Complementary therapies in medicine最新文献

{"title":"A systematic review and meta-analysis of acupuncture's impact on hemiplegic gait recovery after stroke","authors":"Zheng Sun ,&nbsp;Haitian Sun ,&nbsp;Kuang Yu ,&nbsp;Zilong Zhu ,&nbsp;Yiren Lin ,&nbsp;Ke Sun ,&nbsp;Jianbin Zhang","doi":"10.1016/j.ctim.2025.103181","DOIUrl":"10.1016/j.ctim.2025.103181","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review aims to evaluate the efficacy and safety of acupuncture in alleviating gait disturbances in post-stroke hemiplegia, focusing on various gait parameters.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across PubMed, EMBASE, Cochrane Library, Web of Science, AMED, CINAHL, CBM, CNKI, and WanFang databases to identify relevant randomized controlled trials (RCTs). The included studies were independently evaluated for risk of bias using Cochrane's risk of bias tool. RevMan 5.3 was used for meta-analysis, and adverse events were collected through full-text review.</div></div><div><h3>Results</h3><div>A total of 21 RCTs involving 1463 participants were included. Results showed that acupuncture combined with rehabilitation therapy (RT) significantly improved stride and step length (MD = 7.79, 95 % CI: 5.62–9.96, Z = 7.03, P &lt; 0.00001, I² = 72 %), cadence (MD = 10.43, 95 % CI: 6.22–14.65, Z = 4.85, P &lt; 0.00001, I² = 95 %), walking speed (MD = 12.27, 95 % CI: 9.22–15.31, Z = 7.90, P &lt; 0.00001, I² = 91 %), hip peak flexion angle (MD = 2.71, 95 % CI: 0.94–4.49, Z = 2.99, P = 0.003, I² = 82 %), and ankle peak plantarflexion angle (MD = 2.08, 95 % CI: 1.11–3.06, Z = 4.19, P &lt; 0.0001, I² = 0 %) compared to RT alone. It also reduced gait cycle time (MD = −0.61, 95 % CI: −0.96 to −0.26, Z = 3.44, P = 0.0006, I² = 98 %) and the proportion of double support phase (MD = −7.16, 95 % CI: −9.08 to −5.25, Z = 7.33, P &lt; 0.00001, I² = 0 %). These improvements in gait parameters suggest enhanced mobility and functional independence for post-stroke patients. However, heterogeneity in participant characteristics and study methodologies was noted, such as variations in stroke types, curses, severity, and acupuncture protocols. The majority of RCTs exhibited moderate to high risk of bias regarding allocation concealment and blinding. Only two RCTs reported no adverse events, while the rest 19 studies did not mention adverse events.</div></div><div><h3>Conclusion</h3><div>Acupuncture appears to enhance specific aspects of hemiplegic gait, though further high-quality research is needed to fully validate its effects. Current evidence is limited by methodological weaknesses and potential biases in the included studies. Rigorous, well designed studies are needed to further validate the comprehensive effects of acupuncture on post-stroke hemiplegic gait.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"91 ","pages":"Article 103181"},"PeriodicalIF":3.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness and safety of integrative medicine for chronic heart failure: An umbrella review","authors":"Wei J. Chua ,&nbsp;Jing Liu ,&nbsp;Kaitlyn Lam ,&nbsp;Alison Maunder ,&nbsp;Chhiti Pandey ,&nbsp;Adele E. Cave ,&nbsp;Allana O’Fee ,&nbsp;Guoyan Yang ,&nbsp;Aya Mousa ,&nbsp;Carolyn Ee","doi":"10.1016/j.ctim.2025.103182","DOIUrl":"10.1016/j.ctim.2025.103182","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Heart failure (HF) is associated with multi-organ dysfunction and significant morbidity and mortality. Despite advances in treatment, prognosis remains poor, highlighting the need to explore adjunctive therapies such as integrative medicine. This umbrella review synthesises top-tier evidence from systematic reviews and meta-analyses of randomised controlled trials (RCTs) assessing the safety and effectiveness of integrative medicine in patients with HF, in order to inform clinical decision-making.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, Cochrane, PsycINFO and EMBASE until April 2024. Primary outcomes included mortality, hospitalisation rates, and severity or prognostic indicators, including brain natriuretic peptide (BNP) and exercise capacity. A hierarchical evidence synthesis method was used whereby we included the most recent, highly ranked and comprehensive reviews for our research question. We assessed review quality using ‘A MeaSurement Tool to Assess systematic Reviews’ and, where possible, evidence certainty for our primary outcomes using the Grading of Recommendations Assessment, Development and Evaluation approach.