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The effects of acupuncture on polycystic ovary syndrome: A systematic review and meta-analysis

The effects of acupuncture on polycystic ovary syndrome: A systematic review and meta-analysis
The effects of acupuncture on polycystic ovary syndrome: A systematic review and meta-analysis
AbstractIntroduction A systematic review and meta-analysis was carried out to assess the clinical effectiveness of acupuncture in treating polycystic ovarian syndrome (PCOS). Methods \ RCTs\ that compared either acupuncture with no/sham (placebo) acupuncture or a certain therapy with acupuncture added in the treatment of \ PCOS\ were included in the review. Measures of treatment effectiveness were the pooled odds ratios (OR) for women with \ PCOS\ having acupuncture compared with women in the control group for the recovery of menstrual cycles, standardized mean difference (SMD) for body mass index (BMI), fasting insulin (FINS), fasting plasma glucose (FPG), luteinizing hormone (LH), follicle stimulating hormone (FSH), and the ratio of LH/FSH. Results A total of nine \ RCTs\ (531 women) met criteria for inclusion into the systematic review. Using the random effects model, pooling of the effect estimates from all \ RCTs\ showed recovery of menstrual cycles (OR = 0.20, 95% CI: 0.09–0.41, P < 0.01), \ BMI\ (SMD = −0.63, 95% CI: −1.04 to −0.21, P = 0.04), and \ LH\ (SMD = −0.39, 95% CI: −0.65 to −0.12, P < 0.01) which favored the acupuncture group. No significant differences were observed for FINS, FPG, \ FSH\ and the ratio of LH/FSH between acupuncture and control groups (P > 0.05). Conclusions Acupuncture appears to significantly improve the recovery of the menstrual cycles and decrease the levels of \ BMI\ and \ LH\ in women with PCOS. However, the findings should be interpreted with caution due to the limited methodological quality of included RCTs.
Acupuncture Polycystic ovary syndrome (PCOS) Menstrual cycle Systematic review Meta-analysis
1876-3820
12-18
Qu, Fan
eda74cf4-97c5-4b83-a61c-ebef473c2726
Wu, Yan
337fde0f-b90d-497a-8ac7-214b9790765e
Hu, Xiao-Yang
65904b24-3775-4b14-9532-eb703a056655
Barry, John A.
d75359b3-516e-45c3-af23-784ca99c8b1e
Zhou, Jue
6e30e34b-05e1-429a-8334-39c226df8bc4
Wang, Fang-Fang
411e53be-21db-48eb-95f5-3bf4d19128e9
Ye, Ying-Hui
5cfc9fff-c24f-4e7c-8a97-c78436d79966
Zhang, Rong
d74afe12-99e4-414f-a905-9c7f287ad713
Han, Song-Ping
107566fd-16c4-4933-acd8-6a7087728a15
Han, Ji-Sheng
2263c7ae-2e83-4411-bb95-421668c00a08
Li, Rong
d2c07bd5-6728-41c1-b2b0-f6f5e18b2fc0
Taw, Malcolm B.
a8554d56-1fcc-40c6-904c-e7c322f43d4f
Hardiman, Paul J.
33668c6f-f05f-4d4a-8873-8335ba1b47e5
Robinson, Nicola
96ec8bbf-fd1e-4ce2-be99-17eb1051fed9
Qu, Fan
eda74cf4-97c5-4b83-a61c-ebef473c2726
Wu, Yan
337fde0f-b90d-497a-8ac7-214b9790765e
Hu, Xiao-Yang
65904b24-3775-4b14-9532-eb703a056655
Barry, John A.
d75359b3-516e-45c3-af23-784ca99c8b1e
Zhou, Jue
6e30e34b-05e1-429a-8334-39c226df8bc4
Wang, Fang-Fang
411e53be-21db-48eb-95f5-3bf4d19128e9
Ye, Ying-Hui
5cfc9fff-c24f-4e7c-8a97-c78436d79966
Zhang, Rong
d74afe12-99e4-414f-a905-9c7f287ad713
Han, Song-Ping
107566fd-16c4-4933-acd8-6a7087728a15
Han, Ji-Sheng
2263c7ae-2e83-4411-bb95-421668c00a08
Li, Rong
d2c07bd5-6728-41c1-b2b0-f6f5e18b2fc0
Taw, Malcolm B.
a8554d56-1fcc-40c6-904c-e7c322f43d4f
Hardiman, Paul J.
33668c6f-f05f-4d4a-8873-8335ba1b47e5
Robinson, Nicola
96ec8bbf-fd1e-4ce2-be99-17eb1051fed9

