We get a lot of questions about natural ways of treating and managing fibroids and in this week’s blog post we take a look at what the research tells us about the effectiveness of complementary medicine in treating the symptoms of fibroids.

Fibroids are non-cancerous growths that develop in or around a woman’s womb. They can cause a number of symptoms including pelvic (tummy) pain, infertility, heavy and/or painful periods, back pain, anaemia, constipation, frequent urination and pain during sexual intercourse.

The exact cause of fibroids is unknown but research does suggest that fibroids are caused by a combination of genetic, lifestyle and hormonal factors.  Those most at risk of developing fibroids are: black women, those who are overweight, women of child bearing age (particularly women who are 25-45 years old), those with a family history of fibroids and women who haven’t given birth.

There are several treatment options for fibroids these include a hysterectomy, myomectomy, embolization, endometrial ablation and new MRI-based treatments. Some of these treatments such as a hysterectomy and endometrial ablation result in infertility and because of this as well as unease with medical procedures, many women are exploring less invasive more “natural” options for managing their fibroids, but are these effective. What does research tells us about “natural” methods, more formally known as complementary and alternative medicine (CAM), for treating fibroids?

What Does the Research Tells Us?

To explore this area we’ll look at one recent research paper which was published in 2014 in the European Journal of Obstetrics & Gynaecology and Reproductive Biology and is entitled ‘Use of Medicine, Surgical and Complementary Treatments among Women with Fibroids’.  This paper summarised a study of 933 premenopausal women aged 31 to 54 with symptomatic fibroids. In this study women took part in face-to-face interviews every year for up to eight years to assess their symptoms following use of the treatment they opted for.

Researchers explored and compared the effect of CAM, Western Medicine and uterus-preserving surgeries. They classified CAM as the use of exercise, herbs, diet, acupuncture and physical therapy; Western medicine included hormonal contraception, analgesics and narcotic pain medicine; and uterus-preserving surgeries included myomectomy, embolization and endometrial ablation.

The majority of women in this study, 57%, didn’t have a hysterectomy or uterus-preserving surgery. The majority of these women used Western medicine to treat their symptoms and the most commonly used type of Western medicine used was anti-inflammatory analgesics followed by narcotic pain medicine.  Fifty percent of women who used the anti-inflammatories said it made their symptoms “a lot” better, but 10% were bothered “a lot” or “some” by the side effects. For women who used narcotics, 60% said it made their symptoms “a lot” better but 30% were bothered “a lot” or “some” by the side effects. Fifty-five percent of women who used the combined hormonal contraception said it made them feel “a lot” better, but 22% were bothered “a lot” or “some” by the side effects. Finally, the progestin IUD was the most effective with 71% of women who used it saying it made them feel “a lot” better, but 24% were bothered by the side effects.

CAM was used by a significant number of women to treat their fibroid-related symptoms. The most common methods used were exercise, herbs and diet. Improvements in symptoms were lower than that observed for Western medicine with 39% of women trying exercise, 38% of women trying herbs, 43% of those trying dietary changes, 45% trying acupuncture and 41% trying physical therapy  saying it made their symptoms “a lot” better, and as expected bothersome side effects were rare, less than 5% in all CAM therapies.

When looking at surgery, women who underwent uterus-preserving surgery had a greater improvement of pelvic symptoms compared to women who used Western medicine or CAM, but the researchers noted that despite this observation women who used Western medicine or CAM“observed significant improvements in pelvic problems as well as dyspareunia (pain during sex), pelvic pressure, bladder pain and menstrual cramps.”

In explaining how CAM works in improving symptoms, it was stated that some foods, vitamins and minerals can decrease the production of prostaglandins which cause a number of fibroids-related symptoms.

Based on their  finding the researchers concluded that “uterus-preserving fibroid surgery is effective, but many symptomatic women can be successfully treated with non-surgical management, including complementary and alternative therapy”

From this research study we can see that diet, exercise, acupuncture, herbs and physical therapy may be effective in some women at treating fibroid-related symptoms. Women wanting to explore any of these as an option should have a discussion with their doctor.

