The 2019 Addendum, in conjunction with the original health and wellness coaching (HWC) Compendium... more The 2019 Addendum, in conjunction with the original health and wellness coaching (HWC) Compendium, organizes HWC literature with the aim of assisting researchers while providing a resource for practitioners. The 2019 Addendum to the HWC Compendium extends the initial work by adding HWC-related literature published in the past 2 years. The 2019 Addendum divides articles retrieved into 8 categories, including a new miscellaneous section complementing categories examining HWC effects on cancer, cholesterol, diabetes, heart disease, hypertension, obesity, and wellness. The 2019 Addendum again provides in-depth information about the nature, quality, and results from each article in a detailed spreadsheet provided as an electronic appendix. The 2019 Addendum contributes another 104 peer-reviewed coaching-related articles to the HWC Compendium. This most recent research again describes HWC as a favorable intervention with treatment potential in all categories, though only 3 new cancer arti...
ABSTRACT Spinal pain is one of the most common and costly afflictions in the U.S. population. Chi... more ABSTRACT Spinal pain is one of the most common and costly afflictions in the U.S. population. Chiropractic, acupuncture and naturopathy are among the most commonly used complementary and alternative medicine (CAM) therapies by U.S. adults for spinal pain. These therapies are used in individual CAM practices and as part of integrative health care approaches. Although there is a growing collection of clinical trials examining the use of CAM for spinal pain, very little is known regarding the actual clinical practice of CAM or integrative medicine and there are few sustained opportunities for research among CAM practitioners who routinely see patients with musculoskeletal conditions. Our long-term goal is to establish a large and sustainable electronic network of CAM providers who systematically collect health outcomes assessments from their patients, track patient outcomes, and engage in clinical research to evaluate the comparative effectiveness and cost-effectiveness of CAM approaches for patients with musculoskeletal complaints. During the first six months, we developed a secure web-based data collection system with modules for patients and providers including a core set of outcome measures. In March 2010, we will launch the Evidence for CAM Healthcare Options (ECHO) project, a prospective pilot observational study in a small number of CAM and integrative care sites for patients with spinal pain. Our ECHO pilot study will allow us to identify and address unanticipated challenges with data collection protocols and outcome measures; obtain preliminary data characterizing network CAM practices; and, estimate the recruitment period required to conduct future prospective comparative effectiveness research.
IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to un... more IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to understand in order to use effectively the various modalities that make up integrative medicine. This included an overall categorization of integrative medicine as well as specific information describing dietary and nutritional supplement guidelines, physical fitness, stress management, and other approaches. The challenge is to develop an individualized and unique program that is effective, by considering and, applying these principles and modalities. COMMON SYMPTOMS AND DISORDERS THAT MAY AFFECT SINGERS Gastroesophageal Reflux Disease (GERD) Gastroesophageal Reflux Disease (GERD) and laryngopharyngeal reflux (LPR) are common in choral and solo singers.1 This gastrointestinal illness, more commonly known as heartburn, is caused by an abnormal passing of stomach acid into the esophagus. Integrative medicine therapies encourage lifestyle changes that can decrease GERD symptoms. For example, lifestyle changes such as quitting smoking and losing weight, avoiding medications and supplements that agitate the esophageal lining, reducing meal size, and reducing the quantity of fluids consumed with meals can reduce or eliminate GERD symptoms in some people. They also may help symptoms of laryngopharyngeal reflux. Other integrative medicine modalities such as elimination diets, stress management, homeopathy, and traditional Chinese medicine (TCM) should also be considered when managing the effects of GERD or LPR. From a nutritional standpoint, food should be chewed well, and smaller and more frequent meals should be consumed to avoid overeating. Walking after eating if possible, and waiting two to three hours before lying down, also are helpful. Stomach stimulants or irritants such as high fat and/or fried foods, caffeine-containing foods (coffee, chocolate, tea, etc.), alcohol, spicy and hot foods, sugars, and acidic