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Current Medical Science

, Volume 38, Issue 6, pp 1109–1116 | Cite as

Is Acupuncture Effective for Improving Insulin Resistance? A Systematic Review and Meta-analysis

  • Ai-qun Song
  • Yang-pu Zhang
  • Rui Chen
  • Feng-xia Liang
Article
  • 3 Downloads

Summary

This study aimed to evaluate the clinical efficacy of acupuncture for intervening insulin resistance (IR) by meta-analysis of related randomized controlled trials (RCTs). Studies published prior to 31 January 2018 were searched on Pubmed, Medline, Cochrane Library, Embase databases and Chinese databases. Only RCTs, which examined acupuncture as the sole or adjunctive treatment for IR-related diseases, were included. The primary outcome was homeostasis model assessment for insulin resistance (HOMA-IR). The secondary outcomes consisted of fasting blood glucose (FBG), fasting insulin (FINS) and 2-h postprandial blood glucose (2h-PBG). The differences between groups were reported as mean differences (MD). All statistical analyses were performed using RevMan software 5.3. After carefully screening relevant studies, 9 RCTs involving 562 patients (279 in experimental group and 283 in control group) were enrolled in this study. The pooled results showed that acupuncture had significant effects on HOMA-IR (MD 0.70, 95% CI 0.04 to 1.35, P=0.04<0.05), FINS (MD 3.35 mU/L, 95% CI 1.99 to 4.7, P<0.001) and 2h-PBG (MD 1.03 mmol/L, 95% CI 0.25 to 1.82, P=0.01). However, the differences in FBG were not significant (MD 0.28 mmol/L, 95% CI–0.28 to 0.84, P=0.32>0.05). The present meta-analysis indicated that acupuncture can help to improve IR to a certain extent, which remains to be confirmed by further high-quality RCTs.

