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10.02.2021 | Akupunktur | Originalien

BARBQTCM Survey: Einfluss von Schlafstörungen auf die TCM-Akzeptanz bei Übergewicht und Adipositas

Patientenpräferenz als Eckpfeiler der evidenzbasierten Medizin und kritische Betrachtung der S3-Leitlinien für Schlafstörungen

verfasst von: Univ. Prof. PD Dr. Peter Panhofer, Mag. Thomas Vlasak, Dr. Urs Pfefferkorn, Dr. Karin Stockert, Dr. Michaela Bijak, Dr. Daniela Stockenhuber, Steffi Rothe

Erschienen in: Deutsche Zeitschrift für Akupunktur | Ausgabe 1/2021

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Zusammenfassung

Ziel

Diese Studie erhebt den Einfluss von Schlafstörungen auf die Akzeptanz von Komplementärmedizin bei PatientInnen mit Gewichtsproblemen. Die Patientenpräferenz ist ein wichtiger Eckpfeiler der evidenzbasierten Medizin.

Patienten und Methoden

Eine Subgruppenanalyse einer anonymen Befragung der deutschsprachigen BARBQTCM-Multicenterstudie untersuchte PatientInnen aus 2 Schweizer Adipositaszentren in Zürich und Solothurn. Die Querschnittstudie verglich Befragte mit und ohne Schlafprobleme.

Ergebnisse

42 % der 172 Befragten gaben Schlafstörungen an. Der mediane Body-Mass-Index (BMI) erreichte 34 kg/m², das mediane Alter betrug 44 Jahre, knapp 3 Viertel waren weiblich. 130 Befragte hatten eine Übergewichtsoperation. 45 % hatten schon Erfahrung mit Komplementärmedizin.

75 % waren an Traditioneller Chinesischer Medizin (TCM) interessiert. Positive Einflussfaktoren waren Erfahrung mit Komplementärmedizin (p < 0,001) und manifeste Schlafstörungen (p < 0,001). Alter, Geschlecht, BMI und Medikamente oder Operationen zur Gewichtsreduktion hatten keine Auswirkungen auf das Interesse. Die Kohorte mit Schlafstörungen würde signifikant häufiger alle erfragten Beschwerden additiv mit TCM behandeln als PatientInnen ohne Schlafstörungen (p < 0,001). Diese Patientengruppe würde auch mehr Geld und Zeit für TCM-Ambulanzvisiten und -Therapien investieren (p < 0,001). Ein Review der S3-Leitlinien für Schlafstörungen zeigte signifikante Effekte von Heilkräutern (Baldrian, TCM-Rezepturen) und Akupunktur. Wegen der unklaren Datenlage (hohes Risiko Studienbias) wird die Komplementärmedizin als Therapieoption jedoch nicht empfohlen (Empfehlungsgrad B).

Schlussfolgerung

Die externe Evidenz und die Patientenpräferenz unterstreichen die Rolle der TCM bei Schlafstörungen und Gewichtsproblemen. Nichtsdestotrotz ist eine Optimierung der Studienqualität durch Reduktion der Studienbias und koordinierte Studienaktivitäten unabdingbar, um die Konzepte der Integrativmedizin in den internationalen Leitlinien zu verankern.

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Titel: BARBQTCM Survey: Einfluss von Schlafstörungen auf die TCM-Akzeptanz bei Übergewicht und Adipositas
Patientenpräferenz als Eckpfeiler der evidenzbasierten Medizin und kritische Betrachtung der S3-Leitlinien für Schlafstörungen
verfasst von: Univ. Prof. PD Dr. Peter Panhofer
Mag. Thomas Vlasak
Dr. Urs Pfefferkorn
Dr. Karin Stockert
Dr. Michaela Bijak
Dr. Daniela Stockenhuber
Steffi Rothe
Publikationsdatum: 10.02.2021
Verlag: Springer Medizin
Schlagwörter: Akupunktur
Adipositas
Insomnie
Übergewicht
Adipositas
Erschienen in: Deutsche Zeitschrift für Akupunktur / Ausgabe 1/2021
Print ISSN: 0415-6412
Elektronische ISSN: 1439-4359
DOI: https://doi.org/10.1007/s42212-020-00343-8

Passend zum Thema

Schlafapnoe – Einfach erkennen. Individuell behandeln.

Schlafapnoe verhindert gesunden Schlaf und trägt zur Entstehung bzw. Manifestierung von Komorbiditäten wie Bluthochdruck, Vorhofflimmern und Schlaganfällen bei. Einfache Diagnostiktools helfen, frühzeitig das Risiko zu minimieren und individuelle Therapieansätzen umzusetzen.

Der Patient* im Fokus – Patient Empowerment als neuer Ansatz?

Das deutsche Gesundheitssystem steht aktuell vor großen Herausforderungen. Innovative Technologien und Handlungsansätze kollidieren mit fest etablierten Meinungen und Strukturen, der Ruf nach Veränderung wird laut. Auch die Patienten bleiben von dieser Entwicklung nicht unberührt.

COMISA - Die komorbide Insomnie bei Schlafapnoe

Insomnie und obstruktive Schlafapnoe (OSA) treten häufiger zusammen auf, als man es basierend auf der jeweiligen Prävalenz in der Bevölkerung vermuten würde [1, 2, 3]. In der Fachliteratur nennt sich diese Komorbidität COMISA – comorbid insomnia and sleep apnea.

Springer Medizin

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Patienten und Methoden

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Passend zum Thema

Schlafapnoe – Einfach erkennen. Individuell behandeln.

Der Patient* im Fokus – Patient Empowerment als neuer Ansatz?

COMISA - Die komorbide Insomnie bei Schlafapnoe