foods (tomatoes, orange juice, etc.) should be avoided or reduced. The elimination or rotation of particularly allergenic or intolerant foods such as dairy, wheat, and sugar may be beneficial. Healing foods or supplements such as ginger seasoning, aloe vera juice, digestive enzymes, and warm chamomile tea could improve GERD and LPR symptoms. Since stress has been reported to worsen GERD and LPR, exercise and relaxation techniques (described in Part 1) such as yoga, tai chi, chi gong, biofeedback, meditation/mindfulness-based stress reduction, guided imagery, and breathing exercises can reduce the stress contributing to GERD. Also, hobbies and fun approaches can lessen stress and promote relaxation. Finally, traditional Chinese medicine can be a helpful approach because it provides a complete assessment based on cultural, diagnostic, and therapeutic approaches that incorporate diet, lifestyle, botanical medicines, and acupuncture. For integrative treatment of GERD or LPR, initial steps would include making diet improvements, exercising regularly, and introducing relaxation techniques. The next step would be to find supplements that might help, such as deglycyrrhizinated licorice (DGL, with the glycyrrhizin taken out, so it would not increase blood pressure), a probiotic, and/or a digestive enzyme. Finally, each approach might be refined and acupuncture/TCM might be introduced. Allergies More than twenty percent of Americans suffer from allergy symptoms each year, affecting their quality of life and their ability to work and function day to day. The term "allergy" is used to refer to physical symptoms or reactions such as rhinorrhea or "runny nose," sneezing, throat itchiness, wheezing, and sometimes others. Integrative medicine promotes both preventive measures as well as treatment approaches. Preventive measures include removing environmental allergens from the home, reducing dust mites in mattress and pillow cases by washing them weekly in hot water, and replacing curtains with shades. …
IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to un... more IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to understand in order to use effectively the various modalities that make up integrative medicine. This included an overall categorization of integrative medicine as well as specific information describing dietary and nutritional supplement guidelines, physical fitness, stress management, and other approaches. The challenge is to develop an individualized and unique program that is effective, by considering and, applying these principles and modalities. COMMON SYMPTOMS AND DISORDERS THAT MAY AFFECT SINGERS Gastroesophageal Reflux Disease (GERD) Gastroesophageal Reflux Disease (GERD) and laryngopharyngeal reflux (LPR) are common in choral and solo singers.1 This gastrointestinal illness, more commonly known as heartburn, is caused by an abnormal passing of stomach acid into the esophagus. Integrative medicine therapies encourage lifestyle changes that can decrease GERD symptoms. For example, lifestyle changes such as quitting smoking and losing weight, avoiding medications and supplements that agitate the esophageal lining, reducing meal size, and reducing the quantity of fluids consumed with meals can reduce or eliminate GERD symptoms in some people. They also may help symptoms of laryngopharyngeal reflux. Other integrative medicine modalities such as elimination diets, stress management, homeopathy, and traditional Chinese medicine (TCM) should also be considered when managing the effects of GERD or LPR. From a nutritional standpoint, food should be chewed well, and smaller and more frequent meals should be consumed to avoid overeating. Walking after eating if possible, and waiting two to three hours before lying down, also are helpful. Stomach stimulants or irritants such as high fat and/or fried foods, caffeine-containing foods (coffee, chocolate, tea, etc.), alcohol, spicy and hot foods, sugars, and acidic foods (tomatoes, orange juice, etc.) should be avoided or reduced. The elimination or rotation of particularly allergenic or intolerant foods such as dairy, wheat, and sugar may be beneficial. Healing foods or supplements such as ginger seasoning, aloe vera juice, digestive enzymes, and warm chamomile tea could improve GERD and LPR symptoms. Since stress has been reported to worsen GERD and LPR, exercise and relaxation techniques (described in Part 1) such as yoga, tai chi, chi gong, biofeedback, meditation/mindfulness-based stress reduction, guided imagery, and breathing exercises can reduce the stress contributing to GERD. Also, hobbies and fun approaches can lessen stress and promote relaxation. Finally, traditional Chinese medicine can be a helpful approach because it provides a complete assessment based on cultural, diagnostic, and therapeutic approaches that incorporate diet, lifestyle, botanical