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Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

The combination effects of body acupuncture and auricular acupressure compared to sham acupuncture for body weight control: study protocol for a randomized controlled trial

Authors: Linda L. D. Zhong, Wai Kun, Tsz Fung Lam, Shi Ping Zhang, Jun Jun Yang, Tat Chi Ziea, Bacon Ng, Zhao Xiang Bian

Published in: Trials | Issue 1/2016

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Abstract

Background

Obesity is an increasingly prevalent chronic condition that is associated with serious morbidity and mortality. Excess body weight is a risk factor contributing to diseases such as hypertension, heart disease, hypercholesterolaemia, diabetes mellitus, cerebrovascular disease, gall bladder disease, and some types of cancer. Almost all the Western anti-obesity drugs have adverse effects or body weight is regained upon cessation of therapy. Recent studies have found that acupuncture had a similar efficacy as the Western anti-obesity drugs with fewer reported adverse effects. However, these conclusions were limited due to the small sample size and low quality of methodologies of these studies. Therefore, we design this study to explore the effectiveness and safety of acupuncture on weight control.

Methods/design

This is a pilot single-blinded, randomized, sham-controlled trial on acupuncture for body weight control. Seventy-two participants are randomly assigned to the acupuncture group or the control group. Tianshu (ST-25), Daheng (SP-15), Daimai (GB-26), Qihai (CV-6), Zhongwan (CV-12), Zusanli (ST-36), Fenglong (ST-40), and Sanyinjiao (SP-6) are selected as acupuncture points. For the acupuncture group, disposable acupuncture needles will be inserted at a depth of 10–25 mm into the points and electrical stimulation with dense-disperse waves at 50 Hz and 10 V will be applied on the abdominal points. The bodily needles will be retained for 30 minutes. For subjects assigned to the control group, Streitberger’s non-invasive acupuncture needles will be applied to serve as the sham control at the same acupoints with the same stimulation modality, except that the needles are only adhered to the skin instead of inserted. The duration of the treatment is 8 weeks with two sessions per week, and the follow-up period is 8 weeks. The primary outcome is the change in body weight before and after treatment. The secondary outcomes include changes in body mass index, waist circumference, hip circumference, and body fat percentage during the treatment and follow-up period.

Discussion

The study will compare the efficacy and safety of acupuncture with sham acupuncture on weight control, in the hope of obtaining evidence for utilizing acupuncture for body weight control.