Key words

acupuncture insulin resistance randomized controlled trials meta-analysis 

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References

  1. 1.
    Moghetti P. Insulin resistance and polycystic ovary syndrome. Curr Pharm Des, 2016,22(36):5526–5534CrossRefGoogle Scholar
  2. 2.
    Xie JH, Liu Q, Yang Y. Correlation of liver enzymes with diabetes and pre-diabetes in middle-aged rural population in China. J Huazhong Univ Sci Technolog Med Sci, 2016,36(1):53–58CrossRefGoogle Scholar
  3. 3.
    Chen W, Balland E, Cowley MA. Hypothalamic insulin resistance in obesity: Effects on glucose homeostasis. Neuroendocrinology, 2017,104(4):364–381CrossRefGoogle Scholar
  4. 4.
    Zhao Y, Hou L, Gao HJ, et al. Independent relationship between body mass index and LH peak value of GnRH stimulation test in ICPP girls: A cross-sectional study. J Huazhong Univ Sci Technolog Med Sci, 2017,37(4):556–562CrossRefGoogle Scholar
  5. 5.
    Kelly T, Yang W, Chen CS, et al. Global burden of obesity in 2005 and projections to 2030. Int J Obes, 2008,32(9):1431–1437CrossRefGoogle Scholar
  6. 6.
    Lazo M, Clark JM. The epidemiology of nonalcoholic fatty liver disease: a global perspective. Semin Liver Dis, 2008,28(4):339–350CrossRefGoogle Scholar
  7. 7.
    Fonseca V, Desouza C, Asnani S, et al. Nontraditional risk factors for cardiovascular disease in diabetes. Endocr Rev, 2004,25(1):153–175CrossRefGoogle Scholar
  8. 8.
    Goodarzi MO, Bryer-Ash M. Metformin revisited: reevaluation of its properties and role in the pharmacopoeia of modern antidiabetic agents. Diabetes Obes Metab, 2005,7(6):654–665CrossRefGoogle Scholar
  9. 9.
    Xiao WH, Wang YR, Hou WF, et al. The effects of pioglitazone on biochemical markers of bone turnover in the patients with type 2 diabetes. Int J Endocrinol, 2013,2013:290734CrossRefGoogle Scholar
  10. 10.
    Xu Z, Li R, Zhu C, et al. Effect of acupuncture treatment for weight loss on gut flora in patients with simple obesity. Acupunct Med, 2013,31(1):116–117CrossRefGoogle Scholar
  11. 11.
    Kumar R, Mooventhan A, Manjunath NK. Immediate effect of needling at CV-12 (Zhongwan) acupuncture point on blood glucose level in patients with type 2 diabetes mellitus: A pilot randomized placebo-controlled trial. J Acupunct Meridian Stud, 2017,10(4):240–244CrossRefGoogle Scholar
  12. 12.
    Hao C, Zhang T, Qi J, et al. Acupuncture at Zhibian (BL 54) through Shuidao (ST 28) for polycystic ovary syndrome. Zhongguo Zhen Jiu (Chinese), 2015,35(5):461–464Google Scholar
  13. 13.
    Firouzjaei A, Li GC, Wang N, et al. Comparative evaluation of the therapeutic effect of metformin monotherapy with metformin and acupuncture combined therapy on weight loss and insulin sensitivity in diabetic patients. Nutr Diabetes, 2016, 6:e209CrossRefGoogle Scholar
  14. 14.
    Zheng YH, Wang XH, Lai MH, et al. Effectiveness of abdominal acupuncture for patients with obesity-type polycystic ovary syndrome: A randomized controlled trial. J Altern Complem Med, 2013,19(9):740–745CrossRefGoogle Scholar
  15. 15.
    Garcia-Vivas JM, Galaviz-Hernandez C, Becerril-Chavez F, et al. Acupoint catgut embedding therapy with moxibustion reduces the risk of diabetes in obese women. J Res Med Sci, 2014,19(7):610–616Google Scholar
  16. 16.
    Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol, 2009,62(10):e1–e34CrossRefGoogle Scholar
  17. 17.
    Song AQ, Liang FX. Is acupuncture effective for improving insulin resistance? A systematic review and meta-analysis. PROSPERO: CRD42018088172 https://doi.org/www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=88172
  18. 18.
    Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0: The Cochrane Collaboration, 2011Google Scholar
  19. 19.
    Chen R, Wang C, Yan QY. Observation on therapeutic effect of polycystic ovary syndrome of damp-phlegm constitution treated with embedding therapy on backshu points and front-mu points combined with needlepricking therapy on Sifeng (EX-UE 10). Zhongguo Zhen Jiu (Chinese), 2014,34(4):355–358Google Scholar
  20. 20.
    Yang J, Liu Y, Huang J, et al. Acupuncture and Chinese medicine of artificial cycle therapy for insulin resistance of polycystic ovary syndrome with phlegm damp type and its mechanism. Zhongguo Zhen Jiu (Chinese), 2017,37(11):1163–1168Google Scholar
  21. 21.
    Cai H, Zhao LJ, Zhao ZM, et al. Effect of acupuncture on serum leptin level in patients with type II diabetes mellitus. Zhen Ci Yan Jiu (Chinese), 2011,36(4):288–291Google Scholar
  22. 22.
    Lin RT, Pai HC, Lee YC, et al. Electroacupuncture and rosiglitazone combined therapy as a means of treating insulin resistance and type 2 diabetes mellitus: A randomized controlled trial. Evid-based Compl Alt, 2013,2013:969824Google Scholar
  23. 23.
    Yang Y, Liu YX. BO's abdominal acupuncture for obese type-2 diabetes mellitus. Zhongguo Zhen Jiu (Chinese), 2015,35(4):330–334Google Scholar
  24. 24.
    Li Q, Li L, Luo YP, et al. Effects of electroacupuncture on glycometabolism in metabolism syndrome. World J Acupunct Moxibustion, 2014,24(3):1–5CrossRefGoogle Scholar

Copyright information

© Huazhong University of Science and Technology 2018

Authors and Affiliations

  • Ai-qun Song
    • 1
  • Yang-pu Zhang
    • 2
  • Rui Chen
    • 3
  • Feng-xia Liang
    • 1
  1. 1.Department of Acupuncture and MoxibustionHubei University of Chinese MedicineWuhanChina
  2. 2.Department of Physical Medicine and RehabilitationHubei Provincial Hospital of Integrated Chinese and Western MedicineWuhanChina
  3. 3.Department of Traditional Chinese Medicine, Union Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina

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