Chester Yan Jie Ng, Wen Min Ng, Yan Zhao, Linda LD Zhong
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引用次数: 0
摘要
引言 本研究旨在评估不同针灸方法治疗成年女性肥胖症的临床疗效。针灸方法包括耳针(AA)、电针(EA)和手针(MA)。方法检索了从开始到 2022 年 5 月的七个电子数据库,以查找随机对照试验(RCT)。针灸对成年女性肥胖症的影响通过体重指数(BMI)、腰围(WC)和体重(BW)进行测量。为了评估 RCT 的质量,使用了 Cochrane 协作的偏倚风险工具。使用 "综述管理器 "软件进行汇总分析,并使用随机效应模型来考虑纳入研究的异质性。治疗组之间的差异以平均差(MD)报告。针灸组和对照组分别有 375 名和 376 名参与者。发现 AA、EA 和 MA 均可降低体重指数(BMI)、腹围(WC)和体重(BW)等身体参数。BMI的MD值为-0.81 kg/m² (95% CI= -1.26 to -0.37, P=0.0003),WC的MD值为-1.10 cm (95% CI= -2.08 to -0.12, P=0.03),BW的MD值为-1.37 kg (95% CI= -2.17 to -0.58, P=0.0007)。针灸对肥胖成年女性的体重指数、体重和腹围有潜在的改善作用,这表明针灸具有治疗效果,但这些研究结果还需在未来进行更高质量的 RCT 研究来证实。
The effectiveness of different modes of acupuncture for mature adult females with obesity: A systematic review and meta-analysis
Introduction
This study aims to evaluate the clinical efficacy of different modes of acupuncture for obesity treatment in adult females. Auricular Acupuncture (AA), Electroacupuncture (EA), and Manual Acupuncture (MA) were the acupuncture methods evaluated. This was accomplished through a systematic review and meta-analysis.
Methods
Seven electronic databases were searched from inception to May 2022 to source for Randomized Control Trials (RCTs). Acupuncture's effect on obesity in adult females was measured using body mass index (BMI), waist circumference (WC), and body weight (BW). To assess the quality of the RCTs, the Cochrane Collaboration's Risk of Bias Tool was used. Pooled analysis was done using the Review Manager software and the random-effects model was used to account for heterogeneity of the included studies. The differences between treatment groups were reported as mean differences (MD).
Results
12 RCTs were selected through screening of results from electronic databases. The acupuncture and control groups each had 375 and 376 participants, respectively. Body parameters such as BMI, WC, and BW were found to be reduced by AA, EA, and MA. BMI had a MD of −0.81 kg/m² (95% CI= −1.26 to −0.37, P=0.0003), WC had a MD of −1.10 cm (95% CI= −2.08 to −0.12, P=0.03), and BW had a MD of −1.37 kg (95% CI= −2.17 to −0.58, P=0.0007).
Conclusion
Acupuncture showed potential benefits to improve BMI, BW, and WC in obese adult females, indicating its efficacy in treatment. However, these findings must be confirmed by higher-quality RCTs in the future.
期刊介绍:
Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.