Opportunities and Challenges on the Integration between Thai Traditional Herbal Sauna and Medical Nutrition Therapy for People with Dyslipidemia

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Alongkote Singhato
Narisa Rueangsri
Tepparit Samrit
Phannapat Piyaneeranat
Patsorn Worawattananutai
Kitiya Yangthaworn
Somjet Khongkhon

Abstract

         Dyslipidemia, an abnormal blood lipid level, is reported to have a high prevalence in Thai people that can lead to complications such as cardiovascular disease, ischemic heart disease, and atherosclerosis. It is well known that long-term excessive fat comsumption and an unhealthy diet are major causes of dyslipidemia. Medical nutritional therapy (MNT) can help patients in modifying their dietary habits which can improve their blood lipid profiles. In addition, a previous study in Europe showed the effectiveness and mechanism of steam and dry sauna in lowering some blood lipid profiles. The herbal sauna is one of the care processes used in Thai traditional medicine which is comparable to steam and dry sauna of other countries. Although, the Thai traditional herbal sauna may tend to be beneficial to blood lipids based on the mechanism reported by previous studies, there was no evidence that existed to support the effectiveness of the Thai traditional herbal sauna on blood lipid profile improvement. This review article aimed to present the updated scientific evidence on the effectiveness of MNT based on the therapeutic lifestyle (TLC) diet on dyslipidemia, as well as the benefits of steam and dry sauna on people with blood lipid abnormalities. The information could be a potential opportunity and a challenge for integrating MNT and Thai traditional herbal sauna interventions to be more effective in health care processes for patients with dyslipidemia

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References

Edgington A, Morgan MA. Looking beyond recurrence: comorbidities in cancer survivors. Clin J Oncol Nurs 2011;15(1):3-12.

Kabakci G, Koylan N, Ilerigelen B, Kozan O, Buyukozturk K. Impact of dyslipidemia on cardiovascular risk stratification of hypertensive patients and association of lipid profile with other cardiovascular risk factors: results from the ICEBERG study. Integr Blood Press Control 2008;1:5-13.

Gagliardino JJ, Arechavaleta R, Eliaschewitz FG, Dyslipidemia: the untreated metabolic dysfunction in people with type 2 diabetes in Latin America. ARETAEUS study outcomes. J Clin Transl Endocrinol 2019;15:76-80.

Tóth PP, Potter D, Ming EE. Prevalence of lipid abnormalities in the United States: the National Health and Nutrition Examination Survey 2003-2006. J Clin Lipidol 2012;6(4):325-30.

Masilela C, Adeniyi OV, Benjeddou M. Prevalence, patterns and determinants of dyslipidaemia among South African adults with comorbidities. Sci Rep 2022;12:337.

Huang C, Zhang WQ, Tang WW, Liu Y, Liu J, Xu R, et al. Prevalence and related factors of dyslipidemia among urban adults aged 35 to 79 years in Southwestern China. Sci Rep 2021;11:17579.

Aekplakorn W, Taneepanichskul S, Kessomboon P, Chongsuvivatwong V, Putwatana P, Sritara P, et al. Prevalence of dyslipidemia and management in the Thai population, National Health Examination Survey IV, 2009. J Lipids 2014;2014:249584.

Narindrarangkura P, Bosl W, Rangsin R, Hatthachote P. Prevalence of hyperlipidemia and its associated factors in university students in Colombia. Prevalence of dyslipidemia associated with complications in diabetic patients: a nationwide study in Thailand. Lipids Health Dis 2019;18(1):90.

Rao C, Porapakkham Y, Pattaraarchachai J, Polprasert W, Swampunyalert N, Lopez AD. Verifying causes of death in Thailand: rationale and methods for empirical investigation. Popul Health Metr 2010;8:11.

Fogacci F, Borghi C, Cicero AFG. Diets, foods and food components’ effect on dyslipidemia. Nutrients 2021;13(3):741.

Singhato A, Booranasuksakul U, Rueangsri N. Effectiveness of therapeutic lifestyle change diet to improve blood lipid profiles among people living with HIV. J Med Health Sci 2018;25(1):93-105.

Singhato A, Booranasuksakul U, Rueangsri N, Khongkhon S. Preliminary study of effectiveness of integration in food according to Thai traditional medicine belief and medical nutrition therapy in people with dyslipidemia. J Thai Trad Alt Med 2020;18(1):44-58.

Navadach N, Inman W, Singkhamphong N, Boonrasri S, Noipha K. Postnatal mothers’ satisfaction toward postpartum care project using Thai traditional medicine of Ranod hospital, Songkhla province. RMUTSV Research Journal 2020;12(3):483-94. (in Thai).

Tungsukruthai P, Nootim P, Worakunphanich W, Tabtong N. Efficacy and safety of herbal steam bath in allergic rhinitis: a randomized controlled trial. J Integr Med 2018;16(1):39-44.

