Advances in integrative medicine最新文献_第2页

Perceptions of Ayurvedic physicians on Nadi Pariksha in traditional Indian medicine – A pan India study and quantitative analysis 传统印度医学中阿育吠陀医生对Nadi Pariksha的看法-一项泛印度研究和定量分析

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-12-04 DOI: 10.1016/j.aimed.2025.100603

Saurav Kumar , Apakrita Tayade , Prabhat Kumar , Vinayak Tayade , Sanjay Chhajed , Ravi Bhallamudi

Background

Nadi Pariksha (Pulse Diagnosis) is a well-known diagnostic method in Ayurveda where physicians assess a patient's pathological and physiological status through tridosha analysis. The diagnostic procedure is subjective, and there is a need to understand it better.

Objective

This study quantifies the perceptions and challenges of Ayurvedic physicians in performing Nadi Pariksha and its implications for treating diseases.

Materials and methods

The sample for this study comprised 91 Ayurvedic physicians from various regions of India. They were interviewed and asked to complete a series of questionnaires that focused on their difficulties in performing Nadi Pariksha. Hypothesis formulation, validation, and testing were carried out using statistical methods.

Results

A two-sample Mann-Whitney statistical method was used to infer physicians’ perceptions of various hypotheses. The judgements of Ayurvedic physicians with varying experience levels disagreed with the hypothesis of longer diagnostic time (p-value=0.003). However, they reached a consensus on the hypotheses relating to quantification (p-value = 0.609), learning curve (p-value = 0.355), and subjectivity (p-value=0.161).

Conclusions

The study suggests a need for objective characterization of the arterial pulse in concluding a diagnosis. Standardizing diagnostic approaches may enhance accuracy. Technology-based research would make Ayurveda more evidence-based. Moreover, there is a need for a diagnostic tool or assistive device for less experienced physicians to accelerate their learning and gain confidence in concluding a diagnosis more accurately and quickly. This can reduce the likelihood of incorrect diagnoses and unnecessary treatments, significantly enhancing patient outcomes and the overall efficiency of Ayurveda healthcare.

nadi Pariksha（脉冲诊断）是阿育吠陀医学中著名的一种诊断方法，医生通过tridosha分析来评估患者的病理和生理状态。诊断程序是主观的，有必要更好地了解它。目的：本研究量化了阿育吠陀医生在进行Nadi Pariksha及其对治疗疾病的影响时的看法和挑战。材料和方法本研究的样本包括来自印度不同地区的91名阿育吠陀医生。他们接受了采访，并被要求完成一系列调查问卷，重点是他们在表演Nadi Pariksha时遇到的困难。采用统计学方法进行假设制定、验证和检验。结果采用双样本Mann-Whitney统计方法推断医生对各种假设的认知。不同经验水平的阿育吠陀医生的判断与较长诊断时间的假设不一致（p值=0.003）。然而，他们在量化（p值= 0.609）、学习曲线（p值= 0.355）和主观性（p值=0.161）方面的假设上达成了共识。结论本研究提示在诊断时需要对动脉脉搏进行客观表征。标准化诊断方法可以提高准确性。基于技术的研究将使阿育吠陀更加以证据为基础。此外，还需要为经验不足的医生提供诊断工具或辅助设备，以加速他们的学习，并获得更准确、更快速地做出诊断的信心。这可以减少错误诊断和不必要治疗的可能性，显著提高患者的治疗效果和阿育吠陀医疗保健的整体效率。

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引用次数: 0

The experiences of providing animal-assisted activities s: A multispecies ethnographic study 提供动物辅助活动的经验：一项多物种人种志研究

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-12-01 DOI: 10.1016/j.aimed.2025.100602

Laura Fetterplace , Nicole Peel , Janette Young

Background

The demand for Animal Assisted Activities s (AAA) is increasing, as is the research on these interactions. Extensive human-centric evidence on the health benefits of AAA to human clients exists. However, research into both handler and dog experiences has been limited representation, it is essential to include these perspectives to add value to this field, ensuring ethical and evidence-based practices in working partnerships.

Aims

The purpose of this pilot study was to comprehensively explore the perspectives and experiences of dogs and handlers engaged in AAA utilizing a multispecies approach.

Methods

This study was informed by a multispecies ethnographic approach. In this two stage dual source research, data were collected via seven semi-structured interviews with AAA handlers and three observations of their dogs during AAA sessions. Interview data was analysed thematically, and observations are presented as narrative descriptions.

