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Prof. Dr. med. Dieter Melchart

Fakultät Angewandte Gesundheitswissenschaften

Professor:innen

Honorarprofessor

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Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart
  • L. Dersch
  • J. Dai

Zwischenergebnisse aus dem Crossover-Vergleich (Masterarbeit Lukas Schmidbauer, TUM Fakultät Gesundheitswissenschaften)

pg. 421-422.

Bad Kötzting

  • (2021)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart

Quo Vadis TCM? - From the Long Road of Traditional Chinese Medicine to Scientific Acknowledgement

In: Complementary Medicine Research (Journal Club) vol. 28 pg. 387-394.

  • (2021)

DOI: 10.1159/000519063

  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart

A Joint Statement for "Tighter Regulation" of Traditional Chinese Medicine Issued by the Federation of European Academies of Medicine (FEAM) and the European Academies' Science Advisory Council (EASAC): Scare Stories or Obstruction of Access?

In: Complementary Medicine Research vol. 27 pg. 3-5.

  • 22.01.2020 (2020)

DOI: 10.1159/000505479

  • Angewandte Gesundheitswissenschaften
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Monographie

  • Dieter Melchart
  • J. Dai

Chinesisch-Deutsches Zentrum für Traditionelle Chinesische Medizin (Bad Kötzting) . Klinikbericht 2017/8

In: TCM in der Ferne

China Press of Traditional Chinese Medicine Beijing

  • (2020)
Das vorliegende Buch des Deutsch-Chinesischen Zentrums für Traditionelle Chinesische Me-dizin umfasst den Klinikbericht der Ersten Deutschen Klinik für Traditionelle Chinesische Medizin aus den Jahren 2017 und 2018. Die wissenschaftliche Darstellung der Strukturen, Prozesse und Ergebnisse von den Tätigkeiten der Klinik, wird durch eine Nachbefragung („Follow Up“) der Patientinnen und Patienten ca. 6 Monate nach Entlassung aus der Klinik ergänzt. Der Bericht entstand in Zusammenarbeit mit der Beijing University of Chinese Me-dizin (BUCM), wurde von „China Press of Traditional Chinese Medicine, Beijing“ gedruckt und aus Mitteln der „State Administration of Traditional Chinese Medicine“ finanziert.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Die Bedeutung der Naturheilkunde für die integrative Medizin

Berlin

  • (2020)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • B. Bachmeier
  • Erich Wühr
  • K. Wifling
  • Dieter Melchart

Participant satisfaction with a comprehensive lifestyle counselling Program for health promotion, disease prevention and patient education

In: Health Education and Care vol. 4 pg. 1-8.

  • (2019)

DOI: 10.15761/HEC.1000153

Objectives: To overcome challenges in the development and implementation of the lifestyle counselling program IHM (Individual Health Management) in order to enhance medical quality for prevention and rehabilitation. Methods: Three paper-based questionnaire surveys have been conducted in a time period of 18 months among 286 participants in the lifestyle intervention program IHM, executed in Germany in six Bavarian health resorts and the Competence Center for Complementary Medicine and Naturopathy (CoCoNat) of the Technical University Munich. Descriptive statistics was carried out to identify and evaluate factors influencing the quality and outcome of lifestyle intervention measures. Results: Most of the participants (>70%) were satisfied with the IHM whereby males expressed a higher level of satisfaction with the program than females. Additionally, users with a high degree of healthiness gave a more positive feedback (69%) than those with a high level of morbidity (58%). Age did not correlate with user satisfaction. In contrast willingness of cost sharing was highly linked to younger people and those with good state of health. Conclusion: Up to now there are no comparable comprehensive programs of patient reported outcomes (PROs) and quantified-self in prevention and rehabilitation. Therefore the here presented survey on participant satisfaction in the lifestyle intervention program IHM is trendsetting and must be seen as part of the process of quality management in such programs. Our IHM program combines digital recording and analysis of PROs with personal lifestyle counseling. Future surveys should offer the possibility to distinguish between these two parts of the IHM.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • V. Fischer
  • J. Dai
  • S. Hager
  • L. Dersch
  • B. Bachmeier

Multimodal Treatment of Patients with Mental Symptom Load: A Pre-Post Comparison

In: Journal of Clinical Medicine vol. 8

  • 03.10.2019 (2019)

DOI: 10.3390/jcm8101610

The Traditional Chinese Medicine (TCM) Hospital in Bad Kötzting, Germany, is treating chronically ill patients, covering a broad range of indications. The aim of this study was to prove the efficacy of a multimodal intervention combining mainstream medicine with TCM treatments on the severity of psychopathological symptoms. Out of 966 patients with chronic psychosomatic disease treated 2017 at the TCM Hospital, we selected 759 patients according to specific criteria and analyzed the outcomes after multimodal intervention. The patients completed a validated questionnaire (International Statistical Classification of Diseases (ICD) Symptom-Rating-(ISR)) at admission, discharge, and follow-up. The most frequent ICD-10 diagnoses were "diseases of the musculoskeletal system and connective tissue" (28.5%), "mental and behavioral disorders" (23.7%), and "diseases of the nervous system" (13.8%). Regarding ISR symptom load, "depressive syndrome" and "anxiety syndrome" were the leading burdens showing remissions of about 40%-60% with moderate (0.588) to strong (1.115) effect sizes (Cohen's d) after treatment. ISR total scores at discharge and follow-up were remarkably lower after intervention (0.64 and 0.75, respectively) compared to 1.02 at admission with moderate to strong effect sizes (0.512-0.815). These findings indicate a clinically relevant relief from mental symptom load after intervention with lasting clinical effects for at least six months.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Monographie

  • Dieter Melchart

Gesund! . Das 3-Schritte-Selbstheilungs-Programm

Ullstein Buchverlage GmbH Berlin

  • (2019)
Die medizinischen Erkenntnisse von Prof. Dr. med. Melchart zeigen, wie gesund wir sein können, wenn wir unseren Lebensstil ändern. Aus seiner jahrelangen Forschung hat der Autor ein 3-Schritte-Programm entwickelt, das uns eine Anleitung für ein gesundes Leben bietet. Im ersten Schritt überprüfen wir unseren Gesundheitszustand, um herauszufinden, welche Faktoren ihn schwächen. Im zweiten Schritt unterstützen wir unsere Gesundheit mithilfe von eigens entwickelten Wochenplänen. Der letzte Schritt gibt uns Trainingspakete für Ernährung, Bewegung und Stressmanagement an die Hand.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • B. Bachmeier
  • Dieter Melchart

