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Electroacupuncture Treatment for Women with Primary Obesity: A Review of Randomized Controlled Trials

  • Lee, Soo Jin (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Oh, Da Yoon (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Park, Jae Eun (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Lee, Min Cheol (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Jeon, Myung Kyu (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Jang, Yeong Suk (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Kim, Hyeon Jin (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Ahn, Jae Young (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Hong, Noo ri (Department of Obstetrics and Gynecology of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Kim, Woo Young (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital)
  • Received : 2020.04.25
  • Accepted : 2020.05.11
  • Published : 2020.05.31

Abstract

The purpose of this review was to evaluate the effectiveness of electroacupuncture treatment for women with "primary obesity." Primary obesity is caused by an imbalance in energy intake and consumption due to abnormal eating and living habits in the absence of specific diseases causing the obesity. A literature review (up to December 2019) of randomized controlled trials (RCT) of electroacupuncture treatment for women with "primary obesity" was performed. Relevant clinical studies were retrieved from several databases, and interventions and results were analyzed. There were 6 RCT that fitted the inclusion criteria for this review. The intervention for the treatment group of the selected 6 RCT was electrical stimulation applied to acupoints. Interventions for the control groups included non-treatment, general acupuncture, and so on. Indicators for assessing treatment effects varied from study to study. Four out of 5 studies used body mass index (BMI) as an assessment tool and showed a significant decrease in BMI following electroacupuncture treatment. There were 4 studies using waist circumference as an indicator of abdominal obesity and these studies showed a significant decrease in waist circumference following electroacupuncture treatment. Electroacupuncture treatment used in primary obese women had a clinically significant effect, however, further RCT are needed.

