Integrative Pediatrics: Art, Science, and Clinical Application

449 Pages·2017·2.966 MB·English

by  Hilary McClafferty

Integrative Pediatrics

Integrative Pediatrics
Art, Science, and Clinical Application
Hilary McClafferty,
MD, FAAP
Associate Professor, Department of Medicine
Director, Pediatric Integrative Medicine in Residency
Co-Director, Fellowship in Integrative Medicine
University of Arizona Center for Integrative Medicine
University of Arizona College of Medicine
Tucson, Arizona
First published 2017
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
711 Third Avenue, New York, NY 10017
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2017 Hilary McClafferty
The right of Hilary McClafferty to be identified as author of this work has been asserted by him/her in
accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by
any electronic, mechanical, or other means, now known or hereafter invented, including photocopying
and recording, or in any information storage or retrieval system, without permission in writing from the
publishers.
Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used
only for identification and explanation without intent to infringe.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
ISBN: 978-1-4987-1671-0 (Hardback)
ISBN: 978-1-138-19607-0 (Paperback)
ISBN: 978-1-4987-1672-7 (Ebook)
To Kylie and Liam

Contents
Foreword by Andrew Weil ix
Foreword by James E. Dalen xi
About the Author xii
Acknowledgments xiii
PART 1
Integrative Medicine: A New Frontier in Pediatrics 1
1 Introduction to Pediatric Integrative Medicine 3
2 Self- Care: Cultivating Healthy Resilience 16
PART 2
Foundations of Health 29
3 Nutrition 31
4 Key Dietary Supplements: Omega- 3 Fatty Acids, Vitamin D, and
Probiotics 50
5 Physical Activity 63
6 Mind–Body Therapies 76
7 Sleep 104
8 Environmental Health 122
PART 3
Complementary Approaches 151
9 Botanicals and Dietary Supplements 153
10 Manual Medicine 172
11 Aromatherapy 185
viii Contents
12 Whole Medical Systems 192
13 Bioenergetic Therapies 207
PART 4
Clinical Application 215
14 An Integrative Approach to Preventive Health 217
15 Allergy and Asthma 242
16 Dermatology 263
17 Gastroenterology 283
18 Infectious Disease: Upper Respiratory Infections and Otitis Media 318
19 Mental Health: Toxic Stress, Peer Victimization (Bullying), Anxiety,
Depression 326
20 Neurodevelopmental Disorders: ADHD and Autism 359
21 Obesity and Metabolic Disease 377
22 Integrative Intake 413
23 Conclusion 421
Index 423
Foreword by Andrew Weil
With its focus on preventive health, engagement of the individual’s innate healing capac-
ity, and goals of minimizing invasive procedures and use of prescription medications,
integrative medicine is a natural fit for pediatrics. Coming from the world of pediatric
emergency medicine, Hilary McClafferty would seem an unlikely champion for the
field, but, in fact, she has been a most effective one. I first met Hilary when she was a
Fellow in the University of Arizona Center for Integrative Medicine, Class of 2005. She
raised her hand during one of my lectures to ask about the use of integrative medicine
in children. I replied, “Pediatric integrative medicine is the way of the future,” knowing
very well that at the time the field was in its infancy and needed the efforts of commit-
ted pediatrician advocates to advance it.
She took this encouragement to heart and since completing the Fellowship has become
involved in local, national, and international initiatives to introduce research and clini-
cal and educational programs on integrative pediatrics into mainstream medicine. One
of the most innovative she leads is the Pediatric Integrative Medicine in Residency
(PIMR) program at the University of Arizona Center for Integrative Medicine, which
has just completed a three- year pilot run involving more than 500 pediatric residents at
leading academic institutions. These residents received foundational training in integra-
tive pediatrics embedded in their conventional medical training. The first initiative of
its kind in pediatrics, PIMR has grown to include other first- rate pediatric residencies
around the country and was recently launched at three children’s hospitals in Germany.
Hilary has also been a highly effective leader within the American Academy of
Pediatrics, where she is immediate past chair of the Section on Integrative Medicine, a
group with the ambitious mission of raising awareness about the field throughout the
66,000- member Academy. In this role, she also created an integrative medicine model
for physician self- care and wellbeing and led development of the first policy statement
on physician wellness for the Academy. She expects this work to catalyze an array of
educational initiatives that will continue to grow in scale and impact. Hilary is cur-
rently leading the update of the Academy’s Clinical Report on Pediatric Integrative
Medicine, an in- depth review of the literature in the field that serves as a guidepost for
the Academy and its diverse membership.
As a leader of the Fellowship in Integrative Medicine at the University of Arizona and
as a founding member of the American Board of Integrative Medicine, Hilary is known
and admired for her creativity and collaborative spirit and her commitment to mentor-
ing upcoming faculty and students. What most people may not know about her is that
her passion for integrative pediatrics stems in part from deeply personal experiences in
the healthcare system, where as a mother who is also a physician she has lived firsthand