PMID- 35985055 OWN - NLM STAT- MEDLINE DCOM- 20221118 LR - 20221118 IS - 1873-6947 (Electronic) IS - 1744-3881 (Linking) VI - 49 DP - 2022 Nov TI - Acupuncture in treating obesity combined with type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled clinical trials. PG - 101658 LID - S1744-3881(22)00126-8 [pii] LID - 10.1016/j.ctcp.2022.101658 [doi] AB - BACKGROUND: and purpose: Most type 2 diabetes mellitus (T2DM) patients are accompanied by overweight or obesity, and it is difficult to concurrently solve these two issues with conventional treatment regimens without experiencing adverse effects. While clinical practice demonstrates that acupuncture is beneficial in treating obesity combined with T2DM, there is a lack of evidence-based medicine to support this claim. The study aims to systematically evaluate the efficacy and safety of acupuncture in treating obesity combined with T2DM. METHODS: By searching eight electronic databases, we collected randomized controlled trials on acupuncture in treating obesity combined with T2DM. Two reviewers independently screened the literature, extracted the data, and assessed the risk of bias in the included studies. Meta-analysis was then performed using RevMan 5.4 software. RESULTS: A total of 13 randomized controlled trials (RCTs) involving 993 patients were eventually included. Meta-analysis results demonstrated the effective rate of clinical symptoms: [RR = 1.19, 95% CI: 1.11, 1.28, P < 0.00001]; body mass index: [MD = -2.11, 95% CI: -2.56, -1.66, P < 0.00001]; fasting plasma glucose: [MD = -1.09, 95% CI: -1.60, -0.59, P < 0.00001]; haemoglobin A1c: [MD = -0.58, 95% CI: -0.95, -0.20, P = 0.002]; triglyceride: [MD = -0.29, 95% CI: -0.46, -0.11, P = 0.001]; waist circumference: [MD = -5.36, 95% CI: -8.68, -2.05, P = 0.002]; body fat rate: [MD = -3.59, 95% CI: -4.28, -2.90, P < 0.00001]. CONCLUSION: Current evidence suggests that acupuncture has advantages in treating obesity combined with T2DM. However, due to low-quality evidence of included research, additional large-sample and high-quality research are required to validate the findings of this study. CI - Copyright (c) 2022. Published by Elsevier Ltd. FAU - Wang, Ying AU - Wang Y AD - Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, Jiangxi Province, China. Electronic address: wangying_0607@126.com. FAU - Xu, Guang-Nan AU - Xu GN AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China; Nankai Hospital of Traditional Chinese Medicine, Tianjin, China. FAU - Wan, Ren-Hong AU - Wan RH AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Zhou, Xin AU - Zhou X AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Ma, Li-Ying AU - Ma LY AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Liu, Bing AU - Liu B AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Zhang, Yu-Yan AU - Zhang YY AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Zhou, Liang AU - Zhou L AD - Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, Jiangxi Province, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20220813 PL - England TA - Complement Ther Clin Pract JT - Complementary therapies in clinical practice JID - 101225531 MH - Humans MH - *Diabetes Mellitus, Type 2/therapy/drug therapy MH - Obesity/complications/therapy MH - *Acupuncture Therapy MH - Body Mass Index MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - Acupuncture OT - Meta-analysis OT - Obesity OT - Type 2 diabetes mellitus COIS- Declaration of competing interest The authors declare that they have no conflict of interest. EDAT- 2022/08/20 06:00 MHDA- 2022/11/19 06:00 CRDT- 2022/08/19 18:02 PHST- 2021/06/09 00:00 [received] PHST- 2022/08/08 00:00 [revised] PHST- 2022/08/08 00:00 [accepted] PHST- 2022/08/20 06:00 [pubmed] PHST- 2022/11/19 06:00 [medline] PHST- 2022/08/19 18:02 [entrez] AID - S1744-3881(22)00126-8 [pii] AID - 10.1016/j.ctcp.2022.101658 [doi] PST - ppublish SO - Complement Ther Clin Pract. 2022 Nov;49:101658. doi: 10.1016/j.ctcp.2022.101658. Epub 2022 Aug 13.