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

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...

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Main Authors: Amie Steel, Joshua Z. Goldenberg, Jason A. Hawrelak, Hope Foley, Sophia Gerontakos, Joanna E. Harnett, Janet Schloss, Rebecca Reid
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Integrative Medicine Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213422020300561
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author Amie Steel
Joshua Z. Goldenberg
Jason A. Hawrelak
Hope Foley
Sophia Gerontakos
Joanna E. Harnett
Janet Schloss
Rebecca Reid
author_facet Amie Steel
Joshua Z. Goldenberg
Jason A. Hawrelak
Hope Foley
Sophia Gerontakos
Joanna E. Harnett
Janet Schloss
Rebecca Reid
author_sort Amie Steel
collection DOAJ
description 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..
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spelling doaj-art-cbd80c9d3d584d2d8a613cfcc825d3dc2025-08-20T02:00:45ZengElsevierIntegrative Medicine Research2213-42202020-12-019410.1016/j.imr.2020.100424Integrative physiology and traditional naturopathic practice: Results of an international observational studyAmie Steel0Joshua Z. Goldenberg1Jason A. Hawrelak2Hope Foley3Sophia Gerontakos4Joanna E. Harnett5Janet Schloss6Rebecca Reid7Australian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, Australia; Corresponding author at: Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones St, Ultimo, NSW, Australia.Australian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, Australia; Helfgott Research Institute, National University of Natural Medicine, Portland, USAAustralian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, Australia; School of Pharmacy and Pharmacology, University of Tasmania, Hobart, AustraliaAustralian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, Australia; Office of Research, Endeavour College of Natural Health, Brisbane, AustraliaAustralian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, AustraliaAustralian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, Australia; The University of Sydney School of Pharmacy, Faculty of Medicine and Health, Sydney, AustraliaAustralian Research Centre for Complementary and Integrative Medicine, University of Technology Sydney, Sydney, Australia; Office of Research, Endeavour College of Natural Health, Brisbane, AustraliaOffice of Research, Endeavour College of Natural Health, Brisbane, AustraliaBackground: 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..http://www.sciencedirect.com/science/article/pii/S2213422020300561NaturopathyIntegrative physiologyTraditional and complementary medicineIntegrative medicine
spellingShingle Amie Steel
Joshua Z. Goldenberg
Jason A. Hawrelak
Hope Foley
Sophia Gerontakos
Joanna E. Harnett
Janet Schloss
Rebecca Reid
Integrative physiology and traditional naturopathic practice: Results of an international observational study
Integrative Medicine Research
Naturopathy
Integrative physiology
Traditional and complementary medicine
Integrative medicine
title Integrative physiology and traditional naturopathic practice: Results of an international observational study
title_full Integrative physiology and traditional naturopathic practice: Results of an international observational study
title_fullStr Integrative physiology and traditional naturopathic practice: Results of an international observational study
title_full_unstemmed Integrative physiology and traditional naturopathic practice: Results of an international observational study
title_short Integrative physiology and traditional naturopathic practice: Results of an international observational study
title_sort integrative physiology and traditional naturopathic practice results of an international observational study
topic Naturopathy
Integrative physiology
Traditional and complementary medicine
Integrative medicine
url http://www.sciencedirect.com/science/article/pii/S2213422020300561
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