Evidence map›Paper›PMID 42344046›Full record

ArticleBMJ public health2026

Use of traditional, complementary and integrative medicine in Berlin: baseline results from a substudy of the German National Cohort (NAKO).

Weronika Grabowska, Benno Brinkhaus, Stephanie Roll, Miriam Ortiz, Thomas Keil, Stefan Willich, Lilian Krist, Claudia M Witt

Abstract read
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Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Weronika GrabowskaInstitute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-9338-1188
Benno BrinkhausInstitute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.
Stephanie RollInstitute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.
Miriam OrtizInstitute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.
Thomas KeilInstitute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.
Stefan WillichInstitute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.
Lilian Krist *Institute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.
Claudia M Witt *Institute of Social Medicine, Epidemiology and Health Economics, Charité - University Medical Center Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Traditional, complementary and integrative medicine (TCIM) is widely used yet population-based data on user characteristics remain scarce in Germany. We aimed to describe patterns of non-pharmacological TCIM use and user profiles in the German National Cohort (NAKO). Method: The NAKO baseline assessment (2017-2019) at the Berlin inner-city study centre included a self-report questionnaire on the use of seven non-pharmacological TCIM modalities in the last year. TCIM user groups were defined a priori using expert-based knowledge and exploratively through hierarchical clustering. Groups were compared descriptively based on sociodemographic factors and medical history. Associations with chronic pain disorders, pain medications, mental health indicators and time-limiting factors were analysed for the binary and ordinal outcomes of TCIM use. Results: Among 1970 participants, 1029 (52.2%) used TCIM in the last year, most commonly meditation (26.8%), chiropractic (24.8%) and yoga (21.8%). Compared with never users, frequent TCIM users were more often female (63.5%), reported slightly higher rates of mental health problems (7.6% and 15.2% vs 6.1%) and more frequent chronic conditions, including osteoarthritis (10.6% and 11.1% vs 2.7%) and back pain (26.6% and 31.7% vs 16.0%). Supplement use was strikingly more common among TCIM users (43.7% vs 20.9%). Conclusion: In this population-based Berlin sample, TCIM users combined higher prevalence of chronic disease with greater engagement in preventive practices, notably supplement use, suggesting an attempt to seek solutions for chronic problems alongside conventional medical care or a preventive health orientation. Integrating TCIM awareness into prevention and chronic care could better align clinical practice with already existing patients' usage.

Indexed as

Epidemiologic Study CharacteristicsMental HealthPreventive MedicineSociodemographic Factors

Identifiers

PMID42344046
PMCPMC13289301

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