Therapeutic Effects of Curcumin-From Traditional Past to Present and Future Clinical Applications

In: International Journal of Molecular Sciences vol. 20

  • 01.08.2019 (2019)

DOI: 10.3390/ijms20153757

The efficacy of the plant-derived polyphenol curcumin, in various aspects of health and wellbeing, are a matter of public interest. An internet search of the term "Curcumin" displays about 12 million hits. Among the multitudinous information presented on partly doubtful websites, there are reports attracting the reader with promises ranging from eternal youth to cures for incurable diseases. Unfortunately, many of these reports are not based on scientific evidence, but they feed the desideratum of the reader for a "miracle cure". This circumstance makes it very difficult for researchers, whose work is scientifically sound and evidence is based on the therapeutic benefits (or side effects) of curcumin, to demarcate their results from sensational reports that circulate in the web and in other media. This is only one of many obstacles making it difficult to pave curcumin's way into clinical application; others are its nonpatentability and low economic usability. A further impediment comes from scientists who never worked with curcumin or any other natural plant-derived compound in their own labs. They have never tested these compounds in any scientific assay, neither in vitro nor in vivo; however, they claim, in a sometimes polemic manner, that everything that has so far been published on curcumin's molecular effects is based on artefacts. The here presented Special Issue comprises a collection of five scientifically sound articles and nine reviews reporting on the therapeutic benefits and the molecular mechanisms of curcumin or of chemically modified curcumin in various diseases ranging from malignant tumors to chronic diseases, microbial infection, and even neurodegenerative diseases. The excellent results of the scientific projects that underlie the five original papers give reason to hope that curcumin will be part of novel treatment strategies in the near future-either as monotherapy or in combination with other drugs or therapeutic applications.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart

From Complementary to Integrative Medicine and Health: Do We Need a Change in Nomenclature?

In: Complementary Medicine Research vol. 25 pg. 76-78.

  • 17.04.2018 (2018)

DOI: 10.1159/000488623

  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • Erich Wühr
  • K. Wifling
  • B. Bachmeier

The TALENT II study: a randomized controlled trial assessing the impact of an individual health management (IHM) on stress reduction

In: BMC Public Health vol. 18

  • 04.07.2018 (2018)

DOI: 10.1186/s12889-018-5756-3

Background Unfavorable lifestyle factors influence the risk of stress disorders. For risk reduction, lifestyle modifications, such as regular physical activity, balanced nutrition and competence in stress management, are a means of choice. The clinical study examines the efficacy of an intensive lifestyle intervention, named Individual Health Management (IHM), − with regard to a reduction of perceived stress. The study is supported by the major regional health insurance, which conducts, in cooperation with the Traditional Chinese Medicine (TCM) hospital, Bad Kötzting, a local model project offering insurants the IHM program as prevention measure against stress and related aftermath. Methods The study is a controlled, randomized, monocentric trial with a 12-months intervention phase. Feasible persons are checked according to inclusion and exclusion criteria and assigned to the intervention or control group. Randomization ratio is 1:1. (A) Participants of the intervention group receive the lifestyle program IHM, have access to a web-based health portal (www.viterio.de), and join 3 full-day and 10 two-hour training sessions during the first 3 months. During the remaining 9 months, 4 training sessions and a weekly monitoring are performed with remote assistance. Besides measurement of perceived stress, examinations include burnout symptoms, heart rate variability, laboratory and physical findings. Further patient reported outcomes are documented (e.g. well-being, life satisfaction, severity of mood state, sense of coherence, psycho-vegetative test, cardio-metabolic risk factors, hypertension and diabetes risk. (B) Participants in the control group have access to the intensive lifestyle intervention IHM after a waiting period of at least 6 months. Examinations are conducted at baseline, after 3 and 6 months and in the intervention group additionally after 9 and 12 months. The confirmatory analysis examines the differences between the two groups with regard to changes in perceived stress after 6 months compared to the initial value. Discussion In order to enhance adherence, avoid attrition and to insure data quality, different measures will be implemented in the study. Based on a blended learning concept including a web-based e-health tool named VITERIO®, the program promises to achieve sustainable effects in perceived stress. Trial registration German Clinical Trial Register Freiburg (DRKS): DRKS00013040 (date registered 2017–10-1).
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • B. Bachmeier
  • S. Hager
  • Dieter Melchart

Case Report of a Phototoxic Reaction after Application of a Footbath with Herbal Traditional Chinese Medicine (TCM)

In: Nursing and Health Care (NHC) vol. 4 pg. 13-16.

  • (2018)

DOI: 10.33805/2573-3877.130

This case report indicates a complication of a footbath with herbs, self-applied by a patient at home. A 60 year old female patient presented herself at the TCM (Traditional Chinese Medicine) hospital, Bad Kötzting, Germany with the main symptoms of persistent coughing fits and disturbing smells especially during meals. At admission, she was administered a high dose Chinese herbal therapy complementary to her already prescribed pharmaceuticals. During her sojourn in the hospital she started suffering from numbness in both feet, preferred on the dorsum, and up to and including the toes, accompanied with a sensation of cold. Therefore TCM herbal footbaths containing 5g Psoraleae fructus semen (Buguzhi) were administered, twice a day, for 2 weeks, during the hospital stay without any complications. One week after discharge from the hospital she went on with her footbaths, prescribed for outpatient treatment. Buguzhi is suspected to cause phototoxic reactions under sunlight. Unfortunately, the patient applied the prescription-based footbath under a parasol in her garden. This seems to be the reason, why the patient developed an erythema bullosa grade three. She was treated with antibiotics for 10 days and ointment bandages until remission. To avoid similar adverse events in future, patients have to be informed to not expose their skin to solar irradiation during or after footbaths containing Buguzhi. Alternatively it has to be considered to omit Buguzhi for the use of footbaths applied as outpatient treatment.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • B. Bachmeier
  • P. Killian
  • Dieter Melchart

The Role of Curcumin in Prevention and Management of Metastatic Disease

In: International Journal of Molecular Sciences vol. 19

  • 09.06.2018 (2018)

DOI: 10.3390/ijms19061716

In the last two decades, targeted therapies have enhanced tumor patient care and treatment success, however, metastatic growth still cannot be stopped efficiently and, therefore, mortality rates remain high. Prevention strategies against formation of metastases are the most promising approach we have, however, due to lack of clinical validation studies, they have not yet entered routine clinical care. In order to smooth the way for efficient prevention, further preclinical and large clinical studies are required. In this context, the underlying molecular mechanisms and factors that lead to metastatic growth have to be explored, and potential preventive agents have to be tested. Thereby, special attention has to be paid to natural bioactive compounds which do not exert major adverse effects, like the plant-derived polyphenol Curcumin, which is known to be a powerful antitumor agent. So far, most of the preclinical studies with Curcumin have focused on its effect on inhibiting tumor cell proliferation and invasion, although, it is known that it also inhibits metastatic spread in vivo. This review discusses the preventive potential of this natural compound not only against tumor onset, but also against formation of metastases.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Hygio-(Saluto-)genese und Chronohygiene- vom Zeitbedarf der Gesundungs- und Heilungsvorgänge im Menschen und deren Berücksichtigung in einer modernen Lebensstilmedizin

pg. 187-208.

