Use of Complementary and Alternative Medicine For Physical Performance, Energy, Immune Function, and General Health Among Older Women and Men in the United States

Tait, Elizabeth M.; Laditka, Sarah B.; Laditka, James N.; Nies, Mary A.; Racine, Elizabeth F.

doi:10.1080/08952841.2012.638875

Cited by 9 publications

(8 citation statements)

References 42 publications

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“…Our findings are consistent with other studies regarding the relationship of CAM use to gender, 21 race, 22 and education. 23 It is also not surprising that lower income patients reported more use of topical agents and wealthier participants reported more use of manipulative and body-based therapies, given the difference in cost between these therapies.…”

Section: Discussionsupporting

confidence: 93%

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Longitudinal Use of Complementary and Alternative Medicine Among Older Adults With Radiographic Knee Osteoarthritis

Yang

Dubé

Eaton

et al. 2013

Clinical Therapeutics

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Background Osteoarthritis (OA) accounts for more mobility issues in older adults than any other disease. OA is a chronic and often painful disease for which there is no cure. Cross-sectional studies have shown that older adults frequently use complementary and alternative medicine (CAM) and arthritis is the most common reason for CAM use. While previous research has profiled the sociodemographic and clinical characteristics of CAM users, few have provided information on variation in CAM use over time and most only considered use of any CAM, which was often a mixture of heterogeneous therapies. Objectives This study sought to describe the longitudinal patterns of CAM use among older adults with knee OA, and to identify correlates/predictors of different commonly-used CAM therapies. Methods The Osteoarthritis Initiative included 1,121 adults aged 65 years and above with radiographic tibiofemoral OA in one or both knees at baseline. Annual surveys captured current use of conventional therapies and 25 CAM modalities (grouped into 6 categories) for joint pain or arthritis at baseline and during the 4-year follow-up. We assessed longitudinal use of CAM modalities by summing the number of visits with participants reporting use of each modality. Correlates of CAM use under consideration included sociodemographic indicators, body mass index, overall measures of mental and physical wellbeing, and clinical indices of knee OA. Generalized estimation equations provided adjusted odds ratio estimates and 95% confidence intervals. Results Nearly one third of older adults reported using ≥ one CAM modality for treating OA at all assessments. With the exception of glucosamine and chondroitin (18%), few were persistent users of other CAM modalities. One in five of those using NSAIDs or glucosamine/chondroitin were using them concurrently. Adjusted models showed: 1) adults aged ≥75 years were less likely to use dietary supplements than those aged between 65 and 75 years; 2) persons with more severe knee pain or stiffness reported more CAM use; 3) better knee-related physical function was correlated with more use of chiropractic/massage; 4) older adults with more comorbidities were less likely to report use of dietary supplements. Conclusion Patterns of CAM use are, to some extent, inconsistent with current guidelines for OA treatment. Evaluating the potential risks and benefits in older adults from commonly-used CAM modalities, with or without combination use of conventional analgesics, is warranted.

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Section: Discussionsupporting

confidence: 93%

“…Women, 21 Non-Hispanic White, 22 higher income or education 23 and having insurance coverage 24 have been correlated with increased CAM use in cross-sectional studies. We measured income as the personal family income for the last year, including all sources such as wages, salaries, social security and retirement benefits.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal Use of Complementary and Alternative Medicine Among Older Adults With Radiographic Knee Osteoarthritis

Yang

Dubé

Eaton

et al. 2013

Clinical Therapeutics

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“…Recently, the United States has seen an upward trend in the use of nonconventional medicine for chronic conditions, [19][20][21][22] mimicking trends seen internationally. [23][24][25] Although many studies have examined the use of complementary and alternative medicine (CAM) within different chronic disease populations, 16,26,27 researchers also suggest that the reasons for CAM use for chronic back or neck pain and other musculoskeletal diseases warrant further study.…”

Section: Introductionmentioning

confidence: 90%

Complementary and Alternative Medicine Use by Normal Weight, Overweight, and Obese Patients with Arthritis or Other Musculoskeletal Diseases

Mbizo

Okafor

Sutton

et al. 2016

The Journal of Alternative and Complementary Medicine

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“…Collectively, the results for the predisposing, enabling, and need factors were consistent with previous research on the use of CAM, including supplement use. 32,44,48,52 Adults who reported that their health was now better than last year were more likely to have used supplements for cognitive health than those who said their health was the same. While this result may suggest an association between supplement use and improved general health, the study design and the characteristics of our data suggest caution regarding that interpretation.…”

Section: Discussionmentioning

confidence: 94%

“…Developed to study factors that contribute to the use of acute care health services, the Andersen model has been applied to use of CAM, including supplements. 44 –48 The model suggests that supplement use is determined by 3 sets of factors: predisposing factors, enabling factors, and need factors. 43 Predisposing factors measured in the present analysis were gender, age, marital status, ethnicity, and education.…”

Section: Methodsmentioning

confidence: 99%

Use of Dietary Supplements for Cognitive Health

Laditka

Tait

et al. 2012

Am J Alzheimers Dis Other Demen

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We studied use of vitamins, minerals, herbs, and other dietary supplements for cognitive health. We refer to these products as supplements. Data were from the 2007 National Health Interview Survey, which asked about complementary and alternative medicine (n = 22 783). Chi-square and multivariate logistic analyses were weighted for national representativeness, accounting for the survey design. Among supplement users, about 8.8% of those without cognitive problems used them for cognitive health; 15.7% of those with cognitive problems did so. Fish oil, Ginkgo biloba, and vitamins were commonly used for cognitive health. Among supplement users, 38% did not tell health care providers. In adjusted results, adults reporting cognitive problems were more likely than others to use supplements for cognitive health (odds ratio 1.77, confidence interval 1.39-2.25). Adults are more likely to use supplements to treat or cure cognitive problems than to prevent them. Many do not discuss this use with health care providers.

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Use of Complementary and Alternative Medicine For Physical Performance, Energy, Immune Function, and General Health Among Older Women and Men in the United States

Cited by 9 publications

References 42 publications

Longitudinal Use of Complementary and Alternative Medicine Among Older Adults With Radiographic Knee Osteoarthritis

Longitudinal Use of Complementary and Alternative Medicine Among Older Adults With Radiographic Knee Osteoarthritis

Complementary and Alternative Medicine Use by Normal Weight, Overweight, and Obese Patients with Arthritis or Other Musculoskeletal Diseases

Use of Dietary Supplements for Cognitive Health

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