A review of whole-medical systems and holistic care approach for type 2 diabetes and associated metabolic syndrome

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外文摘要：Whole-person care and holistic care approach has been proposed for complementary and integrative health care for type 2 diabetes mellitus.However,some doubts still exist on the feasibility of replicating processes followed in clinical trials and observational studies in real-world settings.This narrative liter-ature review summarized and assessed existing clinical evidence(clinical trials,observational studies,and case reports)describing holistic and integrated care approach in adult and adolescent individuals with type 2 diabetes mellitus in clinical practice.The goal was to highlight existing evidence for imple-mentation and outcomes of whole-medical systems and holistic integrated care approach for type 2 dia-betes mellitus.A nonsystematic literature search was performed on Google Scholar,PubMed,Web of Science,ProQuest and ScienceDirect to identify clinical evidence from different parts of the world,eval-uating the use of whole-medical systems and/or holistic care interventions in clinical practice for man-agement of type 2 diabetes mellitus.Relevant keywords were used in the search.Data were analyzed using content analysis and simple descriptive statistics(percentages).Most of the studies(64% )were mainly conducted in Eastern countries(India,China and Israel)while 36% of the studies were conducted in the Western countries(USA,Netherlands,Canada and Mexico).Lifestyle medicine and integrated naturopathy were shown to be the commonly used whole-medical systems for type 2 diabetes mellitus management.Significant improvements in type 2 diabetes parameters,medication use,other symptoms,and overall feeling of wellness were observed in all studies.This review study revealed limited utilization and/or documentation of whole-medical systems or holistic care treatments for type 2 diabetes mellitus in regions of the world other than eastern countries.Lifestyle medicine,naturopathy,yoga,Ayurveda and traditional Chinese medicine were shown to be effective for type 2 diabetes mellitus,either as an alter-native or as a complementary therapy.

外文关键词：

Complementary and alternative medicineHolistic careIntegrative medicineType 2 diabetes mellitusTeam-based intervention

作者：

Loveness Makoni、Idah T.Manduna、Alaisa L.Mbiriri

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作者单位：

Department of Health Sciences,Faculty of Health and Environmental Health Sciences,Central University of Technology,Free State,20 President Brand Street,Private bag X20539,Bloemfontein 9300,South Africa

Centre for Applied Food Sustainability and Biotechnology(CAFSaB),Faculty of Health and Environmental Health Sciences,Central University of Technology,Free State,20 President Brand Street,Private bagX20539,Bloemfontein 9300,South Africa

Adventist Development and Relief Agency(ADRA),5 Cecil Road,Greendale,Harare 0000,Zimbabwe

基金：

Central University of Technology,Free State(CUT)National Research Foundation(NRF)of South Africa

项目编号：

出版年：

2024

DOI：

10.1016/j.joim.2024.04.001

结合医学学报(英文版)

上海市中西医结合学会,上海长海医院

结合医学学报(英文版)

CSTPCD

影响因子：0.711

ISSN：2095-4964

年,卷(期)：2024.22(3)

参考文献量3