Kulmbach

  • (2018)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • B. Bachmeier

The comprehensive lifestyle intervention program “Individual Health Management” (IHM) – An exemplar for complementary medicine

In: Journal of Translational Science vol. 4 pg. 1-3.

  • (2018)

DOI: 10.15761/JTS.1000221

According to naturopathic understanding, personal organismic and mental contributions of the human being in the sense of an “internal doctor” are necessary for the preservation and restoring of health and the avoidance of illness. This includes the proper responsibility for a health supporting behaviour in everyday life. The comprehensive lifestyle intervention program “Individual Health Management” (IHM), developed by Professor Dieter Melchart, MD of the Competence Centre for Complementary Medicine and Naturopathy (CoCoNat), Technical University Munich [1], combines a modern web based health portal named VITERIO® („Virtual Tool for Education, Reporting, Information and Outcome“ - www.viterio.de) with personal health support in the form of counselling, workshops, courses and treatment at health resorts (“Blended Learning Approach”). The objective of the program is health support, prevention of disease and training of patients suffering from cardiovascular disease, metabolic disease and the consequences of stress. For example, treatment of obesity requires intensive education, counselling and ongoing support. In our own studies we have applied successfully IHM in a randomized controlled trial on weight reduction [2]. Through the strengthening of health resources and the reduction of risk factors, IHM is considered to be appropriate in order to improve health and to retard, reverse or halt chronic diseases. The lifestyle-medical strategy of the program is adjusted according to the identification of individual risk and protective factors and the designation of therapeutic goals. The concept of IHM follows general guidelines for (self-) management in terms of “check – plan - act” and consists of a 12-week basic training program and a minimum of a nine month maintenance phase. By using modern methods of mediation and the personal support of a core team of doctors and IHM-Health-Coaches, each individual will become the manager of his or her own health.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • A. Eustachi
  • Stephan Gronwald
  • Erich Wühr
  • K. Wifling
  • B. Bachmeier

Introduction of a web portal for an Individual Health Management and observational health data sciences

In: Patient Related Outcome Measures (PROM) vol. 9 pg. 183-196.

  • (2018)

DOI: 10.2147/PROM.S157410

Background There is a global trend to a stronger active involvement of persons in the maintenance and restoring of health. The Competence Centre for Complementary Medicine and Naturopathy (CoCoNat) of the Technical University of Munich (TUM) has developed a lifestyle concept to enable each individual to manage his or her health – Individual Health Management (IHM) – and a web-based health portal named Virtual Tool for Education, Reporting, Information and Outcomes (VITERIO®), which addresses these needs for practice and research. Objectives The objectives of this study were to establish a core set of questionnaires for a self-assessment program on certain risk indications and comprehensive protection factors of health and to develop and enhance 1) tools for individual feedback, longitudinal self-monitoring, self-assessment, and (self-)care-planning; 2) training packages; 3) open notes and records for provider and patient; and 4) tools for monitoring groups and single participants in various indicators for individual coaching and scientific evaluation. Methods The CoCoNat of TUM, Faculty for Applied Health Science of Technische Hochschule Deggendorf, VITERIO® company, IHM campus network, and Erich Rothenfußer Foundation, Munich, provide a consortium responsible for content, research strategy, technical production and implication, postgraduate education for IHM coaches, implementation of IHM in various settings, and funding resources. Results A data set of indicators for health screening and self-monitoring of findings, symptoms, health behavior, and attitudes are integrated into a web-based health portal named VITERIO®. The article introduces some implemented graphical solutions of developed tools and gives examples for daily use. Conclusion Behavioral change and adaptation in attitudes and personal values are difficult issues of health education and lifestyle medicine. To address this problem best, the implementation of a patient-centric, performance measures-based program including open records and a blended learning concept were elaborated. The combination of an individual web-based health portal with personal coaching allows the implementation of IHM in everyday practice.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • R. Teschke
  • Dieter Melchart
  • T. Xuan

Hormesis and dose-responses in herbal traditional Chinese medicine (TCM) alone are insufficient solving real clinical TCM challenges and associated herbal quality issues

In: Longhua Chinese Medicine vol. 1

  • 21.03.2018 (2018)

DOI: 10.21037/lcm.2018.03.01

  • Angewandte Gesundheitswissenschaften
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Monographie

  • Dieter Melchart
  • C. Hempen
  • U. Engelhardt

Übersetzung der internationalen Standardnomenklatur der chinesischen Medizin in Chinesisch-Deutsch

People`s Medical Publishing House (PMPH)

  • (2017)
Ben shu you shi jie zhong yi yao xue hui lian he hui(WFCMS)He mu ni hei gong ye da xue(TUM)Bu chong yu zi ran liao fa yan jiu zhong xin(CoCoNat)He zuo bian xie,Bao kuo 6526 ci tiao,Ci tiao lai yuan yu shi jie zhong yi yao xue hui lian he hui< zhong yi ji ben ming ci shu yu zhong ying dui zhao guo ji biao zhun>(2008 nian chu ban),Mei ge ci tiao bao kuo bian ma,Zhong wen,Han yu pin yin ji de wen dui ying ci,Ci tiao an zhao zhong yi xue shu ti xi gui lei pai lie.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart

First-Page Preview

In: Complementary Medicine Research vol. 24 pg. 8-13.

  • 15.02.2017 (2017)

DOI: 10.1159/000457327

  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • Erich Wühr
  • W. Weidenhammer

High and Low Responders in a Comprehensive Lifestyle Program for Weight Loss - Secondary Analysis of a Randomized Controlled Trial

In: Complementary Medicine Research vol. 24 pg. 232-239.