Findings

Five key themes emerged: dogs as a working resource; dogs shaping therapy; animal welfare prioritized; putting others first (human motivations); putting others first (influence of the animal) with a hierarchy presented of dogs being the primary consideration, followed by clients, then the handler. Observations of the dogs indicated a more human-centric hierarchy in AAA sessions with canine team members indications of caution not always identified or responded to. Other observations indicated simple techniques that can increase the agency of canine team members in AAA.

Conclusions

Even in the presence of genuinely held concerns for animal consent and welfare, handlers’ human-centric altruistic motivations may impact their dogs’ agency and control in AAA. Animals involved in AAA should be given more choice in interactions to improve their wellbeing. Human and animal beings are inseparable in AAA and other animal-inclusive, human focused activities, future research needs to increasingly seek to include the animal perspective when investigating this field.

对动物辅助活动（AAA）的需求正在增加，对这些相互作用的研究也在增加。存在大量以人为中心的证据，证明AAA对人类客户的健康益处。然而，对训导员和狗的经验的研究一直是有限的，必须包括这些观点，以增加这一领域的价值，确保在工作伙伴关系中的道德和循证实践。本初步研究的目的是利用多物种方法全面探讨从事AAA的狗和训导员的观点和经验。方法采用多物种人种志方法进行研究。在这个两阶段的双源研究中，通过对AAA训练员的7次半结构化访谈和对AAA训练员的3次观察来收集数据。访谈数据按主题进行分析，观察结果以叙述性描述的形式呈现。研究结果出现了五个关键主题：狗是一种工作资源；犬类塑形疗法；优先考虑动物福利；以他人为先（人类动机）；将他人放在第一位（动物的影响），以狗为主要考虑因素，其次是客户，然后是训导员。对狗的观察表明，在AAA会议中，狗的团队成员的谨慎迹象并不总是被识别或回应，更以人为中心的等级制度。结论：在真正关心动物的同意和福利的情况下，管理者以人为中心的利他动机可能会影响狗在AAA中的代理和控制。参与AAA的动物应该在互动中给予更多的选择，以提高它们的幸福感。在AAA和其他包括动物的、以人类为中心的活动中，人类和动物是分不开的，未来的研究在研究这一领域时需要越来越多地寻求包括动物的视角。

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引用次数: 0

Stress Management and Resiliency Training (SMART) program among mothers receiving services from health care centers: A pilot study 在接受卫生保健中心服务的母亲中开展压力管理和弹性训练（SMART）计划：一项试点研究

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-11-28 DOI: 10.1016/j.aimed.2025.100601

Fahimeh Dehghani , Seyed Saeed Mazloomy Mahmoudabad , Reza Aghazadeh , Nahid Ardian , Deepak Palival

Objective

This study aims to implement and evaluate the Stress Management and Resiliency Training (SMART) program, considering the significant negative effects of stress on individual health, particularly among mothers.

Materials and methods

This quasi-experimental study followed a pre/post-test design and was conducted in 2023 with 50 mothers receiving services from healthcare centers in Yazd, Iran. The SMART program was delivered over eight weekly sessions, each lasting 60–90 min. Data collection utilized Cohen's Perceived Stress Scale and the Connor-Davidson Resilience Questionnaire before and after the training. Upon program completion, participants also completed an Acceptability and Feasibility Scale questionnaire. Data were analyzed using t-tests and ANOVA in SPSS software.

Results

The average age of participants was 39.68 ± 9.10 years. Most were housewives (88 %) and held bachelor's degrees (36 %). After the intervention, resilience scores significantly increased (mean difference =-3.64, SD = 5.10, Cohen’s d = 0.71, p = 0.0001), while perceived stress scores significantly decreased (mean difference = 4.82, SD = 5.56, Cohen’s d = 0.87, p = 0.0001). These findings suggest that the SMART program was effective in reducing stress and enhancing resilience among mothers. Moreover, demographic variables such as age, education level, and number of children were found to influence the effectiveness of the intervention. Results from the Acceptability and Feasibility Scale further indicated that the program was well-received and feasible for implementation in this population.

Conclusion

The findings of this study demonstrate that the SMART program is an effective approach for enhancing resilience and reducing stress among mothers. However, the small, homogeneous sample and absence of a control group limit the generalizability and causal interpretation of the results. Further studies with diverse samples and long-term follow-up are recommended.

