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The purpose of this study is to determine whether electroacupuncture is effective on waist circumference in obesity.
Many studies have reported on the beneficial effects of acupuncture for obesity, although some negative reports also existed.(Wang F. et al. 2008)Recently conducted systematic review of Pittler and Ernst reported that there was insufficient, but not conclusive evidence to support the efficacy of acupuncture and acupressure for weight loss. However, most of these studies had methodological limitation, such as lack of adequate control group or unclear specific effect of electroacupuncture alone because auricular acupuncture was administered as well. In this sudy, we had three-arm randomized controlled trial(with sham control group) to investigate whether electroacupuncture is effective in the treatment of obesity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Electroacupuncture | Experimental | The Electroacupuncture therapy protocol included a total of 12 acupuncture points at the CV12,CV6, bilateral ST25, SP15, SP14,LI4, LI11, ST36, ST44. All acupuncture points were prepared with 70% alcohol pads, and disposable stainless steel needles were used. Abdominal acupuncture points were inserted horizontally 6~6.5cm in depth and the others were inserted vertically 2~2.5cm in depth until patient can feel De-Qi. All acupuncture points were stimulated electrically with a frequency of 24 Hz an intensity of 0.27-1.3mA(tolerable strength) with continuous stimulation by the pulse generator. The participants were given treatment twice a week for 30 minutes for 5 weeks by practitioner who had had 6 years of acupuncture training and 3 more years of clinical experience. |
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| Sham electroacupuncture procedure | Sham Comparator | The Sham electroacupuncture therapy protocol(Non-acupoint, No electrical stimulation)included the same number and type of needle, duration, frequency of sessions and practitioner as for the EA treatment, but superficially at non acupuncture points 15 mm to the lateral of each acupuncture point was treated. The points were not stimulated electrically, but the sound of the pulse generator was heard by the participants. (Lee SH, LeeBC 2009) Those receiving EA or SEA therapy were treated on alternate days to prevent crosstalk among groups, which could have compromised the blinded study design. |
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| Waiting list | No Intervention | No treatment was done for waiting group, but could receive same treatments as Electroacupuncture group after the end of trial. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electroacupuncture | Device | We used Electrical stimulator(STN-111,Stratek)with a frequency of 24 Hz and intensity of 0.27-1.3mA(tolerable strength), asymmetric interactive pulse with continuous stimulation by the pulse generator. The participants were given treatment twice a week for 30 minutes for 5 weeks(10 sessions) by practitioner.(n=13) |
| Measure | Description | Time Frame |
|---|---|---|
| waist circumference | At 5 weeks (post treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Thickness of abdominal subcutaneous fat | Thickness of abdominal subcutaneous fat was measured by digital skinfold caliper(FatTrack). | Study Day 1 (Baseline) |
| Thickness of abdominal subcutaneous fat |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sung Keel Kang, Doctor | Kyunghee University Medical Center Oriental Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kyunghee University Medical Center | Seoul | Hoegi-dong, Dongdaemun-gu | 130-702 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19394499 | Background | Lee SH, Lee BC. Electroacupuncture relieves pain in men with chronic prostatitis/chronic pelvic pain syndrome: three-arm randomized trial. Urology. 2009 May;73(5):1036-41. doi: 10.1016/j.urology.2008.10.047. | |
| 18719995 | Background | Wang F, Tian DR, Han JS. Electroacupuncture in the treatment of obesity. Neurochem Res. 2008 Oct;33(10):2023-7. doi: 10.1007/s11064-008-9822-6. Epub 2008 Aug 22. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015671 | Electroacupuncture |
| ID | Term |
|---|---|
| D003131 | Combined Modality Therapy |
| D013812 | Therapeutics |
| D015670 | Acupuncture Therapy |
| D000529 | Complementary Therapies |
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|
|
| Sham electroacupuncture procedure | Device | We used same electroacupuncture device, number and type of needle, duration, frequency of sessions and practitioner as for the EA treatment. Specific details are as described in the arm description.(n=13) |
|
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Thickness of abdominal subcutaneous fat was measured by digital skinfold caliper(FatTrack).
| At 3weeks |
| Thickness of abdominal subcutaneous fat | Thickness of abdominal subcutaneous fat was measured by digital skinfold caliper(FatTrack). | At 5weeks (post treatment) |
| Thickness of abdominal subcutaneous fat | Thickness of abdominal subcutaneous fat was measured by digital skinfold caliper(FatTrack). | At 8weeks after first treatment (follow up) |
| Waist hip ratio | Study Day 1 (Baseline) |
| Waist hip ratio | At 3weeks |
| Waist hip ratio | At 5weeks (post treatment) |
| Waist hip ratio | At 8weeks after first treatment (follow up) |
| Body Mass Index | Body Mass Index was measured by Inbody 720 | Study Day 1 (Baseline) |
| Body Mass Index | Body Mass Index was measured by Inbody 720 | At 3weeks |
| Body Mass Index | Body Mass Index was measured by Inbody 720 | At 5weeks (post treatment) |
| Body Mass Index | Body Mass Index was measured by Inbody 720 | At 8weeks after first treatment (follow up) |
| Body fat ratio | Body fat ratio was measured by Inbody 720 | Study Day 1 (Baseline) |
| Body fat ratio | Body fat ratio was measured by Inbody 720 | At 3weeks |
| Body fat ratio | Body fat ratio was measured by Inbody 720 | At 5weeks (post treatment) |
| Body fat ratio | Body fat ratio was measured by Inbody 720 | At 8weeks after first treatment (follow up) |
| Visceral Fat Area | Visceral Fat Area was measured by Inbody 720 | Study Day 1 (Baseline) |
| Visceral Fat Area | Visceral Fat Area was measured by Inbody 720 | At 3weeks |
| Visceral Fat Area | Visceral Fat Area was measured by Inbody 720 | At 5weeks (post treatment) |
| Visceral Fat Area | Visceral Fat Area was measured by Inbody 720 | At 8weeks after first treatment (follow up) |
| Body weight | Body weight was measured by Inbody 720 | Study Day 1 (Baseline) |
| Body weight | Body weight was measured by Inbody 720 | At 3weeks |
| Body weight | Body weight was measured by Inbody 720 | At 5weeks (post treatment) |
| Body weight | Body weight was measured by Inbody 720 | At 8weeks after first treatment (follow up) |
| Obesity degree | Obesity degree was measured by Inbody 720 | Study Day 1 (Baseline) |
| Obesity degree | Obesity degree was measured by Inbody 720 | At 3weeks |
| Obesity degree | Obesity degree was measured by Inbody 720 | At 5weeks (post treatment) |
| Obesity degree | Obesity degree was measured by Inbody 720 | At 8weeks after first treatment (follow up) |
| Bulimia Test Revised | Study Day 1 (Baseline) |
| Bulimia Test Revised | At 5weeks (post treatment) |
| Korean version of Obesity-related QOL scale | Study Day 1 (Baseline) |
| Korean version of Obesity-related QOL scale | At 5weeks (post treatment) |
| Body Shape Questionnaire | Study Day 1 (Baseline) |
| Body Shape Questionnaire | At 5weeks (post treatment) |
| 15925954 | Background | Pittler MH, Ernst E. Complementary therapies for reducing body weight: a systematic review. Int J Obes (Lond). 2005 Sep;29(9):1030-8. doi: 10.1038/sj.ijo.0803008. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004599 |
| Electric Stimulation Therapy |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
| D000758 | Anesthesia |