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The effects of triple therapy (acupuncture, diet and exercise) on body weight: a randomized, clinical trial

International Journal of Obesity volume 33, pages 583–587 (2009)Cite this article

Abstract

Objectives:

The purpose of this study was to compare the effects of diet and exercise vs acupuncture, diet and exercise on the body weight and related parameters of adult women.

Methods:

Twenty-seven obese women with a body fat percentage of more than 30% were randomized into three groups. The first experimental group had diet and exercise, whereas the second experimental group had diet, exercise and acupuncture. The control group received no intervention at all. The study period lasted for 8 weeks. Body weight, skin fold thickness, body mass index and fat mass were measured before and after 8 weeks.

Results:

Body mass index and fat mass, decreased significantly (P<0.05) in both experimental groups when compared with the control group. However, there was no significant difference between the two experimental groups. Changes in lean body mass after 8 weeks were not significantly different from those in the control group.

Conclusion:

It is concluded that acupuncture combined with diet and exercise does not generate larger reductions in body weight, fat mass or body mass index than diet and exercise alone.

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References

  1. Kawachi I . Physical and Psychological consequences of weight gain. J Clin Psychiatry 1999; 60 (Supple 21): 5–9.

    PubMed  Google Scholar 

  2. Bray GA, Popkin BM . Dietary fat intake does affect obesity. Am J Clin Nutr 1998; 68: 1157–1173.

    Article  CAS  Google Scholar 

  3. Katz D . Nutr Clin Pract 1st edn. Lippincott Williams & Wilkins: Philadelphia, 2001.

    Google Scholar 

  4. Mahan LK, Stump SE . Krause's Food, Nutrition, and Diet Therapy 10th edn. Saunders: Philadelphia, 2000.

    Google Scholar 

  5. Wilmore JH, Costill D . Physiology of Sport and Exercise 2nd edn. Human Kinetics: Champaign, Illinois, 1999.

    Google Scholar 

  6. Sherman NW . Exercise and adolescent weight management. J Phys Educ Recreation Dance 2000; 71: 4–6.

    Article  Google Scholar 

  7. Zhicheng L, Fengmin S . Recent progress in the studies on weight reduction by acupuncture and Moxibustion. J Tradit Chin Med 1995; 15: 224–230.

    Google Scholar 

  8. Zheng zhi S . Exercise-associated acupuncture therapy (part2). Int J Clin Acupunct 2000; 11: 315–317.

    Google Scholar 

  9. Malmlöf K, Hohlweg R, Rimvall K . Targeting of the central histaminergic system for treatment of obesity and associated metabolic disorders. Drug Dev Res 2006; 67: 651–665.

    Article  Google Scholar 

  10. Carek PJ, Dickerson LM . Current concepts in the pharmacological management of obesity. Drugs 1999; 57: 883–904.

    Article  CAS  Google Scholar 

  11. Munsch S, Esther B, Andrea M, Tanja M, Barbara S, Alex T et al. A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder. Int J Eat Disord 2007; 40: 102–113.

    Article  Google Scholar 

  12. Foreyt JP, Poston C . The role of the behavioral counselor in obesity treatment. J Am Diet Assoc 1998; 98 (Suppl): s27–s30.

    Article  CAS  Google Scholar 

  13. Rao RB, Ely SF, Hoffman RS . Deaths Related Liposuction. N Engl J Med 1999; 340: 1471–1475.

    Article  CAS  Google Scholar 

  14. Richards D, Marely J . Stimulation of auricular acupuncture points in weight loss. Aust Fam Physician 1998; 27 (Suppl 2): S73–S77.

    Google Scholar 

  15. Elden H, Ladfors L, Olsen MF, Ostgaard HCH, Hagberg H . Effect of acupuncture and stabilizing exercises as adjunct to standard treatment in pregnant women with pelvis girdle pain: randomized single blind controlled trial. Br Med J 2005; 330: 761–765.