目的本研究旨在实施和评估压力管理和弹性训练（SMART）计划，考虑到压力对个人健康的显著负面影响，特别是在母亲中。材料和方法这项准实验研究遵循前/后测试设计，于2023年在伊朗亚兹德的医疗保健中心进行，共有50名母亲接受服务。SMART项目每周进行八次，每次持续60-90 分钟。数据收集采用Cohen’s Perceived Stress Scale和Connor-Davidson弹性问卷，分别在训练前后进行。在项目完成后，参与者还完成了可接受性和可行性量表问卷。数据分析采用SPSS软件的t检验和方差分析。结果参与者平均年龄为39.68 ± 9.10岁。大多数是家庭主妇（88 %）和拥有学士学位（36 %）。干预后，心理弹性得分显著提高（平均差值=-3.64,SD = 5.10, Cohen’SD = 0.71, p = 0.0001），感知压力得分显著降低（平均差值= 4.82,SD = 5.56, Cohen’SD = 0.87, p = 0.0001）。这些发现表明，SMART项目在减轻母亲压力和增强韧性方面是有效的。此外，年龄、教育水平和子女数量等人口统计变量也会影响干预措施的有效性。可接受性和可行性量表的结果进一步表明，该计划在这一人群中得到了很好的接受和可行的实施。结论本研究结果表明，SMART计划是提高母亲心理弹性和减轻压力的有效途径。然而，小的，均匀的样本和缺乏对照组限制了结果的普遍性和因果解释。建议进一步开展不同样本的研究和长期随访。

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引用次数: 0

A preliminary study of acceptability, feasibility and effects of a mindful self-compassion intervention on emotional intelligence and wellbeing among psychiatry residents 正念自我同情干预对精神科住院患者情绪智力和幸福感的可接受性、可行性及影响的初步研究

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-11-20 DOI: 10.1016/j.aimed.2025.100592

Anaheed Shirazi , Niloofar Radgoudarzi , Hyun-Chung Kim , Marta Patterson , Shahrzad Bazargan-Hejazi , Matthew S. Herbert , Desiree Shapiro , Flora Wong , Lisa T. Eyler

Objectives

The role of self-compassion (SC) in improving wellness in healthcare communities and its association with emotional intelligence (EI) has been highlighted by previous studies. Despite the prominence of emotions in psychiatric encounters, research on SC training on EI and wellness among psychiatry residents is limited. This preliminary, hypothesis-generating study aimed to explore the feasibility, acceptability, and trends for potential effects of a tailored Mindful Self-Compassion (MSC) program for psychiatry residents, to guide future larger-scale trials.

Method

A waitlist-control study assessing the feasibility, acceptability, and effects of Mindful SC training tailored for psychiatry residents. Preliminary effects were assessed by Santa Clara Brief Compassion Scale, Neff’s Self-Compassion Scale–Short-form, Trait Emotional Intelligence Questionnaire–Short-form, Mini Z Burnout Survey, Very Brief Quality of Life Enjoyment and Satisfaction Questionnaire, Perceived Stress Scale, Inclusion of Other in the Self Scale, and Freiburg Mindfulness Inventory. Non-parametric tests compared changes across cohorts and pre-post intervention. Qualitative data, interest, and attendance rates were explored to assess program acceptability and feasibility.

Results

Of 18 participants, 12 completed the study. It was likely (mean = 4.00 out of 5, 5 being highly likely) for participants to incorporate empathy and compassion into their daily lives. Only 1 participant attended all 6 sessions. Conflicts with work schedules were reported as the main barriers. The intervention cohort showed a higher increase in EI (P = 0.003) and SC (P = 0.010) from pre- to post-intervention vs the waitlist group.

Conclusions

Preliminary results suggest that mindful-self compassion training for psychiatry residents may improve their EI and SC and is acceptable and highly recommended by those who participated in the intervention. To improve attendance rates, allocating protected time within the curricula should be considered.

