256248 Effects of Subluxation-Based Chiropractic Care on Dyslipidemia: A Case Study and Review of the Literature

Sunday, October 28, 2012

Eric Zielinski, Bachelor of Arts, English , College of Chiropractic, Life University, Marietta, GA
Nate Blume, DC , Lakeshore Chiropractic, Indianapolis, IN
Objective: 1) To provide a thorough review of the literature concerning cholesterol's relationship to cardiovascular disease. 2) To explain the potential efficacy subluxation-based chiropractic may have in normalizing serum lipid levels. 3) To present the results of a male patient who underwent chiropractic care and subsequently experienced lipid panel normalization.

Conclusions: A thorough literature review utilizing various medical textbooks and on-line search engines (Index to Chiropractic Literature, Mantis, PubMed, Scopus) revealed that the study of atherosclerosis and cardiovascular disease (CVD) has a rich history, dating back over 2,000 years of recorded etiology. It is important to note that the research is clear in one thing: global authorities unanimously agree that no one knows, conclusively, the cause of CVD. One of the most generally recognized risk factors is the role cholesterol plays in atherosclerosis and subsequent plaque build up. We offer a brief historical account of the role cholesterol has played in CVD and provide the most recent global data. Our study revealed that the “cholesterol is harmful” hypothesis is not ubiquitously supported by evidenced-based medicine. There appears to be a growing paradigm shift that subscribes to the theory that stress-related inflammatory and hormonal responses are key components to atherosclerotic plaque build-up and subsequent CVD. A review of the chiropractic literature indicates that there is a well-documented relationship between subluxation-based chiropractic care and reduced stress levels, normalized hormone levels, and also normalized lipid levels. This suggests that chiropractic care may have a direct impact in lowering the primary CVD risk factors. This case study warrants further research to substantiate these relationships.

Learning Areas:
Basic medical science applied in public health
Chronic disease management and prevention
Communication and informatics
Other professions or practice related to public health

Learning Objectives:
1. Explain the apparent disconnection between the staggering decrease in cholesterol levels world wide and the consistent rise in chronic cardiovascular disease (CVD). 2. Differentiate scientifically valid, evidence-based risk factors for CVD. 3. Discuss the evidence-based research explaining cholesterol's biochemical role in dyslipidemia and subsequent CVD. 4. Describe possible efficacies subluxation-based chiropractic has in reducing risk factors for CVD. 5. Identify stress (and subsequent disruption in endocrine and immune functions) as the main physiologic component in CVD.

Keywords: Chronic (CVD), Stress

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Within the last year, I have been the principal author in two chiropractic case-studies/literature reviews which are currently undergoing peer-review for publication. I have also been the recipient of multiple research scholarships and have presented my work at one conference in 2011. With a background in english literature and research writing, I have secured future projects and am in the running for a student-directed, "research track" position at Life University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.