Trial registration

NCT02516878. Registered on 30 July 2015.
Literature
1.
go back to reference Lehnert T, et al. Health burden and costs of obesity and overweight in Germany: an update. Eur J Health Econ. 2015;16(9):957–67.CrossRefPubMed Lehnert T, et al. Health burden and costs of obesity and overweight in Germany: an update. Eur J Health Econ. 2015;16(9):957–67.CrossRefPubMed
2.
go back to reference Carnethon MR. Diabetes mellitus in the absence of obesity: a risky condition. Circulation. 2014;130(24):2131–2.CrossRefPubMed Carnethon MR. Diabetes mellitus in the absence of obesity: a risky condition. Circulation. 2014;130(24):2131–2.CrossRefPubMed
3.
go back to reference Alexandre L, Long E, Beales IL. Pathophysiological mechanisms linking obesity and esophageal adenocarcinoma. World J Gastrointest Pathophysiol. 2014;5(4):534–49.CrossRefPubMedPubMedCentral Alexandre L, Long E, Beales IL. Pathophysiological mechanisms linking obesity and esophageal adenocarcinoma. World J Gastrointest Pathophysiol. 2014;5(4):534–49.CrossRefPubMedPubMedCentral
4.
go back to reference Dombrowski SU, et al. Behavioural interventions for obese adults with additional risk factors for morbidity: systematic review of effects on behaviour, weight and disease risk factors. Obes Facts. 2010;3(6):377–96.CrossRefPubMed Dombrowski SU, et al. Behavioural interventions for obese adults with additional risk factors for morbidity: systematic review of effects on behaviour, weight and disease risk factors. Obes Facts. 2010;3(6):377–96.CrossRefPubMed
5.
go back to reference Ingrid Z, et al. The duodenal–jejunal bypass liner for the treatment of type 2 diabetes mellitus and/or obesity: a systematic review. Obes Surg. 2014;24:310–23.CrossRef Ingrid Z, et al. The duodenal–jejunal bypass liner for the treatment of type 2 diabetes mellitus and/or obesity: a systematic review. Obes Surg. 2014;24:310–23.CrossRef
6.
go back to reference Viner RM, et al. Efficacy and safety of anti-obesity drugs in children and adolescents: systematic review and meta-analysis. Obes Rev. 2010;11(8):593–602.CrossRefPubMed Viner RM, et al. Efficacy and safety of anti-obesity drugs in children and adolescents: systematic review and meta-analysis. Obes Rev. 2010;11(8):593–602.CrossRefPubMed
7.
go back to reference Chan EW, et al. Efficacy and safety of lorcaserin in obese adults: a meta-analysis of 1-year randomized controlled trials (RCTs) and narrative review on short-term RCTs. Obes Rev. 2013;14(5):383–92.CrossRefPubMed Chan EW, et al. Efficacy and safety of lorcaserin in obese adults: a meta-analysis of 1-year randomized controlled trials (RCTs) and narrative review on short-term RCTs. Obes Rev. 2013;14(5):383–92.CrossRefPubMed
8.
go back to reference Scheen AJ, Van Gaal LF. Combating the dual burden: therapeutic targeting of common pathways in obesity and type 2 diabetes. Lancet Diabetes Endocrinol. 2014;2(11):911–22.CrossRefPubMed Scheen AJ, Van Gaal LF. Combating the dual burden: therapeutic targeting of common pathways in obesity and type 2 diabetes. Lancet Diabetes Endocrinol. 2014;2(11):911–22.CrossRefPubMed
9.
go back to reference Sui Y, et al. A systematic review on use of Chinese medicine and acupuncture for treatment of obesity. Obes Rev. 2012;13(5):409–30.CrossRefPubMed Sui Y, et al. A systematic review on use of Chinese medicine and acupuncture for treatment of obesity. Obes Rev. 2012;13(5):409–30.CrossRefPubMed
10.
go back to reference Cho SH, et al. Acupuncture for obesity: a systematic review and meta-analysis. Int J Obes (Lond). 2009;33(2):183–96.CrossRef Cho SH, et al. Acupuncture for obesity: a systematic review and meta-analysis. Int J Obes (Lond). 2009;33(2):183–96.CrossRef
11.
go back to reference Lin XM, et al. Systematic evaluation of therapeutic effect of acupuncture for treatment of simple obesity. Zhongguo Zhen Jiu. 2009;29(10):856–60.PubMed Lin XM, et al. Systematic evaluation of therapeutic effect of acupuncture for treatment of simple obesity. Zhongguo Zhen Jiu. 2009;29(10):856–60.PubMed
12.
go back to reference Lacey JM, et al. Acupuncture for the treatment of obesity: a review of the evidence. Int J Obes. 2003;27:419–27.CrossRef Lacey JM, et al. Acupuncture for the treatment of obesity: a review of the evidence. Int J Obes. 2003;27:419–27.CrossRef
13.
go back to reference Wei QL, et al. Treatment of simple obesity with auricular acupuncture, body acupuncture and combination of auricular and body acupuncture. Chin J Clin Rehabil. 2004;8(21):4357–9. Wei QL, et al. Treatment of simple obesity with auricular acupuncture, body acupuncture and combination of auricular and body acupuncture. Chin J Clin Rehabil. 2004;8(21):4357–9.
14.
go back to reference Belivani M, et al. Acupuncture in the treatment of obesity: a narrative review of the literature. Acupunct Med. 2013;31:88–97.CrossRefPubMed Belivani M, et al. Acupuncture in the treatment of obesity: a narrative review of the literature. Acupunct Med. 2013;31:88–97.CrossRefPubMed
15.
go back to reference Yeo S, et al. Randomised clinical trial of five ear acupuncture points for the treatment of overweight people. Acupunct Med. 2014;32:132–38.CrossRefPubMed Yeo S, et al. Randomised clinical trial of five ear acupuncture points for the treatment of overweight people. Acupunct Med. 2014;32:132–38.CrossRefPubMed
16.
go back to reference Shin KM, et al. Acupuncture for lateral epicondylitis (tennis elbow): study protocol for a randomized, practitioner-assessor blinded, controlled pilot clinical trial. Trials. 2013;14:174.CrossRefPubMedPubMedCentral Shin KM, et al. Acupuncture for lateral epicondylitis (tennis elbow): study protocol for a randomized, practitioner-assessor blinded, controlled pilot clinical trial. Trials. 2013;14:174.CrossRefPubMedPubMedCentral
17.
go back to reference Fleckenstein J, et al. Acupuncture for post anaesthetic recovery and postoperative pain: study protocol for a randomised controlled trial. Trials. 2014;15:292.CrossRefPubMedPubMedCentral Fleckenstein J, et al. Acupuncture for post anaesthetic recovery and postoperative pain: study protocol for a randomised controlled trial. Trials. 2014;15:292.CrossRefPubMedPubMedCentral
18.
go back to reference Man SC, et al. A pilot controlled trial of a combination of dense cranial electroacupuncture stimulation and body acupuncture for post-stroke depression. BMC Complement Altern Med. 2014;14:255.CrossRefPubMedPubMedCentral Man SC, et al. A pilot controlled trial of a combination of dense cranial electroacupuncture stimulation and body acupuncture for post-stroke depression. BMC Complement Altern Med. 2014;14:255.CrossRefPubMedPubMedCentral
19.
go back to reference Margolin A, et al. A single-blind investigation of four auricular needle puncture configurations. Am J Chin Med. 1995;23(2):105–14.CrossRefPubMed Margolin A, et al. A single-blind investigation of four auricular needle puncture configurations. Am J Chin Med. 1995;23(2):105–14.CrossRefPubMed
20.
go back to reference Usichenko TI, et al. Auricular acupuncture for pain relief after total hip arthroplasty – a randomized controlled study. Pain. 2005;114:320–27.CrossRefPubMed Usichenko TI, et al. Auricular acupuncture for pain relief after total hip arthroplasty – a randomized controlled study. Pain. 2005;114:320–27.CrossRefPubMed
Metadata
Title
The combination effects of body acupuncture and auricular acupressure compared to sham acupuncture for body weight control: study protocol for a randomized controlled trial
Authors
Linda L. D. Zhong
Wai Kun
Tsz Fung Lam
Shi Ping Zhang
Jun Jun Yang
Tat Chi Ziea
Bacon Ng
Zhao Xiang Bian
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1458-2

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