SUBMISSION: DEPARTMENT OF HEALTH NTREAP – EVIDENCE FOR TRANCHE ONE Report prepared by: Peter Berryman, President; Christine Pope, Treasurer 20/02/2020 THURSDAY, 20 FEBRUARY 2020 Natural Therapies Review 2019-2020 Department of Health By email: [email protected] Submission – Citations for published scientific research studies for consideration in the Natural Therapies Review 2019-20 Thank you for the opportunity to make a submission to the Natural Therapies Review 2019- 2020. The Australian Traditional-Medicine Society (ATMS) is Australia’s largest national professional association of natural medicine practitioners. ATMS is a multi-modality association representing around 9,000 accredited practitioners and students throughout Australia. ATMS currently accredits 20 natural medicine modalities. ATMS promotes and represents accredited practitioners of natural medicine, who are encouraged to pursue the highest ideals of professionalism in their natural medicine practice and education. ATMS has consistently opposed the process, deliberations and outcomes of the 2015 Review of the Australian Government Rebate on Private Health Insurance for Natural Therapies. We have argued that in the 2015 Review the methodology was flawed and the final Report does not provide a sound basis for Australian public policy. ATMS supports the process currently underway with the Natural Therapies Review Expert Advisory Panel (NTREAP) 2019-2020. The current call for evidence is for natural medicine therapies identified as tranche 1. Of these therapies ATMS currently accredits: • naturopathy; • western herbal medicine; and • shiatsu The proposed next call for evidence is for natural medicine therapies identified as tranche 2. Of these therapies ATMS currently accredits: • aromatherapy; • Bowen therapy; • homeopathy; • kinesiology; and • reflexology. Attached is a detailed list of evidence to support both the practice of Naturopathy as well as the tools of trade. Evidence has been provided in the form of abstracts and citations for Complementary and Alternative Medicine 2 (CAM) Submission 20/02/2020 Naturopathic Practice and the tools of trade for Naturopaths which include Herbal Medicines and Nutritional Supplements. The evidence covers both Systematic Reviews and Meta Analyses as well as Randomised Controlled Trials. ATMS will make a further submission for tranche 2 when called to do so. Yours sincerely Peter Berryman ATMS President ATMS acknowledges the contribution to this submission by: Sandra Grace Cathy Avila Colleen Rowe Peter Berryman Christine Pope The team at Metagenics, specifically Laurence Katsaras and Marla Cunningham Complementary and Alternative Medicine 3 (CAM) Submission 20/02/2020 4. INDEX 8. Naturopathic “Whole Practise” 8. OVERVIEWS 8. RANDOMISED CONTROLLED TRIALS 14. Naturopathic “Tools of Trade” 14. B VITAMINS 14. OVERVIEWS 14. Gastrointestinal Disorders 14. Cardiometabolic Disease and Risk 20. Fertility and Reproductive Disorders 24. Cancer Risk 25. Neurological Disorders 27. Pregnancy 30. Neuropsychiatric Disorders 35. RANDOMISED CONTROLLED TRIALS 35. Cardiometabolic Risk and Disorders 36. Gastrointestinal Disorders 36. Cancer Risk and Support 38. Neurological Disorders 39. Neuropsychiatric Disorders 41. Reproductive Disorders and Fertility 42. Pregnancy 44. OMEGA-3 AND OMEGA-6 ESSENTIAL FATTY ACIDS Complementary and Alternative Medicine 4 (CAM) Submission 20/02/2020 44. OVERVIEWS 44. Neuropsychiatric Disorders 50. Cardiometabolic Disease and Risk 59. Pregnancy 64. Non-Alcoholic Fatty Liver Disease 66. Gastrointestinal Disorders 67. Neurological Disorders and Pain Syndromes 68. Arthritic Conditions 69. Reproductive Disorders and Fertility 69. RANDOMISED CONTROLLED TRIALS 69. Cardiometabolic Disease and Risk 73. Cognition 73. Skin Disorders 74. Pregnancy 77. Respiratory 77. Arthritic Disorders 79. Fertility and Reproductive Disorders 80. AMINO ACIDS 80. OVERVIEWS 80. Neuropsychiatric Disorders and Addiction 85. Chronic Pancreatitis 86. Respiratory Disorders 88. Infection 88. Cognition Complementary and Alternative Medicine 5 (CAM) Submission 20/02/2020 89. Cardiometabolic Disease and Risk 91. Polycystic Ovarian Syndrome 92. Neurological Disorders 92. Cancer Risk and Support 95. RANDOMISED CONTROLLED TRIALS 95. Cardiometabolic Disease and Risk 97. Cognition 97. Neuropsychiatric Disorders and Addiction 99. Gastrointestinal Disorders 99. Reproductive Disorders and Fertility 101. Neurological Disorders and Pain Syndromes 101. MAGNESIUM 102. OVERVIEW 104. RANDOMISED CONTROLLED TRIALS 105. MICROBIOME 105. RANDOMISED CONTROLLED TRIALS 105. COENZYME Q10 105. RANDOMISED CONTROLLED TRIALS 105. Western Herbal Medicine 105. OVERVIEW 110. RANDOMISED CONTROLLED TRIALS 175. Shiatsu 175. OVERVIEWS Complementary and Alternative