</div></div><div><h3>Results</h3><div>Twenty-two reviews were included. Co-enzyme Q10 or <em>Tai Chi</em> may reduce mortality and hospitalisation rates (moderate certainty evidence), and acupuncture or intravenous Chinese herbal medicines may improve BNP (low to very low certainty evidence). The benefits of yoga and other nutrient supplements including L-carnitine remain unclear. Vitamin E may increase hospitalisation rates and should be avoided.</div></div><div><h3>Conclusion</h3><div>The evidence for most integrative medicine modalities for adjunctive management of HF remains limited. Well-designed and rigorous RCTs are needed, particularly with long-term follow up and evaluation of clinically meaningful outcomes.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"91 ","pages":"Article 103182"},"PeriodicalIF":3.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of health qigong on cervical spondylosis: A systematic review","authors":"Cong Liu ,&nbsp;Kim Geok Soh ,&nbsp;Su Peng Loh ,&nbsp;He Sun ,&nbsp;Kim Lam Soh ,&nbsp;Yujin Ma ,&nbsp;Hucheng Ma","doi":"10.1016/j.ctim.2025.103180","DOIUrl":"10.1016/j.ctim.2025.103180","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;Exercise therapy is a widely utilized intervention for the prevention and rehabilitation of cervical spondylosis. As a distinctive form of traditional exercise therapy in China, Health Qigong has been empirically validated to exert beneficial effects across 17 physiological systems, with particularly pronounced efficacy in addressing musculoskeletal disorders. This systematic review aims to critically evaluate the impact of Health Qigong on cervical spondylosis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;According to the literature search principles, works published from the publication date to November 2024 were searched. The databases used were the China National Knowledge Infrastructure, Scopus, PubMed, Web of Science, and EBSCOhost (SPORTDiscus). The study quality was evaluated using the Physiotherapy Evidence Database (PEDro) scale. The search process was documented using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)2020.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 10 studies were selected from an initial pool of 702 studies, comprising 656 participants. The PEDro scores of the 10 studies ranged from seven to eight. The findings indicate that Health Qigong exerts its therapeutic effects on cervical spondylosis primarily in four key areas: alleviating neck pain, improving cervical dysfunction, restoring cervical curvature, and enhancing cervical mobility. Specifically, for pain relief, the Visual Analog Scale(VAS) scores showed a mean reduction of 2.8–4.15 points, while the Neck Disability Index (NDI) scores significantly decreased from 6.10 to 1.4. And after intervention, the prevalence of abnormal cervical curvature decreased by 10.97 %, cervical range of motion (CROM) improved by 19.78° to 67.4° on average. Furthermore, according to the Traditional Chinese Medicine (TCM) Diagnostic and Treatment Criteria, five studies reported an overall effectiveness rate exceeding 90 %, with a maximum of 97.14 %. Short-term intervention outcomes indicated that Ba Duan Jin showed a recurrence rate of 0 %, whereas interventions using Yi Jin Jing and Wu Qin Xi exhibited recurrence rates ranging from 11.2 % to 13.33 %.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;As an exercise-based intervention, Health Qigong not only helps alleviate cervical spondylosis-related pain and improve cervical dysfunction but also promotes the restoration of cervical curvature and enhances cervical mobility, thereby addressing limitations in neck function. However, current research exhibits certain limitations and research gaps in areas such as populations, cervical spondylosis classification, intervention design, and outcome assessment criteria.Therefore, there is an urgent need to develop more targeted intervention strategies, establish standardized outcome evaluation systems, and conduct in-depth mechanistic studies to further validate the clinical efficacy and practical application of Health Qigong in the management of cervica","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"92 ","pages":"Article 103180"},"PeriodicalIF":3.