目的以往的研究已经强调了自我同情（SC）在改善医疗保健社区健康中的作用及其与情绪智力（EI）的关系。尽管情绪在精神科会诊中占有重要地位，但在精神科住院医师中，关于情商与健康的SC训练的研究是有限的。本初步的假设研究旨在探讨为精神科住院医师量身定制的正念自我同情（MSC）项目的可行性、可接受性和潜在影响的趋势，以指导未来更大规模的试验。方法采用候补对照研究，评估为精神科住院医师量身定制的正念SC训练的可行性、可接受性和效果。采用Santa Clara简易同情量表、Neff自我同情量表-短表、特质情绪智力问卷-短表、Mini Z倦怠量表、极简生活质量享受与满意度问卷、感知压力量表、自我包容量表和Freiburg正念量表评估初步效果。非参数测试比较了不同队列和干预前后的变化。研究了定性数据、兴趣和出勤率，以评估项目的可接受性和可行性。结果18名参与者中，12人完成了研究。参与者很可能（平均= 4.00 / 5,5极有可能）将同理心和同情心融入他们的日常生活中。只有一名与会者参加了全部6次会议。据报告，与工作时间表冲突是主要障碍。干预组在干预前和干预后的EI （P = 0.003）和SC （P = 0.010）的增加高于等候名单组。结论对精神科住院医师进行正念自我同情训练可以提高他们的情商和情商，是可接受的，并被积极推荐。为了提高出勤率，应考虑在课程中分配受保护的时间。

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引用次数: 0

The efficacy of alpha-lipoic acid in migraine: A systematic review and meta-analysis α -硫辛酸治疗偏头痛的疗效：一项系统回顾和荟萃分析

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-11-20 DOI: 10.1016/j.aimed.2025.100591

Obai Yousef , Moaz Abouelmagd , Hamdy A. Makhlouf , Ahmed Eisa , Omar Kassar , Amr Elrosasy

Background

Oxidative stress has been suggested in the pathophysiology of migraine, but the efficacy of antioxidant preventive treatments remains uncertain. Alpha lipoic acid (ALA), known for its antioxidant properties, has shown promise in migraine prevention.

Aim

This study is the first systematic review to assess the evidence regarding the effectiveness of ALA in preventing migraines.

Methods

A comprehensive search was conducted on major databases up to April 2024 to identify relevant randomized controlled trials (RCTs). The quality of the studies was assessed using the Cochrane risk of bias tool (ROB2).

Results

A total of five RCTs, involving 255 patients, were included. The results indicated a significant improvement in migraine mean monthly frequency (MMF) in both the ALA as monotherapy and the ALA in combination with other treatments groups. The mean difference (MD) for MMF was −1.43 (95 % CI: [-2.48, −0.39]; p = 0.007) and −2.32 (95 % CI: [-3.18, −1.46]; p = 0.001), respectively. ALA was also effective in reducing migraine mean monthly duration (MMD) (MD = −5.2, 95 % CI: [-9.43, −0.98]; p = 0.02). Additionally, ALA led to a significantly higher risk of achieving a 50 % reduction in migraine frequency compared to the control group (relative risk = 2.00; 95 % CI: [1.34, 3.00]; p = 0.0008). No serious adverse events were reported in any of the included studies.

Conclusion

Our findings suggest that ALA is a safe intervention with potential benefits in reducing the frequency of migraines. However, further studies are necessary to strengthen the evidence base and enhance our understanding of its mechanism of action.

背景氧化应激已被认为是偏头痛的病理生理机制，但抗氧化预防治疗的效果仍不确定。α硫辛酸（ALA）以其抗氧化特性而闻名，在预防偏头痛方面显示出了希望。目的本研究首次对ALA预防偏头痛有效性的证据进行系统评价。方法综合检索截至2024年4月的主要数据库，筛选相关随机对照试验（rct）。使用Cochrane偏倚风险工具（ROB2）评估研究的质量。结果共纳入5项rct，共255例患者。结果表明，在ALA单独治疗组和ALA与其他治疗组联合治疗组中，偏头痛的月平均频率（MMF）均有显著改善。MMF的平均差异（MD）分别为- 1.43（95 % CI: [-2.48, - 0.39]; p = 0.007）和- 2.32（95 % CI: [-3.18, - 1.46]; p = 0.001）。ALA在减少偏头痛平均月持续时间（MMD）方面也有效（MD = - 5.2, 95 % CI: [-9.43, - 0.98]; p = 0.02）。此外，与对照组相比，ALA导致偏头痛频率降低50% %的风险显着增加（相对风险= 2.00;95 % CI: [1.34, 3.00]; p = 0.0008）。在所有纳入的研究中均未报告严重不良事件。结论：ALA是一种安全的干预措施，在减少偏头痛发生率方面具有潜在的益处。然而，需要进一步的研究来加强证据基础，提高我们对其作用机制的理解。

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引用次数: 0

Profile of patients presenting to Australian osteopaths: Results from a national health service use survey 澳大利亚整骨治疗师的患者概况：来自全国卫生服务使用调查的结果

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-11-20 DOI: 10.1016/j.aimed.2025.100590

Brett Vaughan , Michael Fleischmann , Niklas Sinderholm Sposato , Jerry Draper-Rodi , Kesava Kovanur Sampath , Loïc Treffel , Cindy McIntyre , Chantal Morin , Lee Muddle , Oliver P. Thomson

Background and purpose

Musculoskeletal conditions are one of the most common complaints affecting the Australian population. Affected individuals often seek care from a range of health professionals including osteopaths. Osteopaths provide care for musculoskeletal conditions using manual therapy, exercise, and patient education. The current study is a secondary analysis of data from an Australian health service use survey.