Nootim P, Chuenjai M, Sawangwong P, Pongchaichanon P, Rachderm A. Effectiveness of herbal steam bath for pain relief in patients with Lom Jab Pong Haeng Khao (osteoarthritis of the knee). J Thai Trad Alt Med 2022;20(1):17-28. (in Thai).

Laukkanen JA, Laukkanen T. Sauna bathing and systemic inflammation. Eur J Epidemiol 2018;33(3):351-3.

Toro V, Siquier-Coll J, Bartolomé I, Pérez-Quintero M, Raimundo A, Muñoz D, et al. Effects of twelve sessions of high-temperature sauna baths on body composition in healthy young men. Int J Environ Res Public Health 2021;18(9):4458.

Lee E, Kolunsarka I, Kostensalo J, Ahtiainen JP, Haapala EA, Willeit P, et al. Effects of regular sauna bathing in conjunction with exercise on cardiovascular function: a multi-arm, randomized controlled trial. Am J Physiol Regul Integr Comp Physiol 2022;323(3):289-99.

Kunutsor SK, Häkkinen A, Zaccardi F, Laukkanen T, Lee E, Willeit P, et al. Short-term effects of Finnish sauna bathing on blood-based markers of cardiovascular function in non-naive sauna users. Heart Vessels 2018;33(12):1515-24.

Gryka D, Pilch W, Szarek M, Szygula Z, Tota L. The effect of sauna bathing on lipid profile in young, physically active, male subjects. Int J Occup Med Environ Health 2014;27(4):608-18.

Johansson A, Drake I, Engström G, Acosta S. Modifiable and non-modifiable risk factors for atherothrombotic ischemic stroke among subjects in the malmö diet and cancer study. Nutrients 2021;13(6):1952.

Crichton GE, Alkerwi A. Physical activity, sedentary behavior time and lipid levels in the observation of cardiovascular risk factors in Luxembourg study. Lipids Health Dis 2015;14:87.

Ren Y, Campos BC, Peng Y, Glauben T. Nutrition transition with accelerating urbanization? Empirical evidence from rural China. Nutrients 2021;13(3):921.

Woessner MN, Tacey A, Levinger-Limor A, Parker AG, Levinger P, Levinger I. The evolution of technology and physical inactivity: The good, the bad, and the way forward. Front Public Health 2021;9:655491.

Gesteiro E, García-Carro A, Aparicio-Ugarriza R, González-Gross M. Eating out of home: Influence on nutrition, health, and policies: a scoping review. Nutrients 2022;14(6):1265.

Keeble M, Adams J, Vanderlee L, Hammond D, Burgoine T. Associations between online food outlet access and online food delivery service use amongst adults in the UK: a cross-sectional analysis of linked data. BMC Public Health 2021;21:1986.

Dash S, Xiao C, Morgantini C, Lewis GF. New insights into the regulation of chylomicron production. Annu Rev Nutr 2015;35:265-94.

Feingold KR, Grunfeld C. The effect of inflammation and infection on lipids and lipoproteins. South Dartmouth: MDText.com; 2000.

Vourakis M, Mayer G, Rousseau G. The role of gut microbiota on cholesterol metabolism in atherosclerosis. Int J Mol Sci 2021;22(15):8074.

Gainey J, Blum B, Bowie B, Cooley K, Madeline L, Ervin EL, et al. Stroke and dyslipidemia: clinical risk factors in the telestroke versus non-telestroke. Lipids Health Dis 2018;17:226.

Jitnarin N, Kosulwat V, Rojroongwasinkul N, Boonpraderm A, Haddock CK, Poston WSC. Risk factors for overweight and obesity among Thai adults: results of the National Thai Food Consumption Survey. Nutrients 2010;2:60-74.

Thailand Ministry of Public Health. Thailand demographics profile 2013. [Internet]. [cited 2022 September 20]. Available from: http://www.indexmundi.com/thailand/demographics_profile.html.

Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL. Global burden of disease and risk factors 2nd ed. New York: Oxford University Press; 2006.

Nelson JR, Wani O, May HT, Mudoff M. Potential benefits of eicosapentaenoic acid on atherosclerotic plaques. Vascul Pharmacol 2017;91:1-9.

Ramkumar S, Raghunath A, Raghunath S. Statin therapy: review of safety and potential side effects. Acta Cardiol Sin 2016;32(6):631-9.

National Heart Lung and Blood Institute (NIH). High cholesterol diagnosis. [internet]. [cited 2022 September 20]. Available from: https://www.nhlbi.nih.gov/health/blood-cholesterol/diagnosis

Tungsukruthai P, Nootim P, Worakunphanich W, Tabtong N. Efficacy and safety of herbal steam bath in allergic rhinitis: a randomized controlled trial. J Integr Med 2018;16(1):39-44.