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of acupuncture on the signs and symptoms of people with rheumatic diseases: A scoping review","authors":"Mariane Elivânia Silva ,&nbsp;Evelin Beatriz Bezerra de Melo ,&nbsp;Maria Améllia Lopes Cabral ,&nbsp;Laura Lima Souza ,&nbsp;Silmara de Oliveira Silva ,&nbsp;Nahadja Tahaynara Barros Leal ,&nbsp;Jucielly Ferreira da Fonseca ,&nbsp;Rodrigo Assis Neves Dantas ,&nbsp;Daniele Vieira Dantas","doi":"10.1016/j.ctim.2025.103183","DOIUrl":"10.1016/j.ctim.2025.103183","url":null,"abstract":"<div><h3>Introduction</h3><div>Rheumatic diseases constitute a wide range of chronic diseases that mainly affect the musculoskeletal system. They are characterized by inflammatory and degenerative processes that affect synovial joints, bones, muscles, and connective tissues. In addition, many rheumatological diseases have an autoimmune nature. This diversity of conditions results in a wide range of symptoms and degrees of severity, with a significant impact on patients' quality of life, compromising their daily activities and leading to a decline in mental health, including depressive symptoms and feelings of inadequacy.</div></div><div><h3>Objective</h3><div>To map the scientific evidence in the literature on the effects of acupuncture on the signs and symptoms of people with rheumatic diseases.</div></div><div><h3>Methods</h3><div>This is a scoping review, formulated according to the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.</div></div><div><h3>Results</h3><div>After the identification, screening and eligibility process, 18 studies were included in this review. All were published between 2002 and 2023; 33.33 % were published in China; and 50 % correspond to clinical trials. The most frequently cited diseases were: acute osteoarthritis or acute knee osteoarthritis (27.77 %); fibromyalgia (27.77 %); and rheumatoid arthritis (27.77 %). The effects of acupuncture on the signs and symptoms of people with rheumatic diseases are pain relief, improved quality of life, improved joint function, increased range of motion, anti-inflammation, reduced fatigue, decreased depression and anxiety symptoms, reduced medication use, immune system regulation, and increased finger mobility.</div></div><div><h3>Conclusions</h3><div>Acupuncture has beneficial effects on the signs and symptoms of people with rheumatic diseases, constituting a modality which can be easily and quickly applied by any healthcare professional, as long as they are properly trained.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"91 ","pages":"Article 103183"},"PeriodicalIF":3.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness and safety of acupuncture for post-stroke depression: An overview of systematic reviews","authors":"Run-qing Miao ,&nbsp;Feng-ya Zhu ,&nbsp;Tian-yu Wang ,&nbsp;Shao Yin ,&nbsp;Chen Shuai ,&nbsp;Tao Li ,&nbsp;Zhi Li ,&nbsp;Lan Luo ,&nbsp;Bin Yang","doi":"10.1016/j.ctim.2025.103178","DOIUrl":"10.1016/j.ctim.2025.103178","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, research on acupuncture for post-stroke depression (PSD) has grown significantly, yet findings remain inconsistent. Few researchers have conducted comprehensive assessments of systematic reviews (SRs) in this area. Consequently, there is a need for a thorough and objective synthesis of clinical evidence regarding acupuncture's effectiveness in treating PSD.</div></div><div><h3>Objective</h3><div>To evaluate and synthesize evidence on the efficacy and safety of acupuncture for PSD through systematic reviews, offering valuable insights for clinical practice and guiding future research directions.</div></div><div><h3>Methods</h3><div>We searched PubMed, Embase, Web of Science, Cochrane Library, CNKI, SinoMed, Wanfang, VIP and Google Scholar databases for relevant literature. The search covered publications from database inception to September 10, 2024. Literature selection and data extraction were independently performed by two reviewers. The methodological quality, bias risk, and evidence level of included SRs were assessed using AMSTAR 2, ROBIS, and GRADE tools. The corrected covered area (CCA) was calculated to assess overlap in original studies. Data from included SRs were subjected to quantitative or descriptive analysis.</div></div><div><h3>Results</h3><div>A total of 38 SRs on acupuncture for PSD were included. After assessment using AMSTAR 2, one SR was rated as moderate quality, two as low quality, and 35 as very low quality. According to ROBIS, 21 SRs were classified as high risk of overall bias, and 17 as low risk. Acupuncture showed potential to improve depressive symptoms, stroke-related symptoms, and activities of daily living in PSD patients, though the quality of evidence is limited. Some studies suggested possible effects on cognitive function, biomarkers, sleep quality, and Traditional Chinese Medicine syndromes, but these findings require further validation with higher-quality research. While no serious adverse effects were reported in the reviewed studies, more rigorous safety evaluations are needed before definitive conclusions about acupuncture's safety for PSD can be made.