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The Effect of Weight Loss by Acupuncture Therapy on Fecal Microbiota Composition in Obese Female Patients

Year 2025, Volume: 9 Issue: 1, 12 - 22, 31.01.2025
https://doi.org/10.46237/amusbfd.1414224

Abstract

Objective: The aim of this study was to investigate the possible effects of acupuncture therapy on anthropometric and biochemical parameters, as well as on gut microbiota in obese females and to describe any changes that occurred.
Method: This prospectively designed study was approved by the xxx Faculty of Medicine Ethics Committee for Research on Medicine and Non-Medical Devices, dated 11.04.2019 and numbered 2019/1820. This study was performed on voluntary obese female individuals who applied to xxx Center between May 2019 and December 2019 to lose weight. The study was conducted with 15 individuals who displayed the following inclusion criteria: aged 34–45, female gender, body mass index (BMI)≥30 kg/m2, not taking antibiotic medication in the last six months, no known systemic disease (diabetes mellitus, hypertension, chronic kidney disease, etc.), no smoking or alcohol use, not pregnant, not using supplements such as probiotics, antioxidants, vitamins, etc., and not using systemic drugs.
Results: The ages and anthropometric and biochemical measurements of a total of 15 individuals (acupuncture group, n=9; diet group, n=6) included in the study as a consequence of two different treatment methods are summarized in Table 1. There was no significant difference observed in pre-treatment (0 month) levels of age, body weight, BMI, waist circumference, glucose, insulin, and HOMA-IR of the groups (p>0.05).
Conclusion: Considering the detected results of relationship between PA level sleep quality and well-being in the present study, we suggest that regular and adequate PA in every period of life, especially such a sedentary life process may have positive impacts on the sleep quality, energy and well-being, and reduce conditions such as depression and anxiety for individuals with DM.