Medicine 6 (CAM) Submission 20/02/2020 175. RANDOMISED CONTROLLED TRIALS 178. END Complementary and Alternative Medicine 7 (CAM) Submission 20/02/2020 Naturopathic “Whole Practise” OVERVIEWS Myers SP, Vigar V/ The State of the Evidence for Whole-System, Multi- Modality Naturopathic Medicine: A Systematic Scoping Review. J Altern Complement Med. 2019 Feb;25(2):141-168. doi: 10.1089/acm.2018.0340. Abstract OBJECTIVE: To summarize the current state of the research evidence for whole-system, multi-modality naturopathic medicine. DESIGN: A systematic search for research articles from around the world was undertaken using MEDLINE, Embase, CINAHL, AMED, and WHO regional indexes. Naturopathic journals and gray literature were hand searched. No language restrictions were imposed. INTERVENTIONS: All human research evaluating the effectiveness of naturopathic medicine, where two or more naturopathic modalities are delivered by naturopathic clinicians, were included in the review. Case studies of five or more cases were included. RESULTS: Thirty-three published studies (n = 9859) met inclusion criteria (11 American; 4 Canadian; 6 German; 7 Indian; 3 Australian; 1 United Kingdom; and 1 Japanese) across a range of mainly chronic clinical conditions. The studies predominantly showed evidence for the efficacy of naturopathic medicine for the conditions and settings in which they were based. CONCLUSIONS: To date, research in whole-system, multi-modality naturopathic medicine shows that it is effective for treating cardiovascular disease, musculoskeletal pain, type 2 diabetes, polycystic ovary syndrome, depression, anxiety, and a range of complex chronic conditions. KEYWORDS: global; naturopathic medicine; naturopathy; pragmatic; systematic review; whole-system Grace S, Barnes L, Reilly W, Vlass A, de Permentier P. An integrative review of dietetic and naturopathic approaches to functional bowel disorders. Complementary Therapies in Medicine, Dec2018; 41: 67-80. http://dx.doi.org.ezproxy1.library.usyd.edu.au/10.1016/j.ctim.2018.09.004Abs Abstract OBJECTIVES: Naturopathy and dietetics have evolved as two separate but parallel professions that use diet to promote optimal health and manage many illnesses and diseases. Given the increasing recognition of the influence of diet on health outcomes, there is increasing demand for the services of both professions. The aim of this research Complementary and Alternative Medicine 8 (CAM) Submission 20/02/2020 was to investigate similarities and differences between naturopathic and dietetic approaches to functional bowel disorders (FBDs). DESIGN: For this integrative review AMED, CINAHL, the Cochrane Database of Systematic Reviews, EMBASE, Medline and PubMed databases were searched for articles that focused on dietetic or naturopathic diagnosis and treatment of food intolerance expressing as a FBD in adults. (Registration: PROSPERO 2016 CRD42016049469). Results: Of the 55 papers in the final review, 10 discussed complementary medicine approaches to FBDs. Both dietitians and naturopaths used similar holistic approaches to diagnosis and treatment, adjusted diets as a primary treatment approach, and individualised treatment for their patients. The professions differed in their use of vitamin, mineral and herbal supplements and in their willingness to recommend other treatments like osteopathy and acupuncture. CONCLUSIONS: There is much overlap between dietetic and naturopathic approaches to assessment and treatment of FBDs. Further publications that describe naturopathic treatments for FBDs are needed to confirm these results and to provide opportunities for increased recognition and scrutiny of any distinctively naturopathic approaches. Without doing so, naturopathic practices are likely to remain marginalised and poorly understood. Moreover, the opportunity to fully contribute to the management of lifestyle-related diseases will be missed. I Jin AJ, Chin CJ. Complementary and Alternative Medicine in Chronic Rhinosinusitis: A Systematic Review and Qualitative Analysis. Am J Rhinol Allergy. 2019 Mar;33(2):194-202. doi: 10.1177/1945892418813079. Epub 2018 Nov. 28. Abstract BACKGROUND: Complementary and alternative medicine (CAM) is frequently used in the treatment of chronic rhinosinusitis (CRS) in developed countries. With a plethora of CAM therapies available, their effectiveness and safety are poorly understood in the context of CRS. OBJECTIVES: This article aims to critically appraise the evidence for CAM use in CRS through a systematic review of current literature that investigate the effects of CAM on symptoms and clinical status of adults with CRS. STUDY DESIGN: Systematic review and qualitative analysis. REVIEW METHODS: A comprehensive systematic review of the literature was