THE%20IMPACT%20OF%20NATURAL%20HEALTH%20PRODUCTS%20ON%20THE%20MANAGEMENT%20OF%20WOMEN

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THE IMPACT OF NATURAL HEALTH PRODUCTS ON THE
MANAGEMENT OF WOMENS HEALTH AND QUALITY OF LIFE

• Waqar H. Bhatti, Ph.D.
• Professor of Pharmacognosy
• College of Pharmacy Health Sciences
• Butler University, Indianapolis, IN
• 2006 DIA Annual Meeting, Philadelphia, PA

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Presentation Overview

• Part I. Natural Products
• Definition, Market Reports and Health Products.
• Part II. Health and Health Practices
• Definition of Health, OAM and NCCAM History,
  Health Practices
• Priority Womens Health Issues.
• Part III. Health and Management Womens Health
  and Quality of Life
• Management of Health
• Part IV. Examples of Integrative Approach to
  Womens Health
• Stress Management, Heart Disease, Alzheimers
  Disease,
• Examples of Hormonal Herbs for Womens Health
• Part V. Conclusion

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Part I. Natural Products

• No official U.S. government regulated definition
  for the term natural pertaining to the natural
  products.
• FDA refers to natural ingredients as ingredients
  extracted directly from plants or animal products
  as opposed to being produced synthetically.
• U. S. Food and Drug Administration, FDA
  Consumer
• A natural product, therefore, is derived from
  natural sources without chemical synthesis and
  prepared or formulated into usable form.

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Part I. Natural Products Market

• Global Market for Natural Products
• Middle East Natural and Organic
• Products Expo December 2005 over 150
  billion
• Natural Products Expo Asia
• Health and Organic Food Products
• November 2005 438 billion
• US Market for Natural Products
• Natural Products Retailers Survey
  50 billion

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Part I. Natural Health Products

• Definition Any product obtained from natural
  sources and prepared or formulated into usable
  form for health maintenance.
• Natural Products for Womens Health
• Natural Medicinal Products from plants, animals
  and minerals
• Nutritional Products energy groups, vitamins
  and minerals
• Natural Self-Care and Natural Cosmetic Products
• The above products are easily available at
  grocery stores, pharmacies, health food stores
  and via the internet.

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Part II. Health and Health Practices Definition
of Health

• Health is a state of complete physical, mental
  and social well-being and
• not merely the absence of disease or
  infirmityWorld Health Organization (WHO 1946)

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Part II. Health and Health Practices OAM and
NCCAM History

• 1991 - U.S. Congress establishes the Office of
  Alternative Medicine (OAM) within NIH with 2
  million budget.
• 1998 OAM is elevated to NIH Center to become
  National Center for Complementary and Alternative
  Medicine (NCCAM) with 50 million.
• Since 2002 NCCAM budget exceeded 100 Million.
• The budget for NCCAM this year is 122.7 million.
• http//nccam.nih.gov

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Part II. Health and Health Practices Health
Practices

• The management of Womens health has been ignored
  by both healthcare providers and society until
  recently.
• The management of health must include all that is
  available.
• 1. Conventional Medicine -
• used in practice by M.D. or D.O.
• 2. Complementary Medicine - Non conventional
  medicine
• used together with conventional medicine.
• 3. Alternative Medicine - Non conventional
  medicine
• used in place of conventional medicine.
• According to National Center of Complementary
  and Alternative Medicine (NCCAM)

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Part II. Health and Health Practices Five Major
Areas of Complementary and Alternative Medicine
(CAM)

• 1. Alternative Medical Systems
• There are four complete medical
• systems with theory and practice.
• ? Ayurveda.
• India's traditional system of
  medicine more than 5000 years old. Rich and
  valuable source of natural health products.
• ? Traditional Chinese Medicine-TCM
• The TCM is more than 5000 years old. Rich and
  valuable source of natural health products.
• ? Homeopathic
• It is a western system of care over 200 years
  old. Preparations are derived from plants and
  minerals.
• ? Naturopathic
• It is an American system that emerged in the
  late 19th century. It uses a wide array of
  healing practices.

• 2. Biological Based Therapies.
• These therapies include all those which are
  available from natural sources. It provides
  cumulative source for natural health products.
• 3. Energy Therapies.
• This area includes both biofield and
  electromagnetic therapies. These therapies do
  not involve natural health products.
• 4. Manipulative and Body-Based Methods.
• This domain includes chiropractic medicine,
  osteopathy, massage, etc. These therapies do not
  involve natural health products.
• 5. Mind-Body Interventions.
• These include clinical hypnosis, guided imagery,
  biofeedback, etc. These interventions do not
  involve natural health products.