Materials & methods

Respondents were asked to indicate the range of health professionals they consulted during the period February 2021 and February 2022. Additional data collected from respondents related to demographic variables, presence of chronic conditions in addition to the Personal Wellbeing Index (PWI) and Short Form 20 (SF-20). Data were descriptively analysed based on whether the respondent reported consulting with an osteopath or not.

Results

In the period February 2021-February 2022, of the 2354 respondents, 143 (6.1 %) indicated they had consulted with an osteopath. Over half of those who consulted with an osteopath identified as female (51.7 %), had private health insurance (59.4 %) and/or a healthcare card (69.9 %). No significant difference was observed between respondents who consulted with an osteopath and those who did not for PWI scores (p > 0.05). SF-20 scores were significantly lower for those who consulted with an osteopath compared with those who did not (p < 0.01).

Conclusion

This secondary analysis contributes to our understanding of the profile of patients presenting to Australian osteopaths, particularly health related quality of life and subjective wellbeing of this patient cohort.

背景和目的肌肉骨骼疾病是影响澳大利亚人口最常见的疾病之一。受影响的个人经常向包括整骨医生在内的一系列卫生专业人员寻求治疗。整骨医生通过手工治疗、锻炼和病人教育来治疗肌肉骨骼疾病。目前的研究是对澳大利亚卫生服务使用调查数据的二次分析。材料和方法受访者被要求说明他们在2021年2月至2022年2月期间咨询的卫生专业人员的范围。除了个人幸福指数（PWI）和SF-20短表之外，还从受访者那里收集了与人口统计变量、慢性病存在相关的其他数据。根据受访者是否报告咨询整骨医生，对数据进行描述性分析。结果在2021年2月至2022年2月期间，2354名受访者中，143名（6.1 %）表示曾咨询过整骨治疗师。超过一半咨询整骨医生的人（51.7 %）拥有私人医疗保险（59.4 %）和/或医疗卡（69.9% %）。在接受整骨治疗的受访者与未接受整骨治疗的受访者之间，PWI评分无显著差异（p >； 0.05）。与未咨询整骨医生的患者相比，咨询整骨医生的SF-20评分明显较低（p <； 0.01）。结论：这一次要分析有助于我们了解澳大利亚整骨治疗师患者的概况，特别是与健康相关的生活质量和该患者队列的主观幸福感。

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引用次数: 0

Investigating the effect of traditional Persian manual technique on pain and disability in patients with chronic low back pain: A randomized controlled clinical trial 研究传统波斯手法对慢性腰痛患者疼痛和残疾的影响：一项随机对照临床试验

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-11-17 DOI: 10.1016/j.aimed.2025.100589

Mohammad Taghi Rezaipour , Fatemeh Nejatbakhsh , Younes Roohani , Mohammad Sadegh Adel-Mehraban , Alireza Abbassian

Background and purpose

Chronic low back pain (CLBP) is a significant health issue that negatively affects quality of life. Given the high recurrence rate of CLBP and patients' reluctance to undergo invasive treatments, Persian Medicine offers a manual technique for pain management. This study aimed to evaluate the efficacy of a Persian Medicine-based manual technique to treat patients with CLBP.

Materials and methods

This randomized controlled trial was performed among 108 patients with CLBP referred to Tehran University of Medical Sciences outpatient clinic from July to December 2024. Participants were randomly assigned to two groups (using block randomization) to receive either Persian Medicine or a sham manual technique simulating the original technique. Each patient received the intervention in a single session, and pain severity and disability were assessed using the Visual Analog Scale (VAS) and the Roland-Morris Disability Questionnaire (RMDQ) at four time points. Data were analyzed using SPSS v16 software with repeated-measures ANOVA.

