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Acupuncture is more effective than control treatment in alleviating pain and improving well-being in both the short- and long-term in patients with fibromyalgia.
This meta-analysis included 12 studies with 715 participants comparing the effects of real acupuncture with control intervention. The results indicated that acupuncture could effectively relieve pain and improve well-being in patients with FM, with both short - and long-term benefits. However, acupuncture had no effect on fatigue, sleep, physical function, and stiffness compared with control treatment. The subgroup analysis indicated that the real acupuncture group produced more analgesic effects than the control group, with different number of sessions, types of acupuncture, and stimulation. In addition, acupuncture was not associated with serious reactions and had a reliable safety profile.
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Intermittent fasting may potentially influence autoimmune diseases like type 1 diabetes and rheumatoid arthritis, by reducing inflammation and supporting cellular repair mechanisms.
2023 Autoimmunity Reviews Intermittent fasting: A promising dietary intervention for autoimmune diseases Barati M, Ghahremani A, Namdar Ahmadabad H
Systematic Review Autoimmune Diseases Intermittent Fasting Rheumatoid Arthritis
Extensive research was done through several electronic databases such as PubMed, Scopus, Embase, and Web of Science. Rigorous inclusion criteria were applied to filter the most relevant studies on the effects of intermittent fasting on autoimmune diseases. No reference to further research trials was mentioned in the methodology.
The results indicate a potential link between intermittent fasting and the management of certain autoimmune diseases. Autoimmune diseases like type 1 diabetes, rheumatoid arthritis, and systemic lupus erythematosus exhibited improvements owing to the reduction in inflammatory markers, improvement in gut microbiota, and enhanced cellular repair resulting from autophagy induced by intermittent fasting. However, results concerning other autoimmune diseases like multiple sclerosis, systemic lupus erythematosus, thyroid diseases, and psoriasis were inconclusive.
Acupuncture showed a significant effect in the management of fibromyalgia patients. It reduced pain, depression, and enhanced quality of life.
2022 Healthcare Efficacy of Acupuncture, Intravenous Lidocaine, and Diet in the Management of Patients with Fibromyalgia: A Systematic Review and Network Meta-Analysis Almutairi NM, Hilal FM, Bashawyah A, Dammas FA, Yamak Altinpulluk E, Hou JD, et al.
Systematic Review Fibromyalgia
There were 23 included RCTs. The total sample size was 1409 patients. Compared with the sham/placebo group, the network analysis showed the highest improvement in the quality of life in the acupuncture group standardized mean difference, and then in the physiotherapy group. For the pain, there was a significant reduction with acupuncture, compared with sham/placebo. Regarding depression, it showed a significant reduction with acupuncture compared with sham/placebo. Finally, for stiffness, it showed no significant differences in the stiffness between acupuncture, fluoxetine, and physiotherapy compared with sham/placebo.
Increasing evidence supports the use of acupuncture as part of multimodal approaches to the treatment of fibromyalgia with additive efficacy to traditional therapy.
2021 Orthopedic Reviews Efficacy of acupuncture in the treatment of fibromyalgia Berger AA, Liu Y, Nguyen J, Spraggins R, Reed DS, Lee C, et al.
Review Article Fibromyalgia
Given the positive evidence in most studies examining the use of acupuncture as an adjunct to exercise, physical therapy, or pharmacological treatment, and in light of the safety and availability of the treatment, there seems to be increasing evidence supporting the incorporation of acupuncture as part of multi-modality treatment plans for fibromyalgia.
Compared with no treatment and standard therapy, acupuncture improves pain and stiffness in people with fibromyalgia.
2013 Cochrane Database of Systematic Reviews Acupuncture for treating fibromyalgia Deare JC, Zheng Z, Xue CC, Liu JP, Shang J, Scott SW, et al.
Systematic Review Chronic Pain Fibromyalgia
There is low to moderate-level evidence that compared with no treatment and standard therapy, acupuncture improves pain and stiffness in people with fibromyalgia. There is moderate-level evidence that the effect of acupuncture does not differ from sham acupuncture in reducing pain or fatigue, or improving sleep or global well-being. EA is probably better than MA for pain and stiffness reduction and improvement of global well-being, sleep and fatigue. The effect lasts up to one month, but is not maintained at six months follow-up. MA probably does not improve pain or physical functioning. Acupuncture appears safe. People with fibromyalgia may consider using EA alone or with exercise and medication. The small sample size, scarcity of studies for each comparison, lack of an ideal sham acupuncture weaken the level of evidence and its clinical implications. Larger studies are warranted.
Acupuncture and moxibustion therapy show greater effectiveness than oral sulphasalazine in treating inflammatory bowel diseases.
2013 Evidence-Based Complementary and Alternative Medicine Acupuncture and Moxibustion for Inflammatory Bowel Diseases: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Ji, J., Lu, Y., Liu, H., et al.
Systematic Review Autoimmune Diseases Inflammatory Bowel Disease Inflammatory Bowel Diseases
For the methodology, seven significant databases, both domestic and international, were meticulously searched to accumulate and examine randomized controlled trials (RCTs). These trials specifically compared acupuncture and moxibustion as the main intervention to pharmacotherapy in treating Inflammatory bowel diseases (IBD). In total, 43 RCTs were incorporated and examined, 10 of which distinctly compared oral sulphasalazine with acupuncture or/and moxibustion treatments.
In regards to the results received, the study found that acupuncture and moxibustion therapy displayed superior results when compared with oral sulphasalazine. This conclusion is drawn from the meta-analysis of the 10 trials focusing specifically on these treatments. Even though the systemic review presented several limitations and a definitive conclusion wasn't reached, it still laid groundwork for the potential effectiveness of acupuncture and moxibustion therapy in managing Inflammatory bowel diseases.
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