medicines, and acupuncture. For integrative treatment of GERD or LPR, initial steps would include making diet improvements, exercising regularly, and introducing relaxation techniques. The next step would be to find supplements that might help, such as deglycyrrhizinated licorice (DGL, with the glycyrrhizin taken out, so it would not increase blood pressure), a probiotic, and/or a digestive enzyme. Finally, each approach might be refined and acupuncture/TCM might be introduced. Allergies More than twenty percent of Americans suffer from allergy symptoms each year, affecting their quality of life and their ability to work and function day to day. The term "allergy" is used to refer to physical symptoms or reactions such as rhinorrhea or "runny nose," sneezing, throat itchiness, wheezing, and sometimes others. Integrative medicine promotes both preventive measures as well as treatment approaches. Preventive measures include removing environmental allergens from the home, reducing dust mites in mattress and pillow cases by washing them weekly in hot water, and replacing curtains with shades. …
Psychological distress is linked with impaired glycemic control among diabetics. Estimate changes... more Psychological distress is linked with impaired glycemic control among diabetics. Estimate changes in glycemic control, weight, blood pressure, and stress-related psychological symptoms in patients with type 2 diabetes participating in a standard Mindfulness Based Stress Reduction (MBSR) program. Prospective, observational study. Academic health center. Adult patients with type 2 diabetes mellitus. Participation in MBSR program for heterogeneous patient population. Diet and exercise regimens held constant. Glycosylated hemoglobin A1c (HA1c), blood pressure, body weight, and Symptom Checklist 90-Revised (anxiety, depression, somatization, and general psychological distress scores). Eleven of 14 patients completed the intervention. At 1 month follow-up, HA1c was reduced by 0.48% (P = .03), and mean arterial pressure was reduced by 6 mmHg (P = .009). Body weight did not change. A decrease in measures of depression, anxiety, and general psychological distress was observed.
Zinc status has been shown to influence various cell-mediated immunologic mechanisms. These cellm... more Zinc status has been shown to influence various cell-mediated immunologic mechanisms. These cellmediated mechanisms are important in preventing mucocutaneous infections caused by Candida albicans. This study evaluated the relationship between zinc status and recurrent vaginal candidiasis by comparing plasma and erythrocyte zinc in 29 patients with recurrent vaginal candidiasis and 20 control subjects matched for age, race, and parity. The results indicated that there was a significantly lower level of plasma zinc in women with recurrent vaginal candidiasis (81 + 11.6 mg/dl) than In the control subjects (91 ± 14.2 mg/dl) with a significant value of p = 0.015. These differences in plasma zinc levels were even greater when adjusted for dietary zinc and supplemental zinc with the use of analyses of covariance. No differences in erythrocyte zinc measurements were found oetween the two groups. These results suggest that mild zinc deficiency is associated with recurrent vaginal candidiasis and may playa role in the susceptibility of women to recurrent vaginal candidiasis.
This retrospective study evaluated the relationships between normal serum vitamin B12 and folate ... more This retrospective study evaluated the relationships between normal serum vitamin B12 and folate levels and neuropsy chologic measures in a sample of 60 geriatric inpatients with psychotic depression, nonpsychotic depression, bipolar dis order, and dementia—all consecutively referred for cognitive testing. The psychotic depression subgroup demonstrated numerous significant positive correlations between B12 and cognitive subtests not seen in other diagnostic subgroups, especially those of IQ, and verbal and visual memory. Metabolic factors including vitamin B12 may play specific roles in the cognitive dysfunctions of different geropsychiatric disorders.
Page 1. CHAPTER 13 Dietary and nutritional supplements Joel S Edman and Elizabeth Horvitz More th... more Page 1. CHAPTER 13 Dietary and nutritional supplements Joel S Edman and Elizabeth Horvitz More than half of adults in the United States take nutritional supplements to increase their energy level, improve their health status, and treat or prevent disease. ...
This chart review study examined the serum vitamin B 12 and folate status of 102 geriatric patien... more This chart review study examined the serum vitamin B 12 and folate status of 102 geriatric patients newly admitted to a private psychiatric hospital. Only 3.7% were B 12 deficient and 1.3% were folate deficient; 4% were anemic. Nevertheless, those with below-median values of both ...