Results

Half of the patients were male, with a mean age of 46.93 years. There was no significant difference in baseline characteristics, except for age and marital status, which did not affect study outcomes. The intervention group significantly reduced pain severity (MD: −3.1, 95 %CI: −3.92 to −2.27) (P < 0.001) and improved RMDQ scores (P < 0.001) (MD: −4.72, 95 %CI: −6.52 to −2.91) with lower recurrence rate, compared to the sham group (MD: −0.3, 95 %CI: −0.92 to +0.32, and MD: −0.9, 95 %CI: −3.02 to +1.22, respectively). No adverse effects were reported.

Conclusion

The Persian Medicine manual technique may be considered a complementary treatment for patients with CLBP, providing effective pain relief and improvement in disability.

背景与目的慢性腰痛（CLBP）是影响生活质量的重要健康问题。鉴于CLBP的高复发率和患者不愿接受侵入性治疗，波斯医学提供了一种手动疼痛管理技术。本研究旨在评估波斯医学为基础的手工技术治疗CLBP患者的疗效。材料与方法本随机对照试验于2024年7月至12月在德黑兰医科大学门诊就诊的108例CLBP患者中进行。参与者被随机分配到两组（使用块随机化），接受波斯医学或模拟原始技术的假手工技术。每位患者接受一次干预，并在四个时间点使用视觉模拟量表（VAS）和Roland-Morris残疾问卷（RMDQ）评估疼痛严重程度和残疾。数据分析采用SPSS v16软件，采用重复测量方差分析。结果半数患者为男性，平均年龄46.93岁。除了年龄和婚姻状况外，基线特征没有显著差异，这对研究结果没有影响。与假手术组（MD: - 0.3, 95 %CI: - 0.92至+0.32,MD: - 0.9, 95 %CI: - 3.02至+1.22）相比，干预组显著降低了疼痛严重程度（MD: - 3.1, 95 %CI: - 3.92至- 2.27）（P <； 0.001），改善了RMDQ评分（P <； 0.001）（MD: - 4.72, 95 %CI: - 6.52至- 2.91），复发率较低。无不良反应报告。结论波斯医学手册技术可作为CLBP患者的一种辅助治疗方法，可有效缓解疼痛和改善残疾。

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引用次数: 0

Yoga for mitigating cardiovascular risk and psychological implications of overweight and obesity: Study protocol for a randomized controlled trial 瑜伽减轻心血管风险和超重和肥胖的心理影响：一项随机对照试验的研究方案

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-11-13 DOI: 10.1016/j.aimed.2025.100588

Kiriti Bhushan Ghosh , Vijaya Majumdar , Amit Kumar Singh , Apar Avinash Saoji

Background

Overweight and obesity are common risk factors for cardiovascular events. Yoga is useful in overweight, obesity, and cardiovascular diseases. However, empirical studies on yoga to mitigate cardiovascular risk factors are lacking. Therefore, the current trial aimed to evaluate the effect of yoga on cardiovascular risk in overweight and obese individuals.

Methods

A total of 110 overweight and obese participants will be randomized into yoga (n = 55) and waitlist control (n = 55) groups. Specific yoga interventions will be administered for a duration of three months. Soluble urokinase plasminogen activator receptor (suPAR) and high-sensitivity C-reactive protein (hsCRP) are the primary markers of cardiovascular risk. Secondary outcomes will include body weight, body mass index (BMI), anthropometric measures, lipid profile, and psychological measures. Data will be analysed using relevant statistical tests.

Expected outcomes

We hypothesize that yoga will attenuate cardiovascular risk in overweight and obese individuals, which may be illustrated by biomarkers such as suPAR, hsCRP, and other markers.

背景：超重和肥胖是心血管事件的常见危险因素。瑜伽对超重、肥胖和心血管疾病都很有用。然而，关于瑜伽减轻心血管危险因素的实证研究缺乏。因此，目前的试验旨在评估瑜伽对超重和肥胖个体心血管风险的影响。方法将110名超重和肥胖参与者随机分为瑜伽组（n = 55）和候补组（n = 55）。具体的瑜伽干预将持续三个月。可溶性尿激酶纤溶酶原激活物受体（suPAR）和高敏c反应蛋白（hsCRP）是心血管危险的主要标志。次要结局包括体重、身体质量指数（BMI）、人体测量、血脂和心理测量。数据将使用相关的统计检验进行分析。预期结果：我们假设瑜伽可以降低超重和肥胖人群的心血管风险，这可以通过生物标志物如suPAR、hsCRP和其他标志物来证明。

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引用次数: 0

Extended reality in acupuncture-related research and practice: A bibliometric analysis 针灸相关研究与实践的延伸现实：文献计量学分析

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-10-22 DOI: 10.1016/j.aimed.2025.100586

Jing He

Purpose

In recent years, the application of extended reality (XR) technology in acupuncture-related research and practice has gained increasing popularity. This article aimed to conduct a bibliometric analysis in this field.

