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Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis

Obesity is a growing chronic health problem worldwide. Studies about acupuncture for obesity treatment are many. But there are some doubts about the effectiveness of acupuncture versus sham acupuncture in treating obesity due to its lack of medical evidence. Therefore, the aim of this study is to as...

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Autores principales: Zhong, Yu-Mei, Luo, Xiao-Chao, Chen, Yang, Lai, De-Li, Lu, Wen-Ting, Shang, Ya-Nan, Zhang, Lin-Lin, Zhou, Hai-Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146934/
https://www.ncbi.nlm.nih.gov/pubmed/32015189
http://dx.doi.org/10.1136/postgradmedj-2019-137221
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author Zhong, Yu-Mei
Luo, Xiao-Chao
Chen, Yang
Lai, De-Li
Lu, Wen-Ting
Shang, Ya-Nan
Zhang, Lin-Lin
Zhou, Hai-Yan
author_facet Zhong, Yu-Mei
Luo, Xiao-Chao
Chen, Yang
Lai, De-Li
Lu, Wen-Ting
Shang, Ya-Nan
Zhang, Lin-Lin
Zhou, Hai-Yan
author_sort Zhong, Yu-Mei
collection PubMed
description Obesity is a growing chronic health problem worldwide. Studies about acupuncture for obesity treatment are many. But there are some doubts about the effectiveness of acupuncture versus sham acupuncture in treating obesity due to its lack of medical evidence. Therefore, the aim of this study is to assess the efficacy of acupuncture for obesity treatment and provide clinic evidence. Four English databases (PubMed, EMBASE, Web of Science and Cochrane Central Register of Controlled Trials) and four Chinese databases (China National Knowledge Infrastructure, Chinese BioMedical Database, Chinese Scientific Journal Database and Wan-Fang Data) were searched from their receptions to August 2019. Randomized controlled trials (RCTs) using the comparison between acupuncture and sham acupuncture to treat simple obesity were included. The primary outcome of body mass index (BMI) would be used to measure the effect of acupuncture on obesity. According to the trial data extraction form based on the Cochrane Handbook, two reviewers separately extracted the data. Risk of bias of the RCTs was assessed by the Cochrane Risk of Bias Tool. The study included 8 RCTs with 403 patients. When compared with sham acupuncture, acupuncture showed obviously effect in BMI reduction (MD=1.0kg/m2, 95% CI=0.6 to 1.4, P<0.001). There was also significant reduction in body weight (MD=1.85kg, 95%CI=0.82 to 2.88, p<0.001), WC (MD=0.97cm, 95%CI=0.24 to 1.71, p=0.01) and body fat mass percentage (MD=1.01, 95%CI=0.25 to 1.77, p<0.05). However, WHR (MD=0.01, 95%CI=0 to 0.03, p>0.05) was not statistically and significantly different between the acupuncture and control groups. Adverse effects were reported in 3 studies. The review suggests that acupuncture is an effective therapy for simple obesity rather than a placebo effect. This potential benefit needs to be further evaluated by longer-term and more rigorous RCTs.
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spelling pubmed-71469342020-04-15 Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis Zhong, Yu-Mei Luo, Xiao-Chao Chen, Yang Lai, De-Li Lu, Wen-Ting Shang, Ya-Nan Zhang, Lin-Lin Zhou, Hai-Yan Postgrad Med J Review Obesity is a growing chronic health problem worldwide. Studies about acupuncture for obesity treatment are many. But there are some doubts about the effectiveness of acupuncture versus sham acupuncture in treating obesity due to its lack of medical evidence. Therefore, the aim of this study is to assess the efficacy of acupuncture for obesity treatment and provide clinic evidence. Four English databases (PubMed, EMBASE, Web of Science and Cochrane Central Register of Controlled Trials) and four Chinese databases (China National Knowledge Infrastructure, Chinese BioMedical Database, Chinese Scientific Journal Database and Wan-Fang Data) were searched from their receptions to August 2019. Randomized controlled trials (RCTs) using the comparison between acupuncture and sham acupuncture to treat simple obesity were included. The primary outcome of body mass index (BMI) would be used to measure the effect of acupuncture on obesity. According to the trial data extraction form based on the Cochrane Handbook, two reviewers separately extracted the data. Risk of bias of the RCTs was assessed by the Cochrane Risk of Bias Tool. The study included 8 RCTs with 403 patients. When compared with sham acupuncture, acupuncture showed obviously effect in BMI reduction (MD=1.0kg/m2, 95% CI=0.6 to 1.4, P<0.001). There was also significant reduction in body weight (MD=1.85kg, 95%CI=0.82 to 2.88, p<0.001), WC (MD=0.97cm, 95%CI=0.24 to 1.71, p=0.01) and body fat mass percentage (MD=1.01, 95%CI=0.25 to 1.77, p<0.05). However, WHR (MD=0.01, 95%CI=0 to 0.03, p>0.05) was not statistically and significantly different between the acupuncture and control groups. Adverse effects were reported in 3 studies. The review suggests that acupuncture is an effective therapy for simple obesity rather than a placebo effect. This potential benefit needs to be further evaluated by longer-term and more rigorous RCTs. BMJ Publishing Group 2020-04 2020-02-03 /pmc/articles/PMC7146934/ /pubmed/32015189 http://dx.doi.org/10.1136/postgradmedj-2019-137221 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Review
Zhong, Yu-Mei
Luo, Xiao-Chao
Chen, Yang
Lai, De-Li
Lu, Wen-Ting
Shang, Ya-Nan
Zhang, Lin-Lin
Zhou, Hai-Yan
Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
title Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
title_full Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
title_fullStr Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
title_full_unstemmed Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
title_short Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
title_sort acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146934/
https://www.ncbi.nlm.nih.gov/pubmed/32015189
http://dx.doi.org/10.1136/postgradmedj-2019-137221
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