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Asthma: New Integrative Treatment Strategies for the Next Decades

1
Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Ex-Hacienda de la Concepción, Tilcuautla, Pachuca de Soto 42080, Mexico
2
Escuela Superior de Medicina, Instituto Politécnico Nacional, “Unidad Casco de Santo Tomas”, Ciudad de México 11340, Mexico
3
Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, “Unidad Profesional A. López Mateos”, Ciudad de México 07738, Mexico
4
Escuela Superior de Cómputo, Instituto Politécnico Nacional, “Unidad Profesional A. López Mateos”, Ciudad de México 07738, Mexico
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(9), 438; https://doi.org/10.3390/medicina56090438
Received: 18 June 2020 / Revised: 20 August 2020 / Accepted: 24 August 2020 / Published: 28 August 2020
(This article belongs to the Special Issue The Future of Medicine: Frontiers in Integrative Health and Medicine)
Asthma is a chronic disease whose main anatomical–functional alterations are grouped into obstruction, nonspecific bronchial hyperreactivity, inflammation and airway remodeling. Currently, the Global Initiative of Asthma 2020 (GINA 2020) suggests classifying it into intermittent cases, slightly persistent, moderately persistent and severely persistent, thus determining the correct guidelines for its therapy. In general, the drugs used for its management are divided into two groups, those with a potential bronchodilator and the controlling agents of inflammation. However, asthmatic treatments continue to evolve, and notable advances have been made possible in biological therapy with monoclonal antibodies and in the relationship between this disease and oxidative stress. This opens a new path to dietary and herbal strategies and the use of antioxidants as a possible therapy that supports conventional pharmacological treatments and reduces their doses and/or adverse effects. This review compiles information from different published research on risk factors, pathophysiology, classification, diagnosis and the main treatments; likewise, it synthesizes the current evidence of herbal medicine for its control. Studies on integrative medicine (IM) therapies for asthmatic control are critically reviewed. An integrative approach to the prevention and management of asthma warrants consideration in clinical practice. The intention is to encourage health professionals and scientists to expand the horizons of basic and clinical research (preclinical, clinical and integrative medicine) on asthma control. View Full-Text
Keywords: asthma; diagnosis; treatment strategies; oxidative stress; antioxidants asthma; diagnosis; treatment strategies; oxidative stress; antioxidants
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Arteaga-Badillo, D.A.; Portillo-Reyes, J.; Vargas-Mendoza, N.; Morales-González, J.A.; Izquierdo-Vega, J.A.; Sánchez-Gutiérrez, M.; Álvarez-González, I.; Morales-González, Á.; Madrigal-Bujaidar, E.; Madrigal-Santillán, E. Asthma: New Integrative Treatment Strategies for the Next Decades. Medicina 2020, 56, 438.

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