Acupuncture, Yoga and Meditation for quality of life of obese adults: a systematic review and meta-analysis

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33354

Keywords:

Obesity; Quality of life; Acupuncture; Meditation; Yoga.

Abstract

This study aimed to assess the efficacy of acupuncture, yoga, and meditation on the quality of life of adults classified as obese. Eleven electronic databases (MEDLINE via PubMed, Embase, Cochrane Library, Scopus, LILACS, Chinese National Knowledge Infrastructure (CNKI), China Biomedical Literature (CBM), Theses and Dissertations Database (BDTD), Capes Theses and Dissertations Catalog, OpenGrey and Google Scholar) were systematically searched. The search strategies were developed using the MeSH, DeCS and Emtree descriptors. Randomized clinical trials that evaluated changes in the quality of life of healthy adults classified as overweight or obese who were treated with acupuncture, yoga or meditation were included. We identified 1369 records and 5 studies were included in this review. Of these, two were included in the meta-analysis. In the qualitative synthesis, four studies reported a higher quality of life for some scores in the intervention group than in the control groups. In the meta-analysis, lower scores were identified in the acupuncture intervention group when compared to the control group, and this difference was statistically significant (MD= - 4.79; 95%CI - 9.14; - 0.44). However, the global mean differences of the studies that evaluated the effect of acupuncture on the physical, social and environmental dimensions of quality of life did not identify a statistically significant association.

References

Armour, M., Smith, C. A., Wang, L.-Q., Naidoo, D., Yang, G.-Y., Macpherson, H., Lee, S., & Hay, P. (2019). Acupuncture for depression: A systematic review and meta-analysis. J Clin Med, 8. https://doi.org/10.3390/jcm8081140

Cao, H. J., Yu, M. L., Wang, L. Q., Fei, Y. T., Xu, H., & Liu, J. P. (2019). Acupuncture for primary insomnia: An updated systematic review of randomized controlled trials. Journal of Alternative and Complementary Medicine, 25(5), 451–474. https://doi.org/10.1089/ACM.2018.0046

Chen, I. J., Yeh, Y. H., & Hsu, C. H. (2018). Therapeutic Effect of Acupoint Catgut Embedding in Abdominally Obese Women: A Randomized, Double-Blind, Placebo-Controlled Study. Journal of Women’s Health, 27(6), 782–790. https://doi.org/10.1089/jwh.2017.6542

Cochrane, S., & Possamai-Inesedy, A. (2013). Looking outside the square: The use of qualitative methods within complementary and alternative medicine: The movement towards rigour. Complement Ther Med, 21(1), 73–76. https://doi.org/10.1016/j.ctim.2012.11.002

Cramer, H., Lauche, R., Anheyer, D., Lauche, R., & Dobos, G. (2018). Yoga for anxiety: A systematic review and meta‐analysis of randomized controlled trials. Depress Anxiety, 35(9), 830–843. https://doi.org/10.1002/da.22762

Cramer, H., Thoms, M. S., Anheyer, D., Lauche, R., & Dobos, G. (2016). Yoga in Women With Abdominal Obesity: A Randomized Controlled Tria. Deutsches Arzteblatt International, 113(39), 645–652. https://doi.org/10.3238/arztebl.2016.0645

Ernst, E., & White, A. (2001). Prospective studies of the safety of acupuncture: A systematic review. Am J Med., 110(6), 481–485. https://doi.org/10.1016/s0002-9343(01)00651-9

FAO, IFAD, UNICEF, WFP, & WHO. (2021). The State of Food Security and Nutrition in the World 2021: Transforming food systems for food security, improved nutrition and affordable healthy diets for all. FAO. https://doi.org/10.4060/cb5409en

Farias, M., Maraldi, E., Wallenkampf, K., & Lucchetti, G. (2020). Adverse events in meditation practices and meditation-based therapies: A systematic review. Acta Psychiatr Scand, 142(5), 374–393. https://doi.org/10.1111/acps.13225

Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182. https://doi.org/10.1046/J.1467-789X.2001.00032.X

Gillett, G. (2006). Medical science, culture, and truth. Philosophy, Ethics, and Humanities in Medicine, 1(1). https://doi.org/10.1186/1747-5341-1-13

Goyal, M., Singh, S., Sibinga, E., Gould, N., Rowland-Seymour, A., Sharma R, Berger, Z., Sleicher, D., Maron, D., Shihab, H., Ranasinghe, P., Linn, S., Saha, S., Bass, E., & Haythornthwaite, J. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Intern Med., 174(3), 357–368. https://doi.org/10.1001/jamainternmed.2013.13018

Guyatt, G., Oxman, A., Vist, G., Kunz, R., & Bmj, Y. (2008). GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 336(7650), 924–926. https://doi.org/10.1136/bmj.39489.470347.AD

