Yeh Tzu-Lin, Chen Hsin-Hao, Pai Tsung-Ping, Liu Shu-Jung, Wu Shang-Liang, Sun Fang-Ju, Hwang Lee-Ching
Department of Family Medicine, Hsinchu MacKay Memorial Hospital, No. 690, Section 2, Guangfu Road, East District, Hsinchu City, Taiwan.
Department of Family Medicine, Taipei MacKay Memorial Hospital, No. 92, Section 2, Zhongshan North Road, Taipei City, Taiwan.
Evid Based Complement Alternat Med. 2017;2017:3080547. doi: 10.1155/2017/3080547. Epub 2017 Dec 5.
To investigate the effect of auricular acupoint stimulation on overweight and obese adults.
We searched databases including PubMed, EMBASE, Allied and Complementary Medicine Database, National Knowledge Infrastructure, and the PerioPath Index to Taiwan Periodical Literature. The modified Jadad scale was used to assess study quality. We investigated the effect of auricular acupoint stimulation on anthropometric measurements.
Eighteen randomized controlled trials (RCTs) were included in our systematic review. Thirteen RCTs were pooled in a meta-analysis that revealed a significant reduction in body weight (BW) with a mean difference (MD) of -1.21 kg and a 95% confidence interval (CI) from -1.94 to -0.47 with a heterogeneity of = 88%. Significant decreases in body mass index (BMI; MD: -0.57 kg/m; 95% CI -0.82 to -0.33; = 78%), body fat (BF; MD: -0.83%; 95% CI -1.43 to -0.24; = 0%), and waist circumference (WC; MD: -1.75 cm; 95% CI -2.95 to -0.55; = 87%) were also revealed.
This meta-analysis shows that auricular acupoint stimulation improves physical anthropometric parameters including BW, BMI, BF, and WC in overweight and obese adults. These methods are less effective on hip circumference and waist-to-hip ratio.
探讨耳穴刺激对超重和肥胖成年人的影响。
我们检索了包括PubMed、EMBASE、联合与补充医学数据库、中国知网以及台湾期刊文献PerioPath索引在内的数据库。采用改良的Jadad量表评估研究质量。我们研究了耳穴刺激对人体测量指标的影响。
18项随机对照试验（RCT）纳入了我们的系统评价。13项RCT被纳入荟萃分析，结果显示体重显著降低，平均差值（MD）为-1.21 kg，95%置信区间（CI）为-1.94至-0.47，异质性为88%。体重指数（BMI；MD：-0.57 kg/m²；95% CI -0.82至-0.33；异质性为78%）、体脂（BF；MD：-0.83%；95% CI -1.43至-0.24；异质性为0%）和腰围（WC；MD：-1.75 cm；95% CI -2.95至-0.55；异质性为87%）也显著降低。
这项荟萃分析表明，耳穴刺激可改善超重和肥胖成年人的身体测量参数，包括体重、BMI、体脂和腰围。这些方法对臀围和腰臀比的效果较差。