</div></div><div><h3>Conclusion</h3><div>Acupuncture shows potential as a treatment for PSD, though more high-quality research is needed to establish its effectiveness and safety. Currently, the majority of systematic reviews exhibit deficiencies in protocol pre-registration, documentation of excluded studies, and disclosure of funding sources, resulting in systematic reviews of suboptimal quality. Current evidence suggests possible benefits for depressive symptoms, stroke-related symptoms, activities of daily living, cognitive function, biomarkers, sleep quality, and TCM syndromes, but these findings should be interpreted cautiously given the limitations in study quality. Further high-quality studies are needed to confirm the efficacy and safety of acupuncture for PSD.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"91 ","pages":"Article 103178"},"PeriodicalIF":3.3,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing methodological rigor: Re-evaluating statistical model selection in Tian et al.’s Baduanjin study","authors":"Shanshan Wu","doi":"10.1016/j.ctim.2025.103166","DOIUrl":"10.1016/j.ctim.2025.103166","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"91 ","pages":"Article 103166"},"PeriodicalIF":3.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of black seed (Nigella sativa L.) on cardiometabolic indices in type 2 diabetic patients: A systematic review and meta-analysis of RCTs","authors":"Mehdi Karimi ,&nbsp;Samira Pirzad ,&nbsp;Seyed Morteza Ali Pourfaraji ,&nbsp;Fatemeh Maleki Sedgi ,&nbsp;Bahar Darouei ,&nbsp;Reza Amani-Beni ,&nbsp;Kimia Kazemi ,&nbsp;Reyhaneh Rabiee","doi":"10.1016/j.ctim.2025.103174","DOIUrl":"10.1016/j.ctim.2025.103174","url":null,"abstract":"<div><h3>Background</h3><div>Black seed is known for its health benefits in traditional medicine. While recent studies suggest it may improve cardiometabolic health, its impact on type 2 diabetes mellitus (T2DM) remains unclear. This study aims to meta-analysis randomized controlled trials (RCTs) to assess the effects of black seed supplementation on cardiometabolic indices in T2DM patients.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, a comprehensive database search was conducted up to January 2025, and data were extracted from relevant RCTs. Mean differences (MD) and standard deviations (SD) were analyzed using a random-effects model, heterogeneity was assessed, and publication bias was evaluated.</div></div><div><h3>Results</h3><div>The pooled meta-analysis of 16 RCTs showed that black seed supplementation significantly reduced fasting blood glucose (FBG) (MD: −21.43 mg/dL; <em>p</em> = 0.005), hemoglobin A1c (HbA1c) (MD: −0.44; <em>p</em> = 0.01), total cholesterol (TC) (MD: −18.80 mg/dL; <em>p</em> = 0.04) and low-density lipoprotein (LDL) (MD: −19.53 mg/dL; <em>p</em> = 0.003). No significant effects were observed for 2-hour postprandial glucose (2-hpp), fasting insulin, homeostatic model assessment (HOMA), triglycerides (TG), high-density lipoprotein (HDL), aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatinine, and body weight, or body mass index (BMI). Subgroup analyses revealed that black seed supplementation effectively reduced FBG for longer than 8 weeks; additionally, HbA1c, HOMA, and LDL in higher doses (&gt;1 g/day), shorter durations (≤8 weeks), and use of the oil form.</div></div><div><h3>Conclusion</h3><div>Black seed supplementation appears to significantly improve FBG, HbA1c, TC, and LDL levels in patients with T2DM. However, no significant effects were observed on other metabolic parameters, including insulin, TG, liver enzymes, kidney function, or body weight. These findings suggest that black seed may be a beneficial adjunct therapy for glycemic and lipid control in T2DM patients but require further research to confirm its broader metabolic effects.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"90 ","pages":"Article 103174"},"PeriodicalIF":3.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herbal medicine for treating psoriasis: A systematic review","authors":"Melanie Anheyer ,&nbsp;Holger Cramer ,&nbsp;Thomas Ostermann ,&nbsp;Alfred Längler ,&nbsp;Dennis Anheyer","doi":"10.1016/j.ctim.2025.103173","DOIUrl":"10.1016/j.ctim.2025.103173","url":null,"abstract":"<div><h3>Background</h3><div>Psoriasis, a chronic skin condition influenced by both genetic and environmental factors, affects approximately 2 % of the global population. Treatment approaches range from topical agents for mild to moderate cases to systemic therapies for moderate to severe forms. Complementary and integrative medicine, including herbal remedies, is increasingly utilized by psoriasis patients, with herbal medicine being the most prevalent choice.</div></div><div><h3>Methods</h3><div>This systematic review adhered to PRISMA guidelines and Cochrane recommendations, with prior registration. Searches were conducted in Medline/PubMed, Scopus, and the Cochrane Central Register of Controlled Trials through June 2024. Inclusion criteria encompassed randomized controlled trials (RCTs) evaluating herbal therapies in psoriasis patients of any age. Data extraction and risk of bias assessment were performed independently by two authors, with discrepancies resolved through discussion.</div></div><div><h3>Results</h3><div>A total of 20 RCTs involving 1115 patients were included. Overall risk of bias varied across studies. Herbal interventions evaluated included Aloe vera, avocado oil, chamomile-pumpkin seed oleogel, indigo naturalis, kukui oil, mahonia aquifolium, turmeric, St. John’s wort, and various complex herbal preparations. Some herbal therapies, such as Mahonia aquifolium and Indigo naturalis, showed promise in reducing psoriasis severity, while others demonstrated mixed results<em>.</em></div></div><div><h3>Conclusions</h3><div>Herbal therapies present a diverse array of options for psoriasis management, but further research is essential to elucidate their safety profile and true effectiveness. Healthcare providers should engage in shared decision-making with patients, considering individual preferences and treatment goals while remaining vigilant in guiding towards evidence-based treatments.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"90 ","pages":"Article 103173"},"PeriodicalIF":3.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ending nuclear weapons, before they end us","authors":"Kamran Abbasi,&nbsp;Parveen Ali,&nbsp;Virginia Barbour,&nbsp;Marion Birch,&nbsp;Inga Blum,&nbsp;Peter Doherty,&nbsp;Andy Haines,&nbsp;Ira Helfand,&nbsp;Richard Horton,&nbsp;Kati Juva,&nbsp;Jose F. Lapena Jr,&nbsp;Robert Mash,&nbsp;Olga Mironova,&nbsp;Arun Mitra,&nbsp;Carlos Monteiro,&nbsp;Elena N. Naumova,&nbsp;David Onazi,&nbsp;Tilman Ruff,&nbsp;Peush Sahni,&nbsp;James Tumwine,&nbsp;Chris Zielinski","doi":"10.1016/j.ctim.2025.103175","DOIUrl":"10.1016/j.ctim.2025.103175","url":null,"abstract":"","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"91 ","pages":"Article 103175"},"PeriodicalIF":3.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of acupuncture for weight management: A systematic review and meta-analysis of randomized controlled trials","authors":"Yurou Li ,&nbsp;Jingya Yang ,&nbsp;Yuxiao Li ,&nbsp;Hao Hu ,&nbsp;Carolina Oi Lam Ung","doi":"10.1016/j.ctim.2025.103171","DOIUrl":"10.1016/j.ctim.2025.103171","url":null,"abstract":"<div><h3>Introduction</h3><div>Obesity is a chronic health problem worldwide, leading to an increased focus on weight management. Acupuncture is widely used in weight loss as traditional and complementary medicine because of its economy, simplicity, and safety. This study aimed to identify the latest evidence on acupuncture for weight loss and evaluate the efficacy and safety of the included randomized controlled trials (RCTs).</div></div><div><h3>Methods</h3><div>Seven databases were searched to identify RCTs published since January 2013 on using acupuncture for weight management. The STRICTA, CONSORT, and Cochrane Collaboration’s Risk of Bias tools were used to evaluate the included trials’ quality and risk of bias. All eligible trials were included in this meta-analysis.</div></div><div><h3>Results</h3><div>Sixty-four trials were included. Compared to control groups, acupuncture had a significant effect on BMI (mean difference (MD) = -2.15, 95 % confidence interval (CI) = -2.86 to −1.44, <em>P</em> &lt; 0.01), body weight (MD = −2.67, 95 % CI = −4.07 to −1.28, <em>P</em> &lt; 0.01), waist circumference (MD = −3.61, 95 % CI = −4.72 to −2.50, <em>P</em> &lt; 0.01), and some blood test indicators. Serious adverse events were not observed. However, the quality of the included trials was generally poor, and the risk of bias was uncertain.</div></div><div><h3>Conclusions</h3><div>Our study showed that acupuncture is effective for weight management. However, there are no clear conclusions regarding its safety. Studies of higher quality and longer duration are needed to improve the evidence base of acupuncture in weight management for clinical reference.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"90 ","pages":"Article 103171"},"PeriodicalIF":3.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}