Description of clinical risk factor changes during naturopathic care for type 2 diabetes.
Description of clinical risk factor changes during naturopathic care for type 2 diabetes.
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DOI：
10.1089/acm.2008.0249
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发表时间：
2009-06
期刊：
影响因子：
--
通讯作者：
Standish LJ
中科院分区：
文献类型：
--
作者：
Bradley R;Kozura E;Buckle H;Kaltunas J;Tais S;Standish LJ
调查发现，48%的2型糖尿病患者使用补充和替代医学(CAM)实践。出版物表明，在自然疗法实践中，健康促进咨询的发生率很高，但文献中没有关于危险因素变化的临床数据。这项研究的主要目的是描述2型糖尿病患者在使用自然病理性CAM服务过程中临床危险因素的变化。采用回溯性观察性研究设计描述自然疗法护理。摘要病历来自华盛顿州西雅图Bastyr自然健康中心的患者。这项研究中的患者患有2型糖尿病，并在2001年至2006年期间接受了自然疗法治疗。摘要数据包括患者人口统计、护理持续时间、就诊次数、血红蛋白A1c(HbA1c)、低密度脂蛋白(LDL)和高密度脂蛋白(HDL)胆固醇、甘油三酯(TAG)的化验值；以及收缩/舒张压(SPB，DBP)。37(37)个患者记录符合纳入标准，并进行了详细摘要。平均和中位护理持续时间分别为27个月和20个月。临床实验室危险因素在整个护理期间的显著变化是：糖化血红蛋白的−为0.65%(p=0.046)，TAG的−为45 mg/dL(p=0.037)，收缩压的−为7 mm Hg(p=0.02)，舒张压的−为5 mm Hg(p=0.003)。胆固醇的平均变化没有达到统计学意义。达到新对照、有临床显著危险因素改善或有任何改善的患者的百分比为：HbA1c为26%、42%和68%，低密度脂蛋白为7%、28%和62%，高密度脂蛋白为0%、25%和39%，TAG为14%、38%和52%，SBP为16%、51%和86%，DBP为27%、54%和70%。这些初步结果表明，在糖尿病自然疗法治疗期间，危险因素有所改善，尽管自然疗法护理对这些变化的贡献还不能确定。自然疗法治疗2型糖尿病的有效性和可推广性应在有代表性人群的对照前瞻性研究或随机试验中进行评估。
Survey findings report that 48% of people with type 2 diabetes use complementary and alternative medicine (CAM) practice. Publications suggest a high incidence of health promotion counseling in naturopathic practice, yet clinical data on risk factor changes are not available in the literature. The primary aim of this study was to describe clinical risk factor changes during the utilization of naturopathic CAM services in patients with type 2 diabetes. A retrospective, observational study design was used to describe naturopathic care. Abstracted medical charts were from patients of the Bastyr Center for Natural Health in Seattle, WA. The patients in this study had type 2 diabetes and received naturopathic care between 2001 and 2006. Abstracted data included patient demographics, duration of care, number of visits, laboratory values for hemoglobin A1c (HbA1c), low density lipoprotein (LDL) and high density lipoprotein (HDL) cholesterol, triglycerides (TAG); and systolic/diastolic blood pressure (SPB, DBP). Thirty-seven (37) patient records met inclusion criteria and were abstracted in detail. Mean and median duration of care were 27 and 20 months, respectively. The mean number of visits was 11. Significant mean changes in clinical laboratory risk factors over the duration of care were: −0.65% for HbA1c (p = 0.046), −45 mg/dL for TAG (p = 0.037), −7 mm Hg in SBP (p = 0.02), and −5 mm Hg in DBP (p = 0.003). Mean changes for cholesterol did not reach statistical significance. The percentage of patients who reached new control, had clinically significant risk factor improvements, or had any improvement was: 26%, 42%, and 68% for HbA1c, 7%, 28%, and 62% for LDL, 0%, 25%, and 39% for HDL, 14%, 38%, and 52% for TAG, 16%, 51%, and 86% for SBP, and 27%, 54%, and 70% for DBP. These preliminary outcomes suggest that risk factor improvements occur during naturopathic care for diabetes, although the contribution of naturopathic care to these changes cannot be determined. Effectiveness and generalizability of naturopathic approaches in treating type 2 diabetes should be evaluated in controlled prospective studies in representative populations or randomized trials.
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影响因子：
105.7
作者：
Stratton, IM;Adler, AI;Holman, RR
通讯作者：
Holman, RR
影响因子：
16.2
作者：
Garrow, D;Egede, LE
通讯作者：
Egede, LE
影响因子：
3.5
作者：
Aas, AM;Bergstad, I;Birkeland, KI
通讯作者：
Birkeland, KI
DOI：
10.1331/154434506777069516
发表时间：
2006-05-01
影响因子：
2.1
作者：
Heaton, Pamela C.;Frede, Stacey M.
通讯作者：
Frede, Stacey M.
影响因子：
5.9
作者：
WILSON, PWF;ANDERSON, KM;CASTELLI, WP
通讯作者：
CASTELLI, WP