Acupuncture against the metabolic risk factors for stroke: A systematic review of systematic reviews

Ying Xu, Da-Yuan Zhong, Xiao-Qian Liao, Xing-Ping Wang, Jin-Wen Ge, Wei-Hui Xu, Ying Xu, Da-Yuan Zhong, Xiao-Qian Liao, Xing-Ping Wang, Jin-Wen Ge, Wei-Hui Xu

Abstract

Objective: This systematic review (SR) of SRs aims aimed to evaluate the current evidence of rehabilitation interventions in stroke patients after acupuncture treatment.

Methods: Full-text SRs published in Chinese and English up to December 15, 2021 were searched in PubMed, Embase, Cochrane Library, CNKI, VIP, and Wanfang databases. The PRISMA statement and the assessment of multiple systematic reviews 2 (AMSTAR 2) scale were used to evaluate the quality of the included articles. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was employed to assess the outcome indicators for evidence quality evaluation.

Results: A number of 42 publications were identified in this study. According to these articles, 4 metabolic areas were identified: systolic blood pressure, weight loss, glycemic index and cholesterol. The acupuncture is beneficial to improve the systolic blood pressure of patients, and the effect of acupuncture on diastolic blood pressure is better than that of sham acupuncture. The weight loss effect of acupuncture is better than that of lifestyle and western medicine. The improvement effect of acupuncture on body mass index (BMI) is also better than that of sham acupuncture. In the study of glycemic index of stroke patients, acupuncture significantly improved glycosylated hemoglobin and insulin sensitivity index compared with western medicine. In cholesterol-related research, acupuncture can effectively improve the content of triglycerides. However, studies on HDL and LDL show that acupuncture can significantly improve HDL, but has no significant effect on LDL.

Conclusion: This review summarizes the available evidence and underpins findings of the acupuncture exhibited the therapeutic role in eliminating metabolic risk factors for stroke, including systolic blood pressure, weight loss, glycemic index and cholesterol. Acupuncture could have positive effects on a specific symptom, and the effects depend not only on intervention type but also on how and when the intervention is provided. And more prioritizing high-quality research in this field in the future is conducive to guiding clinical practice.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

Figures

Figure 1.
Figure 1.
Identification: A total of 1240 documents were identified by systematically checked (777 literatures from Chinese databases, 463 literatures from English databases) each database Until December 15, 2021, search for relevant eligible randomized controlled trials with keywords or Mesh terms “acupuncture,” “body acupuncture,” “electroacupuncture,” “hypertension,” etc. In total, 887 articles left after removing duplicates. 2. Screening and extraction: By carefully reading the titles and abstracts of the literature, and according to the inclusion and exclusion criteria, the related literature was screened to determine whether it would be included in subsequent studies. If there is a dispute or a divergent issue, it will be resolved through internal consultation or discussion with a third party. A total of 139 articles were selected. 3. Included Full-text articles were assessed for eligibility, studies included in qualitative synthesis(systematic reviews) were 42.

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