Namazi Nazli, Khodamoradi Kajal, Larijani Bagher, Ayati Mohammad Hossein
Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Nursing, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
Acupunct Med. 2017 Dec;35(6):452-459. doi: 10.1136/acupmed-2017-011401. Epub 2017 Oct 26.
Complementary therapies may increase the success rate of weight loss via a calorie-restricted diet. Acupuncture is a popular complementary therapy for obesity management. To our knowledge, no studies have summarised the effects of laser acupuncture (LA) on obesity.
To evaluate the efficacy of LA, in particular with respect to its impact on anthropometric features and appetite in obese adults, by conducting a systematic review of previous clinical trials.
We searched PubMed/Medline, Scopus, Web of Science, the Cochrane Library, Embase and Google Scholar electronic databases for papers published through October 2016. All clinical trials in English containing either anthropometric indices or appetite parameters were included. Two reviewers independently examined studies based on a predefined form for data extraction and the Jadad scale for quality assessment in order to minimise bias throughout the evaluation.
After screening the papers, seven clinical trials met the criteria and were included in the systematic review. Positive effects of LA therapy were seen in body weight (n=3), body mass index (n=5), waist circumference (n=4), hip circumference (n=3), waist to hip ratio (n=4) and % fat mass (n=3). Appetite parameters were reported in one study, which showed that LA can reduce appetite and increase the sensation of feeling full.
Although some studies have indicated beneficial effects for LA on obesity, the lack of evidence with high methodological quality made it impossible to reach a definitive conclusion about the efficacy of LA for obesity management. Further high-quality, randomised, sham-controlled clinical trials with a larger sample size are needed to shed light on the efficacy of LA for obesity management and weight maintenance.
辅助疗法可能通过限制热量的饮食提高减肥成功率。针灸是用于肥胖管理的一种流行的辅助疗法。据我们所知，尚无研究总结激光针灸（LA）对肥胖的影响。
通过对既往临床试验进行系统评价，评估LA的疗效，尤其是其对肥胖成年人人体测量学特征和食欲的影响。
我们检索了PubMed/Medline、Scopus、Web of Science、Cochrane图书馆、Embase和谷歌学术电子数据库，以查找截至2016年10月发表的论文。纳入所有包含人体测量指标或食欲参数的英文临床试验。两名评价者根据预定义的数据提取表格和用于质量评估的Jadad量表独立审查研究，以便在整个评价过程中尽量减少偏倚。
在筛选这些论文后，七项临床试验符合标准并被纳入系统评价。LA疗法在体重（n = 3）、体重指数（n = 5）、腰围（n = 4）、臀围（n = 3）、腰臀比（n = 4）和体脂百分比（n = 3）方面显示出积极效果。一项研究报告了食欲参数，结果显示LA可降低食欲并增加饱腹感。
尽管一些研究表明LA对肥胖有有益作用，但缺乏高质量的证据使得无法就LA用于肥胖管理的疗效得出明确结论。需要进一步开展高质量、随机、假对照的大样本临床试验，以阐明LA用于肥胖管理和体重维持的疗效。