  • 04.07.2017 (2017)

DOI: 10.1159/000475663

Background / Objectives: Unhealthy lifestyle is often related to overweight and obesity and thus to chronic diseases. Web-based programs might be an option for a comprehensive approach to improving long-term weight management. Data from a randomized controlled trial (RCT) evaluating the impact of a lifestyle program on weight reduction were used for a secondary analysis. The objectives were (a) to identify potential predictors for marked weight loss, (b) to explore associations of weight reduction with changes in health-related variables, and (c) to evaluate whether self-monitoring of the daily lifestyle is associated with weight loss. Methods: 67 subjects with a body mass index of 28-35 who underwent the 1-year 'Individual Health Management' (IHM) program were included in the analysis (mean age 49.8 years, 79% female). Two subgroups (high response: ≥7.5% weight reduction vs. low response: <7.5%) were compared in terms of sociodemographic data, baseline values, and pre-post changes of various risk and protective factors. A logistic regression was performed to identify potential predictors of weight loss. Results: 70% of the subjects fulfilled the criterion of high response. There were no statistically significant differences between the two subgroups with respect to sociodemographic and baseline data. Regression analysis failed to identify any predictors for the amount of weight reduction. Subjects with high response showed a more distinct improvement in life satisfaction and neurovegetative stability. The findings indicated an association between the level of self-monitoring and weight loss. Conclusions: More research is needed to establish optimal strategies for maximizing the longer-term maintenance of weight loss and prevention effects. For weight reduction, support strategies like feedback learning through self-monitoring, reporting systems, and self-performance measurement with questionnaires might ameliorate high-intensity lifestyle modification programs.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart
  • A. Eustachi

Studie: Säure-Basen-Messung bei gesunden Probanden mittels venöser Blut-Titration

In: Zaenmagazin vol. 9 pg. 39-43.

  • (2017)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Stephan Gronwald
  • Dieter Melchart

Entwicklung und Erprobung eines Bio-Psycho-Sozialen Analyseinstrumentes zur Identifizierung von Belastungen im Handwerk . Institut für Betriebliches Gesundheitsmanagement und Arbeitssicherheit

  • (2017)
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Zeitschriftenartikel

  • Dieter Melchart
  • Erich Wühr
  • W. Dörfler
  • A. Eustachi
  • Y. Wellenhofer-Li
  • W. Weidenhammer

Preliminary outcome data of a Sino-European-Prevention-Program (SEPP) in individuals with perceived stress

In: Journal of Preventive Medicine and Healthcare vol. 1 pg. 1003.

  • 03.04.2017 (2017)
Background: ThisThe health resort Bad Kötzting, in Germany, has developed a lifestyle-program called the “Sino-European-Prevention-Program” (SEPP) a combination of a Western lifestyle program, named “Individual Health Management” (IHM), supplemented by various elements of Traditional Chinese Medicine (TCM), called YangSheng (life care). Objective: This pilot study aimed to evaluate the outcome of SEPP in individuals with perceived stress. Methods: To recruit suitable participants, a screening concept with a web-based health portal along inclusion and exclusion criterions was realized. The study followed an observational design without control group. Participants passed through a 6-month lasting lifestyle program with 3 introduction days, 10 afterworks with 2-hours sessions and 3 refresher days. Outcomes measures were formed by Tedium score, ISR, PSQ as primary indicators. Secondary parameters included Life Satisfaction (FLZ), neuro-vegetative questionnaire, 5-Wellbeing Index and general health indicators. Results: All outcome-parameters consistently showed relevant improvements during the intervention. Gained experiences supported logistic aspects of a prospective controlled clinical trial to explore the effectiveness of SEPP. Conclusion: SEPP is a feasible concept for a web-based lifestyle program in a specialized SPA-region with suspected effectiveness in people with perceived stress and should be evaluated in a randomized controlled design next. Keywords: Lifestyle program; Stress reduction program; Traditional Chinese Medicine; Outcome study; Yang Sheng; IHM Abbreviations: SEPP: Sino-European-Prevention-Program; IHM: Individual Health Management; TCM: Traditional Chinese Medicine; ISR: ICD-10-Symptom-Rating; PSQ: Perceived Stress Questionnaire
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • A. Eustachi
  • Dieter Melchart

Complementary and Alternative Medicine in Oncology - What Makes Sense?

In: Deutsche Medizinische Wochenschrift vol. 142 pg. 882-888.

  • 21.06.2017 (2017)

DOI: 10.1055/s-0042-121882

The basis of any complementary therapy should be the recommendation of a healthy lifestyle (diet, nutrition, exercise, stress-reduction), and appropriate self-help techniques (e. g. thermotherapy, herbal OTC-products) aimed at releasing the patients' most debilitating symptoms. For therapy-resistant or strong symptoms, more invasive interventions or medical treatments with an acceptable evidence base can be used (e. g. acupuncture for cancer pain, herbal prescriptions). The effects of any complementary intervention should be controlled for a period of six weeks after its administration. Patients should be advised not to use products or methods with possibly harmful side effects or negative interactions with conventional medications.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart
  • S. Hager
  • S. Albrecht
  • J. Dai
  • W. Weidenhammer
  • R. Teschke

Herbal Traditional Chinese Medicine and suspected liver injury: A prospective study

In: Word Journal of Hepatology vol. 9 pg. 1141-1157.

  • 18.10.2017 (2017)

DOI: 10.4254/wjh.v9.i29.1141

Aim: To analyze liver tests before and following treatment with herbal Traditional Chinese Medicine (TCM) in order to evaluate the frequency of newly detected liver injury. Methods: Patients with normal values of alanine aminotransferase (ALT) as a diagnostic marker for ruling out pre-existing liver disease were enrolled in a prospective study of a safety program carried out at the First German Hospital of TCM from 1994 to 2015. All patients received herbal products, and their ALT values were reassessed 1-3 d prior to discharge. To verify or exclude causality for suspected TCM herbs, the Roussel Uclaf Causality Assessment Method (RUCAM) was used. Results: This report presents for the first time liver injury data derived from a prospective, hospital-based and large-scale study of 21470 patients who had no liver disease prior to treatment with herbal TCM. Among these, ALT ranged from 1 × to < 5 × upper limit normal (ULN) in 844 patients (3.93%) and suggested mild or moderate liver adaptive abnormalities. However, 26 patients (0.12%) experienced higher ALT values of ≥ 5 × ULN (300.0 ± 172.9 U/L, mean ± SD). Causality for TCM herbs was RUCAM-based probable in 8/26 patients, possible in 16/26, and excluded in 2/26 cases. Bupleuri radix and Scutellariae radix were the two TCM herbs most commonly implicated. Conclusion: In 26 (0.12%) of 21470 patients treated with herbal TCM, liver injury with ALT values of ≥ 5 × ULN was found, which normalized shortly following treatment cessation, also substantiating causality. Keywords: Herb induced liver injury; Herbal medicine; Liver injury; Roussel Uclaf Causality Assessment Method; Traditional Chinese Medicine.
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Zeitschriftenartikel

  • Dieter Melchart
  • P. Löw
  • Erich Wühr
  • V. Kehl
  • W. Weidenhammer

Effects of a tailored lifestyle self-management intervention (TALENT) study on weight reduction: a randomized controlled trial

In: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy vol. 10 pg. 235-245.