Hendriks, T., De Jong, J., & Cramer, H. (2017). The effects of yoga on positive mental health among healthy adults: A systematic review and meta-analysis. Journal of Alternative and Complementary Medicine, 23(7), 505–517. https://doi.org/10.1089/ACM.2016.0334

Higgins, J., Altman, D., Gøtzsche, P., & Jüni, P. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343(d5928). https://doi.org/10.1136/bmj.d5928

Higgins, J., Thomas, J., Chandler, J., Cumpston, M., & Li, T. (2022). Cochrane handbook for systematic reviews of interventions version 6.3 (updated February 2022). Cochrane. www.training.cochrane.org/handbook

Hong, J., Chen, J., Kan, J., Liu, M., & Yang, D. (2020). Effects of acupuncture treatment in reducing sleep disorder and gut microbiota alterations in PCPA-induced insomnia mice. Evid Based Complement Alternat Med., 2020(3626120). https://doi.org/10.1155/2020/3626120

Katterman, S., Kleinman, B., Hood, M., Nackers, L., & Corsica, J. (2014). Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: A systematic review. Eat Behav, 15(2), 197–204. https://doi.org/10.1016/j.eatbeh.2014.01.005

Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2(4), 219–229. https://doi.org/10.1046/J.1467-789X.2001.00040.X

Lauche, R., Langhorst, J., Lee, M., Dobos, G., medicine, H. C.-P., & 2016, undefined. (2016). A systematic review and meta-analysis on the effects of yoga on weight-related outcomes. Prev Med, 87, 213–232. https://doi.org/10.1016/j.ypmed.2016.03.013

Lefebvre C, Glanville J, Briscoe S, Featherstone R, Littlewood A, Marshall C, Metzendorf M-I, Noel-Storr A, Paynter R, Rader T, Thomas J, & Wieland LS. (2022). Searching for and selecting studies. Em Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, & Welch VA (Orgs.), Cochrane Handbook for Systematic Reviews of Interventions version 6.3. Cochrane.

Lien, C. Y., Liao, L. L., Chou, P., & Hsu, C. H. (2012). Effects of auricular stimulation on obese women: A randomized, controlled clinical trial. European Journal of Integrative Medicine, 4(1). https://doi.org/10.1016/j.eujim.2011.12.002

National Center for Complementary and Integrative Health. (2021). Complementary, Alternative, or Integrative Health: What’s In a Name? https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name.

Ning, A. (2018). How holistic is complementary and alternative medicine (CAM)? Examining self-responsibilization in CAM and biomedicine in a neoliberal age. Med Res Arch, 6(5), 1–11. https://doi.org/10.18103/mra.v6i5.1750

Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., Mcdonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372(71). https://doi.org/10.1186/s13643-021-01626-4

Pariente, J., White, P., Frackowiak, R., & Lewith, G. (2005). Expectancy and belief modulate the neuronal substrates of pain treated by acupuncture. Neuroimage, 25(4), 1161–1167. https://doi.org/10.1016/j.neuroimage.2005.01.016

Poulain, J.-P. (2013). Sociologia da obesidade. Editora Senac São Paulo.

Ralston, J., Brinsden, H., Buse, K., Candeias, V., Caterson, I., Hassell, T., Kumanyika, S., Nece, P., Nishtar, S., Patton, I., Proietto, J., Salas, X. R., Reddy, S., Ryan, D., Sharma, A. M., Swinburn, B., Wilding, J., & Woodward, E. (2018). Time for a new obesity narrative. The Lancet, 392(10156), 1384–1386. https://doi.org/10.1016/S0140-6736(18)32537-6

Ross, A. & Thomas S. (2010). The health benefits of yoga and exercise: A review of comparison studies. J Altern Complement Med, 16(1), 3–12. https://doi.org/10.1089/acm.2009.0044

Sampaio, C., Lima, M., & Ladeia, A. (2017). Meditation, health and scientific investigations: Review of the literature. J Relig Health, 56(2), 411–427. https://doi.org/10.1007/s10943-016-0211-1

Scott, A. L. (1999). Paradoxes of holism: Some problems in developing an anti-oppressive medical practice. Health, 3(2), 131–149. https://doi.org/10.1177/136345939900300201

Sebayang, R. G., Aditya, C., Abdurrohim, K., Lauwrence, B., Mihardja, H., Kresnawan, T., & Helianthi, D. R. (2020). Effects of Laser Acupuncture and Dietary Intervention on Key Obesity Parameters. Medical Acupuncture, 32(2), 108–115. https://doi.org/10.1089/acu.2019.1398

Shanks, J., Ramchandra, R., Satou, R., Zhuo, J. L., & Ortiz, R. M. (2021). Angiotensin II and the Cardiac Parasympathetic Nervous System in Hypertension. Int J Mol Sci., 22(22), 12305–12305. https://doi.org/10.3390/ijms222212305