Methods

Publications between 1996 and 2024 in this field were searched in Web of Science Core Collection and Scopus. Software used for data preprocessing and analysis included Microsoft Excel, RStudio, CiteSpace, and VOSviewer.

Results

A total of 143 articles were selected. Publications in this field were increasing rapidly. The top three countries by publication volume were China, the United States and Canada. The top three most-cited countries were the United States, Belgium and China. The overall cooperation network was loose and mainly dominated by China, the United States, and the United Kingdom. The top three affiliations by publication volume were University of Toronto, Emory University, and Southern Medical University. KU Leuven had the highest total and average citations. The author with the most publications and total citations was Moseley G. The source with the most publications was Frontiers in Neurology, whereas the top cited source was Frontiers in Human Neuroscience. Hatem SM (Front Hum Neurosci, 2016) was the top cited publication with the highest average annual citation rate. The most frequent keywords included “virtual reality”, “acupuncture”, “cognitive behavioral therapy”, “stroke” and “pain”. Keyword clusters mainly focused on three aspects: neurological rehabilitation, mental health and pain management. An isolated sub-cluster existed in mental health cluster with “simulation” as its core keyword.

Conclusion

As a specialized domain, the field is expected to progress by forging a more direct integration of XR with acupuncture and a deeper convergence of basic science and clinical practice, indicating substantial progress in the future.

目的近年来，扩展现实（XR）技术在针灸相关研究和实践中的应用越来越受欢迎。本文旨在对这一领域进行文献计量分析。方法检索Web of Science Core Collection和Scopus中1996 ~ 2024年间该领域的论文。用于数据预处理和分析的软件包括Microsoft Excel、RStudio、CiteSpace和VOSviewer。结果共入选文献143篇。这一领域的出版物正在迅速增加。出版数量排名前三的国家分别是中国、美国和加拿大。被引用最多的三个国家是美国、比利时和中国。整体合作网络较为松散，以中、美、英为主。按出版数量排名前三的大学分别是多伦多大学、埃默里大学和南方医科大学。鲁汶大学的总引用量和平均引用量最高。发表文章和总被引次数最多的作者是Moseley G.发表文章最多的来源是Frontiers in Neurology，而被引次数最多的来源是Frontiers in Human Neuroscience。《Hatem SM》（Front Hum Neurosci, 2016）是被引次数最多的出版物，年平均被引率最高。最常见的关键词包括“虚拟现实”、“针灸”、“认知行为疗法”、“中风”和“疼痛”。关键词聚类主要集中在神经康复、心理健康和疼痛管理三个方面。心理健康集群中存在一个以“模拟”为核心关键词的孤立子集群。结论作为一个专业领域，该领域有望进一步发展，使其与针灸的结合更加直接，基础科学与临床实践的融合更加深入，未来将取得实质性进展。

{"title":"Extended reality in acupuncture-related research and practice: A bibliometric analysis","authors":"Jing He","doi":"10.1016/j.aimed.2025.100586","DOIUrl":"10.1016/j.aimed.2025.100586","url":null,"abstract":"<div><h3>Purpose</h3><div>In recent years, the application of extended reality (XR) technology in acupuncture-related research and practice has gained increasing popularity. This article aimed to conduct a bibliometric analysis in this field.</div></div><div><h3>Methods</h3><div>Publications between 1996 and 2024 in this field were searched in Web of Science Core Collection and Scopus. Software used for data preprocessing and analysis included Microsoft Excel, RStudio, CiteSpace, and VOSviewer.</div></div><div><h3>Results</h3><div>A total of 143 articles were selected. Publications in this field were increasing rapidly. The top three countries by publication volume were China, the United States and Canada. The top three most-cited countries were the United States, Belgium and China. The overall cooperation network was loose and mainly dominated by China, the United States, and the United Kingdom. The top three affiliations by publication volume were University of Toronto, Emory University, and Southern Medical University. KU Leuven had the highest total and average citations. The author with the most publications and total citations was Moseley G. The source with the most publications was Frontiers in Neurology, whereas the top cited source was Frontiers in Human Neuroscience. Hatem SM (Front Hum Neurosci, 2016) was the top cited publication with the highest average annual citation rate. The most frequent keywords included “virtual reality”, “acupuncture”, “cognitive behavioral therapy”, “stroke” and “pain”. Keyword clusters mainly focused on three aspects: neurological rehabilitation, mental health and pain management. An isolated sub-cluster existed in mental health cluster with “simulation” as its core keyword.</div></div><div><h3>Conclusion</h3><div>As a specialized domain, the field is expected to progress by forging a more direct integration of XR with acupuncture and a deeper convergence of basic science and clinical practice, indicating substantial progress in the future.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"12 4","pages":"Article 100586"},"PeriodicalIF":1.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Vitamin-D deficiency and respiratory tract infections in adults: A cross-sectional study 成人维生素d缺乏和呼吸道感染的患病率：一项横断面研究

