INTRODUCTION TO HERBAL
MEDICINE:
Herbal Jeopardy
Cora Breuner, MD, MPH
Kathi J Kemper, MD,MPH
Associate Professor
Pediatrics
Caryl J. Guth Chair for
Holistic & Integrative
Medicine
University of Washington
School of Medicine
Wake Forest University
School of Medicine
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
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
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/index.cfm
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/index.cfm
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?
It depends on how you define a
supplement!
FDA definition includes
herbs; vitamins;
minerals; amino acids;
and other substances;
or their constituents
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, 1999;74: 443-47
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
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%
How many kids with chronic
illnesses use HDS?
•
•
•
•
•
ADHD: 39% - 55%
Asthma: 15% - 30%
Cancer: 15% - 50%
Depression: >20%
IBD: 19% - > 50%
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
https://northwestahec.wfubmc.edu/learn/herbs_ce/index.cfm
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!