    Article  Google Scholar 

  16. Mok M, Parker LN, Voina S, Bray G . Treatment of obesity by acupuntuare. Am J Clin Nutr 1976; 29: 832–835.

    Article  CAS  Google Scholar 

  17. Allison G, Kravitz E . Auricular chondritis secondary to acupuncture. N Engl J Med 1975; 293: 780.

    CAS  PubMed  Google Scholar 

  18. Björntorp P . Physical training in the treatment of obesity. Int J Obes 1978; 2: 149–156.

    PubMed  Google Scholar 

  19. Gwinup G . Effect of exercise alone on the weight of obese women. Arch Intern Med 1975; 135: 676–680.

    Article  CAS  Google Scholar 

  20. Huang MH, Yang RC, Hu SH . Preliminary results of triple therapy for obesity. Int J Obes 1996; 20: 830–836.

    CAS  Google Scholar 

  21. Shafshak TS . Electro acupuncture and exercise in body weight reduction and their application in rehabilitating patients with knee osteoarthritis. Am J Chin Med 1995; XXIII: 15–25.

    Article  Google Scholar 

  22. Cabiogl MT, Ergene N . Electro acupuncture therapy for weight loss reduces serum total cholesterol, triglycerides, and LDL cholesterol levels in obese women. Am J Chin Med 2005; 33: 525–533.

    Article  Google Scholar 

  23. Hus CH, Hwang KC, Chao CL, Lin JG, Kao ST, Chou P . Effect of electro acupuncture in reducing weight and waist circumference in obese women: a randomized crossover trial. Int J Obes 2005; 29: 1379–1384.

    Article  Google Scholar 

  24. Asamoto S, Takeshige C . Activation of the satiety center by auricular acupuncture point stimulation. Brain Res Bull 1992; 29: 157–164.

    Article  CAS  Google Scholar 

  25. Wahrenberg H, Lonnqvist F, Arner P . Mechanisms underlying regional differences in lipolysis in human adipose tissue. J Clin Invest 1988; 84: 458–467.

    Article  Google Scholar 

  26. Jequier E, Tappy L . Regulation of body weight in humans. Am Physiol Soc 1999; 70: 451–460.

    Google Scholar 

  27. Ross R, Rissanen J . Mobilization of visceral and subcutaneous adipose tissue in response to energy restriction and exercise. Am J Clin Nutr 1994; 60: 695–703.

    Article  CAS  Google Scholar 

  28. Leenen R, Vanderkey K, Deurenberg P, Seidell JC, Weststrate JA, Schouten FJM et al. Visceral fat accumulation in obese subjects: relation to energy expenditure and response to weight loss. Am J Physiol 1992; 263: E913–E919.

    Article  CAS  Google Scholar 

  29. Ernst E . Acupuncture/acupressure for weight reduction? A systematic review. Wien Klin Wochenschr 1997; 109: 60–62.

    CAS  Google Scholar 

  30. Pittler MH, Ernst E . Complementary therapies for reducing body weight: a systematic review. Int J Obes 2005; 29: 1030–1038.

    Article  CAS  Google Scholar 

  31. Vickers A, Goyal N, Harland R, Rees R . Do certain countries produce only positive results—a systematic review of controlled trials. Control Clin Trials 1998; 19: 159–166.

    Article  CAS  Google Scholar 

  32. Brow RL . Obesity threatens health in exercise-deprived societies. Am Fitness 2001; 19: 62–64.

    Google Scholar 

  33. Zelasko CJ . Exercise for weight loss: what are the facts? J Am Diet Assoc 1995; 95: 1414–1417.

    Article  CAS  Google Scholar 

  34. Skender MG, KenGoodrik DJ, Deljunco R, Reeves L, Darnell A, Gotto M et al. Comparison of 2-year weight loss trends in behavioral treatments of obesity: diet, exercise and combination interventions. J Am Diet Assoc 1996; 96: 342–346.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Sport Physiology, Shahid Beheshti University, Tehran, Iran

    M Nourshahi & S Ahmadizad

  2. Department of Sport Physiology, Teacher Training University, Tehran, Iran

    H Nikbakht

  3. Department of Medicine, Shahid Beheshti Medical Science University, Tehran, Iran

    M A Heidarnia

  4. Department of Complementary Medicine, Peninsula Medical School, Universities of Exeter and Plymouth, Exeter, UK

    E Ernst

Authors
  1. M Nourshahi
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  2. S Ahmadizad
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  3. H Nikbakht
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  4. M A Heidarnia
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  5. E Ernst
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Correspondence to E Ernst.

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Nourshahi, M., Ahmadizad, S., Nikbakht, H. et al. The effects of triple therapy (acupuncture, diet and exercise) on body weight: a randomized, clinical trial. Int J Obes 33, 583–587 (2009). https://doi.org/10.1038/ijo.2009.41

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  • DOI: https://doi.org/10.1038/ijo.2009.41

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