Acupoint catgut embedding for obesity: A protocol of systematic review

Wei Huang, Xia Chen, Yanji Zhang, Lihua Wang, Jiajie Wang, Yingrong Zhang, Dan Wei, Zhongyu Zhou, Wei Huang, Xia Chen, Yanji Zhang, Lihua Wang, Jiajie Wang, Yingrong Zhang, Dan Wei, Zhongyu Zhou

Abstract

Background: Obesity is a chronic metabolic disease in which patients are overweight due to the excessive accumulation of fat in the body. As a subtype of acupuncture, catgut embedding at acupoints has increased in clinical application for obesity. The aim of this study is to evaluate the effectiveness and safety of acupoint catgut embedding therapy for simple obesity.

Methods and analysis: Electronic searches of the Cochrane Library, PubMed, Springer Medline, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), Wan-Fang Data (WANFANG), Chinese Biomedical Literature Database (CBM), and Chinese Scientific Journal Database (VIP databases) will be performed. The Chinese Clinical Trial Registry Center and the ClinicalTrials.gov registry will also be searched for ongoing trials. Databases will be searched from inception to August 2020.Randomized controlled clinical trials (RCTs) will be included if acupoint catgut embedding was evaluated as the sole treatment (diet or exercise therapy as the control group will be allowed) for simple obesity. The primary outcomes will consist of the improvement rate and reduction in body weight (BW). The secondary outcomes will include body mass index (BMI), waist circumference (WC), fat percentage (F %) and adverse effects. Two reviewers will undertake the study selection, data extraction and assessments of study quality. After screening the studies, the quality of the included studies will be assessed according to the quality criteria specified by the Cochrane Handbook for Systematic Reviews of Interventions (version 5.1.0). Meta-analysis will be performed by RevMan 5.3 software.

Results: According to the data of improvement rate and reduction in BW, BMI, WC, and F %, this study will provide an evidence-based review of acupoint catgut embedding therapy for simply.

Conclusions: This systematic review will present the current evidence for acupoint catgut embedding therapy for obesity.

Ethics and dissemination: Ethical approval is not necessary since this protocol is only for systematic review and does not involve privacy data. The findings of this study will be disseminated electronically through a peer-review publication or presented at a relevant conference.

Trial registration number: INPLASY2020110045.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.

Figures

Figure 1
Figure 1
Prisma fow chart.