IF 1.7 Q2 Medicine

Advances in integrative medicine

Pub Date : 2025-10-22 DOI: 10.1016/j.aimed.2025.100587

Karin Ried , Avni Sali

Objectives

To assess the prevalence of Vitamin-D deficiency and respiratory illnesses in Australian adults.

Methods

In a cross-sectional sample of Australian adults, serum Vitamin-D levels and frequency of cold and flu symptoms were assessed. Those with sub-optimal Vitamin-D levels (<75nmol/L) were supplied with 4000–10,000IU Vitamin-D3 daily for 3-months. Data was analyzed with ANOVA and Pearson-correlation.

Results

A total of 199 adults aged 57 ± 15 years participated in the study. A third (34 %) had optimal Vitamin-D levels at baseline, 42 % were insufficient (<75nmol/L), 19 % deficient (<50nmol/L) and 5 % severely-deficient (<25nmol/L). About half (56 %) had regularly taken Vitamin-D supplements (1000–5000IU/day) prior to the study.

The prevalence of respiratory illnesses was slightly higher (70 %, mean=3-per-year) in the severely-deficient-group compared to other Vitamin-D-groups (50 %, mean 2.5 ± 2).

Overall, the frequency of respiratory illnesses tended to be lower with higher Vitamin-D levels (group 3: r = -0.285; p = 0.009).

A total of 66 participants (50 %) with sub-optimal Vitamin-D levels (n = 131) completed Vitamin-D3 supplementation. After 3-months, no participants were Vitamin-D deficient, only 15 % remained insufficient, while 85 % reached optimal Vitamin-D levels (mean 97 ± 4nmol/L).

Conclusion

Optimal Vitamin-D levels are correlated with the prevention of respiratory illnesses, and can be achieved with Vitamin-D supplementation within 3-months.

Implications for public health

A large proportion of Australians are Vitamin-D deficient/insufficient. Vitamin-D supplementation is key to alleviate Vitamin-D deficiency and support Vitamin-D’s role in the prevention of acute respiratory infections via the innate and adaptive immune system.

目的评估澳大利亚成年人维生素d缺乏症和呼吸系统疾病的患病率。方法对澳大利亚成年人的横断面样本进行血清维生素d水平和感冒和流感症状频率的评估。维生素d水平低于最佳水平（75nmol/L）的人每天服用4000-10,000IU维生素d3，持续3个月。数据分析采用方差分析和pearson相关分析。结果共有199名年龄为57岁 ± 15岁的成年人参与研究。三分之一（34 %）在基线时维生素d水平最佳，42 %维生素d不足（<75nmol/L）， 19 %维生素d不足（<50nmol/L）， 5 %严重缺乏（<25nmol/L）。大约一半（56% %）在研究前定期服用维生素d补充剂（1000-5000IU /天）。与其他维生素d组（50 %，平均2.5 ± 2）相比，严重缺乏维生素d组的呼吸系统疾病患病率略高（70 %，平均每年3例）。总体而言，维生素d水平越高，呼吸道疾病的发病率越低（第三组：r = -0.285;p = 0.009）。共有66名维生素d水平低于最佳水平的参与者（50 %）（n = 131）完成了维生素d3补充。3个月后，没有参与者维生素d缺乏，只有15 %仍然不足，而85 %达到最佳维生素d水平（平均97 ±4nmol/L）。结论最佳维生素d水平与呼吸道疾病的预防相关，在3个月内补充维生素d即可达到最佳水平。对公众健康的影响很大一部分澳大利亚人维生素d缺乏/不足。补充维生素d是缓解维生素d缺乏症和支持维生素d在通过先天和适应性免疫系统预防急性呼吸道感染中的作用的关键。

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引用次数: 0