  • 19.06.2017 (2017)

DOI: 10.2147/DMSO.S135572

Objective: Overweight and obesity are globally increasing risk factors for diseases in the context of metabolic syndrome. A randomized controlled trial was conducted to investigate whether there are any existing differences between two lifestyle intervention strategies with respect to weight reduction after 1 year. Subjects and methods: A total of 166 subjects with a body mass index of 28-35 kg/m2 were enrolled in this trial at seven study centers; 109 were randomly allocated to the intervention group (comprehensive lifestyle modification program: web-based Individual Health Management [IHM]) with 3-month reduction phase plus 9-month maintenance phase, and 57 were allocated to the control group (written information with advice for healthy food habits: usual care [UC]). Body weight, waist circumference, blood pressure, laboratory findings, and bioimpedance analysis used to determine body composition were measured at baseline and after 3, 6, 9, and 12 months. The primary outcome parameter was body weight at month 12 compared to baseline. Results: With respect to baseline status there were no statistically significant differences between the groups. Based on the intent-to-treat population, body weight showed a mean decrease of 8.7 kg (SD 6.1) in the intervention group (IHM) and 4.2 kg (SD 5) in the control group (UC) at month 12. This statistically significant difference (P<0.001) was confirmed by various sensitivity analyses. Body mass index, waist circumference, high-density lipid cholesterol, body fat, and the ratio of fat and body cell mass improved to a significantly higher degree in the IHM group. Conclusion: IHM proved to be superior to UC in weight reduction after 1 year. With a mean loss of about 10% of the baseline weight, a clinically high relevant risk reduction for cardio-metabolic diseases is achievable. Keywords: IHM; Individual Health Management; lifestyle modification; obesity; overweight; prevention.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart

First-Page Preview

In: Complementary Medicine Research vol. 24 pg. 76-81.

  • (2017)

DOI: 10.1159/000474491

  • Angewandte Gesundheitswissenschaften
  • GESUND
Monographie

  • Hildebert Wagner
  • Rudolf Bauer
  • Dieter Melchart
  • P. Xiao
  • A. Staudinger

Chromatographic Fingerprint Analysis of Herbal Medicines

Springer New York

  • (2017)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • S. Hager
  • J. Dai
  • W. Weidenhammer

Quality Control and Complication Screening Programme of Chinese Medicinal Drugs at the First German Hospital of Traditional Chinese Medicine - A Retrospective Analysis

In: Forschende Komplementärmedizin vol. 23 pg. 21-8.

  • 30.05.2016 (2016)

DOI: 10.1159/000444983

Background: The use of drugs derived from plants is a cornerstone of Traditional Chinese Medicine (TCM). Yet, too little is known about risk and safety of Chinese medicinal drugs (CMD). Therefore, the TCM hospital Bad Kötzting has developed a quality control and complication screening programme in order to ensure a safe administration of TCM drugs to their patients. Methods: All Chinese medicinal drugs delivered to the hospital between September 1, 2012 and December 31, 2013 entered the quality control program and were screened for microbial contamination, aflatoxin, pesticides and heavy metals. A routinely applied complication screening programme monitored liver enzymes in all patients. Case causality assessment by CIOMS scale and identification of admitted herbs were conducted. Additionally, side effects of patients were identified by a routinely performed web-based documentation system. Results: In 5 of 23 investigated samples (21.7%) the initial testing showed microbial contamination (2), pesticide (2) and heavy metals (1). The drugs were tested for authenticity and adulterations, respectively. All 994 patients (mean age 52.6 years; 72.6% female) admitted were available for analysis. 448 (45.1%) of all patients reported having perceived at least one side effect of treatment. They experienced mainly gastrointestinal symptoms (13.6%), neurovegetative symptoms (10.8 %), temporary deteriorations of pain (8.8%), diarrhoea (5.9%), nausea (1.6%) and vomiting (0.5%). Further, 6 patients with a more than 2-fold elevation (compared to maximum normal value or elevated admission values) of ALT were found in the systematic laboratory control with a non-conclusive causality assessment for TCM-drugs. Conclusion: Approximate incidence rates and analysed drugs associated with liver damage revealed a low rate of liver injury. Patients should be informed of the gastrointestinal symptoms caused by and potential hepatotoxicity of TCM herbs.
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Zeitschriftenartikel

  • H. Wagner
  • R. Bauer
  • Dieter Melchart

New Analytical Monographs on TCM Herbal Drugs for Quality Proof

In: Forschende Komplementärmedizin vol. 23 pg. 16-20.

  • 30.05.2016 (2016)

DOI: 10.1159/000444730

Regardless of specific national drug regulations there is an international consensus that all TCM drugs must meet stipulated high quality standards focusing on authentication, identification and chemical composition. In addition, safety of all TCM drugs prescribed by physicians has to be guaranteed. During the 25 years history of the TCM hospital Bad Kötzting, 171 TCM drugs underwent an analytical quality proof including thin layer as well as high pressure liquid chromatography. As from now mass spectroscopy will also be available as analytical tool. The findings are compiled and already published in three volumes of analytical monographs. One more volume will be published shortly, and a fifth volume is in preparation. The main issues of the analytical procedure in TCM drugs like authenticity, botanical nomenclature, variability of plant species and parts as well as processing are pointed out and possible ways to overcome them are sketched.
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Monographie

  • Dieter Melchart
  • Stephan Gronwald

Gesundheitsförderung für kleine Unternehmen . Fakten und Praxistipps aus der Lebensstilforschung

In: Essentials

Springer Fachmedien Wiesbaden Wiesbaden

  • (2016)
  • Angewandte Naturwissenschaften und Wirtschaftsingenieurwesen
  • GESUND
Zeitschriftenartikel

  • W. Weidenhammer
  • Dieter Melchart

Quality Profiling at the TCM Hospital Bad Kötzting - Examples from an Ongoing Systematic Patient Documentation

In: Forschende Komplementärmedizin vol. 23 pg. 8-15.

