We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Electro-acupuncture reduced steatosis on MRI-PDFF in patients with non-alcoholic steatohepatitis: a randomized controlled pilot clinical trial.
- Authors
Zhao, Jingjie; Wang, Qianyi; Zhao, Xinyu; Wu, Lina; Li, Juanjuan; Zhang, Wen; Xu, Shuai; Han, Chaoru; Du, Yi; Tong, Xiaofei; Duan, Weijia; Cao, Di; Ren, Hao; Zhao, Xinyan; Ou, Xiaojuan; Jia, Jidong; You, Hong
- Abstract
Background: Non-alcoholic steatohepatitis (NASH) had not yet been approved therapy. Electro-acupuncture (EA) has been reported to have potential efficacy. However, high-quality clinical evidence was still lacking. Methods: NASH patients were randomized and allocated to either sham acupuncture (SA) or EA group in a 1:1 ratio, with the patient blinded. Each patient received 36 sessions of SA or EA treatment over 12 weeks, followed by additional 4 weeks. The primary outcome was the changes in relative liver fat content measured by magnetic resonance imaging proton density fat fraction (MRI-PDFF). Results: A total of 60 patients were enrolled. From baseline to week 12, the reduction of relative liver fat content measured by MRI-PDFF in the EA group (− 33.6%, quantile range: − 52.9%, − 22.7%) was significantly more significant than that in the SA group (− 15.8%, quantile range: − 36.1%, − 2.7%) (p = 0.022). Furthermore, the EA group had more patients who achieved MRI-PDFF to 30% reduction at week 12 (53.3% vs. 25.9%, p = 0.035). EA treatment also significantly reduced body weight (− 3.0 vs. + 0.1 kg, p = 0.034) and BMI (− 1.5 vs. − 0.2 kg/m2, p = 0.013) at week 16. Except for AST (− 27.4 vs. − 16.2 U/L, p = 0.015), other biochemical varieties, including ALT, fasting-glucose, cholesterol, and triglyceride, showed no statistically significant difference. Both groups measured no significant changes in liver stiffness by magnetic resonance elastography (MRE). There were no serious adverse events in either group. Conclusions: Twelve weeks of EA effectively and safely reduces relative liver fat content in NASH patients. Further multicenter randomized controlled studies are needed. Trial registration Chinese Clinical Trial Registry, ChiCTR2100046617. Registered 23 May 2021, http://www.chictr.org.cn/edit.aspx?pid=127023&htm=4
- Subjects
PILOT projects; TRIGLYCERIDES; NONPARAMETRIC statistics; BODY weight; HUMAN research subjects; PATIENT selection; NON-alcoholic fatty liver disease; MAGNETIC resonance imaging; TREATMENT duration; MANN Whitney U Test; RANDOMIZED controlled trials; INFORMED consent (Medical law); T-test (Statistics); QUESTIONNAIRES; CHI-squared test; DESCRIPTIVE statistics; RESEARCH funding; STATISTICAL sampling; BODY mass index; DATA analysis software; ELECTROACUPUNCTURE; ALANINE aminotransferase; CHOLESTEROL
- Publication
Chinese Medicine, 2023, Vol 18, Issue 1, p1
- ISSN
1749-8546
- Publication type
Article
- DOI
10.1186/s13020-023-00724-w