Project Number

191518008

References

  • 1. Ercan, Z., Deniz, G., Caf, F., Algul, S., Gazioğlu, A., & Kavaklı, A. (2019). The Beneficial Effect of Electro Acupuncture on Obesity may be Associated with Irisin, Nesfatin-l and Preptin Levels. Acupunc & Electro-Ther Res, (44), 105-118.
  • 2. Chooi, Y. C., Ding, C., & Magkos, F. (2019). The Epidemiology of Obesity. Metabolism, (92), 6–10.
  • 3. Apovian, C. M. (2016). Obesity: Definition, Comorbidities, Causes, and Burden. Am J of Manag Care, (2), 176–185.
  • 4. Wearing, S. C., Hennig, E. M., Byrne, N. M., Steele, J. R., & Hills, A. P. (2006). Musculoskeletal Disorders Associated with Obesity: A Biomechanical Perspective. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 7(3), 239–250.
  • 5. Hruby, A., Manson, J. E., Qi, L., Malik, V. S., Rimm, E. B., Sun, Q., et al. (2016). Determinants and Consequences of Obesity. American Journal of Public Health, 106(9), 1656–1662.
  • 6. Engin, A. (2017). The Definition and Prevalence of Obesity and Metabolic Syndrome. Advances in Experimental Medicine and Biology, 960, 1–17.
  • 7. Loo, W. T., García-Loor, J., Dudaniec, R. Y., Kleindorfer, S., & Cavanaugh, C. M. (2019). Host Phylogeny, Diet, and Habitat Differentiate the Gut Microbiomes of Darwin's Finches on Santa Cruz Island. Scientific Reports, 9(1), 18781.
  • 8. Amabebe, E., Robert, F. O., Agbalalah, T., & Orubu, E. S. F. (2020). Microbial Dysbiosis-Induced Obesity: Role of Gut Microbiota in Homoeostasis of Energy Metabolism. The British Journal of Nutrition, 123(10), 1127–1137.
  • 9. Seganfredo, F. B., Blume, C. A., Moehlecke, M., Giongo, A., Casagrande, D. S., Spolidoro, J. V. N., et al. (2017). Weight-loss Interventions and Gut Microbiota Changes in Overweight and Obese Patients: A Systematic Review. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 18(8), 832–851.
  • 10. Öztaş, D., Erdoğan, S., Köroğlu, F. T., Mollahaliloğlu, S., & Erel, Ö. (2018). Useful Influence of Ear & Body Acupuncture Treatment on the Significant Reduction of Body Weight of Obesity and its Relationship with Oxidant-Antioxidant System, Acupunc & Electro-Ther Res, (43), 333-347.
  • 11. Alp, H. (2021). Evaluation of Anthropometric Results After Acupuncture and Diet Applications in Obesity Patients: An experimental-control Study, Acupunc & Electro-Ther Res, (45), 97-106.
  • 12. Zhang, R. Q., Tan, J., Li, F. Y., Ma, Y. H., Han, L. X., & Yang, X. L. (2017). Acupuncture For the Treatment of Obesity in Adults: A Systematic Review and Meta-Analysis. Postgraduate medical journal, 93(1106), 743–751.
  • 13. Lİ, Y., Wu, F. & Cheng, K. (2018). Zhen ci yan jiu, Acupunc Res, (43), 467–475.
  • 14. Al-Assal, K., Martinez, A. C., Torrinhas, R. S., Cardinelli, C. S., & Waitzberg, D. L. (2018). Gut Microbiota and Obesity, Clin Nutr Exp, 20(8), 60–64.
  • 15. Moreno, B., Bellido, D., Sajoux, I., Goday, A., Saavedra, D., Crujeiras, A. B., et al. (2014). Comparison of a Very Low-calorie-ketogenic Diet with a Standard Low-calorie diet in The Treatment of Obesity. Endocrine, 47(3), 793–805.
  • 16. Magoč, T., & Salzberg, S. L. (2011). Flash: Fast Length Adjustment of Short Reads to Improve Genome Assemblies. Bioinformatics (Oxford, England), 27(21), 2957–2963.
  • 17. Caporaso, J. G., Kuczynski, J., Stombaugh, J., Bittinger, K., Bushman, F. D., Costello, E. K., et al. (2010). Qiime Allows Analysis of High-throughput Community Sequencing data. Nature methods, 7(5), 335–336.
  • 18. Edgar, R. C., Haas, B. J., Clemente, J. C., Quince, C., & Knight, R. (2011). Uchime Improves Sensitivity and Speed of Chimera Detection. Bioinformatics (Oxford, England), 27(16), 2194–2200.
  • 19. Edgar, R. C. (2013). Uparse: Highly Accurate OTU Sequences from Microbial Amplicon Reads. Nature methods, 10(10), 996–998.
  • 20. Edgar, R. C. (2004). Muscle: Multiple Sequence Alignment with High Accuracy and High Throughput. Nucleic acids research, 32(5), 1792–1797.
  • 21. Biagi, E., Nylund, L., Candela, M., Ostan, R., Bucci, L., Pini, E., et al. (2010). Through Ageing, and Beyond: Gut Microbiota and Inflammatory Status in Seniors and Centenarians. PloS One, 5(5), e10667.
  • 22. Abdi, H., Zhao, B., Darbandi, M., Ghayour-Mobarhan, M., Tavallaie, S., Rahsepar, A. A., et al. (2012). The Effects of Body Acupuncture on Obesity: Anthropometric Parameters, Lipid Profile, and Inflammatory and Immunologic Markers. The Scientific World Journal, 603539.
  • 23. Mazzoni, R., Mannucci, E., Rizzello, S. M., Ricca, V., & Rotella, C. M. (1999). Failure of Acupuncture in The Treatment of Obesity: A Pilot Study. Eating and Weight Disorders: Ewd, 4(4), 198–202.
  • 24. Garcia-Vivas, J. M., Galaviz-Hernandez, C., Becerril-Chavez, F., Lozano-Rodriguez, F., Zamorano-Carrillo, A., Lopez-Camarillo, C., & et all. (2014). Acupoint Catgut Embedding Therapy with Moxibustion Reduces The Risk of Diabetes in Obese Women. J Res Med Sci, 19(7), 610–616.
  • 25. El-Mekawy, H. S., ElDeeb, A. M., & Ghareib, H. O. (2015). Effect of Laser Acupuncture Combined with a Diet- exercise Intervention on Metabolic Syndrome in Post-menopausal Women. J Adv Res, 6(5), 757–763.
  • 26. Wang, H., Wang, Q., Liang, C., Su, M., Wang, X., Li, H., et al. (2019). Acupuncture Regulating Gut Microbiota in Abdominal Obese Rats Induced by High-Fat Diet. Evid-based Compl Alt: eCAM, 2019, 4958294.
  • 27. Si, Y. C., Miao, W. N., He, J. Y., Chen, L., Wang, Y. L., & Ding, W. J. (2018). Regulating Gut Flora Dysbiosis in Obese Mice by Electroacupuncture. Am J Chin Med, 1–17. Advance online publication.
  • 28. Xu, Z., Li, R., Zhu, C., & Li, M. (2013). Effect of Acupuncture Treatment for Weight Loss on Gut Flora in Patients with Simple Obesity. Acupunct Med, 31(1), 116–117.