References

    1. Arterburn D, Noël PH. Extracts from “clinical evidence”: obesity. BMJ 2001;322:1406–9.
    1. Zhang X, Jia C, Wang J, et al. Systematic review on the effectiveness of embedding catgut therapy for simple obesity. World J Acupunct_Moxibustion 2013;23:53–8.
    1. Flegal KM, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012;307:491–7.
    1. Muntner P, Winston J, Uribarri J, et al. Overweight, obesity, and elevated serum cystatin C levels in adults in the United States. Am J Med 2008;121:341–8.
    1. Du SF, Zhai FY, Ge KY, et al. Distributions of body mass index of Chinese adults. Wei Sheng Yan Jiu 2001;30:339–42.
    1. Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. Lancet 2011;377:557–67.
    1. Stevens GA, Singh GM, Lu Y, et al. National, regional, and global trends in adult overweight and obesity prevalences. Popul Health Metr 2012;10:22.
    1. Tam CS, Lecoultre V, Ravussin E. Brown adipose tissue: mechanisms and potential therapeutic targets. Circulation 2012;125:2782–91.
    1. Canale MP, Manca di Villahermosa S, Martino G, et al. Obesity-related metabolic syndrome: mechanisms of sympathetic overactivity. Int J Endocrinol 2013;2013:865965.
    1. Dhoot J, Tariq S, Erande A, et al. Effect of morbid obesity on in-hospital mortality and coronary revascularization outcomes after acute myocardial infarction in the United States. Am J Cardiol 2013;111:1104–10.
    1. Hsu CH, Hwang KC, Chao CL, et al. Effects of electroacupuncture in reducing weight and waist circumference in obese women: a randomized crossover trial. Int J Obes (Lond) 2005;29:1379–84.
    1. Nourshahi M, Ahmadizad S, Nikbakht H, et al. 2009 The effects of triple therapy (acupuncture, diet and exercise) on body weight: a randomized, clinical trial. Int J Obes (Lond) 2009;33:583–7.
    1. Darbandi S, Darbandi M, Mokarram P, et al. Effects of body electroacupuncture on plasma leptin concentrations in obese and overweight people in Iran: a randomized controlled trial. Alternat Ther Health Med 2013;19:24–31.
    1. Sun Z, Yu N, Yue J, et al. Acupuncture for urinary incontinence after stroke: a protocol for systematic review. BMJ Open 2016;6:e008062.
    1. Vickers A, Wilson P, Kleijnen J. Acupuncture. Qual Saf Health Care 2002;11:92–7.
    1. Birch S, Hesselink JK, Jonkman FA, et al. Clinical research on acupuncture. Part 1. What have reviews of the efficacy and safety of acupuncture told us so far? J Altern Complement Med 2004;10:468–80.
    1. Yan RH, Liu XM, Bai J, et al. Clinical efficacy of simple obesity treated by catgut implantation at acupoints. Chin J Integr Med 2015;21:594–600.
    1. Tang CL, Dai DC, Zhao GF, et al. [Clinical observation on electroacupuncture combined with catgut implantation at acupoints for treatment of simple obesity of heart and spleen deficiency type]. Zhongguo Zhen Jiu 2009;29:703–7.
    1. Yan RH, Bai J, Zhang Y, et al. Long-term therapeutic effects of simple obesity treated by catgut implantation at acupoint. Chin J Aesth Med 2010;19:422–4.
    1. Liao JQ, Song X, Chen Y, et al. Clinical randomized controlled trials of acupoint catgut-embedding for simple obesity: a meta-analysis. Zhongguo Zhen Jiu 2014;34:621–6.
    1. Guo T, Ren Y, Kou J, et al. Acupoint catgut embedding for obesity: systematic review and meta-analysis. Evid Based Complement Alternat Med 2015;2015:401914.
    1. Huang C, Choong M, Li T. Treatment of obesity by catgut embedding: an evidence-based systematic analysis. Acupunct Med 2012;30:233–4.
    1. China Association for Acupuncture and Moxibustion. Evidence-Based Guidelines of Clinical Practice with Acupuncture and Moxibustion Simple Obesity. 2015;Beijing: China Traditional Medicine Press, 55.
    1. Shamseer L, Moher D, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ 2015;349:g7647.
    1. Miranda C, Tianjing L, Page Matthew J, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst Rev 2019;10:ED000142.
    1. Hugh M, Altman Douglas G, Richard H, et al. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. Acupunct Med 2010;28:83–93.
    1. Boutron I, Moher D, Altman DG, et al. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med 2008;148:295–309.
    1. Higgins JPT, Altman DG, Gotzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928.
    1. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med 2002;21:1539–58.
    1. Lim SM, Yoo J, Lee E, et al. Acupuncture for spasticity after stroke: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med 2015;2015:870398.
    1. The Cochrane Collaboration, Sterne JAC, Egger M, Moher D. Higgins JPT, Green S. Addressing reporting biases. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 2011;
    1. Cho SH, Lee JS, Thabane L, et al. Acupuncture for obesity: a systematic review and meta-analysis. Int J Obes (Lond) 2009;33:183–96.
    1. Zhang Y, Li J, Mo G, et al. Acupuncture and related therapies for obesity: a network meta-analysis. Evid Based Complem Alternat Med 2018;2018:1–20.
    1. Huang LC, Pan WY. Comparation of effect and cost-benefit analysis between acupoint catgut-embedding and electroacupuncture on simple obesity. Zhongguo Zhen Jiu 2011;31:883–6.

Source: PubMed

스폰서 및 공동 작업자

건강 상태

약물 개입

3
구독하다