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Effects of Acupuncture Treatment on Weight Loss and Glucose Intolerance Induced by a Ketogenic Diet

케톤식이로 발생한 체중감소 및 내당능장애에 침치료 효과

  • Ko, Jade Heejae (Department of Meridian and Acupoint, College of Korean Medicine, Dongguk University) ;
  • Kim, Dong-Joo (Department of Meridian and Acupoint, College of Korean Medicine, Dongguk University) ;
  • Kim, Seung-Nam (Department of Meridian and Acupoint, College of Korean Medicine, Dongguk University)
  • 고희재 (동국대학교 한의과대학 경락경혈학교실) ;
  • 김동주 (동국대학교 한의과대학 경락경혈학교실) ;
  • 김승남 (동국대학교 한의과대학 경락경혈학교실)
  • Received : 2019.12.13
  • Accepted : 2019.12.19
  • Published : 2019.12.27

Abstract

Objectives : This preliminary study investigated the effect of acupuncture treatment on short-term ketogenic diet-induced weight loss and glucose intolerance in mice. Methods : Six-week old male C57BL/6J mice were randomly assigned to 3 groups: normal, KD, and KD+ACU. All the mice except normal group were fed with ketogenic diet formula for 7 weeks and mice in KD+ACU group received acupuncture treatment three times a week. Body weights were measured three times a week, and glucose level was measured on week 1,3,5, and 7. Ketone level was measured on week 3,5, and 7. Results : Ketogenic diet showed short-term weight loss effect, however, acupuncture treatment did not affect on the weight loss. Ketone level was increased in KD fed mice compared to normal diet fed mice and the level was decreased in KD+ACU group on week 3. However, the change was not significantly different compared to KD group on week 7. Glucose intolerance was improved in KD+ACU group compared to KD group. Conclusions : Acupuncture treatment was effective in relieving glucose intolerance, and the results suggest that combining acupuncture treatment with ketogenic diet may complement each therapeutic intervention by improving glucose intolerance but not effecting on weight loss. This study provides meaningful evidence as a preliminary study of acupuncture treatment on ketogenic diet.

Keywords

References

  1. World Health Organization. Obesity and overweight. 2018. https://www.who.int/en/news-room/fact-sheets/detail/obesityand-overweight.
  2. Gögebakan O, Kohl A, Osterhoff MA, et al. Effects of weight loss and long-term weight maintenance with diets varying in protein and glycemic index on cardiovascular risk factors: the diet, obesity, and genes (DiOGenes) study: a randomized, controlled trial. Circulation. 2011; 124: 2829-2838. doi: 10.1161/CIRCULATIONAHA.111.033274.
  3. Sears B & Lawren W. Enter the Zone. 1995. New York: Harper Collins.
  4. Weight Watchers Publishing Group.Weight Watchers New Complete Cookbook. 1997. New York: Macmill.
  5. Accurso A, Bernstein R, Dahlqvist A, et al. Dietary carbohydrate restriction in type 2 diabetes mellitus and metabolic syndrome: time for a critical appraisal. Nutr Metab (Lond). 2008; 5: 9. doi: 10.1186/1743-7075-5-9.
  6. Alhassan S, Kim S, Bersamin A, et al. Dietary adherence and weight loss success among overweight women: results from the A to Z weight loss study. Int J Obes (Lond). 2008; 32: 985-991. doi: 10.1038/ijo.2008.8.
  7. Shai I, Schwarzfuchs D, Henkin Y, et al. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008; 359: 229-247. doi: 10.1056/NEJMoa0708681.
  8. Nordmann AJ, Nordmann A, Briel M, et al. Effects of low-carbohydrate vs low-fat diets on weight loss and cardiovascular risk factors: a meta-analysis of randomized controlled trials. Arch Intern Med. 2006; 166: 285-293. doi: 10.1001/archinte.166.3.285.
  9. Hession M, Rolland C, Kulkarni U, et al. Systematic review of randomized controlled trials of low-carbohydrate vs. low-fat/low-calorie diets in the management of obesity and its comorbidities. Obes Rev. 2009; 10: 36-50. doi: 10.1111/j.1467-789X.2008.00518.x.
  10. Santos FL, Esteves SS, da Costa Pereira A, et al. Systematic review and meta-analysis of clinical trials of the effects of low carbohydrate diets on cardiovascular risk factors. Obes Rev 2012; 13: 1048-1066. doi: 10.1111/j.1467-789X.2012.01021.x.
  11. Paoli A, Rubini A, Volek JS, Grimaldi KA. Beyond weight loss: a review of the therapeutic uses of very-low-carbohydrate (ketogenic) diets. Eur J Clin Nutr. 2013; 67: 789-796. doi: 10.1038/ejcn.2013.116.
  12. Peters J. Starvation diabetes, the reason for the use of glucose in the treatment of diabetic acidosis. Yale J Biol Med. 1945; 17: PMC2601774.
  13. Lundbaek K. Metabolic abnormalities in starvation diabetes. Yale J Biol Med. 1948; 20: 533-544.
  14. Fery F, Attellis NPD, Balasse EO. Mechanisms of starvation diabetes: a study with double tracer and indirect calorimetry. Am J Physiol. 1990; 259: E770-E777. doi: 10.1152/ajpendo.1990.259.6.E770.
  15. Jornayvaz FR, Jurczak MJ, Lee H-Y, et al. A high-fat, ketogenic diet causes hepatic insulin resistance in mice, despite increasing energy expenditure and preventing weight gain. Am J Physiol Endocrinol Metab. 2010; 299: E808-E815. doi: 10.1152/ajpendo.00361.2010.
  16. Garbow JR, Doherty JM, Schugar RC, et al. Hepatic steatosis, inflammation, and ER stress in mice maintained long term on a very low-carbohydrate ketogenic diet. Am J Physiol Gastrointest Liver Physiol. 2011; 300: G956-G967. doi: 10.1152/ajpgi.00539.2010.
  17. Li ZX, Zhang HH, Lan DC et al. Eletroacupuncture improves lipid metabolic disorder by regulating hepaticAMPK/p38 $MAPK/RRAR{\gamma}$ signaling in rats with high-fat diet-induced insulin resistance. Zhen Ci Yan Jiu. 2019; 44(1): 8-12. doi: 10.13702/j.1000-0607.170633.
  18. Li MH, Hong H, Lu SF, et al. Hepatic $IR{\beta}$/IRS 1/Akt Signaling May Contribute to the Effectiveness of Electroacupuncture in Improving Insulin Resistance in Central Stat 5 Knockout Mice. Zhen Ci Yan Jiu. 2018; 43(5): 314-8. doi: 10.13702/j.1000-0607.170803.
  19. Liu X, He J, Qu Y, et al. Effects of electroacupuncture on insulin resistance and hypothalamic insulinsignal molecule in rats with diet-induced obesity. Zhongguo Zhen Jiu. 2016; 36(9): 957-961. doi: 10.13703/j.0255-2930.2016.09.019.
  20. Wang HY, Liang CM, Cui JW, et al. Acupuncture improves hepatic lipid metabolism by suppressing oxidative stress in obese nonalcoholic fatty liver disease rats. Zhen Ci Yan Jiu. 2019; 44(3): 189-94. doi: 10.13702/j.1000-0607.180650.
  21. Johanne H Ellenbroek, Laura van Dijck, Hendrica A. Tons, et al. Long-term ketogenic diet causes glucose intolerance and reduced ${\beta}$- and ${\alpha}$-cell mass but no weight loss in mice. Am J Physiol Endocrinol Metab. 2014; 306: E552-E558. doi: 10.1152/ajpendo.00453.2013.