  • 30.05.2016 (2016)

DOI: 10.1159/000445009

Background: Quality profiling is practiced at the TCM hospital Bad Kötzting since its establishment 25 years ago. The profiling comprises assessment of treatment effectiveness andsafety, structural features, staff qualification as well as diagnostic and therapeutic processes. Findings regarding patients, intervention and outcome profiles are presented by appropriate examples. Methods: Data of each in-patient were systematically collected by physicians and via self-reports at admission, discharge and follow-up. Over the years the system was adjusted several times resulting in a data pool of about 19,000 in-patients by end of 2014. Results: Patients are 52 years old on average, 70% are female, and suffering from the main complaint since 7 years (median). The diagnostic spectrum changed over the years according to the development towards a psychosomatic focus. For TCM acupuncture therapy 222 different acupoints were used in 7.7 different localisations on average per individual treatment. The mean intensity of the main complaint decreased clinically relevant (Cohen's d = 1.11 at discharge and 0.93 at follow-up). After the hospital stay the number of days of sick leave declined from 51.3 days by 40% per patient and year. Depressive disorders as most common mental illness decreased significantly decreased significantly at discharge (ICD symptom rating; Cohen's d = -1.01). 29.8% of patients met the criteria for a metabolic syndrome diagnosis according to the International Diabetes Federation (IDF). In this group of cases, triglycerides, cholesterol and blood glucose improved markedly at discharge. Discussion: The presented quality control measures clearly contribute to an enhanced transparency in terms of a comprehensive quality profile. The findings from various outcome parameters indicate that patients benefit from the treatment.
  • Angewandte Gesundheitswissenschaften
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Monographie

  • Hildebert Wagner
  • Rudolf Bauer
  • Dieter Melchart
  • P. Xiao
  • A. Staudinger

Chromatographic Fingerprint Analysis of Herbal Medicines

Springer New York

  • (2016)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • A. Eustachi
  • Y. Wellenhofer-Li
  • W. Doerfler
  • E. Bohnes

Individual Health Management - A Comprehensive Lifestyle Counselling Programme for Health Promotion, Disease Prevention and Patient Education

In: Forschende Komplementärmedizin vol. 23 pg. 30-5.

  • 27.01.2016 (2016)

DOI: 10.1159/000443544

Background: Epidemiological data shows globally increasing numbers of obesity and stress-related diseases. In this article, a comprehensive medical lifestyle modification programme - called Individual Health Management (IHM) - is described in detail and discussed as a promising tool to individually manage and reverse such negative health trends in patients. Methods: The IHM programme is based on a blended learning concept. It comprises a 12-week basic training phase, followed by a 9-month maintenance phase, and includes the following key features: 1) web-based and physician-led health screenings; 2) a structured 12-week basic training with a core curriculum providing tuition in behavioural self-management strategies for weight loss and stress reduction; 3) weekly supervised group sessions during the core curriculum; 4) tailoring of materials, strategies and lifestyle goals; 5) continuous self-monitoring and feedback of the achieved progress; 6) regular contact with physicians or health professionals based on either face-to-face or distant lifestyle counselling; 7) recurrent one-day health seminars to ensure the sustainability of obtained results. Conclusions: IHM is a multi-component lifestyle intervention programme to increase physical activity, to reduce calorie intake and to practice both self and stress management. Individual care, group support and a tailored web-based programme blend to achieve the desired goals. A randomised control study to evaluate IHM's effects on weight control is currently being conducted.
  • Angewandte Gesundheitswissenschaften
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Monographie

  • Hildebert Wagner
  • Rudolf Bauer
  • Dieter Melchart
  • P. Xiao
  • A. Staudinger

Chromatographic Fingerprint Analysis of Herbal Medicines

Springer New York

  • (2015)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • A. Eustachi
  • W. Dörfler
  • Dieter Melchart

Komplementärmedizin in der Onkologie – Evidenz und praxisorientierte Vorgehensweise

In: Deutsche Zeitschrift für Onkologie vol. 47 pg. 148-154.

  • 21.12.2015 (2015)

DOI: 10.1055/S-0035-1547583

Tumorpatienten sind im Verlauf ihrer Erkrankung haufig mit therapieresistenten Beschwerden und schlechter Lebensqualitat konfrontiert. Mehr als die Halfte der Betroffenen nimmt daher Methoden oder Produkte in Anspruch, die nicht Teil der konventionellen medizinischen Versorgung sind, deren wissenschaftlicher Evidenzgrad oft unklar ist und die teilweise mit Risiken verbunden sind. Lebensstilmasnahmen (Ernahrung, Bewegung, Entspannung) und viele Selbsthilfetechniken konnen die Lebensqualitat stabilisieren, sind risikolos und stellen daher die Basis einer begleitenden Behandlung dar. Fur die arztliche Behandlung von Symptomen liegen insbesondere fur die Akupunktur sowie fur einige Naturstoffe (Medizinalkrauter, Pflanzenextrakte, Vitamine, Spurenelemente) ausreichende Hinweise aus der Forschung vor, die diese Methoden im Sinne einer vertretbaren Komplementarmedizin akzeptabel und moglicherweise sinnvoll erscheinen lassen.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart
  • W. Dörfler
  • A. Eustachi
  • Y. Wellenhofer-Li
  • W. Weidenhammer

The talent study: a multicentre randomized controlled trial assessing the impact of a 'tailored lifestyle self-management intervention' (talent) on weight reduction

In: BMC Obesity vol. 2 pg. 38.

  • 01.10.2015 (2015)

DOI: 10.1186/s40608-015-0069-x

Background: Overweight is considered an important risk factor for diseases in the context of metabolic syndrome. Lifestyle modifications are the means of choice to reduce weight in persons with a Body Mass Index of 28 to 35. The study examines whether there are any differences between two intervention strategies regarding weight reduction in overweight persons. Methods/design: The study is a multicentre randomized controlled trial with observation duration of 12 months. Eight study centres are involved to include a minimal sample size of 150 participants. Randomization ratio is 2:1. Feasible persons are checked according to inclusion and exclusion criteria and after given informed consent are assigned randomly to one of two intervention programs: A) intervention group: comprehensive lifestyle modification program (Individual Health Management IHM) with 3 months reduction phase plus 9 months maintaining phase, B) control group: written information with advice for healthy food habits (Usual care UC). Participants of the IHM group have access to a web-based health portal and join 3 full-day and 10 two-hour training sessions during the first 3 months. During the remaining 9 months four refresh trainings will be performed. There are 3 different diet strategies (fasting, two-day diet, meal replacement) for free choice. Participants of the control group are provided with acknowledged rules for healthy food according to the German Nutrition Society (DGE). Examinations are conducted at baseline, after 3, 6, 9 and 12 months. They include body weight, waist circumference, blood pressure, laboratory findings and a bio-impedance analysis to measure body composition. Statistical analysis of the primary outcome 'change of body weight after 12 months' is based on ITT population including analysis of variance of the weight differences between month 0 and 12 with the factors 'group', 'baseline value' and 'study centre'. Secondary outcomes will be analyzed exploratively. Discussion: The monitoring of the study will implement different measures to enhance compliance, avoid attrition and ensure data quality. Based on a blended learning concept and using web-based e-health tools the program promises to achieve sustainable effects in weight reduction. Trial registration: German Clinical Trials Register Freiburg (DRKS): DRKS00006736 (date registered 20/09/2014). Keywords: Diet; E-lifestyle modification; Individual Health Management (IHM); Network of health promotion; Overweight; Prevention; RCT; Web-based health portal.
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • W. Weidenhammer
  • J. Dai
  • Dieter Melchart

