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Integrative physiology and traditional naturopathic practice: Results of an international observational study

Integrative Medicine Research 2020년 9권 4호 p.4 ~ 4
Steel Amie, Goldenberg Joshua Z., Hawrelak Jason A., Foley Hope, Gerontakos Sophia, Harnett Joanna E., Schloss Janet, Reid Rebecca,
소속 상세정보
 ( Steel Amie ) - University of Technology Sydney Australian Research Centre for Complementary and Integrative Medicine
 ( Goldenberg Joshua Z. ) - National University of Natural Medicine Helfgott Research Institute
 ( Hawrelak Jason A. ) - University of Technology Sydney Australian Research Centre for Complementary and Integrative Medicine
 ( Foley Hope ) - University of Technology Sydney Australian Research Centre for Complementary and Integrative Medicine
 ( Gerontakos Sophia ) - University of Technology Sydney Australian Research Centre for Complementary and Integrative Medicine
 ( Harnett Joanna E. ) - University of Sydney School of Pharmacy Faculty of Medicine and Health
 ( Schloss Janet ) - University of Technology Sydney Australian Research Centre for Complementary and Integrative Medicine
 ( Reid Rebecca ) - Endeavour College of Natural Health Office of Research

Abstract


Background: Naturopathy is one of seven distinct traditional medical systems acknowledged by the World Health Organization. Naturopathic principles and philosophies encourage a focus on multiple body systems during case-taking and the design of treatments. Little is known about whether such teaching translates into practice. This study aimed to characterise naturopathic practice as it relates to the identification of multiple physiological systems in the diagnosis and treatment of patients.

Methods: A cross sectional study was conducted in collaboration with the World Naturopathic Federation. A survey capturing clinical diagnostic and treatment considerations for up to 20 consecutive patients was administered to naturopaths in 14 countries.

Results: Naturopaths (n = 56) were mostly female (62.5%), aged between 36 and 45 years (37.5%), in practice for 5?10 years (44.6%), and consulting between 11 and 20 patients per week (35.7%). Participants completed the survey for 851 patient cases. Naturopaths reported a greater number of physiological systems relevant to clinical cases where the patients were working age (18?65 years) (IRR 1.3, p = .042), elderly (65 years and over) (IRR 1.4, p = .046), or considered by the naturopath to have a chronic health condition (IRR 1.2, p = .003). The digestive system was weakly associated with patients based on chronicity of the health complaint (V = .1149, p = .004), or having a musculoskeletal complaint (V = .1067, p = .002) autoimmune pathophysiology (V = .1681, p < .001), and considered relevant in respiratory (V = .1042, p = .002), endocrine (V = .1023, p = .003), female reproductive (V = .1009, p = .003), and integumentary (V = .1382, p < .001) systems.

Conclusion: Naturopaths across the world adopt an integrative physiological approach to the diagnosis and treatment of chronic and complex health care complaints.

키워드

Naturopathy; Integrative physiology; Traditional and complementary medicine; Integrative medicine

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