This was a 4-week randomized placebo-controlled double-blind study to assess augmentation of open... more This was a 4-week randomized placebo-controlled double-blind study to assess augmentation of open tricyclic antidepressant treatment with 10 mg each of vitamins B1, B2, and B6 in 14 geriatric inpatients with depression. The active vitamin group demonstrated significantly better B2 and B6 status on enzyme activity coefficients and trends toward greater improvement in scores on ratings of depression and congnitive function, as well as in serum nortriptyline levels compared with placebo-treated subjects (Ss). Without specific supplementation, B12 levels increased in Ss receiving B1/B2/B6 and decreased in placebo Ss. These findings offer preliminary support for further investigation of B complex vitamin augmentation in the treatment of geriatric depression.
To assess psychosocial characteristics, symptoms and reasons for seeking integrative medicine (IM... more To assess psychosocial characteristics, symptoms and reasons for seeking integrative medicine (IM) care in cancer patients presenting to IM clinical practices. A survey of 3940 patients was conducted at 8 IM sites. Patient reported outcome measures were collected and clinicians provided health status data. This analysis compares 353 participants self-identified as cancer patients with the larger noncancer cohort. Mean age of the cancer cohort was 55.0 years. Participants were predominantly white (85.9%), female (76.4%), and well educated (80.5% completed college). For 15.2% of cancer patients, depression scores were consistent with depressive symptoms, and average scores for perceived stress were higher than normal, but neither were significantly different from noncancer patients. The most prevalent comorbid symptoms were chronic pain (39.8%), fatigue (33.5%), and insomnia (23.3%). In the cancer cohort, perceived stress was significantly associated with depression, fatigue, insomnia...
Background: Chronic pain affects nearly 116 million American adults at an estimated cost of up to... more Background: Chronic pain affects nearly 116 million American adults at an estimated cost of up to $635 billion annually and is the No. 1 condition for which patients seek care at integrative medicine clinics. In our Study on Integrative Medicine Treatment Approaches for Pain (SIMTAP), we observed the impact of an integrative approach on chronic pain and a number of other related patient-reported outcome measures.
The 2019 Addendum, in conjunction with the original health and wellness coaching (HWC) Compendium... more The 2019 Addendum, in conjunction with the original health and wellness coaching (HWC) Compendium, organizes HWC literature with the aim of assisting researchers while providing a resource for practitioners. The 2019 Addendum to the HWC Compendium extends the initial work by adding HWC-related literature published in the past 2 years. The 2019 Addendum divides articles retrieved into 8 categories, including a new miscellaneous section complementing categories examining HWC effects on cancer, cholesterol, diabetes, heart disease, hypertension, obesity, and wellness. The 2019 Addendum again provides in-depth information about the nature, quality, and results from each article in a detailed spreadsheet provided as an electronic appendix. The 2019 Addendum contributes another 104 peer-reviewed coaching-related articles to the HWC Compendium. This most recent research again describes HWC as a favorable intervention with treatment potential in all categories, though only 3 new cancer arti...
ABSTRACT Spinal pain is one of the most common and costly afflictions in the U.S. population. Chi... more ABSTRACT Spinal pain is one of the most common and costly afflictions in the U.S. population. Chiropractic, acupuncture and naturopathy are among the most commonly used complementary and alternative medicine (CAM) therapies by U.S. adults for spinal pain. These therapies are used in individual CAM practices and as part of integrative health care approaches. Although there is a growing collection of clinical trials examining the use of CAM for spinal pain, very little is known regarding the actual clinical practice of CAM or integrative medicine and there are few sustained opportunities for research among CAM practitioners who routinely see patients with musculoskeletal conditions. Our long-term goal is to establish a large and sustainable electronic network of CAM providers who systematically collect health outcomes assessments from their patients, track patient outcomes, and engage in clinical research to evaluate the comparative effectiveness and cost-effectiveness of CAM approaches for patients with musculoskeletal complaints. During the first six months, we developed a secure web-based data collection system with modules for patients and providers including a core set of outcome measures. In March 2010, we will launch the Evidence for CAM Healthcare Options (ECHO) project, a prospective pilot observational study in a small number of CAM and integrative care sites for patients with spinal pain. Our ECHO pilot study will allow us to identify and address unanticipated challenges with data collection protocols and outcome measures; obtain preliminary data characterizing network CAM practices; and, estimate the recruitment period required to conduct future prospective comparative effectiveness research.
IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to un... more IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to understand in order to use effectively the various modalities that make up integrative medicine. This included an overall categorization of integrative medicine as well as specific information describing dietary and nutritional supplement guidelines, physical fitness, stress management, and other approaches. The challenge is to develop an individualized and unique program that is effective, by considering and, applying these principles and modalities. COMMON SYMPTOMS AND DISORDERS THAT MAY AFFECT SINGERS Gastroesophageal Reflux Disease (GERD) Gastroesophageal Reflux Disease (GERD) and laryngopharyngeal reflux (LPR) are common in choral and solo singers.1 This gastrointestinal illness, more commonly known as heartburn, is caused by an abnormal passing of stomach acid into the esophagus. Integrative medicine therapies encourage lifestyle changes that can decrease GERD symptoms. For example, lifestyle changes such as quitting smoking and losing weight, avoiding medications and supplements that agitate the esophageal lining, reducing meal size, and reducing the quantity of fluids consumed with meals can reduce or eliminate GERD symptoms in some people. They also may help symptoms of laryngopharyngeal reflux. Other integrative medicine modalities such as elimination diets, stress management, homeopathy, and traditional Chinese medicine (TCM) should also be considered when managing the effects of GERD or LPR. From a nutritional standpoint, food should be chewed well, and smaller and more frequent meals should be consumed to avoid overeating. Walking after eating if possible, and waiting two to three hours before lying down, also are helpful. Stomach stimulants or irritants such as high fat and/or fried foods, caffeine-containing foods (coffee, chocolate, tea, etc.), alcohol, spicy and hot foods, sugars, and acidic foods (tomatoes, orange juice, etc.) should be avoided or reduced. The elimination or rotation of particularly allergenic or intolerant foods such as dairy, wheat, and sugar may be beneficial. Healing foods or supplements such as ginger seasoning, aloe vera juice, digestive enzymes, and warm chamomile tea could improve GERD and LPR symptoms. Since stress has been reported to worsen GERD and LPR, exercise and relaxation techniques (described in Part 1) such as yoga, tai chi, chi gong, biofeedback, meditation/mindfulness-based stress reduction, guided imagery, and breathing exercises can reduce the stress contributing to GERD. Also, hobbies and fun approaches can lessen stress and promote relaxation. Finally, traditional Chinese medicine can be a helpful approach because it provides a complete assessment based on cultural, diagnostic, and therapeutic approaches that incorporate diet, lifestyle, botanical medicines, and acupuncture. For integrative treatment of GERD or LPR, initial steps would include making diet improvements, exercising regularly, and introducing relaxation techniques. The next step would be to find supplements that might help, such as deglycyrrhizinated licorice (DGL, with the glycyrrhizin taken out, so it would not increase blood pressure), a probiotic, and/or a digestive enzyme. Finally, each approach might be refined and acupuncture/TCM might be introduced. Allergies More than twenty percent of Americans suffer from allergy symptoms each year, affecting their quality of life and their ability to work and function day to day. The term "allergy" is used to refer to physical symptoms or reactions such as rhinorrhea or "runny nose," sneezing, throat itchiness, wheezing, and sometimes others. Integrative medicine promotes both preventive measures as well as treatment approaches. Preventive measures include removing environmental allergens from the home, reducing dust mites in mattress and pillow cases by washing them weekly in hot water, and replacing curtains with shades. …
IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to un... more IN PART 1 OF THIS ARTICLE a range of background information was presented that is important to understand in order to use effectively the various modalities that make up integrative medicine. This included an overall categorization of integrative medicine as well as specific information describing dietary and nutritional supplement guidelines, physical fitness, stress management, and other approaches. The challenge is to develop an individualized and unique program that is effective, by considering and, applying these principles and modalities. COMMON SYMPTOMS AND DISORDERS THAT MAY AFFECT SINGERS Gastroesophageal Reflux Disease (GERD) Gastroesophageal Reflux Disease (GERD) and laryngopharyngeal reflux (LPR) are common in choral and solo singers.1 This gastrointestinal illness, more commonly known as heartburn, is caused by an abnormal passing of stomach acid into the esophagus. Integrative medicine therapies encourage lifestyle changes that can decrease GERD symptoms. For example, lifestyle changes such as quitting smoking and losing weight, avoiding medications and supplements that agitate the esophageal lining, reducing meal size, and reducing the quantity of fluids consumed with meals can reduce or eliminate GERD symptoms in some people. They also may help symptoms of laryngopharyngeal reflux. Other integrative medicine modalities such as elimination diets, stress management, homeopathy, and traditional Chinese medicine (TCM) should also be considered when managing the effects of GERD or LPR. From a nutritional standpoint, food should be chewed well, and smaller and more frequent meals should be consumed to avoid overeating. Walking after eating if possible, and waiting two to three hours before lying down, also are helpful. Stomach stimulants or irritants such as high fat and/or fried foods, caffeine-containing foods (coffee, chocolate, tea, etc.), alcohol, spicy and hot foods, sugars, and acidic foods (tomatoes, orange juice, etc.) should be avoided or reduced. The elimination or rotation of particularly allergenic or intolerant foods such as dairy, wheat, and sugar may be beneficial. Healing foods or supplements such as ginger seasoning, aloe vera juice, digestive enzymes, and warm chamomile tea could improve GERD and LPR symptoms. Since stress has been reported to worsen GERD and LPR, exercise and relaxation techniques (described in Part 1) such as yoga, tai chi, chi gong, biofeedback, meditation/mindfulness-based stress reduction, guided imagery, and breathing exercises can reduce the stress contributing to GERD. Also, hobbies and fun approaches can lessen stress and promote relaxation. Finally, traditional Chinese medicine can be a helpful approach because it provides a complete assessment based on cultural, diagnostic, and therapeutic approaches that incorporate diet, lifestyle, botanical medicines, and acupuncture. For integrative treatment of GERD or LPR, initial steps would include making diet improvements, exercising regularly, and introducing relaxation techniques. The next step would be to find supplements that might help, such as deglycyrrhizinated licorice (DGL, with the glycyrrhizin taken out, so it would not increase blood pressure), a probiotic, and/or a digestive enzyme. Finally, each approach might be refined and acupuncture/TCM might be introduced. Allergies More than twenty percent of Americans suffer from allergy symptoms each year, affecting their quality of life and their ability to work and function day to day. The term "allergy" is used to refer to physical symptoms or reactions such as rhinorrhea or "runny nose," sneezing, throat itchiness, wheezing, and sometimes others. Integrative medicine promotes both preventive measures as well as treatment approaches. Preventive measures include removing environmental allergens from the home, reducing dust mites in mattress and pillow cases by washing them weekly in hot water, and replacing curtains with shades. …
Psychological distress is linked with impaired glycemic control among diabetics. Estimate changes... more Psychological distress is linked with impaired glycemic control among diabetics. Estimate changes in glycemic control, weight, blood pressure, and stress-related psychological symptoms in patients with type 2 diabetes participating in a standard Mindfulness Based Stress Reduction (MBSR) program. Prospective, observational study. Academic health center. Adult patients with type 2 diabetes mellitus. Participation in MBSR program for heterogeneous patient population. Diet and exercise regimens held constant. Glycosylated hemoglobin A1c (HA1c), blood pressure, body weight, and Symptom Checklist 90-Revised (anxiety, depression, somatization, and general psychological distress scores). Eleven of 14 patients completed the intervention. At 1 month follow-up, HA1c was reduced by 0.48% (P = .03), and mean arterial pressure was reduced by 6 mmHg (P = .009). Body weight did not change. A decrease in measures of depression, anxiety, and general psychological distress was observed.
