Pregnancy Use

Oral use is considered to be safe in pregnancy and lactation (NMCD 2003). PRACTICE POINTS/PATIENT COUNSELLING

• Oats are a rich source of nutrients, such as calcium, potassium, phosphorus, iron, manganese, zinc; vitamins A, B-complex, C, E and K, and amino acids. Dietary oats also contain a significant amount of soluble fibre.

• Regular intake of wholegrain oat-based cereals may have positive effects on cardiovascular disease risk factors such as hypertension, hyperlipidaemia and glucose regulation.

• Topical use of the cut herb in the bath or 5% colloidal oatmeal in a suitable carrier is used to relieve itch.

• Traditionally, oats are viewed as a nervous system nutritive and therefore used during times of convalescence.

• Patients with coeliac disease should be able to tolerate moderate amounts of oats in the diet.

ANSWERS TO PATIENTS' FREQUENTLY ASKED QUESTIONS

What will this herb do for me?

Oats are a concentrated nutrient source and also contain soluble fibre. They not only provides a range of vitamins and minerals, but can reduce blood pressure, cholesterol and improve blood sugar regulation. When will it start to work?

Scientific studies have shown that oatbran and oat-based cereals can reduce cholesterol levels and blood pressure within 5-6 weeks. Are there any safety issues?

Dietary oats should be avoided in cases of intestinal obstruction. REFERENCES

Andersson M, Ellegard L, Andersson H. Oat bran stimulates bile acid synthesis within 8 h as measured by

7alpha-hydroxy-4-cholesten-3-one. Am J Clin Nutr 76(5) (2002): 1111-16. Beglinger C, Frey C, Abelin T. Modification of smoking behavior using long-distance methods. Soz

Praventivmed22(4) (1977): 182-3 [in German]. Blumenthal M, Goldberg A, Brinckmann J (eds). Herbal Medicine: Expanded Commission E Monographs. Austin, TX: Integrative Medicine Communications, 2000.

Chen J et al. A randomized controlled trial of dietary fiber intake on serum lipids. Eur J Clin Nutr, 2005; [Epub ahead of print].

Chevallier A. The Encyclopedia of Medicinal Plants. London, UK: Dorling Kindersley, 1996.

Culpeper N. The English Physician, 1652.

Davidson MH et al. The hypocholesterolaemic effects of beta-glucan in oatmeal and oat bran: A dose-controlled study. JAMA 265 (1991): 1833-9.

Davy BM et al. High-fiber oat cereal compared with wheat cereal consumption favorably alters LDL-cholesterol subclass and particle numbers in middle-aged and older men. Am J Clin Nutr 76(2) (2002): 351-8.

Haroian L et al. Institute for Advanced Study of Human Sexuality research report: The exsativa project (Swiss formula Al 11). Specific Press, 1987.

Hogberg L et al. Oats to children with newly diagnosed coeliac disease: a randomised double blind study. Gut 53(5) (2004): 649-54.

Janatuinen EK et al. No harm from five year ingestion of oats in coeliac disease. Gut 50(3) (2002): 332-5.

Jenkins AL et al. Depression of the glycemic index by high levels of beta-glucan fiber in two functional foods tested in type 2 diabetes. Eur J Clin Nutr 56(7) (2002): 622-8.

Karmally W et al. Cholesterol-lowering benefits of oat-containing cereal in Hispanic Americans. J Am Diet Assoc 105(6) (2005): 967-70.

Liu Let al. The antiatherogenic potential of oat phenolic compounds. Atherosclerosis 175(1) (2004): 39-49.

Lundin KE et al. Oats induced villous atrophy in coeliac disease. Gut 52(11) (2003): 1649-52.

Matheson JD, Clayton J, Muller MJ. The reduction of itch during burn wound healing. J Burn Care Rehabil 22(1) (2001): 76-81.

Mills S. The Essential Book of Herbal Medicine. Middlesex, UK: Penguin, 1991.

Natural medicines comprehensive database (NMCD online). Oats, 2003. Available from: http:// www.naturaldatabase .com

Nie L et al. Avenanthramide, a polyphenol from oats, inhibits vascular smooth muscle cell proliferation and enhances nitric oxide production. Atherosclerosis 186(2) (2005): 260-6.

Onning G et al. Consumption of oat milk for 5 weeks lowers serum cholesterol and LDL cholesterol in free-living men with moderate hypercholesterolemia. Ann Nutr Metab 43(5) (1999): 301-9.

Peraaho M et al. Effect of an oats-containing gluten-free diet on symptoms and quality of life in coeliac disease: A randomized study. Sc and J Gastroenterol 39(1) (2004): 27-31.

Pins JJ et al. Do whole-grain oat cereals reduce the need for antihypertensive medications and improve blood pressure control? J Fam Pract 51(4) (2002): 353-59.

Rakel D. Integrative Medicine. Philadelphia: Saunders, 2003.

Richter W, Jacob B, Schwandt P. Interaction between fibre and lovastatin. Lancet 338(8768) (1991): 706.

Saltzman E et al. An oat-containing hypocaloric diet reduces systolic blood pressure and improves lipid profile beyond effects of weight loss in men and women. J Nutr 131(5) (2001): 1465-70.

Sandstrom B et al. A high oat-bran intake does not impair zinc absorption in humans when added to a low-fiber animal protein-based diet. J Nutr 130(3) (2000): 594-9.

Schmidt K, Geckeier K. Pharmacotherapy with avena sativa: a double blind study. Int J Clin Pharmacol Biopharm 14(3) (1976): 214-16.

Skidmore-Roth L. Mosby's Handbook of Herbs and Natural Supplements. St Louis: Mosby, 2001.

Storsrud S et al. Beneficial effects of oats in the gluten-free diet of adults with special reference to nutrient status, symptoms and subjective experiences. Br J Nutr 90(1) (2003a): 101-7.

Storsrud S et al. Adult coeliac patients do tolerate large amounts of oats. Eur J Clin Nutr 57(1) (2003b): 163-9.

Tapola N et al. Glycemic responses of oat bran products in type 2 diabetic patients. Nutr Metab Cardiovasc Dis 15(4) (2005): 255-61.

Thompson T. Oats and the gluten-free diet. J Am Diet Assoc 103(3) (2003): 376-9.

Witchl M, Bisset NG (eds). Herbal Drugs and Phytopharmaceuticals. Stuttgart: Medpharm Scientific Publishers, Oats öV? 1

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