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Part II. Health and Health Practices Priority
Womens Health Issues

• Chronic Disabling Diseases
• Alzheimers Disease
• Arthritis
• Chronic Fatigue
• Immune Dysfunction Syndrome
• Diabetes
• Osteoporosis
• Urinary Incontinence

• Heart Disease
• Cancer
• Stroke
• COPD
• HIV/AIDS
• Autoimmune Diseases
• Mental Illness
• Substance Abuse
• Reproductive Health

Office on Womens Health U.S. Department of
Health and Human Services
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Part III. Health and Management Womens Health
and Quality of Life

• Health is a state of complete physical, mental
  and social well-being and not merely the absence
  of disease or infirmity.
• The above definition of health requires all must
  be done to make it possible.
• Use all areas of health-care practices,
  conventional, complementary, alternative
  medicine, and all other resources to provide a
  healthy environment.
• An integrative approach is the best for
  management of womens health and quality of life.
• Natural Health Products play a major role.

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Part III. Health and Management Management of
Womens Health

• Management requires complete knowledge of the
  patient.
• Personal and family history.
• Disease Status and provide all treatment options
  available.
• Evaluate the emotional and stress status.
• Stress is the way our bodies react both
  physically and emotionally to any change in the
  status quo, either good, bad, real or even
  imagined.
• Women are particularly susceptible to stress
  caused by hormonal changes during their lifespan.
  When left unchecked, stress can lead to a
  variety of health problems.
• Eliminating stress completely from anyones life
  is impossible. However, implementing some stress
  management techniques can subdue some of its
  harmful effects.
• Stress management includes proper nutrition with
  vitamins and minerals, exercise, herbals and
  making time for uninterrupted relaxation.

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Part IV. Examples of Integrative Approach to
Womens Health Stress Management

• Herbal Examples
• 1. Ashwagandha (Withania somnifera) Indian
  ginseng - Ayurveda Leaves, berries, roots
  Adaptogenic, tonic, sedative.
• 2. Chamomile (Matricaria chamomilla German),
  (Anthemis nobilis - Roman) - Roman Civilization
  - Flowers Antispasmodic, sedative,
  anti-inflammatory, antibacterial.
• 3. Codonopsis (Codonopsis pilosula) Dang Shen -
  Chinese Era - Roots Adaptogenic, gentle tonic,
  relieves stress, maintains body tone.
• 4. Holy basil (Ocimum sanctum) - Ayurveda
  Aerial parts Adaptogenic, relaxant, lowers blood
  pressure and blood glucose.
• 5. Valerian (Valeriana officinalis) Roman Era
  Rhizome, roots Sedative, relaxant, relieves
  anxiety, lowers blood pressure.

• Conventional Drugs Several categories for
  symptom treatment. Examples Benzodiazepines
  Antidepressant, etc.
• Nutrition Organic foods rich in antioxidants,
  vitamins, minerals.
• Chiropractic Manipulation of spine may reduce
  stress in some.
• Acupuncture May reduce stress and blood
  pressure in some.
• Homeopathy Combination of herbs and minerals
  for stress. Examples Agnus cast, Ignatia, Kali
  phos, Passiflora.
• Herbs Specific herbs from Ayurvedic,
  Traditional Chinese Medicine and Biological Based
  System.

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Part IV. Examples of Integrative Approach to
Womens Health Stress Management - Adaptogenic
herbs

• History
• Adaptogenic herbs have been around for centuries.
• The name adaptogen was introduced by Russian
  scientist,
• Dr. Nicolai Lazarev, in 1947 while working on 2-
  benzylbenzimidazol.
• Later in 1950s Dr. Israel Brekhman changed the
  focus to herbs.
• An herb to be classed as an adaptogen, it must
  meet these three conditions
• 1. It must cause only minimal disorders in the
  body's physiological functions.
• 2. Must increase bodys resistance to adverse
  influences.
• 3. Must have an overall normalizing effect,
  improving all kinds of conditions and aggravating
  none.
• Examples Ginsengs Chinese or Asian (Panax
  ginseng), American
• (Panax quinquefolium), Japanese (Panax
  japonicus)
• Siberian (Eleutherococcus senticosus),
• Brazilian (Pfaffia paniculata),
• Indian (Ashwagandha - Withania somnifera),
• Codonopsis - Dang Shen (Codonopsis pilosula).

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Part IV. Examples of Integrative Approach to
Womens Health Heart Disease - Integrative
Approach

• Conventional Drugs Several categories for
  symptom treatment. Examples Vasodilators,
  Diuretic, ACE inhibitors, Beta blockers,
  Digitalis glycosides, etc.
• Nutrition Organic foods rich in antioxidants,
  vitamins, minerals.
• Chiropractic Manipulation of joints may improve
  circulation in some.
• Acupuncture May increase circulation and
  cardiac strength in some.
• Homeopathy Combination of herbs and minerals
  for lowering high blood pressure and cholesterol.
  