Zinc status has been shown to influence various cell-mediated immunologic mechanisms. These cellm... more Zinc status has been shown to influence various cell-mediated immunologic mechanisms. These cellmediated mechanisms are important in preventing mucocutaneous infections caused by Candida albicans. This study evaluated the relationship between zinc status and recurrent vaginal candidiasis by comparing plasma and erythrocyte zinc in 29 patients with recurrent vaginal candidiasis and 20 control subjects matched for age, race, and parity. The results indicated that there was a significantly lower level of plasma zinc in women with recurrent vaginal candidiasis (81 + 11.6 mg/dl) than In the control subjects (91 ± 14.2 mg/dl) with a significant value of p = 0.015. These differences in plasma zinc levels were even greater when adjusted for dietary zinc and supplemental zinc with the use of analyses of covariance. No differences in erythrocyte zinc measurements were found oetween the two groups. These results suggest that mild zinc deficiency is associated with recurrent vaginal candidiasis and may playa role in the susceptibility of women to recurrent vaginal candidiasis.
This retrospective study evaluated the relationships between normal serum vitamin B12 and folate ... more This retrospective study evaluated the relationships between normal serum vitamin B12 and folate levels and neuropsy chologic measures in a sample of 60 geriatric inpatients with psychotic depression, nonpsychotic depression, bipolar dis order, and dementia—all consecutively referred for cognitive testing. The psychotic depression subgroup demonstrated numerous significant positive correlations between B12 and cognitive subtests not seen in other diagnostic subgroups, especially those of IQ, and verbal and visual memory. Metabolic factors including vitamin B12 may play specific roles in the cognitive dysfunctions of different geropsychiatric disorders.
Page 1. CHAPTER 13 Dietary and nutritional supplements Joel S Edman and Elizabeth Horvitz More th... more Page 1. CHAPTER 13 Dietary and nutritional supplements Joel S Edman and Elizabeth Horvitz More than half of adults in the United States take nutritional supplements to increase their energy level, improve their health status, and treat or prevent disease. ...
This chart review study examined the serum vitamin B 12 and folate status of 102 geriatric patien... more This chart review study examined the serum vitamin B 12 and folate status of 102 geriatric patients newly admitted to a private psychiatric hospital. Only 3.7% were B 12 deficient and 1.3% were folate deficient; 4% were anemic. Nevertheless, those with below-median values of both ...
This was a 4-week randomized placebo-controlled double-blind study to assess augmentation of open... more This was a 4-week randomized placebo-controlled double-blind study to assess augmentation of open tricyclic antidepressant treatment with 10 mg each of vitamins B1, B2, and B6 in 14 geriatric inpatients with depression. The active vitamin group demonstrated significantly better B2 and B6 status on enzyme activity coefficients and trends toward greater improvement in scores on ratings of depression and congnitive function, as well as in serum nortriptyline levels compared with placebo-treated subjects (Ss). Without specific supplementation, B12 levels increased in Ss receiving B1/B2/B6 and decreased in placebo Ss. These findings offer preliminary support for further investigation of B complex vitamin augmentation in the treatment of geriatric depression.
To assess psychosocial characteristics, symptoms and reasons for seeking integrative medicine (IM... more To assess psychosocial characteristics, symptoms and reasons for seeking integrative medicine (IM) care in cancer patients presenting to IM clinical practices. A survey of 3940 patients was conducted at 8 IM sites. Patient reported outcome measures were collected and clinicians provided health status data. This analysis compares 353 participants self-identified as cancer patients with the larger noncancer cohort. Mean age of the cancer cohort was 55.0 years. Participants were predominantly white (85.9%), female (76.4%), and well educated (80.5% completed college). For 15.2% of cancer patients, depression scores were consistent with depressive symptoms, and average scores for perceived stress were higher than normal, but neither were significantly different from noncancer patients. The most prevalent comorbid symptoms were chronic pain (39.8%), fatigue (33.5%), and insomnia (23.3%). In the cancer cohort, perceived stress was significantly associated with depression, fatigue, insomnia...
Background: Chronic pain affects nearly 116 million American adults at an estimated cost of up to... more Background: Chronic pain affects nearly 116 million American adults at an estimated cost of up to $635 billion annually and is the No. 1 condition for which patients seek care at integrative medicine clinics. In our Study on Integrative Medicine Treatment Approaches for Pain (SIMTAP), we observed the impact of an integrative approach on chronic pain and a number of other related patient-reported outcome measures.
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