We do recognise that what’s missing from this study is the detail around what herbs and dietary changes women tried and we’ll be contacting the researchers to get some more information about this.

You can read the full paper by downloading it below.

If you’re running a Public Health, health, wellbeing or wellness project, program, campaign, blog or non-profit organisation and need some project management support, then please get in touch with us.  We can help you plan, implement, manage, monitor and evaluate any activity, project, program or campaign. Or, if you just need some project tasks completed such as someone to write literature reviews, project reports, position papers, industry reports, conduct internet-based research or other administrative tasks, then please do get in touch with us.

Previous Projects

Project description:  Analysed focus group data and produced a  report highlighting insights from a series of global and regional consultation on adolescent’s well-being (September to October 2020)

Client Feedback: “Amazing.”

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Project description: Developed questions for a short online survey for a new podcast (June 2020)

Client Feedback: “Excellent.”

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Project description:  Assisted with the development of  resources and guidelines for the UN MGCY digital consultation series on adolescent well-being (May to June 2020)

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Project description: Created three short animated videos raising awareness of the harms of sweet drinks for the Ministry of Health (February 2020 to April 2020 )

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Project description: Conducted an evaluation for an FGM campaign (February 2020)

Client feedback: “I am very impressed. This is a very thorough evaluation.”

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Project description: Prepared an event sponsorship proposal for Dolce and Gabbana for a small NGO in Texas (January 2020)

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Project description: Developed 3 short global health quotes (approx 50 words) for a media campaign  on the theme ‘how will technology change our health and wellbeing in the future?’ (January 2020)

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Project description: Researched and catalogued behavioural interview questions (August 2019)

Client feedback: “Thank you for your thorough work!”

More Information

You can email us or complete the form below.

Are you conducting a qualitative study? Need some help with some of the tedious tasks? We can help with any of the following:

• Transcribing research interviews
• Coding transcribed data
• Preparing patient information material (information sheets and consent forms)
• Emailing research participants and following up
• Administrative tasks

We also help non-profits conduct research to evaluate their projects and interventions, prepare grant reports, project reports and more!

What Our Clients Have Said About Us

Project description:  Analysed focus group data and produced a  report highlighting insights from a series of global and regional consultation on adolescent’s well-being (September to October 2020)

Client Feedback: “Amazing.”

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Project description: Research Evaluation Workgroup Leader (August 2020)

Client feedback: “Abi provided solid ideas for our research and evaluation needs. Many thanks, Abi!”

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Project description: Conducting an Evaluation for a Health Campaign (February 2020)

Client feedback: “I am very impressed. This is a very thorough evaluation.”

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Project description: Research and catalogue behavioural interview questions (August 2019)

Client feedback: “Thank you for your thorough work!”

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Project description: Content analysis coding ( September 2019)

Client feedback: “Their work is great, they keep you in the loop throughout the project. A job well done.”

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Project description: African and Caribbean Cancer Awareness and Outreach Community Based Assessment

Client feedback:  “Thank you very much for your report, which is excellent. Many thanks and congratulations on a well thought through and presented report.” – Petra Griffiths, Director, Paul’s Cancer Support Centre

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A few weeks ago the International Agency for Research on Cancer (IARC) and WHO announced that:

“After thoroughly reviewing the accumulated scientific literature, a Working Group of 22 experts from 10 countries convened by the IARC Monographs Programme classified the consumption of red meat as probably carcinogenic to humans (Group 2A), based on limited evidence that the consumption of red meat causes cancer in humans and strong mechanistic evidence supporting a carcinogenic effect.

This association was observed mainly for colorectal cancer, but associations were also seen for pancreatic cancer and prostate cancer.

Processed meat was classified as carcinogenic to humans (Group 1), based on sufficient evidence in humans that the consumption of processed meat causes colorectal cancer.”

This was picked up by hundreds of media outlets throughout the world with headlines stating that bacon causes cancer.  Today we wanted to take a look at this and get to the bottom of the media headlines.

Firstly IARC and WHO’s announcement wasn’t really new information, a number of research studies over the years have shown that red and processed meats increases a person’s risk of developing bowel cancer and charities like Bowel Cancer UK and Beating Bowel Cancer have been raising awareness of this fact for a number of years.