Sharpe, P. A., Blanck, H. M., Williams, J. E., Ainsworth, B. E., & Conway, J. M. (2007). Use of complementary and alternative medicine for weight control in the United States. Altern Complement Med, 13(2), 217–222. https://doi.org/10.1089/acm.2006.6129

Swinburn, B., Kraak, V., Allender, S., Atkins, V., Baker, P., Bogard, J., Brinsden, H., & Calvillo, A. (2019). The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report. Lancet, 393(10173), 791–846. https://doi.org/10.1016/S0140-6736(18)32822-8

Tan, J., Molassiotis, A., Wang, T., & Suen, L. (2014). Adverse events of auricular therapy: A systematic review. Evid Based Complement Alternat Med, 2014(506758). https://doi.org/10.1155/2014/506758

Taylor, V., Forhan, M., Vigod, S., McIntyre, R., & Morrison, K. (2013). The impact of obesity on quality of life. Best Pract Res Clin Endocrinol Metab, 27(2), 139–146. https://doi.org/10.1016/j.beem.2013.04.004

Telles, S., Sharma, S., Chetry, D., & Balkrishna, A. (2021). Benefits and adverse effects associated with yoga practice: A cross-sectional survey from India. Complement Ther Med., 57, 102644–102644. https://doi.org/10.1016/j.ctim.2020.102644

Tesser, C. D. (2009). Complementary practices, medical rationalities, and health promotion: Some overlooked contributions. Cad. Saúde Pública, 25, 1732–1742. https://doi.org/10.1590/S0102-311X2009000800009

Tong, Q., Liu, R., Zhang, K., Gao, Y., Cui, G., & Shen, W. (2021). Can acupuncture therapy reduce preoperative anxiety? A systematic review and meta-analysis. J Integr Med, 19(1), 20–28. https://doi.org/10.1016/j.joim.2020.10.007

Vallis, M. (2016). Quality of life and psychological well-being in obesity management: Improving the odds of success by managing distress. International Journal of Clinical Practice, 70(3), 196–205. https://doi.org/10.1111/ijcp.12765

Wharton, S., Lau, D., Vallis, M., Sharma, A., Biertho, L., Campbell-Scherer, D., Adamo, K., Alberga, A., Bell, R., Boulé, N., & Boyling, E. (2020). Obesity in adults: A clinical practice guideline. Can Med Assoc, 192(31), E875–E891. https://doi.org/10.1503/cmaj.191707

World Health Organization. (2012). WHOQOL User Manual programme on mental health division of mental health and prevention of substance abuse world health organization (p. 1–106).

World Health Organization. (2013). WHO traditional medicine strategy: 2014-2023. https://apps.who.int/iris/bitstream/handle/10665/92455/9786167697581-tha.pdf

World Health Organization. (2021). Obesity and overweight. http://www.who.int/mediacentre/factsheets/fs311/en/.

Zanella, H. (2018). A meditação guiada possui utilidade para pacientes obesas em orientação nutrição?: Avaliação da antropometria, percepção do stress e balanço autonômico. 1–99.

Zhang, Q., Yue, J., Golianu, B., Sun, Z., & Lu, Y. (2017). Updated systematic review and meta-analysis of acupuncture for chronic knee pain. Acupuncture in Medicine, 35(6), 392–403. https://doi.org/10.1136/acupmed-2016-011306

Zhang, R., Lao, L., Ren, K., & Berman, B. (2014). Mechanisms of acupuncture: Electroacupuncture on persistent pain. Anesthesiology, 120(2), 482–503. https://doi.org/10.1097/ALN.0000000000000101

Zhang, R., Tan, J., Li, F., Ma, Y., Han, L., & Yang, X. (2017). Acupuncture for the treatment of obesity in adults: A systematic review and meta-analysis. Postgrad Med J., 93(1106), 743–751. https://doi.org/10.1136/postgradmedj-2017-134969

Zhong, Y.-M., Luo, X.-C., Chen, Y., Lai, D.-L., Lu, W.-T., Shang, Y.-N., Zhang, L.-L., Zhou, H.-Y., & School, T. (2020). Acupuncture versus sham acupuncture for simple obesity: A systematic review and meta-analysis. Postgrad Med J., 96(1134), 221–227. https://doi.org/10.1136/postgradmedj-2019-137221

Downloads

Published

14/08/2022

How to Cite

ALVES, J. de A. .; CAMPINHO , M. I. S. .; PEREIRA , E. M. .; XAVIER JUNIOR, G. F.; COSTA, P. R. de F. .; AMPARO-SANTOS , L.; SANTANA, M. L. P. de . Acupuncture, Yoga and Meditation for quality of life of obese adults: a systematic review and meta-analysis. Research, Society and Development, [S. l.], v. 11, n. 11, p. e36111133354, 2022. DOI: 10.33448/rsd-v11i11.33354. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/33354. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences