Effects of acupuncture on serum metabolic parameters in premenopausal obese women: study protocol for a randomized controlled trial

Koh-Woon Kim, Hye Hyun Yoo, Jae-Heung Cho, Yo-Chan Yang, Je-In Kim, Song-Yi Kim, Ji-Yeun Park, Hi-Joon Park, Mi-Yeon Song, Koh-Woon Kim, Hye Hyun Yoo, Jae-Heung Cho, Yo-Chan Yang, Je-In Kim, Song-Yi Kim, Ji-Yeun Park, Hi-Joon Park, Mi-Yeon Song

Abstract

Background: Complex metabolic changes cause obesity, making weight loss difficult. For this reason, understanding metabolism is important, and considering the shortcomings of conventional treatment options for obesity, acupuncture is a possible option. However, evidence supporting its efficacy on metabolic parameters in obese patients is lacking. The aim of this study is to investigate the effects of acupuncture on serum metabolic parameters in premenopausal obese women.

Methods/design: This ongoing study is a randomized, patient-assessor blind, two-arm parallel non-penetrating sham-controlled clinical trial. Eligible participants, premenopausal adult women (19 years of age or older) with a clinical diagnosis of obesity (body mass index of 25 kg/m(2) or more) blinded to the treatment received, will be randomly allocated blindly into the real acupuncture treatment group (manual acupuncture plus electroacupuncture, n = 60) or the sham acupuncture control group (sham acupuncture plus placebo acupuncture without electrical stimulation, n = 60) and receive treatment two times a week for a total of 12 sessions over 6 weeks. The primary outcome measure is the serum cholesterol and triglyceride (TG) levels at baseline and endpoint. The secondary outcomes are body weight, body fat mass, muscle mass, waist and hip circumference, other serum metabolic profiles, International Physical Activity Questionnaire (IPAQ), Social Readjustment Rating Scale (SRRS), Stress Response Inventory (SRI), Fatigue Severity Scale (FSS), the Korean version of the Beck Depression Inventory (BDI), and urine metabolites. Adverse events will be assessed at every visit.

Discussion: The results of this trial (which will be available in 2015) will provide important clinical evidence for the effect of acupuncture on serum metabolites and demonstrate how acupuncture can be helpful for the treatment of obesity.

Trial registration: Trial registration registered via US National Institutes of Health Clinical Trials registry (ClinicalTrials.gov) on 11 November 2014, identifier: NCT02066090 .

Figures

Fig. 1
Fig. 1
The study flowchart

References

    1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004;291:2847–50. doi: 10.1001/jama.291.23.2847.
    1. Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA. 2007;298:2028–37. doi: 10.1001/jama.298.17.2028.
    1. Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet. 2008;371:569–78. doi: 10.1016/S0140-6736(08)60269-X.
    1. Reeves GK, Pirie K, Beral V, Green J, Spencer E, Bull D. Cancer incidence and mortality in relation to body mass index in the Million Women Study: cohort study. BMJ. 2007;335:1134. doi: 10.1136/.
    1. Less weight or more hype with rimonabant? Drug Ther Bull. 2007;45:41–43.
    1. Dordelmann M, Kerk J, Dressler F, Brinkhaus MJ, Bartels DB, Dammann CE, et al. Interleukin-10 high producer allele and ultrasound-defined periventricular white matter abnormalities in preterm infants: a preliminary study. Neuropediatrics. 2006;37:130–6. doi: 10.1055/s-2006-924554.
    1. Du F, Virtue A, Wang H, Yang X-F. Metabolomic analyses for atherosclerosis, diabetes, and obesity. Biomarker Res. 2013;1:17. doi: 10.1186/2050-7771-1-17.
    1. Nguyen DM, El-Serag HB. The epidemiology of obesity. Gastroenterol Clin N Am. 2010;39:1–7. doi: 10.1016/j.gtc.2009.12.014.
    1. Newgard CB, An J, Bain JR, Muehlbauer MJ, Stevens RD, Lien LF, et al. A branched-chain amino acid-related metabolic signature that differentiates obese and lean humans and contributes to insulin resistance. Cell Metab. 2009;9:311–26. doi: 10.1016/j.cmet.2009.02.002.
    1. Kim JY, Park JY, Kim OY, Ham BM, Kim HJ, Kwon DY, et al. Metabolic profiling of plasma in overweight/obese and lean men using ultra performance liquid chromatography and Q-TOF mass spectrometry (UPLC-Q-TOF MS) J Proteome Res. 2010;9:4368–75. doi: 10.1021/pr100101p.
    1. Lin XM, Li B, Du YH, Xiong J, Sun P. Systematic evaluation of therapeutic effect of acupuncture for treatment of simple obesity. Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion. 2009;29:856–60.
    1. Cho SH, Lee JS, Thabane L, Lee J. Acupuncture for obesity: a systematic review and meta-analysis. Int J Obes (2005) 2009;33:183–96. doi: 10.1038/ijo.2008.269.
    1. Sui Y, Zhao HL, Wong VC, Brown N, Li XL, Kwan AK, et al. A systematic review on use of Chinese medicine and acupuncture for treatment of obesity. Obes Rev. 2012;13:409–30. doi: 10.1111/j.1467-789X.2011.00979.x.
    1. Fei W, de Tian R, Tso P, Han JS. Arcuate nucleus of hypothalamus is involved in mediating the satiety effect of electroacupuncture in obese rats. Peptides. 2011;32:2394–9. doi: 10.1016/j.peptides.2011.10.019.
    1. Gao L, Kong XJ, Shi X. Effects of electroacupuncture and acupoint catgut-embedding on mRNA expression of lipid metabolism gene PPAR-gamma and related lipase of rats with simple obesity. Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion. 2011;31:535–8.
    1. Yu M, Xiao XQ, Tang CL, Liu ZL, Hou YX, Gao J, et al. Effect of different intensities of electroacupuncture on expression of monocyte chemoattractant protein-1 and TNF-alpha in adipose tissue in obesity rats. Zhen Ci Yan Jiu = Acupuncture Research/[Zhongguo yi xue ke xue yuan Yi xue qing bao yan jiu suo bian ji] 2011;36:79–84.
    1. Kong XJ, Gao L, Peng H, Shi X. Effects of electro-acupuncture on expression of obestatin in hypothalamus of rats with simple obesity. Zhong Xi Yi Jie He Xue Bao = Journal of Chinese Integrative Medicine. 2010;8:480–5. doi: 10.3736/jcim20100513.
    1. Cabioglu MT, Ergene N. Electroacupuncture therapy for weight loss reduces serum total cholesterol, triglycerides, and LDL cholesterol levels in obese women. Am J Chin Med. 2005;33:525–33. doi: 10.1142/S0192415X05003132.
    1. Poehlman ET. Menopause, energy expenditure, and body composition. Acta Obstet Gynecol Scand. 2002;81:603–11. doi: 10.1034/j.1600-0412.2002.810705.x.
    1. Altman DG, Dore CJ. Randomisation and baseline comparisons in clinical trials. Lancet. 1990;335:149–53. doi: 10.1016/0140-6736(90)90014-V.
    1. Vincent C, Lewith G. Placebo controls for acupuncture studies. J R Soc Med. 1995;88:199–202.
    1. Park J, White A, Stevinson C, Ernst E, James M. Validating a new non-penetrating sham acupuncture device: two randomised controlled trials. Acupunct Med. 2002;20:168–74. doi: 10.1136/aim.20.4.168.
    1. World Health Organization . Waist circumference and waist-hip ratio: report of a WHO expert consultation, Geneva, 8–11 December 2008. Geneva: World Health Organization; 2011.
    1. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–95. doi: 10.1249/01.MSS.0000078924.61453.FB.
    1. Kim Y, Park I, Kang M. Convergent validity of the International Physical Activity Questionnaire (IPAQ): meta-analysis. Public Health Nutr. 2013;16:440–52. doi: 10.1017/S1368980012002996.
    1. Holmes TH, Rahe RH. The Social Readjustment Rating Scale. J Psychosom Res. 1967;11:213–8. doi: 10.1016/0022-3999(67)90010-4.
    1. Koh KB, Park JK, Kim CH, Cho S. Development of the Stress Response Inventory and its application in clinical practice. Psychosom Med. 2001;63:668–78. doi: 10.1097/00006842-200107000-00020.
    1. Rahe RH, Arthur RJ. Life change and illness studies: past history and future directions. J Hum Stress. 1978;4:3–15. doi: 10.1080/0097840X.1978.9934972.
    1. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46:1121–3. doi: 10.1001/archneur.1989.00520460115022.
    1. Hjollund NH, Andersen JH, Bech P. Assessment of fatigue in chronic disease: a bibliographic study of fatigue measurement scales. Health Qual Life Outcomes. 2007;5:12. doi: 10.1186/1477-7525-5-12.
    1. Valko PO, Bassetti CL, Bloch KE, Held U, Baumann CR. Validation of the fatigue severity scale in a Swiss cohort. Sleep. 2008;31:1601–7.
    1. Lee YH, Song JY. A Study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol. 1991;10:98–113.
    1. Jo SA, Park MH, Jo I, Ryu SH, Han C. Usefulness of Beck Depression Inventory (BDI) in the Korean elderly population. Int J Geriatr Psychiat. 2007;22:218–23. doi: 10.1002/gps.1664.
    1. Sedgwick P. What is intention to treat analysis? BMJ. 2013;346:f3748. doi: 10.1136/bmj.f3748.
    1. Sedgwick P. What is per protocol analysis? BMJ. 2013;346:f3662. doi: 10.1136/bmj.f3662.
    1. Xu S, Wang L, Cooper E, Zhang M, Manheimer E, Berman B, et al. Adverse events of acupuncture: a systematic review of case reports. Evid Based Complement Alternat Med. 2013;2013:581203.
    1. Goodacre R. Metabolic profiling: pathways in discovery. Drug Discov Today. 2004;9:260–1. doi: 10.1016/S1359-6446(04)03027-2.
    1. Goodacre R, Vaidyanathan S, Dunn WB, Harrigan GG, Kell DB. Metabolomics by numbers: acquiring and understanding global metabolite data. Trends Biotechnol. 2004;22:245–52. doi: 10.1016/j.tibtech.2004.03.007.
    1. Lindon JC, Holmes E, Nicholson JK. So what's the deal with metabonomics? Anal Chem. 2003;75:384a–91. doi: 10.1021/ac031386+.
    1. Jeong JH, Hwang DS, See CH, Lee KS. Review on clinical trials of acupuncture application for obesity treatment in SCOPUS. J Soc Korean Med Obes Res. 2008;8:23–32.
    1. Song SM, Song YK, Lim HH. The effect of electroacupuncture on abdominal fat deposit and parameters for obesity. J Oriental Rehab Med. 2010;20:113–27.

Source: PubMed

3
订阅