ArticleJournal of alternative and complementary medicine (New York, N.Y.)2009
Description of clinical risk factor changes during naturopathic care for type 2 diabetes.
Article in Journal of alternative and complementary medicine (New York, N.Y.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Effects of lifestyle interventions on cardiovascular risk factors in South Asians: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Intermittent fasting for the prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2021Pooled it
- Chronic Fructose Substitution for Glucose or Sucrose in Food or Beverages and Metabolic Outcomes: An Updated Systematic Review and Meta-Analysis.Frontiers in nutrition · 2021Pooled it
- Impact of social determinants of health on outcomes for type 2 diabetes: a systematic review.Endocrine · 2014Pooled it
- Naturopathic medicine for the prevention of cardiovascular disease: a randomized clinical trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013Trial
- Adjunctive naturopathic care for type 2 diabetes: patient-reported and clinical outcomes after one year.BMC complementary and alternative medicine · 2012Trial
- Effects of oral glutathione supplementation on systemic oxidative stress biomarkers in human volunteers.Journal of alternative and complementary medicine (New York, N.Y.) · 2011Trial
- Plasma lipids and glycaemic indices in australians following plant-based diets versus a meat-eating diet.Lipids in health and disease · 2024Article
- Article
- Plant- and Animal-Based Protein-Rich Foods and Cardiovascular Health.Current atherosclerosis reports · 2022Review
- Association between improved metabolic risk factors and perceived fatigue during dietary intervention trial in relapsing-remitting multiple sclerosis: A secondary analysis of the WAVES trial.Frontiers in neurology · 2022Article
- Overview of international naturopathic practice and patient characteristics: results from a cross-sectional study in 14 countries.BMC complementary medicine and therapies · 2020Article
- Naturopathy as a Model of Prevention-Oriented, Patient-Centered Primary Care: A Disruptive Innovation in Health Care.Medicina (Kaunas, Lithuania) · 2019Article
- A Hierarchy of Healing: Origins of the Therapeutic Order and Implications for Research.Integrative medicine (Encinitas, Calif.) · 2019Article
- The State of the Evidence for Whole-System, Multi-Modality Naturopathic Medicine: A Systematic Scoping Review.Journal of alternative and complementary medicine (New York, N.Y.) · 2019Article
- Can naturopathy provide answers to the escalating health care costs in India?Journal of traditional and complementary medicine · 2015Review
- Survey of CAM interest, self-care, and satisfaction with health care for type 2 diabetes at group health cooperative.BMC complementary and alternative medicine · 2011Article
- CAM: naturopathic dietary interventions for patients with type 2 diabetes.Complementary therapies in clinical practice · 2011Article
- Observed Changes in Risk during Naturopathic Treatment of Hypertension.Evidence-based complementary and alternative medicine : eCAM · 2011Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSurvey 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.
objectivesThe 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.
designA retrospective, observational study design was used to describe naturopathic care.
settingAbstracted medical charts were from patients of the Bastyr Center for Natural Health in Seattle, WA.
participantsThe patients in this study had type 2 diabetes and received naturopathic care between 2001 and 2006. OUTCOMES: 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).
resultsThirty-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. COMMENTS/
conclusionsThese 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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