Obez Kadın Hastalarda Akupunktur Tedavisi ile Kilo Kaybının Gaita Mikrobiyota Kompozisyonu Üzerine Etkisi

Year 2025, Volume: 9 Issue: 1, 12 - 22, 31.01.2025
https://doi.org/10.46237/amusbfd.1414224

Abstract

Amaç: Bu çalışmanın amacı, akupunktur tedavisinin antropometrik ve biyokimyasal parametreler ile obez kadınlarda bağırsak mikrobiyotası üzerindeki olası etkilerini araştırmak ve meydana gelen değişiklikleri tanımlamaktır.
Yöntem: Prospektif olarak tasarlanan bu çalışma, Necmettin Erbakan Üniversitesi Tıp Fakültesi İlaç ve Tıbbi Olmayan Cihaz Araştırmaları Etik Kurulu'nun 11.04.2019 tarih ve 2019/1820 numarasıyla onaylandı. Bu çalışma Mayıs 2019 ile Aralık 2019 tarihleri arasında Necmettin Erbakan Üniversitesi GETAT Merkezine kilo vermek amacıyla başvuran gönüllü obez kadın bireyler üzerinde gerçekleştirilmiştir. Çalışmaya 34-45 yaş aralığında, kadın cinsiyette, vücut kitle indeksi (BMI) ≥30 kg/m2, son altı ayda antibiyotik kullanmamış, bilinen sistemik hastalığı (diyabet) bulunmayan 15 kişi katılmıştır. Dışlanma kriterleri; Diyabet Mellitus, hipertansiyon, kronik böbrek hastalığı vb.) olması, sigara ve alkol kullanması, hamile olmak, probiyotik, antioksidan, vitamin vb. takviyeleri kullanması ve sistemik ilaç kullanması olarak belirlenmiştir. Toplam 15 kişi çalışmaya katılmıştır. Hastalar 2 gruba ayrılarak akupunktur ve diyet grubu oluşturulmuştur. Grupların demografik verileri ile antropometrik ve biyokimyasal ölçümleri aynı laboratuvar ve aynı hemşire tarafından yapıldı.
Bulgular: Çalışmaya dahil edilen toplam 15 kişinin (akupunktur grubu, n=9; diyet grubu, n=6) iki farklı tedavi yöntemi sonucu yaşları ile antropometrik ve biyokimyasal ölçümleri Tablo 1'de özetlenmiştir.
Sonuç: Grupların tedavi öncesi (0 ay) yaş, vücut ağırlığı, BMI, bel çevresi, glukoz, insülin ve HOMA-IR düzeylerinde farklılık gözlendi (p>0.05).

Ethical Statement

2019/1820 sayılı karar ile Necmettin Erbakan üniversitesi Meram Tıp Etik kurulundan alınmıştır.

