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Comparative Effectiveness of East Asian Traditional Medicine for Childhood Simple Obesity: A Systematic Review and Network Meta-Analysis.
| Content Provider | Europe PMC |
|---|---|
| Author | Lee, Boram Kwon, Chan-Young |
| Editor | Cano-Ibáñez, Naomi Khan, Khalid Saeed |
| Copyright Year | 2022 |
| Abstract | Childhood obesity leads to various comorbidities and usually persists into adulthood, increasing socioeconomic burden. In the absence of a clearly effective treatment, East Asian traditional medicine (EATM) therapies have been widely used. We aimed to analyze the comparative effectiveness and safety of EATM techniques for children with simple obesity through network meta-analysis (NMA). Twelve databases were searched for randomized controlled trials (RCTs) evaluating the effect of EATMs on childhood simple obesity. Individual EATMs were ranked based on the surface under the cumulative ranking curve. The risk of bias in the individual studies and publication bias in the NMA were evaluated. Thirty-three RCTs were included. Acupuncture, chuna, chuna plus acupressure, cupping plus acupressure, herbal medicine (HM), and HM plus acupuncture significantly reduced BMI compared with lifestyle management. Based on the treatment ranking, cupping plus acupressure was optimal for BMI reduction compared with a non-medical management, followed by chuna and HM. The quality of evidence for individual findings was usually moderate to low, and no serious adverse events of EATM were reported. Cupping plus acupressure might have a large beneficial effect, and chuna or HM probably have a moderate beneficial effect on reducing BMI in children with simple obesity. |
| ISSN | 16617827 |
| Journal | International Journal of Environmental Research and Public Health [Int J Environ Res Public Health] |
| Volume Number | 19 |
| DOI | 10.3390/ijerph192012994 |
| PubMed Central reference number | PMC9602315 |
| Issue Number | 20 |
| PubMed reference number | 36293575 |
| e-ISSN | 16604601 |
| Language | English |
| Publisher | Molecular Diversity Preservation International (MDPI) |
| Publisher Date | 2022-10-11 |
| Access Restriction | Open |
| Subject Keyword | simple obesity children East Asian traditional medicine network meta-analysis systematic review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health, Toxicology and Mutagenesis Pollution Public Health, Environmental and Occupational Health |