Auricular Acupressure for Weight Reduction in Obese Asian Young Adults: A Randomized Controlled Trial

Hsieh, Ching Hsiu

doi:10.1089/acu.2007.0542

Cited by 9 publications

(5 citation statements)

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“…Two trials were doubleblinded 34,35 and six trials were single-blinded. 31,36,[39][40][41][42] Acupuncture versus control of lifestyle Reduction in severity of obesity measured by a mean difference for changes in body weight or in BMI. With respect to reduction in severity of obesity, combining five studies (237 participants) that provided data on body weight (kg) using a fixed effects model produced a weighted MD in favor of acupuncture compared to control of lifestyle such as diet, exercise or qigong (pooled MD ¼ 1.72 kg, 95% CI ¼ 0.50-2.93) (Figure 2).…”

Section: Study Descriptionmentioning

confidence: 99%

Acupuncture for obesity: a systematic review and meta-analysis

et al. 2009

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Background and Objective: Acupuncture is widely used in complementary and alternative medicine to reduce body weight. However, a systematic review and meta-analysis to assess an effect of acupuncture has not yet been performed. Aim of this study is to critically assess evidence for reduction of body weight and to evaluate adverse events of acupuncture therapy based on the results of randomized controlled trials (RCTs) that evaluate the effect of various types of acupuncture therapies. Data sources: A total of 19 electronic databases, including English, Korean, Japanese and Chinese databases, were systematically searched for RCTs of acupuncture for reduction of body weight or improvement in obesity up to March 2008 with no language restrictions. Methods: RCTs for acupuncture compared either with placebo controlled or with comparator intervention were considered. Studies' methodological qualities were assessed using the Jadad scale. If no evidence of heterogeneity existed across study results, statistical pooling of data was performed using a fixed effects model; otherwise, a random effects model was used. Publication bias was assessed using funnel plots. Subgroup analyses were performed according to types of acupuncture. Results: A total of 31 studies, which comprised a total of 3013 individual cases, were systematically reviewed. Owing to insufficient data in 2 RCTs, 29 RCTs were used for meta-analysis. About two-thirds of the trials (20 out of 31) showed the lowest score of the Jadad. Compared to control of lifestyle, acupuncture was associated with a significant reduction of average body weight (95% confidence interval, CI) of 1.72 kg (0.50-2.93 kg) and associated with an improvement in obesity (relative risk ¼ 2.57; 95% CI, 1.98-3.34). Acupuncture significantly reduced a body weight of 1.56 kg (0.74-2.38 kg), on average, compared to placebo or sham treatments. Acupuncture also showed more improved outcomes for body weight (mean difference ¼ 1.90 kg; 1.66-2.13 kg), as well as for obesity (relative risk ¼ 1.13; 1.04-1.22), than conventional medication. Only four RCTs reported acupuncture-related adverse events, which were mostly minimal. Conclusions: Our review suggests that acupuncture is an effective treatment for obesity. However, the amount of evidence is not fully convincing because of the poor methodological quality of trials reviewed. In conclusion, there is an urgent need for well-planned, long-term studies to address the effectiveness of acupuncture for treating obesity.

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Section: Study Descriptionmentioning

confidence: 99%

Acupuncture for obesity: a systematic review and meta-analysis

et al. 2009

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“…Study results reported statistically significant within-intervention group effects for all BW, BMI, and WC with auricular acupressure (BW [ 60 , 61 , 64 – 66 , 71 ]; BMI [ 56 , 60 , 61 , 64 – 66 , 71 ]; WC [ 60 , 61 , 64 , 65 ]), combined auricular acupressure and TEAS [ 63 ], combined auricular acupressure and exercise [ 68 ], and body acupuncture [ 67 , 70 ]. Additionally, study results reported statistically significant within-intervention group effects for both BW and BMI with TEAS [ 62 ] and combined body acupuncture and massage [ 76 ].…”