Supporting Institution

Necmettin Erbakan üniversitesi BAP Koordinatörlüğü

Project Number

191518008

Thanks

Necmettin Erbakan üniversitesi BAP Koordinatörlüğü

References

  • 1. Ercan, Z., Deniz, G., Caf, F., Algul, S., Gazioğlu, A., & Kavaklı, A. (2019). The Beneficial Effect of Electro Acupuncture on Obesity may be Associated with Irisin, Nesfatin-l and Preptin Levels. Acupunc & Electro-Ther Res, (44), 105-118.
  • 2. Chooi, Y. C., Ding, C., & Magkos, F. (2019). The Epidemiology of Obesity. Metabolism, (92), 6–10.
  • 3. Apovian, C. M. (2016). Obesity: Definition, Comorbidities, Causes, and Burden. Am J of Manag Care, (2), 176–185.
  • 4. Wearing, S. C., Hennig, E. M., Byrne, N. M., Steele, J. R., & Hills, A. P. (2006). Musculoskeletal Disorders Associated with Obesity: A Biomechanical Perspective. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 7(3), 239–250.
  • 5. Hruby, A., Manson, J. E., Qi, L., Malik, V. S., Rimm, E. B., Sun, Q., et al. (2016). Determinants and Consequences of Obesity. American Journal of Public Health, 106(9), 1656–1662.
  • 6. Engin, A. (2017). The Definition and Prevalence of Obesity and Metabolic Syndrome. Advances in Experimental Medicine and Biology, 960, 1–17.
  • 7. Loo, W. T., García-Loor, J., Dudaniec, R. Y., Kleindorfer, S., & Cavanaugh, C. M. (2019). Host Phylogeny, Diet, and Habitat Differentiate the Gut Microbiomes of Darwin's Finches on Santa Cruz Island. Scientific Reports, 9(1), 18781.
  • 8. Amabebe, E., Robert, F. O., Agbalalah, T., & Orubu, E. S. F. (2020). Microbial Dysbiosis-Induced Obesity: Role of Gut Microbiota in Homoeostasis of Energy Metabolism. The British Journal of Nutrition, 123(10), 1127–1137.
  • 9. Seganfredo, F. B., Blume, C. A., Moehlecke, M., Giongo, A., Casagrande, D. S., Spolidoro, J. V. N., et al. (2017). Weight-loss Interventions and Gut Microbiota Changes in Overweight and Obese Patients: A Systematic Review. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 18(8), 832–851.
  • 10. Öztaş, D., Erdoğan, S., Köroğlu, F. T., Mollahaliloğlu, S., & Erel, Ö. (2018). Useful Influence of Ear & Body Acupuncture Treatment on the Significant Reduction of Body Weight of Obesity and its Relationship with Oxidant-Antioxidant System, Acupunc & Electro-Ther Res, (43), 333-347.
  • 11. Alp, H. (2021). Evaluation of Anthropometric Results After Acupuncture and Diet Applications in Obesity Patients: An experimental-control Study, Acupunc & Electro-Ther Res, (45), 97-106.
  • 12. Zhang, R. Q., Tan, J., Li, F. Y., Ma, Y. H., Han, L. X., & Yang, X. L. (2017). Acupuncture For the Treatment of Obesity in Adults: A Systematic Review and Meta-Analysis. Postgraduate medical journal, 93(1106), 743–751.
  • 13. Lİ, Y., Wu, F. & Cheng, K. (2018). Zhen ci yan jiu, Acupunc Res, (43), 467–475.
  • 14. Al-Assal, K., Martinez, A. C., Torrinhas, R. S., Cardinelli, C. S., & Waitzberg, D. L. (2018). Gut Microbiota and Obesity, Clin Nutr Exp, 20(8), 60–64.
  • 15. Moreno, B., Bellido, D., Sajoux, I., Goday, A., Saavedra, D., Crujeiras, A. B., et al. (2014). Comparison of a Very Low-calorie-ketogenic Diet with a Standard Low-calorie diet in The Treatment of Obesity. Endocrine, 47(3), 793–805.
  • 16. Magoč, T., & Salzberg, S. L. (2011). Flash: Fast Length Adjustment of Short Reads to Improve Genome Assemblies. Bioinformatics (Oxford, England), 27(21), 2957–2963.