Qu, Fan, Wu, Yan, Hu, Xiao-Yang, Barry, John A., Zhou, Jue, Wang, Fang-Fang, Ye, Ying-Hui, Zhang, Rong, Han, Song-Ping, Han, Ji-Sheng, Li, Rong, Taw, Malcolm B., Hardiman, Paul J. and Robinson, Nicola (2016) The effects of acupuncture on polycystic ovary syndrome: A systematic review and meta-analysis. European Journal of Integrative Medicine, 8 (1), 12-18. (doi:10.1016/j.eujim.2016.02.001).

Record type: Article

Abstract

AbstractIntroduction A systematic review and meta-analysis was carried out to assess the clinical effectiveness of acupuncture in treating polycystic ovarian syndrome (PCOS). Methods \ RCTs\ that compared either acupuncture with no/sham (placebo) acupuncture or a certain therapy with acupuncture added in the treatment of \ PCOS\ were included in the review. Measures of treatment effectiveness were the pooled odds ratios (OR) for women with \ PCOS\ having acupuncture compared with women in the control group for the recovery of menstrual cycles, standardized mean difference (SMD) for body mass index (BMI), fasting insulin (FINS), fasting plasma glucose (FPG), luteinizing hormone (LH), follicle stimulating hormone (FSH), and the ratio of LH/FSH. Results A total of nine \ RCTs\ (531 women) met criteria for inclusion into the systematic review. Using the random effects model, pooling of the effect estimates from all \ RCTs\ showed recovery of menstrual cycles (OR = 0.20, 95% CI: 0.09–0.41, P < 0.01), \ BMI\ (SMD = −0.63, 95% CI: −1.04 to −0.21, P = 0.04), and \ LH\ (SMD = −0.39, 95% CI: −0.65 to −0.12, P < 0.01) which favored the acupuncture group. No significant differences were observed for FINS, FPG, \ FSH\ and the ratio of LH/FSH between acupuncture and control groups (P > 0.05). Conclusions Acupuncture appears to significantly improve the recovery of the menstrual cycles and decrease the levels of \ BMI\ and \ LH\ in women with PCOS. However, the findings should be interpreted with caution due to the limited methodological quality of included RCTs.

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More information

Accepted/In Press date: 1 February 2016
e-pub ahead of print date: 8 February 2016
Published date: February 2016
Additional Information: Special Issue onComplementary Medicine for Sexual and Reproductive Health
Keywords: Acupuncture Polycystic ovary syndrome (PCOS) Menstrual cycle Systematic review Meta-analysis

Identifiers

Local EPrints ID: 413737
URI: https://eprints.soton.ac.uk/id/eprint/413737
ISSN: 1876-3820
PURE UUID: d184f635-2684-4b48-858f-3131aa0430ab
ORCID for Xiao-Yang Hu: ORCID iD orcid.org/0000-0002-3143-7999

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Date deposited: 01 Sep 2017 16:32
Last modified: 20 Jul 2019 00:33

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Contributors

Author: Fan Qu
Author: Yan Wu
Author: Xiao-Yang Hu ORCID iD
Author: John A. Barry
Author: Jue Zhou
Author: Fang-Fang Wang
Author: Ying-Hui Ye
Author: Rong Zhang
Author: Song-Ping Han
Author: Ji-Sheng Han
Author: Rong Li
Author: Malcolm B. Taw
Author: Paul J. Hardiman
Author: Nicola Robinson

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