Section: Resultsmentioning

confidence: 99%

Efficacy of acupuncture for lifestyle risk factors for stroke: A systematic review

et al. 2018

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BackgroundModifications to lifestyle risk factors for stroke may help prevent stroke events. This systematic review aimed to identify and summarise the evidence of acupuncture interventions for those people with lifestyle risk factors for stroke, including alcohol-dependence, smoking-dependence, hypertension, and obesity.MethodsMEDLINE, CINAHL/EBSCO, SCOPUS, and Cochrane Database were searched from January 1996 to December 2016. Only randomised controlled trials (RCTs) with empirical research findings were included. PRISMA guidelines were followed and risk of bias was assessed via the Cochrane Collaboration risk of bias assessment tool. The systematic review reported in this paper has been registered on the PROSPERO (#CRD42017060490).ResultsA total of 59 RCTs (5,650 participants) examining the use of acupuncture in treating lifestyle risk factors for stroke met the inclusion criteria. The seven RCTs focusing on alcohol-dependence showed substantial heterogeneity regarding intervention details. No evidence from meta-analysis has been found regarding post-intervention or long-term effect on blood pressure control for acupuncture compared to sham intervention. Relative to sham acupuncture, individuals receiving auricular acupressure for smoking-dependence reported lower numbers of consumed cigarettes per day (two RCTs, mean difference (MD) = -2.75 cigarettes/day; 95% confidence interval (CI) = -5.33, -0.17; p = 0.04). Compared to sham acupuncture those receiving acupuncture for obesity reported lower waist circumference (five RCTs, MD = -2.79 cm; 95% CI: -4.13, -1.46; p<0.001). Overall, only few trials were considered of low risk of bias for smoking-dependence and obesity, and as such none of the significant effects in favour of acupuncture interventions were robust against potential selection, performance, and detection bias.ConclusionsThis review found no convincing evidence for effects of acupuncture interventions for improving lifestyle risk factors for stroke.

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“…After 8 weeks of ear acupressure treatment, BMI decreased significantly by 0.7. 15 After being treated with electroacupuncture at auricular acupoints plus body acupoints for 20 days, there was a 4.7% weight reduction in patients with obesity, whereas patients in a diet restriction group had a 2.9% weight reduction. 19 A statistically significant drop in WC during a 9-week treatment using auricular acupuncture occurred in obese volunteers.…”

Section: Discussionmentioning

confidence: 97%

“…Several studies have shown that auricular acupuncture is a reasonable for treating patients who are overweight. [14][15][16][17] Auricular acupuncture points for treating obesity are: Shenmen, Spleen, Mouth, Stomach, Endocrine points, Small Intestine, Large Intestine, and Hunger. [17][18][19][20][21] There are also other acupoints used to treat obesity; however, not all of them were used in the current study because of the practical procedures required in the hospital.…”

Section: Discussionmentioning

confidence: 99%

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Auricular Acupressure Plus Exercise for Treating Primary Obese Women: A Randomized Controlled Clinical Trial

Zhou

et al. 2012

Medical Acupuncture

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Background: Acupuncture has been found to be effective for reducing body weight (BW) with few adverse effects. Objective: The aim of this study was to evaluate the effect of auricular acupressure plus exercise in primary obese women in a randomized controlled clinical trial. Design, Setting, and Patients: Sixty Chinese women (ages 18-54) with primary obesity (body mass index [BMI] ‡ 25 and waist circumference [WC] ‡ 80 cm) were enrolled in this study. Intervention: The patients were randomly assigned to 2 groups: Group A and Group B. Patients in Group A (n = 30) were instructed to do aerobics exercises such as jogging, rope skipping, walking, etc. Patients in Group B (n = 30) were treated with auricular acupressure plus exercise. Main Outcome Measure: BW, BMI, and WC in primary obese women were measured at the beginning and end of the treatment. Results: BW, BMI, and WC decreased in both groups after 4 weeks of treatment. The participants' BW decreased more ( p < 0.05) in Group B than in Group A. Yet, there were no statistical differences in BMI and WC between the 2 groups. Conclusions: Both auricular acupressure and exercise play important roles in weight reduction. Auricular acupressure plus exercise is better than exercise alone for BW reduction. Auricular acupressure is an effective, convenient, and low-cost treatment for primary obese women, and can be self-administered by the patient when this is required.

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Auricular Acupressure for Weight Reduction in Obese Asian Young Adults: A Randomized Controlled Trial

Cited by 9 publications

References 10 publications

Acupuncture for obesity: a systematic review and meta-analysis

Acupuncture for obesity: a systematic review and meta-analysis

Efficacy of acupuncture for lifestyle risk factors for stroke: A systematic review

Auricular Acupressure Plus Exercise for Treating Primary Obese Women: A Randomized Controlled Clinical Trial

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