Use of Chinese drugs in patients with metabolic syndrome in a German TCM hospital

In: Acupuncture & Electro-Therapeutics Research vol. 39 pg. 393.

Cognizant Communication Corporation

  • 2014 (2014)

DOI: 10.5167/uzh-106941

Background/objectives: In Traditional Chinese Medicine (TCM) drug treatment usually is given as prescription including multiple drugs. The prescription is highly individualized according to specific configurations of TCM syndromes. The analysis is to provide an overview of frequently or rarely used combinations of single drugs in a German TCM hospital, and how to compare such patterns in two clinical patient subgroups. Methods: Based on a sample of 2,129 in-patients (71% female, age 53.5±14.3 yrs) of the TCM hospital Bad Kötzting, Germany, the relative frequencies of 221 single drugs prescribed at the beginning of the treatment were analysed. Patients who fulfilled the criteria for Metabolic Syndrome (MetS) were compared with those patients who did not. Univariate and multivariate statistical models like logistic regression, factor and cluster analyses were applied. Results: Astragali radix was identified as the most frequently prescribed single drug in 47.1% of the patients. One prescription comprised 12 single drugs, on average. The frequency of use differed mostly in patients with or without MetS with respect to Chaenomelis fructus and Spatholobi caulisor (more frequent in MetS), and Bupleuri radix and Poria (less frequent in MetS). Angelicae pubescentis radix was prescribed more often in MetS while for Angelicae sinensis radix it was the opposite. Factor analysis indicated that some combinations of drugs exist which could be empirically confirmed in a subgroup analysis (two clusters of patients) with however, limited specificity regarding MetS. Conclusions: Use of multivariate analyses is essential when patterns of single drugs in TCM are to be explored. The results provide indications for different prescriptions in patients with MetS compared to those without. Dislosure: Author of abstracts, with publication of this abstract, hereby claims that is not a plagiarism and that it is not related with any commercial, propaganda or advertising purposes.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart
  • E. Bohnes
  • W. Dörfler
  • A. Eustachi
  • T. Herrmann
  • Y. Wellenhofer-Li

Kompetenztraining für Patienten. Das naturheilkundliche Tumorbegleitprogramm des KoKoNat der TU München

In: Deutsche Zeitschrift für Onkologie vol. 46 pg. 158-162.

Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

  • 2014 (2014)

DOI: 10.5167/uzh-106936

Bei häufigen Tumorentitäten (z. B. Mamma-, Prostata- oder Kolonkarzinom) nehmen 75−80 % der Betroffenen naturheilkundliche Methoden in Anspruch [6], [18], [20]. Patienten in der aktiven Behandlungsphase (Operation, Chemotherapie, Strahlentherapie u. a.) verfolgen mit der Anwendung von Naturheilkunde und Komplementärmedizin häufig die Reduktion von Nebenwirkungen der konventionellen Tumortherapie, aber auch eine aktive Stärkung der Gesundheit [10], [17]. Menschen, die die aktive Tumortherapie abgeschlossen haben, interessieren sich besonders für Möglichkeiten der Rezidivprophylaxe [19]. Dieser Nachfrage von Tumorpatienten entspricht das naturheilkundliche Tumorbegleitprogramm des Kompetenzzentrums für Komplementärmedizin und Naturheilkunde (KoKoNat) des Klinikums rechts der Isar der Technischen Universität München. Die Einzelkomponenten des Patientenkompetenz-Programms werden beschrieben.
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • Dieter Melchart
  • E. Bohnes
  • W. Dörlfer
  • A. Eustachi
  • T. Hermann
  • Y. Wellenhofer-Li

Kompetenztraining für Patienten. Das naturheilkundliche Tumorbegleitprogramm des KoKoNat der TU München

In: Deutsche Zeitschrift für Onkologie vol. 46 pg. 158-162.

  • (2014)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • W. Weidenhammer
  • Stephan Gronwald

The underestimated role of fit in interventions

In: Focus on Alternative and Complementary Therapies vol. 19 pg. 215-216.

  • (2014)
  • Angewandte Gesundheitswissenschaften
Zeitschriftenartikel

  • Dieter Melchart

Komplementärmedizin im Akutkrankenhaus – Ambulanz und Prophylaxe-Center für Naturheilkunde und Gesundheitsförderung

In: KU Gesundheitsmanagement pg. 36-39.

  • 05.02.2013 (2013)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart

Komplementärmedizin im Akutkrankenhaus – Ambulanz und Prophylaxe-Center für Naturheilkunde und Gesundheitsförderung

In: KU Gesundheitsmanagement pg. 36-39.

  • (2013)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • A. Eustachi

Das Individuelle Gesundheits-Management (IGM) – ein Lebensstilkonzept zur Früherkennung, Vermeidung und Selbstbehandlung von Herz-Kreislauf-, Stoffwechsel- und Stresserkrankungen für Lehrerinnen und Lehrer

In: Das Gymnasium in Bayern pg. 26-29.

  • (2012)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart

Naturheilkunde und Komplementärmedizin – Eine persönliche Standortbestimmung . Gastkommentar

In: Naturamed vol. 27 pg. 10-11.

  • (2012)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • E. Bohnes
  • W. Dörlfer
  • A. Eustachi
  • Y. Wellenhofer-Li

Das Individuelle Gesundheits-Management (IGM) als umfassendes Lebensstil-Programm

In: Erfahrungsheilkunde pg. 327-333.

  • (2012)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart

Wissenschaftliche Entwicklung eines Dokumentations- und Evaluationssystems: Das Programm zur Evaluation der Patientenversorgung (PEP)

In: Qi – Zeitschrift für Chinesische Medizin vol. 21 pg. 156-165.

