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Journal of Integrative Medicine ›› 2015, Vol. 13 ›› Issue (6): 416-420.doi: 10.1016/S2095-4964(15)60211-4

• Study Protocol • Previous Articles    

Health effects of natural spring waters: A protocol for systematic reviews with a regional case example

Jessica Stanhopea, Philip Weinsteinb,c, Angus Cooka   

  1. a School of Population Health, The University of Western Australia, Perth, Western Australia 6009, Australia
    b School of Biological Sciences, The University of Adelaide, Adelaide, South Australia 5001, Australia
    c School of Pharmacy and Medical Sciences, The University of South Australia, Adelaide, South Australia 5001, Australia
  • Received:2015-06-30 Accepted:2015-09-01 Online:2015-11-10 Published:2015-11-15

Background

Spring water therapies have been used since at least 1550 BC. Despite the growing body of evidence supporting these therapies for a range of conditions, including musculoskeletal, dermatological, respiratory and cardiovascular conditions, they do not currently form part of mainstream healthcare in many countries. The protocol established in this paper aims to support systematic reviews that examine the health outcomes associated with human exposure to regional spring waters, using the Australia and New Zealand context as a case study.


Method/design

The protocol searches for studies in eight health/medical databases, searches three local health/medical journals, and includes forwards and backwards searching. Standard systematic review methods are used including: specifying pre-determined inclusion criteria and data management plans, appraising the studies for bias, and allocation to a hierarchy of evidence.


Discussion

The protocol supports a review and comprehensive synthesis of the current evidence regarding the health effects of natural spring water, and can be adapted for reviews in other regions. From this evidence, recommendations regarding practice and future research can be made on the therapeutic role of spring water.

Key words: Hot springs, Australia, New Zealand, Review, Study protocol

[1] Moss GA . Water and health: a forgotten connection? Perspect Public Health. 2010; 130(5):227-232.
doi: 10.1177/1757913910379192 pmid: 21086819
[2] Fytikas M, Andritsos N, Dalabakis P, Kolios N . Greek Geothermal Update 2000-2004. Proceedings of the World Geothermal Congress 2005, Antalya, Turkey, 24-29 April 2005.
[3] Calthrop LCE . The scientific basis of the practice of medical hydrology. Proc R Soc Med, 1928,21(3):477-483
[4] Erfurt-Cooper P, Cooper M . Health and wellness tourism: spas and hot springs. Bristol: Channel View Publications. 2009.
doi: 10.1115/HT2012-58492
[5] White R . From the majestic to the mundane: democracy, sophistication and history among the mineral spas of Australia. J Tourism Hist, 2012,4(1):85-108
doi: 10.1080/1755182X.2012.671376
[6] Johnson RH . Arthur Stanley Wohlmann, the first government balneologist in New Zealand. Med Hist Suppl, 1990,(10):114-126
doi: 10.1017/S0025727300071039 pmid: 090
[7] Keller S, Knig V, Msges R . Thermal water applications in the treatment of upper respiratory tract diseases: a systematic review and meta-analysis. J Allergy (Cairo), 2014,2014: 943824
[8] Stier-Jarmer M, Kus S, Frisch D, Sabariego C, Schuh A . Health resort medicine in non-musculoskeletal disorders: is there evidence of its effectiveness? Int. Biometeorol. 2015; 59(10):1523-1544.
doi: 10.1007/s00484-015-0953-6 pmid: 25605408
[9] Bender T, Bálint G, Prohászka Z, Géher P, Tefner IK . Evidence-based hydro- and balneotherapy in Hungary—a systematic review and meta-analysis. Int J Biometeorol, 2014,58(3):311-323
doi: 10.1007/s00484-013-0667-6 pmid: 3955132
[10] Harzy T, Ghani N, Akasbi N, Bono W, Nejjari C . Short- and long-term therapeutic effects of thermal mineral waters in knee osteoarthritis: a systematic review of randomized controlled trials. Clin Rheumatol, 2009,28(5):501-507
doi: 10.1007/s10067-009-1114-2
[11] Karagülle M, Karagülle MZ . Effectiveness of balneotherapy and spa therapy for the treatment of chronic low back pain: a review of latest evidence. Clin Rheumatol, 2015,34(2):207-214
doi: 10.1007/s10067-014-2845-2
[12] Naumann J, Sadaghiani C . Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials. Arthritis Res Ther, 2014,16(4):R141
doi: 10.1186/ar4603
[13] Merial-Kieny C, Mengual X, Guerrero D, Sibaud V . Clinical efficacy of Avène hydrotherapy measured in a large cohort of more than 10,000 atopic or psoriatic patients. J Eur Acad Dermatol Venereol, 2011,25(Suppl 1):30-34
doi: 10.1111/jdv.2010.25.issue-s1
[14] Wohlmann AS . Mineral waters and spas of New Zealand. Wellington: Government Printer. 1914.
[15] Stanhope J, Weinstein P, Cook A . Health effects of natural spring waters of Australia and New Zealand. PROSPERO. 2015: CRD42015023713.
[16] Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009,6(7):e1000097
doi: 10.14306/renhyd.18.3.114 pmid: 21145753
[17] Verhagen AP, Bierma-Zeinstra SM, Boers M, Cardoso JR, Lambeck J, de Bie R, de Vet HC . Balneotherapy(or spa therapy) for rheumatoid arthritis. Cochrane Database Syst Rev, 2015,11(4):CD000518
doi: 10.1002/14651858.CD000518.pub2 pmid: 25862243
[18] Verhagen AP, Bierma-Zeinstra SMA, Boers M, Cardoso JR, Lambeck J, de Bie R, de Vet HCW . Balneotherapy for osteoarthritis. Cochrane Database Syst Rev, 2007,17(4):CD006864
[19] National Health and Medical Research Council. NHMRC additional levels of evidence and grades of recommendations for developers of guidelines. (2009)[2015-03-15]. .
[20] Downs SH, Black N . The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health, 1998,52(6):377-384
doi: 10.1136/jech.52.6.377
[21] Shamliyan TA, Kane RL, Ansari MT, Raman G, Berkman ND, Grant M, Janes G, Maglione M, Moher D, Nasser M, Robinson KA, Segal JB, Tsouros S . Development quality criteria to evaluate nontherapeutic studies of incidence, prevalence, or risk factors of chronic diseases: pilot studies of new checklists. J Clin Epidemiol, 2011,64(6):637-657
doi: 10.1016/j.jclinepi.2010.08.006
[22] Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ ; GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008,336(7650):924-926
doi: 10.1136/bmj.39489.470347.AD
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