  • 17. Caporaso, J. G., Kuczynski, J., Stombaugh, J., Bittinger, K., Bushman, F. D., Costello, E. K., et al. (2010). Qiime Allows Analysis of High-throughput Community Sequencing data. Nature methods, 7(5), 335–336.
  • 18. Edgar, R. C., Haas, B. J., Clemente, J. C., Quince, C., & Knight, R. (2011). Uchime Improves Sensitivity and Speed of Chimera Detection. Bioinformatics (Oxford, England), 27(16), 2194–2200.
  • 19. Edgar, R. C. (2013). Uparse: Highly Accurate OTU Sequences from Microbial Amplicon Reads. Nature methods, 10(10), 996–998.
  • 20. Edgar, R. C. (2004). Muscle: Multiple Sequence Alignment with High Accuracy and High Throughput. Nucleic acids research, 32(5), 1792–1797.
  • 21. Biagi, E., Nylund, L., Candela, M., Ostan, R., Bucci, L., Pini, E., et al. (2010). Through Ageing, and Beyond: Gut Microbiota and Inflammatory Status in Seniors and Centenarians. PloS One, 5(5), e10667.
  • 22. Abdi, H., Zhao, B., Darbandi, M., Ghayour-Mobarhan, M., Tavallaie, S., Rahsepar, A. A., et al. (2012). The Effects of Body Acupuncture on Obesity: Anthropometric Parameters, Lipid Profile, and Inflammatory and Immunologic Markers. The Scientific World Journal, 603539.
  • 23. Mazzoni, R., Mannucci, E., Rizzello, S. M., Ricca, V., & Rotella, C. M. (1999). Failure of Acupuncture in The Treatment of Obesity: A Pilot Study. Eating and Weight Disorders: Ewd, 4(4), 198–202.
  • 24. Garcia-Vivas, J. M., Galaviz-Hernandez, C., Becerril-Chavez, F., Lozano-Rodriguez, F., Zamorano-Carrillo, A., Lopez-Camarillo, C., & et all. (2014). Acupoint Catgut Embedding Therapy with Moxibustion Reduces The Risk of Diabetes in Obese Women. J Res Med Sci, 19(7), 610–616.
  • 25. El-Mekawy, H. S., ElDeeb, A. M., & Ghareib, H. O. (2015). Effect of Laser Acupuncture Combined with a Diet- exercise Intervention on Metabolic Syndrome in Post-menopausal Women. J Adv Res, 6(5), 757–763.
  • 26. Wang, H., Wang, Q., Liang, C., Su, M., Wang, X., Li, H., et al. (2019). Acupuncture Regulating Gut Microbiota in Abdominal Obese Rats Induced by High-Fat Diet. Evid-based Compl Alt: eCAM, 2019, 4958294.
  • 27. Si, Y. C., Miao, W. N., He, J. Y., Chen, L., Wang, Y. L., & Ding, W. J. (2018). Regulating Gut Flora Dysbiosis in Obese Mice by Electroacupuncture. Am J Chin Med, 1–17. Advance online publication.
  • 28. Xu, Z., Li, R., Zhu, C., & Li, M. (2013). Effect of Acupuncture Treatment for Weight Loss on Gut Flora in Patients with Simple Obesity. Acupunct Med, 31(1), 116–117.
There are 28 citations in total.

Details

Primary Language English
Subjects Traditional Chinese Medicine and Treatments
Journal Section Research Articles
Authors

Tuba Batur 0000-0002-8225-3153

Fatma Hümryra Yerlikaya 0000-0002-4107-5389

Hayriye Baltaoğlu Alp 0000-0002-7262-2234

Mehmet Aköz 0000-0003-2748-5493

Project Number 191518008
Publication Date January 31, 2025
Submission Date January 3, 2024
Acceptance Date July 19, 2024
Published in Issue Year 2025 Volume: 9 Issue: 1

Cite

APA Batur, T., Yerlikaya, F. H., Baltaoğlu Alp, H., Aköz, M. (2025). The Effect of Weight Loss by Acupuncture Therapy on Fecal Microbiota Composition in Obese Female Patients. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 12-22. https://doi.org/10.46237/amusbfd.1414224