Acupuntura, Yoga y Meditación para la calidad de vida de adultos obesos: una revisión sistemática y metaanálisis
DOI:
https://doi.org/10.33448/rsd-v11i11.33354Palabras clave:
Obesidad; Calidad de vida; Acupuntura; Meditación; Yoga.Resumen
Este estudio tuvo como objetivo evaluar la efectividad de la acupuntura, el yoga y la meditación en la calidad de vida de adultos clasificados como obesos. Once bases de datos electrónicas (MEDLINE a través de PubMed, Embase, Biblioteca Cochrane, Scopus, LILACS, Infraestructura Nacional de Conocimiento de China (CNKI), Literatura Biomédica de China (CBM), Base de Datos de Tesis y Disertaciones (BDTD), Catálogo Capes de Tesis y Disertaciones, OpenGrey y Google Scholar) fueron buscados sistemáticamente. Las estrategias de búsqueda se desarrollaron utilizando los descriptores MeSH, DeCS y Emtree. Se incluyeron ensayos clínicos aleatorizados que evaluaron los cambios en la calidad de vida de adultos sanos clasificados como con sobrepeso u obesos que fueron tratados con acupuntura, yoga o meditación. Se identificaron 1369 registros y se incluyeron 5 estudios en esta revisión. De estos, dos se incluyeron en el metaanálisis. En la síntesis cualitativa, cuatro estudios informaron una calidad de vida más alta para algunas puntuaciones en el grupo de intervención que en los grupos de control. En el metaanálisis, se identificaron puntuaciones más bajas en el grupo de intervención de acupuntura en comparación con el grupo de control, y esta diferencia fue estadísticamente significativa (MD= - 4.79; 95%CI - 9.14; - 0.44). Sin embargo, las diferencias de medias globales de los estudios que evaluaron el efecto de la acupuntura en las dimensiones física, social y ambiental de la calidad de vida no identificaron una asociación estadísticamente significativa.
Citas
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
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Derechos de autor 2022 Juliede de Andrade Alves; Maria Inês Santos Campinho ; Emile Miranda Pereira ; Gesner Francisco Xavier Junior; Priscila Ribas de Farias Costa; Lígia Amparo-Santos ; Mônica Leila Portela de Santana
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