Online Program

Association Between Chiropractic and Allopathic Classroom Hours of Nutrition and Physical Activity with Lifestyle Modification Counseling Practice Patterns for Patients with Hypertension and Cardiovascular Disease in the US Between 1994 and 2014

Monday, November 2, 2015 : 10:42 a.m. - 10:54 a.m.

Adrian Isaza, DC DACBN, Galen College of Nursing, Brandon, FL
Objective: The Association of American Medical Colleges’ Center of workforce studies indicated a shortage of 45,000 primary care physicians in the next decade with the expectation of one-third of all physicians retiring, which is a public health concern. The purpose of this study is to simply compare the classroom hours of nutrition and physical activity between chiropractors and allopathic doctors in relation to lifestyle modification counseling for patients with hypertension and cardiovascular disease.

Methods: A search of the available database to track down practice patterns for both chiropractors and allopathic physicians was performed using the key words: nutrition, diet, maintenance, counseling, chiropractor, physician, hypertension and cardiovascular. Only studies between 1994 and 2014 were included. Classroom hours of nutrition and active care were calculated by performing a search of the chiropractic school catalogs. Postgraduate hours were not accounted for in this study. For allopathic training, data from three published studies were used.

Results: Chiropractors receive over five times the amount of hours in nutrition and physical activity compared to allopathic doctors. 58% of chiropractors provided nutritional counseling, 56% provided cardiovascular exercise counseling as maintenance care compared to allopathic doctors who counseled 33%.

Conclusion: A positive correlation between practice patterns and hours of training was observed. Since this is an observational study, causal inference is not claimed. Given the increased demand for primary care providers, chiropractors can play a role in the co-management of stage 1 hypertension.  Other studies with other cohort groups are indicated to confirm these findings.

Learning Areas:

Chronic disease management and prevention

Learning Objectives:
Compare classroom hours of nutrition and physical activity for chiropractors and allopathic doctors. Evaluate the readiness of chiropractors in providing care for stage 1 hypertension. Discuss the practice patterns of chiropractors and allopathic doctors in providing care for hypertension.

Keyword(s): Chiropractic, Hypertension

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm a quarter 12 student of chiropractic medicine. I won the Donald P Kern scholarship for research in 2014 and I currently have 3 articles under peer review.
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.