2007 and 2002, the most commonly used complementary approach was natural products (dietary supplements other than vitamins and minerals). 17.7% of adults and 4.9% of children age 4 to 17 used natural products.

Bromelain (Pineapple Extract)

January 29, 2015 Comments off

Bromelain
Source: National Center for Complementary and Integrative Health

+ Bromelain is a mixture of enzymes found in the pineapple plant. Pineapple is native to the Americas but is now grown throughout the world in tropical and subtropical regions. Historically, natives of Central and South America used pineapple for a variety of ailments, such as digestive disorders.

+ Currently, bromelain is used as a dietary supplement for nasal swelling and inflammation, osteoarthritis, cancer, poor digestion, and muscle soreness. Topical (applied to the skin) bromelain is used for wounds and burns.

+ Bromelain is obtained from the stem or fruit of the pineapple. It is sold in the form of a powder, cream, tablet, or capsule, and it may be used alone or in combination with other ingredients.

NCCAM Clinical Digest: Stress and Relaxation Techniques

January 6, 2015 Comments off

NCCAM Clinical Digest: Stress and Relaxation Techniques
Source: National Center for Complementary and Alternative Medicine

Relaxation techniques may be helpful in managing a variety of health conditions, including anxiety associated with illnesses or medical procedures, insomnia, labor pain, chemotherapy-induced nausea, and temporomandibular joint dysfunction. For some of these conditions, relaxation techniques are used as an adjunct to other forms of treatment. Relaxation techniques have also been studied for other conditions, but either they haven’t been shown to be useful, research results have been inconsistent, or the evidence is limited.

Energy Drinks

November 20, 2014 Comments off

Energy Drinks
Source: National Center for Complementary and Alternative Medicine (NCCAM)

Bottom Line:

  • Although there’s very limited data that caffeine-containing energy drinks may temporarily improve alertness and physical endurance, evidence that they enhance strength or power is lacking. More important, they can be dangerous because large amounts of caffeine may cause serious heart rhythm, blood flow, and blood pressure problems.
  • There’s not enough evidence to determine the effects of additives other than caffeine in energy drinks.
  • The amounts of caffeine in energy drinks vary widely, and the actual caffeine content may not be identified easily.
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