Keywords

References

  1. World Health Organization [Internet]. Obesity: preventing and managing the global epidemic: Report of a WHO consultation. 2000. Available from: https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/.
  2. Azarbad L, Gonder-Frederick L. Obesity in women. Psychiatr Clin North Am 2010;33:423-440. https://doi.org/10.1016/j.psc.2010.01.003
  3. Kim SJ, Kim HS, Kim HJ. Differences in breast cancer screening rates according to obesity and weight perception among Korean women. J Korean Biol Nurs Sci 2018;20:169-176. [in Korean].
  4. Korea Centers for Disease Control and Prevention [Internet]. Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3). 2019. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7.
  5. So HY, Ahn SH, Song RY, Kim HL. Relationships among obesity, bone mineral density, and cardiovascular risks in postmenopausal women. Korean J Women Health Nurs 2010;16:224-233. [in Korean]. https://doi.org/10.4069/kjwhn.2010.16.3.224
  6. Kim MK, Kim CS. Recent advances in anti-obesity agents. Korean J Med 2018;93:501-508. [in Korean]. https://doi.org/10.3904/kjm.2018.93.6.501
  7. Park YS, Park KB, Min SH, Lee YT, Ahn SH, Park DJ et al. Incidence and management of micronutrient deficiencies in post-bariatric surgery patients. J Clin Nutr 2017;9:48-55. [in Korean]. https://doi.org/10.15747/jcn.2017.9.2.48
  8. Lee YJ, Ryu EK. The Change of weight loss of oriental obesity treatment. J Korean Med Obes Res 2009;9:53-58. [in Korean].
  9. Heo SJ, Ie JE, Kim HJ, Cho HJ. The progress report of weight and waist circumference through the oriental obesity treatment. J Korean Med Obes Res 2009;9:47-56. [in Korean].
  10. Yoo JE. The effects of wild Ginseng complex pharmacopuncture combined with hyperthermia on abdominal obesity in postmenopausal women: Case report. J Korean Med Obes Res 2016;16:133-137. [in Korean]. https://doi.org/10.15429/jkomor.2016.16.2.133
  11. Kim YJ, Shin MS. Research trends on the thread embedding therapy of obesity in traditional Chinese medicine. J Korean Acupunct Moxib Soc 2013;30:151-160. [in Korean]. https://doi.org/10.14406/acu.2013.30.3.151
  12. Song YK, Lim HH, A study on obesity management by body shape correction program. J Korean Med Obes Res 2005;5:133-140. [in Korean].
  13. Joo JW, Nam SY, Lee JD, Choi DY, Ahn BC, Park DS et al. A literature study on the effect of medical current on human body. J Korean Acupunct Moxib Soc 1996;13:335-366. [in Korean].
  14. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics and Gynecology, 3rd ed. Seoul (Korea): Eui Seong Dang; 2016. p. 295-302. [in Korean].
  15. Hsu CH, Hwang KC, Chao CL, Lin JG, Kao ST, Chou P. Effects of electroacupuncture in reducing weight and waist circumference in obese women: A randomized crossover trial. Int J Obes 2005;29:1379-1384. https://doi.org/10.1038/sj.ijo.0802997
  16. El-Kader SMA, Khalifa DA. Impact of weight loss on psychological well being and biochemical modulation in obese patients: A comparison of two treatment protocols. Eur J Gen Med 2012;9:104-110.
  17. Wu YF, Huang XG, Zhao LH. Observations on the efficacy of electroacupuncture plus weak laser fat dissolution technique in treating female patients with simple obesity and overweight of stomach heat dampness stagnation type. Shanghai J Acu-mox 2015;34:852-855. [in Chinese].
  18. Han YP, Li Y, Yang G, Wang LS. Efficacy observation of electro-acupuncture on simple obesity of female patients with spleen dysfunction and dampness syndrome. J Clin Acupunct 2015;06:25-27. [in Chinese].
  19. Lei H, Chen X, Liu S, Chen Z. Effect of electroacupuncture on visceral and hepatic fat in women with abdominal obesity: A randomized controlled study based on magnetic resonance imaging. J Altern Complement Med 2017;23:285-294. https://doi.org/10.1089/acm.2016.0361
  20. Lin CH, Lin YM, Liu CF. Electrical acupoint stimulation changes body composition and the meridian systems in postmenopausal women with obesity. Am J Chin Med 2010;38:683-694. https://doi.org/10.1142/S0192415X10008159
  21. Sowers M, Zheng H, Tomey K, Karvonen-Gutierrez C, Jannausch M, Li X, Yosef M, et al. Changes in body composition in women over six years at midlife: Ovarian and chronological aging. J Clin Endocr Metab 2007;92:895-901. https://doi.org/10.1210/jc.2006-1393
  22. Stoll BA. Breast cancer: the obesiy connection. Br J Cancer 1994;69:799-801. https://doi.org/10.1038/bjc.1994.157
  23. Kang C, LeRoith D, Gallagher EJ. Diabetes, Obesity, and Breast Cancer. Endocrinology 2018;159:3801-3812. https://doi.org/10.1210/en.2018-00574
  24. Lee DN, Lim EM. A study on obesity associated with women's diseases. J Orient Obstet Gynecol 2001;14:294-310. [in Korean].
  25. Lee JS. A case study on infertility with obesity and polycystic ovary. Korean J Obes 2005;5:157-163. [in Korean].
  26. Nam EY. The systematic review on clinical studies of traditional Korean medicine treatment for obesity in menopausal women. J Korean Med Obes Res 2019;19:56-67. [in Korean]. https://doi.org/10.15429/jkomor.2019.19.1.56
  27. Seo MH, Lee WY, Kim SS, Kang JH, Kang JH, Kim KK et al. 2018 Korean Society for the Study of Obesity Guideline for the Management of Obesity in Korea. J Obes Metab Syndr 2019;28:40-45. https://doi.org/10.7570/jomes.2019.28.1.40
  28. Cabioglu MT, Ergene N. Electroacupuncture therapy for weight loss reduces serum total cholesterol, triglycerides, and LDL cholesterol levels in obese women. Am J Chin Med 2005;33:525-533. https://doi.org/10.1142/S0192415X05003132
  29. Cabioglu MT, Ergene N. Changes in serum Leptin and beta-endorphin levels with weight loss by electroacupuncture and diet restriction in obesity treatment. Am J Chin Med 2006;34:1-11. https://doi.org/10.1142/S0192415X06003588
  30. Han Z, Jiang YH, Wan Y, Wang Y, Chang JK, Han JS. Endomorphin-1 mediates 2Hz but not 100Hz electroacupuncture analgesia in the rat. Neurosci Lett 1999;274:75-78. https://doi.org/10.1016/S0304-3940(99)00670-9
  31. Im JG. New Therapeutics of Acupuncture and Moxibustion. Seoul (Korea): Jip Moon Dang; 2001. p. 274-495. [in Korean].
  32. Daejeon Oriental Medical College. Zhen jiujingwei. Daejeon (Korea): Han Macbook; 1996. p. 340-348. [in Korean].