The wording of the statement and the classification of red and processed meat suggested that bacon and other processed meats were in the same league as tobacco and asbestos but this is not the case and WHO has since clarified this.  They have said whilst they have placed them in the same category “this does NOT mean they are all equally dangerous.”

If we look at global statistics about one million cancer deaths a year are caused by smoking whilst 34,000 cancer deaths are caused by consuming high levels of processed meat and red meat could be responsible for about 50,000 cancer deaths a year.

Research by the World Cancer Research Fund has shown that people who consume the most processed meat have and 17% higher risk of developing bowel cancer that those who consumed the least.

If you put that into the UK context, 21% of bowel cancers are linked to high consumption of processed or red meat, that’s 8,732 cases per year. So by reducing consumption of red and processed meats we can prevent over 8,000 cases of bowel cancer every year.

You may be wondering why red and processed meats increase a person’s risk of developing bowel cancer and to answer that question we have to understand what processed and red meats are. Processed meats are any meat that has been preserved for example cured, salted,  smoked or had a preservative added. This includes bacon, ham, corned beef, pepperoni, hot dogs, salami etc. And, red meat includes beef, pork, lamb and goat; these are meats that are red when uncooked.

It is not entirely clear why red and processed meat increase a person’s risk of developing bowel cancer, but there are some theories. It is thought that processed meats increase risk of bowel cancer because the methods of preserving these meats lead to the development of cancer-causing substances.  When it comes to red meat,  scientist suggest that it may cause cancer due to the molecule that  gives red meat its colour (haem). This molecule may lead to the development of cancer-causing chemicals too. Additionally, cooking both red and processed meat at high temperatures may also generate cancer-causing substances.

The recommendation is that we should all cut down on red meat and avoid processed meat, these can be replaced with white meat or vegetarian options, and we should all be eating more fruits, vegetables and fibre.

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Sources
WHO
International Agency for Research on Cancer
Cancer Research UK
World Caner Research Fund

Do you want to create informative health awareness material such as leaflets, booklets and factsheets? We can help with the whole process. We can conduct research on your topic of interest, write the content for your document, organise clinical or patient reviewers to provide accuracy and sensitivity checks and work with proof-readers and graphic designers to create a professional well-designed product.

“This is a superb booklet. It gives full, unbiased and very informative information. Very well done.” – Dr Nigel Hacking

For more information you can email us or complete the form below:

From 7^th November 2015 a new fun, holistic fitness classes will be held at the Salvation Army every Saturday morning at 7:15am and 9am.

During each session not only will you take part in a group fitness session but you’ll be given nutritional advice, a health assessment and 1 on 1 personal training.
All fitness levels and age groups are welcome.

For more information and to book your place please contact Eunice Adu Appiah (euniceaduappiah@yahoo.co.uk, 07943 460 522)

All details can be found on the flyer which you can download below.

Last week the UK government published its report ‘Sugar Reduction: The Evidence for Action’. This is an interesting report which we hope the government will follow through on and take action to ensure that we improve the health of our nation.

In the report, we get a good summary of the problem – we are all eating too much sugar and this is contributing to our ill health. The report states that all population groups are consuming above the recommended amount of sugar.  The report notes that sugar sweetened drinks are a particular problem for school children with their consumption of these drinks being very high. Additionally they state that sugar consumption is the highest amongst disadvantaged groups, and this needs to be tackled.

We learn from the report that one of the key reasons that we are now consuming so much sugar is that food is more readily available, more heavily marketed, promoted and advertised and food is now cheaper than ever before and all these factors mean we over indulge, particularly when it comes to sugar.

The report quite helpfully discusses the factors that affect our sugar consumption which is important if we’re going to tackle sugar consumption and encourage people to change their behaviour. They divide these factors into three categories – influencers,  the food supply and knowledge/education.  Influencers include strategies  that influence our consumption and buying behaviour. This would include advertising and marketing campaigns as well as product promotions. The major players in this area are the food industry, supermarkets etc. but could actually be charities, the government and NGOs who should have a positive impact on our behaviour. Next is the food supply chain. This factor looks at what food is available to purchase and how easy is it to purchase certain foods. This focuses on all food outlets including supermarkets, restaurants, schoolsand workplaces, their pricing strategies and what they choose to offer the public. Finally we have knowledge and education, this is the information we disseminate to the public which can empower people to make healthier choices.

