INTRODUCTION TO HERBAL MEDICINE: Herbal Jeopardy

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INTRODUCTION TO HERBAL MEDICINEHerbal Jeopardy

• Kathi J Kemper, MD,MPH
• Caryl J. Guth Chair for Holistic Integrative
  Medicine
• Wake Forest University School of Medicine

Cora Breuner, MD, MPH Associate Professor
Pediatrics University of Washington School of
Medicine
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AAP NCE Faculty Disclosure Information In the
past 12 months, neither Dr. Cora Breuner nor Dr.
Kathi Kemper have had a significant financial
interest or other relationship with any Speakers
Bureau, manufacturer(s) or provider(s) of any
service(s) that will be discussed in our
presentation. This presentation will not include
discussion of pharmaceuticals or devices that
have not been approved by the FDA
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Objectives

• By the end of this session, participants will be
  able to
• Describe which supplements are used most often by
  US children
• Describe the risks and benefits of commonly used
  herbs and dietary supplements (HDS)
• Identify and use reliable internet resources for
  information on herbs and DS

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What it is NOT

• Comprehensive overview of complementary medicine
• Comprehensive overview of herbs and supplements
• More references on herbs, see review articles in
  Contemporary Pediatrics AAP PIR NIH NCCAM
• See also WFUSM on-line classes
  https//northwestahec.wfubmc.edu/learn/herbs_ce/in
  dex.cfm

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What it IS

• Fun introduction to herbs
• Interest you in learning more
• Provide resources
• Potential enrollment in CME in more depth
• https//northwestahec.wfubmc.edu/learn/herbs_ce/in
  dex.cfm

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Who uses herbs and supplements?

• Do YOU use herbs or other dietary supplements
  regularly, ie. 4 or more days a week?
• Are you the only one?

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It depends on how you define a supplement!

• FDA definition includes herbs vitamins
  minerals amino acids and other substances or
  their constituents

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Mayo Clinic 1999 Survey

• Surveyed 200 adults getting check-ups
• 31 reported using DS on written self-report
• 61 reported using DS during structured interview
• It depends on how you ask!!!!
• Hensrud, DD, et al. Mayo Clin Proc, 199974
  443-47

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How many adults use supplements?

• 10 19 of American Adults use herbs
• 50 - 70 of American adults use multivitamins,
  calcium, Vitamin C, B vitamins, Vitamin E, iron,
  fish oil, etc.
• 85 of professionals enrolled in our on-line
  course on herbs and supplements multivits,
  vitamin C, B vitamins, fish oil, green tea,
• Use is highest among women, middle and older
  ages chronic health conditions teenagers

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How many kids receive supplements for colds?

• 6 pediatric practices in Puget Sound (Dr. Jim
  Taylor, 1998)
• 595 parents responded to anonymous survey
• Treated kids previous colds with
• Vitamin C 47
• Echinacea 34

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How many kids with chronic illnesses use HDS?

• ADHD 39 - 55
• Asthma 15 - 30
• Cancer 15 - 50
• Depression gt20
• IBD 19 - gt 50

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How many teenagers use HDS?

• 2002 survey of 1200 teens on-line
• Lifetime CAM use 79 CAM
• Past month CAM 48.5 CAM
• Lifetime DS 46.2
• Past month DS 29.1
• Concurrently use DS and Rx 9.3
• Higher use in older kids, those who smoke, drink
  and take drugs
• Wilson KM, et al. J Adolesc Med, 2006
• Yussman SM, et al. J Adolesc Med, 2006

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https//northwestahec.wfubmc.edu/learn/herbs_ce/in
dex.cfm
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JEOPARDY RULES

• Two teams RED and BLUE
• We need three volunteers for each team
• Score keeper One volunteer
• Judge One volunteer to help decide which team
  answered first
• Categories from top, down
• Must wait until question has been read to answer
  it! You do not have to wait for all the answers
  to be read.
• Lose points for wrong answers!