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Comparative Effectiveness of East Asian Traditional Medicine for Childhood Simple Obesity: A Systematic Review and Network Meta-Analysis

Author

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  • Boram Lee

    (KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea)

  • Chan-Young Kwon

    (Department of Oriental Neuropsychiatry, Dong-Eui University College of Korean Medicine, Busan 47227, Korea)

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.

Suggested Citation

  • Boram Lee & Chan-Young Kwon, 2022. "Comparative Effectiveness of East Asian Traditional Medicine for Childhood Simple Obesity: A Systematic Review and Network Meta-Analysis," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:12994-:d:938580
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    References listed on IDEAS

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    1. Xiaolei Li & Jian Li & Ping Qing & Wuyang Hu, 2021. "COVID-19 and the Change in Lifestyle: Bodyweight, Time Allocation, and Food Choices," IJERPH, MDPI, vol. 18(19), pages 1-14, October.
    2. Huijuan Cao & Xun Li & Jianping Liu, 2012. "An Updated Review of the Efficacy of Cupping Therapy," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-1, February.
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