Complementary and alternative medicine in Brazilian children and adolescents with type 1 diabetes mellitus

Machado, Luciana Carla Bezerra; Alves, Crésio de Aragão Dantas

doi:10.18544/pedm-23.02.0075

Cited by 8 publications

(4 citation statements)

References 29 publications

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“…36 , 37 The reported frequency of complementary and alternative medicine (CAM) use associated with T1D is between 18.6% and 56.4%, being herbal extracts the most widely used method. 38 , 39 , 40 …”

Section: Discussionmentioning

confidence: 99%

Prosopis strombulifera aqueous extract reduces T cell response and ameliorates type I diabetes in NOD mice

Persia

Abba

Pascual

et al. 2023

Journal of Traditional and Complementary Medicine

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Section: Discussionmentioning

confidence: 99%

Prosopis strombulifera aqueous extract reduces T cell response and ameliorates type I diabetes in NOD mice

Persia

Abba

Pascual

et al. 2023

Journal of Traditional and Complementary Medicine

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“…Aproximadamente el 25% de los pacientes con DM1 se asocian con otras enfermedades autoinmunes, siendo la más común la enfermedad tiroidea autoinmune (ETAI) [38]. Se ha visto que un 17 a 40% de pacientes con DM1 presentan AAT, siendo la antiTPO la más frecuente [39] y, hasta un 50% progresa a una disfunción tiroidea, fundamentalmente a hipotiroidismo, el cual se halla presente en aproximadamente un 2-5% de los pacientes con DM1 [40]. Factores como la edad al momento del diagnóstico, el estadio puberal, el sexo femenino, la etnia, la duración de la diabetes, la presencia de GADA o ZnT8 y factores genéticos como los portadores del haplotipo HLA-DR3 o compromiso de los genes CTLA-4 o PTPN22 están asociados con la presencia AAT y podrían influir en el desarrollo y la progresión a una fase clínica [38,39].…”

Section: Discussionunclassified

Características clínicas, bioquímicas y ambientales al debut de pacientes con Diabetes Mellitus tipo 1 en el Instituto Nacional de Salud del Niño, Perú

Diaz Martínez,

Del Aguila,

Falen

et al. 2021

Rev Peru Pediatr

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Objetivo: Determinar las características clínicas, bioquímicas y ambientales al debut de pacientes con diabetes mellitus tipo 1 (DM1) en el servicio de Endocrinología y Metabolismo (SEM) del Instituto Nacional de Salud del Niño (INSN), Perú. Metodología: Es un estudio descriptivo, observacional y retrospectivo. Se revisaron 185 historias clínicas de pacientes con DM1 menores de 18 años, recibidos en el SEM del INSN entre enero del 2011 y diciembre del 2018 y se analizaron los datos de 60 pacientes que cumplieron con los criterios de inclusión. Resultados: Se observó un aumento progresivo de casos nuevos por año, de 3 en el 2011 a 14 en el 2018, el 51.7% durante los meses de otoño e invierno. La edad promedio fue de 8.37 ± 3.69 años (15% menores de 5), 40 (66.7%) del sexo femenino y 35 (58.4%) con antecedentes familiares de DM. El 25% se presentó con cetoacidosis (CAD). La glucemia promedio fue de 316 ± 82.93mg/dl y la hemoglobina glicosilada, 10.87 ± 2.33%. Doce pacientes (28.5%) tuvieron enfermedad tiroidea autoinmune, siete con hipotiroidismo (5 subclínicos), uno con hipertiroidismo subclínico y cuatro eutiroideos. Sólo ocho (13.3%) presentaron anticuerpos antipancreáticos. Conclusiones: Existe un incremento de la incidencia de DM1 en el INSN. El 81.7% debuta entre los 5 y 14 años de edad, con discreta mayoría femenina. Predomina la sintomatología clásica y solo el 25% debutó con CAD. Se requiere ampliar el registro de esta patología a nivel nacional, con énfasis en los aspectos genéticos y ambientales que contribuyan al conocimiento de su etiopatogenia.

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“…3 Another study with 70 diabetes type 1 Brazilian pediatric patients showed that 41.5% of them used some type of CIH and most of them (69%) did not inform their doctors about this use. 4,10 Health education inclusive of CIH is only emerging and while there are some researches in the area, only a few publications exist. 11 Outside of Brazil, use of these practices in pediatrics is significant, as the 2012 US-American National Health Interview Survey revealed that 12% of children are treated with complementary therapies.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of Health Professionals on the Implementation of Integrative and Complementary Practices at a University Pediatric Hospital in Brazil: A Qualitative Interview Study

Tröndle,

Matheus de Souza,

Tiziana Verardo Polastrini

et al. 2023

Integr Cancer Ther

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Background: Despite an increase in use of pediatric complementary and integrative health (PCIH), many healthcare professionals still have an inadequate understanding of such practices and consider their use inappropriate, which might thwart implementation processes. In a qualitative interview study we examined the feedback of conventional healthcare professionals about the integrative practices provided to pediatric patients by an integrative team in a pediatric oncological hospital. Methods: Fifteen semi-structured interviews were carried out with various conventional healthcare professionals in an university pediatric hospital in São Paulo, Brazil. The interviews were audio-recorded, transcribed and pseudonymized. DSCsoft® and MAXQDA® software assisted in a profound qualitative analysis using the collective subject discourse and thematic analysis method in order to display participants’ perspectives on PCIH and the project in their hospital. Results: Interviewees acknowledged their lack of knowledge about PCIH practices and reflected on the limits of their care as well as on new possibilities PCIH could offer. PCIH was perceived by interviewees as an effective supportive tool of care to promote patients’ wellbeing, assist overall compliance, strengthen cooperation between professionals, children and their relatives and hence facilitated general patient care. Since PCIH was implemented in their clinic, perceptions led interviewees to wish for increased PCIH offering and a more profound integration of its therapists into the standard of care. Discussion: The coexistence of integrative and conventional practices in the conventional healthcare setting is important to give visibility to the possibilities offered by the integrative pediatrics field. Regular and constant encounters with integrative practices, as well as information access seem crucial to reach a wider openness for PCIH and subsequently a broader application and dissemination of it.

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Complementary and alternative medicine in Brazilian children and adolescents with type 1 diabetes mellitus

Cited by 8 publications

References 29 publications

Prosopis strombulifera aqueous extract reduces T cell response and ameliorates type I diabetes in NOD mice

Prosopis strombulifera aqueous extract reduces T cell response and ameliorates type I diabetes in NOD mice

Características clínicas, bioquímicas y ambientales al debut de pacientes con Diabetes Mellitus tipo 1 en el Instituto Nacional de Salud del Niño, Perú

Perceptions of Health Professionals on the Implementation of Integrative and Complementary Practices at a University Pediatric Hospital in Brazil: A Qualitative Interview Study

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