• Herbs Specific herbs from Ayurvedic,
  Traditional Chinese Medicine and Biological Based
  System.

• Herbal Examples
• 1. Hawthorn (Crataegus monogyna), Heart Herb,
  Middle Ages - Flowers berries Cardiotonic,
  dilates blood vessels, antioxidant, relaxant.
• 2. Astragalus (Astragalus membranaceus), Huang
  qi, Chinese Era - Roots Adaptogenic, immune
  stimulant, diuretic, vasodilator.
• 3. Chinese Angelica (Angelica sinensis), Dang
  Gui Chinese Era - Rhizome Tonic,
  Anti-inflammatory, thins blood, promotes
  menstrual flow.
• 4. Garlic (Allium Sativum L.), Egyptian Era -
  Bulb Regulates blood pressure and reduces blood
  clotting, lipid and cholesterol lowering actions.
• 5. Red Sage (Salvia miltiorrhiza), Dan Shen
  Chinese Era - Root Tonic to heart and
  circulation, dilates blood vessels, sedative.

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Part IV. Examples of Integrative Approach to
Womens Health Alzheimers Disease - An
Integrative Approach

• Conventional Drugs No medical treatment is
  currently available to cure or stop progression.
  Examples Few FDA approved Donepezil,
  Galantamine, Tacrine, Memantine, Rivastigmine and
  other drugs for treatment of symptoms.
• Nutrition Organic foods rich in antioxidants,
  vitamins, minerals.
• Chiropractic Manipulation of joints may improve
  circulation in some.
• Acupuncture May improve memory and daily living
  skills.
• Homeopathy Combination of herbs and minerals
  for improving memory and daily living.
• Mind-Body Interventions Music and dance therapy
  may improve quality of life.
• Herbs Specific herbs from Ayurvedic,
  Traditional Chinese Medicine and Biological Based
  System.

• Herbal Examples and an Isolated Compound
• 1. Ginkgo (Ginkgo biloba) Oldest living tree -
  Chinese Era - Leaves
• Improves memory, learning, thinking, daily
  living and social behavior.
• 2. Brahmi (Bacopa monniera) Well known in
  Ayurvedic system. Aerial Parts Improves brain
  functions, increases concentration and memory.
• 3. Schisandra (Schisandra chinensis) Chinese Era
  - Fruit Adaptogenic, tonic, stimulates nervous
  system, improves mental clarity.
• 4. Huperzine A Isolated from Chinese club moss
  (Huperzia serrata) It is an alkaloid. It is a
  reversible inhibitor of acetylcholinesterase,
  enhances memory and learning.

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Womens HealthExamples - Hormonal Herbs

• Black cohosh (Cimicifuga racemosa) - Root.
  Native American
• Menopause, PMS, relieves muscle pain and
  headaches, eases fatigue and mood swings,
  increases vaginal lubrication, regulates
  hormones to stop irregular bleeding.
• Chaste Tree (Vitex agnus-castus) Berries. Greek
  Era
• Menopause, menstrual-cycle problems,
  regulates hormones to normalize menstrual
  function, reduces hot flashes and relieves mood
  swings, cramps and depression.
• Chinese Angelica Dong Quai (Angelica sinensis)
  Rhizome. Chinese Era
• Menopause, menstrual-cycle problems, PMS ,
  reduces cramps, may reduce hot flashes.
• Soy (Glycine max) Soybean preparations. Chinese
  Era
• Menopause help with menopausal symptoms, Soy
  preparations also decrease breast cancer risk,
  lower cholesterol levels, and protect bone
  density.
• Bioidentical Hormones Natural are better than
  synthetic.
• Obtained from plants and animals.

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Part IV. Conclusion

• An integrative approach is the best
• for management of womens
• health and quality of life.
• Considerable progress has been made in the past
  decade due to establishment of NCCAM, Office on
  Womens Health and National Womens Health
  Information Center (NWHIC).
• NCCAM funding in the areas of research, training
  and education provide enormous useful
  information.
• Therapies in complementary alternative medicine
  (CAM) and complementary integrative medicine
  (CIM), proven or unproven efficacy, do enhance
  wellness and quality of life.
• Most therapies include natural health products.

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Part IV. Conclusion Final Thought
Please Communicate with other Health
Practitioners
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Acknowledgments

• Dale Guyer, M.D.
• Medical Director of Advanced Medical Center Spa
• Indianapolis, IN
• Barbara Howes, B.A., M.L.S., M.B.A.
• Head of Science Library
• Butler University
• James P. Nicolai, M.D.
• Medical Director of Integrative Health Center
• Indianapolis, IN
• Ed Ventura, M.S.
• Instructional Technology Specialist
• Butler University

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Waqar H. Bhatti, Ph.D.Professor of
PharmacognosyCollege of Pharmacy Health
SciencesButler University, Indianapolis IN

• Thank You