Investigation into complementary and integrative medicine practitioners' clinical experience of intestinal permeability: A cross-sectional survey

被引:6
作者
Leech, Bradley [1 ]
Schloss, Janet [1 ]
Steel, Amie [1 ,2 ]
机构
[1] Endeavour Coll Nat Hlth, Off Res, 2-269 Wickham St, Fortitude Valley, Qld 4006, Australia
[2] Univ Technol Sydney, Fac Hlth, Australian Res Ctr Complementary & Integrat Med, 15 Broadway, Ultimo, NSW 2007, Australia
关键词
Naturopathic medicine; Leaky gut; Intestinal barrier dysfunction; Autoimmune disease; Lactulose mannitol; Integrative medicine; IRRITABLE-BOWEL-SYNDROME; OROCECAL TRANSIT-TIME; CELIAC-DISEASE; GASTROINTESTINAL SYMPTOMS; MICROBIOTA COMPOSITION; CIRCULATING ZONULIN; RESEARCH NETWORK; LIVER-CIRRHOSIS; TIGHT JUNCTIONS; CROHNS-DISEASE;
D O I
10.1016/j.ctcp.2018.02.014
中图分类号
R [医药、卫生];
学科分类号
10 ;
摘要
Background: This study aims to explore the conditions complementary and integrative medicine (CIM) practitioners associate with increased intestinal permeability (IP) and the methods they employ to assess IP. Methods: A cross-sectional survey of naturopaths, nutritionists and Western herbal medicine practitioners was undertaken (n = 227) through the Practitioner Research and Collaboration Initiative (PRACI) network. Results: CIM practitioners (n = 36, response rate 15.9%) associate IP with gastrointestinal (100.0%), autoimmune (91.7%), skin (91.7%), neurological (80.6%), respiratory (55.6%) and liver-related conditions (44.4%). CIM practitioners frequently treat IP (72.7%); observing a minimum 3 months of treatment is required to resolve IP. Patient's signs and symptoms were the main reasons CIM practitioners suspected IP (94.1%). Conclusion: CIM practitioners observe a clinical link between IP and a wide range of conditions, including those not yet recognised within the literature. The clinical experience of CIM practitioners holds substantial value to the advancement of research and the clinical management of IP. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:200 / 209
页数:10
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