  • (2012)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Monographie

  • Hildebert Wagner
  • Rudolf Bauer
  • Dieter Melchart
  • P. Xiao
  • A. Staudinger

Chromatographic Fingerprint Analysis of Herbal Medicines

Springer New York

  • (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Metabolic Syndrome – background and a 5-year research program

pg. 1-10.

  • (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Monographie

  • Hildebert Wagner
  • Rudolf Bauer
  • Dieter Melchart
  • P. Xiao
  • A. Staudinger

Chromatographic Fingerprint Analysis of Herbal Medicines

Springer New York

  • (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Lebensstil und Gesundheit – am Beispiel eines modernen Individuellen Gesundheits-Managements (IGM)

pg. 143-158.

Bern

  • (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Vortrag

  • Dieter Melchart

Current Situation of Complementary and Alternative Medicine (CAM) in Europe. Research and Regulations of CAM doctors . Abstract

In: The Second World Education Congress of Chinese Medicine

Beijing, China

  • 28.-30.10.2011 (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart
  • A. Eustachi

Is acupressure an effective and low-cost self-administered treatment for dysmenorrhoea?

In: Focus on Alternative and Complementary Therapies vol. 16

  • 08.11.2011 (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • Dieter Melchart

Theorienbildung in der Komplementärmedizin - «Stillstand» oder «still: but slowly: progressing»? . Editorial

In: Forschende Komplementarmedizin vol. 18 pg. 248.

  • 13.10.2011 (2011)

DOI: 10.1159/000333618

  • Angewandte Gesundheitswissenschaften
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Bericht/Report

  • Dieter Melchart
  • A. Staudinger

20 Jahre wissenschaftliche Evaluation der Traditionellen Chinesischen Medizin und Klinikbericht . TCM-Klinik Bad Kötzting

Systemische Medizin Bad Kötzting Bad Kötzting

  • 2011 (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Sino-European Prevention Program – A Notion of a 5-years Research Project on Metabolic Syndrome . Abstract

pg. 9-17.

  • (2011)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Zeitschriftenartikel

  • L. Angermayr
  • Dieter Melchart
  • K. Linde

Multifactorial lifestyle interventions in the primary and secondary prevention of cardiovascular disease and type 2 diabetes mellitus--a systematic review of randomized controlled trials

In: Annals of Behavioral Medicine vol. 40 pg. 49-64.

  • (2010)

DOI: 10.1007/s12160-010-9206-4

This systematic review aims to summarize the available randomized trials of multifactorial lifestyle interventions in the primary and secondary prevention of coronary heart disease and type 2 diabetes mellitus. Randomized trials investigating the effects of lifestyle interventions including the elements of diet, physical activity, and stress management in people at increased risk for or with manifest coronary heart disease or type 2 diabetes mellitus were searched for in five electronic database and by citation tracking. Quality was assessed using the Cochrane Collaboration's risk of bias tool. Exploratory effect size calculations were performed for a variety of laboratory and clinical outcome measures. Twenty-five trials including a total of 7,703 participants met the inclusion criteria. Fifteen trials were in patients with coronary heart disease, seven in patients with type 2 diabetes mellitus, and three on primary prevention. The interventions varied greatly regarding concept, intensity, and providers. Compared to participants in "usual care" control groups, there were no consistent effects on lipid levels and blood pressure and small effects on body mass index and glycated hemoglobin (HbA1c). Composite cardiac event rates were significantly less in the intervention groups of the few trials reporting these outcomes. Mortality was also lower in the intervention groups, but the difference was not statistically significant, and confidence intervals were wide. The evidence base for multifactorial lifestyle interventions is weak. Effects on surrogate measures seem minor, but there may be clinically relevant effects on major clinical endpoints.
  • Angewandte Gesundheitswissenschaften
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Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Naturheilverfahren und das Individuelle Gesundheits-Management (IGM) – von der passiven zur aktiven Bürgerrolle in Gesundheit und Krankheit

pg. 301-344.

  • (2010)
  • Angewandte Gesundheitswissenschaften
  • GESUND
Beitrag in Sammelwerk/Tagungsband

  • Dieter Melchart

Naturheilverfahren und das Individuelle Gesundheits-Management (IGM) – von der passiven zur aktiven Bürgerrolle in Gesundheit und Krankheit

pg. 323-366.

  • (2010)
  • Angewandte Gesundheitswissenschaften
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Zeitschriftenartikel

  • W. Weidenhammer
  • Erich Wühr
  • Dieter Melchart

Bei welchen Patienten wird wie mit welchem Erfolg eine "Amalgamsanierung" durchgeführt?

In: GZM Praxis und Wissenschaft vol. 13 pg. 6-9.

  • (2008)
  • Angewandte Gesundheitswissenschaften
Zeitschriftenartikel

  • Dieter Melchart
  • S. Vogt
  • W. Köhler
  • A. Streng
  • W. Weidenhammer
  • L. Kremers
  • R. Hickel
  • N. Felgenhauer
  • T. Zilker
  • Erich Wühr
  • S. Halbach

Treatment of health complaints attributed to amalgam

In: Journal of Dental Research vol. 87 pg. 349-353.

  • (2008)
  • Angewandte Gesundheitswissenschaften
Zeitschriftenartikel

  • Dieter Melchart
  • S. Vogt
  • W. Köhler
  • A. Streng
  • W. Weidenhammer
  • L. Kremers
  • R. Hickel
  • N. Felgenhauer
  • T. Zilker
  • Erich Wühr
  • S. Halbach

A controlled trial to compare three treatment options for patients suspecting health complaints due to dental amalgam . Abstract

In: Forschende Komplementärmedizin vol. 14 pg. 12.

  • (2007)
  • Angewandte Gesundheitswissenschaften
Zeitschriftenartikel

  • Dieter Melchart
  • Erich Wühr

A multicenter survey of amalgam fillings and subjective complaints in non-selected patients in dental practice

In: European Journal of Oral Sciences vol. 106 pg. 770-777.

  • (1998)
  • Angewandte Gesundheitswissenschaften
Zeitschriftenartikel

  • Dieter Melchart
  • Erich Wühr
  • J. Lechner
  • W. Weidenhammer

Strukturdatenerhebung in der Internationalen Gesellschaft für Ganzheitliche Zahn-Medizin

In: Forschende Komplementärmedizin vol. 3 pg. 21-24.

  • (1996)
  • Angewandte Gesundheitswissenschaften