Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review

(1) Background: Epilepsy is one of the most common chronic neurological disorders in childhood. Complementary and alternative medicine (CAM) use is highly prevalent in patients with epilepsy. Despite CAM’s widespread and increasing popularity, its prevalence, forms, perceived benefits, and potential...

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Main Authors: Zahra Zhu, Daniela Dluzynski, Nouran Hammad, Deepika Pugalenthi, Sarah A. Walser, Rea Mittal, Debopam Samanta, Melanie L. Brown, Ali A. Asadi-Pooya, Angelina Kakooza-Mwesige, Alberto Spalice, Martina Capponi, Alain Lekoubou, Ashutosh Kumar, Sita Paudel, Paul R. Carney, Gayatra Mainali, Sunil Naik
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/4/713
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author Zahra Zhu
Daniela Dluzynski
Nouran Hammad
Deepika Pugalenthi
Sarah A. Walser
Rea Mittal
Debopam Samanta
Melanie L. Brown
Ali A. Asadi-Pooya
Angelina Kakooza-Mwesige
Alberto Spalice
Martina Capponi
Alain Lekoubou
Ashutosh Kumar
Sita Paudel
Paul R. Carney
Gayatra Mainali
Sunil Naik
author_facet Zahra Zhu
Daniela Dluzynski
Nouran Hammad
Deepika Pugalenthi
Sarah A. Walser
Rea Mittal
Debopam Samanta
Melanie L. Brown
Ali A. Asadi-Pooya
Angelina Kakooza-Mwesige
Alberto Spalice
Martina Capponi
Alain Lekoubou
Ashutosh Kumar
Sita Paudel
Paul R. Carney
Gayatra Mainali
Sunil Naik
author_sort Zahra Zhu
collection DOAJ
description (1) Background: Epilepsy is one of the most common chronic neurological disorders in childhood. Complementary and alternative medicine (CAM) use is highly prevalent in patients with epilepsy. Despite CAM’s widespread and increasing popularity, its prevalence, forms, perceived benefits, and potential risks in pediatric epilepsy are rarely explored. (2) Methods: We performed a scoping review of the available literature on the use of CAM in pediatric epilepsy. (3) Results: Overall, global cross-sectional studies showed a variable degree of CAM usage among children with epilepsy, ranging from 13 to 44% in prevalence. Popular types of CAMs reported were supplements, cannabis products, aromatherapy, herbal remedies, dietary therapy, massage therapy, and prayer. Families often report that CAM is effective, although there are limited objective measures of this. Potential risks lie in the use of CAM, such as herbal remedies, and/or unregulated, contaminated, or unpurified products. Studies also underscored inadequate patient–physician discussions regarding CAM. (4) Conclusions: A better understanding of this topic would aid clinicians in guiding patients/families on the use of CAM. Further studies on the efficacy of the different types of CAM used, as well as potential side effects and drug interactions are needed.
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spelling doaj.art-42908ae6704f43b8a55c00b647b169762023-11-17T18:46:39ZengMDPI AGChildren2227-90672023-04-0110471310.3390/children10040713Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping ReviewZahra Zhu0Daniela Dluzynski1Nouran Hammad2Deepika Pugalenthi3Sarah A. Walser4Rea Mittal5Debopam Samanta6Melanie L. Brown7Ali A. Asadi-Pooya8Angelina Kakooza-Mwesige9Alberto Spalice10Martina Capponi11Alain Lekoubou12Ashutosh Kumar13Sita Paudel14Paul R. Carney15Gayatra Mainali16Sunil Naik17College of Medicine, Penn State University, Hershey, PA 17033, USACollege of Medicine, Penn State University, Hershey, PA 17033, USASchool of Medicine, Jordan University of Science and Technology, Al-Ramtha 3030, JordanCollege of Medicine, Penn State University, Hershey, PA 17033, USADepartment of Psychiatry, Johns Hopkins Hospital, Baltimore, MD 21287, USACollege of Medicine, Penn State University, Hershey, PA 17033, USASection of Child Neurology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USAEpilepsy Research Center, Shiraz University of Medical Sciences, Shiraz 71437, IranDepartment of Pediatrics & Child Health, Makerere University College of Health Sciences, Kampala 7062, UgandaDepartment of Maternal Sciences, University la Sapienza, 00185 Roma, ItalyDepartment of Maternal Sciences, University la Sapienza, 00185 Roma, ItalyCollege of Medicine, Penn State University, Hershey, PA 17033, USACollege of Medicine, Penn State University, Hershey, PA 17033, USACollege of Medicine, Penn State University, Hershey, PA 17033, USAPediatric Neurology Division, University of Missouri Health Care, Columbia, MO 65212, USACollege of Medicine, Penn State University, Hershey, PA 17033, USACollege of Medicine, Penn State University, Hershey, PA 17033, USA(1) Background: Epilepsy is one of the most common chronic neurological disorders in childhood. Complementary and alternative medicine (CAM) use is highly prevalent in patients with epilepsy. Despite CAM’s widespread and increasing popularity, its prevalence, forms, perceived benefits, and potential risks in pediatric epilepsy are rarely explored. (2) Methods: We performed a scoping review of the available literature on the use of CAM in pediatric epilepsy. (3) Results: Overall, global cross-sectional studies showed a variable degree of CAM usage among children with epilepsy, ranging from 13 to 44% in prevalence. Popular types of CAMs reported were supplements, cannabis products, aromatherapy, herbal remedies, dietary therapy, massage therapy, and prayer. Families often report that CAM is effective, although there are limited objective measures of this. Potential risks lie in the use of CAM, such as herbal remedies, and/or unregulated, contaminated, or unpurified products. Studies also underscored inadequate patient–physician discussions regarding CAM. (4) Conclusions: A better understanding of this topic would aid clinicians in guiding patients/families on the use of CAM. Further studies on the efficacy of the different types of CAM used, as well as potential side effects and drug interactions are needed.https://www.mdpi.com/2227-9067/10/4/713complementary alternative medicine (CAM)integrative medicineepilepsypediatricchildren
spellingShingle Zahra Zhu
Daniela Dluzynski
Nouran Hammad
Deepika Pugalenthi
Sarah A. Walser
Rea Mittal
Debopam Samanta
Melanie L. Brown
Ali A. Asadi-Pooya
Angelina Kakooza-Mwesige
Alberto Spalice
Martina Capponi
Alain Lekoubou
Ashutosh Kumar
Sita Paudel
Paul R. Carney
Gayatra Mainali
Sunil Naik
Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review
Children
complementary alternative medicine (CAM)
integrative medicine
epilepsy
pediatric
children
title Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review
title_full Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review
title_fullStr Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review
title_full_unstemmed Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review
title_short Use of Integrative, Complementary, and Alternative Medicine in Children with Epilepsy: A Global Scoping Review
title_sort use of integrative complementary and alternative medicine in children with epilepsy a global scoping review
topic complementary alternative medicine (CAM)
integrative medicine
epilepsy
pediatric
children
url https://www.mdpi.com/2227-9067/10/4/713
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