With the above in mind the report stresses that multiple actions need to be taken to reduce our sugar consumption. They believe that by everyone reducing their sugar consumption to no less than 5% of our total energy intake, within 10 years residents of the UK can significantly improve their health and start to reverse the increasing prevalence of obesity, diabetes and heart disease.

The report makes the following recommendations as to how we can begin to tackle this issues and break our addiction to sugar:

• Reduce and rebalance the number and type of price promotions in all retail outlets including supermarkets and convenience stores and the out of home sector (including restaurants, cafes and takeaways)
• Significantly reduce opportunities to market and advertise high sugar food and drink products to children and adults across all media including digital platforms and through sponsorship
• The setting of a clear definition for high sugar foods to aid with actions 1 and 2 above. Currently the only regulatory framework for doing this is via the Ofcom nutrient profiling model, which would benefit from being reviewed and strengthened
• Introduction of a broad, structured and transparently monitored programme of gradual sugar reduction in everyday food and drink products, combined with reductions in portion size
• Introduction of a price increase of a minimum of 10-20% on high sugar products through the use of a tax or levy such as on full sugar soft drinks, based on the emerging evidence of the impact of such measures in other countries
• Adopt, implement and monitor the government buying standards for food and catering services (GBSF) across the public sector, including national and local government and the NHS to the ensure provision and sale of healthier food and drinks in hospitals, leisure centres etc
• Ensure that accredited training in diet and health is routinely delivered to all of those who have opportunities to influence food choices in the catering, fitness and leisure sectors and others within local authorities
• Continue to raise awareness of concerns around sugar levels in the diet to the public as well as health professionals, employers, the food industry etc., encourage action to reduce intakes and provide practical steps to help people lower their own and their families sugar intake

The Lake Foundation is in strong agreement with the above recommendations and will do our part in taking forward these recommendations. This area is of particularly importance to the black community who suffer higher rates of diseases like type 2 diabetes and stroke which are linked to high sugar consumption.

You can download the government’s report below.

Croydon CCG is currently reviewing Urgent Care services across the borough and developing proposals to improve these services which include the Walk In Centre, two Minor Injury Units and the Urgent Care Centre at Croydon University Hospital.   Urgent Care services cover burns, cuts, common fractures, sprains and minor trauma.

The CCG is keen to hear and include the voices of local residents to ensure their views, experiences and priorities shape how urgent healthcare is organised and delivered in Croydon in the future.

Croydon Counctil would like to talk to Croydon residents about the ideas that Croydon CCG have for Urgent Care services and how it may affect them. In particular they keen to understand if there are any elements that they have not put into the plan which may impact more upon some groups of people than others.

If you’re interested in taking in taking part in a information session with Croydon CCG please contact The Lake Foundation on info@thelakefoundation.com to register your interest.

Last Sunday, we teamed up with the Cycling Instructor for a 4-hour cycling session with 10 of our cycling group members. This was an extension of our summer cycling sessions and this event was organised to challenge our members and but also to discover the beautiful countryside of north Surrey.

We started off at 9:30am at Croydon Arena and cycled through Addiscombe,  West Wickham and Biggin Hill on our way to Warlingham. This was a tough route with us having to tackle a number of hills, but it was a really scenic and enabled us to appreciate the beauty that is just on the doorstep of Croydon.  Once we got to Warlingham we stopped off at the very lovely Almno Café for a short break and some light refreshments before making our way back to Croydon through Chelsham,  New Addington, Addington and Addiscombe.

This was a really fun day out and in total, we cycled for  3 hours and 56 minutes,  covered 41.6km, burned over 500 calories and had an elevation gain of 354m (oh those hills!).

A big thank you to the Cycling Instructor for leading the session, to Croydon Council for funding this event and to everyone who attended.