Evidence map›Paper›PMID 39421489›Full record

ArticleTzu chi medical journal

Factor analysis of traditional Chinese medicine symptoms for identification of syndrome patterns associated with idiopathic short stature in children.

Tzu-Shien Liao, Li-Ping Tsai, I-Shiang Tzeng, Ya-Ting Hsu, Po-Chun Hsieh, Hsien-Chang Wu

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Article in Tzu chi medical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tzu-Shien LiaoDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
Li-Ping TsaiDepartment of Pediatrics, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
I-Shiang TzengDepartment of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
Ya-Ting HsuDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
Po-Chun HsiehDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
Hsien-Chang WuDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Diagnosing idiopathic short stature (ISS) in Traditional Chinese Medicine (TCM) remains challenging partly because the symptoms and syndrome patterns vary among ISS patients and studies. We aimed to use factor analysis of TCM symptoms to identify syndrome patterns associated with ISS in children on the basis of TCM theory. Materials and Methods: A cross-sectional study was conducted at Taipei Tzu Chi Hospital, New Taipei City, Taiwan, from October 1, 2014, to February 28, 2016. The study included 957 individuals who were newly diagnosed with ISS through simple random sampling. The outcome measures comprised 34 TCM symptoms related to children's growth, and these symptoms were assessed using a five-level self-report questionnaire, which was completed by children and their parents. A factor analysis was conducted for the extraction of underlying factors. Results: A total of 26 symptoms had factor loadings higher than the exact threshold value (0.4), and five factors were extracted. Factor 1, comprising seven symptoms, was interpreted as "yin deficiency and fire hyperactivity of kidney syndrome." Factor 2, which included eight symptoms, was interpreted as "phlegm dampness stagnation of spleen syndrome." Factor 4, which included five symptoms, was interpreted as "liver qi invading the spleen syndrome." Factor 5, which included four symptoms, was interpreted as "spleen-stomach weakness syndrome." Factor 3, which included four symptoms, was uninterpretable. Factors 1-5 accounted for 10%, 9%, 8%, 7%, and 6% of the total variance. Conclusion: Four major TCM syndrome patterns, namely, "yin deficiency and fire hyperactivity of kidney syndrome," "phlegm dampness stagnation of spleen syndrome," "Liver qi invading the spleen syndrome," and "spleen-stomach weakness syndrome" were identified and accounted for 40% of the total variance of the 34 TCM symptoms surveyed in children with ISS. Our findings may facilitate the diagnosis of ISS and the optimization of treatment strategies.

Indexed as

ChildrenIdiopathic short statureSymptomsSyndrome patternsTraditional Chinese Medicine

Identifiers

PMID39421489
PMCPMC11483086

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