Acupuncture decreased the risk of coronary heart disease in patients with osteoarthritis

 

Acupuncture decreased the risk of coronary heart disease in patients with osteoarthritis

 

Patients with osteoarthritis (OA) are more likely to develop coronary heart disease (CHD) than the general population. Acupuncture is commonly used in OA patients; however, the therapeutic effect of acupuncture on the risk of CHD in patients with OA and the association between OA patients and their risk to develop CHD in Taiwan are unknown.

In this study from Taiwan, the researchers obtained records from Taiwan's National Health Insurance Research Database. They identified 84,773 patients with OA, which were compared with 727,359 patients without OA diagnosis. 5046 of those who met study inclusion criteria were categorized as the OA-acupuncture cohort (n=1682).  There was also an OA non-acupuncture cohort (n = 1682), and they also included people without OA (n = 1682).  Although the main purpose of the study was to identify whether acupuncture reduces the risk of CHD, the therapeutic effects of acupuncture and medical expenditure were also analysed.

 

Results:

The OA non-acupuncture cohort had a 3.04 higher risk of developing CHD compared with OA-acupuncture cohort (95% confidence interval [CI], 2.54–3.63, p < 0.001).

The non-OA cohort had 1.88 higher risk of developing CHD compared with OA-acupuncture cohort (95% CI, 1.52–2.32, p < 0.001).

The OA patients treated with acupuncture had the lowest medical expenditure in a follow-up time of 6 months, and 3 and 5 years.

 

Conclusion:

This is the first large-scale investigation in Taiwan that shows the association between OA and CHD and the beneficial effects of acupuncture in OA patients, and the associated risk of developing CHD. This trial’s results may provide valuable information for health policy decision making. Further randomised controlled trials are needed to confirm these observational findings.

 

Original study:

https://www.liebertpub.com/doi/10.1089/acm.2020.0153

News

National and international guidelines recommend replacing the amount of time spent being sedentary with physical activity to improve health. This message is especially important in the face of COVID-19, as overall sedentary behaviors have increased substantially.

In the past 30 years, prediabetes (elevated fasting or post-meal blood sugar below the levels required for diagnosis of type 2 diabetes) has grown into a major epidemic affecting nearly one in three adults. Previous studies have shown that combining aerobic exercise and diet can restore normal glucose levels in these individuals. However, the effects of resistance exercise – an important alternative to aerobic exercise – on post-meal blood sugar concentrations has not been investigated.

A low-carbohydrate, high-fat (LCHF) or “ketogenic” diet has grown in popularity due to its ability to increase the rate of fat burning during exercise. For elite athletes this comes at the expense of athletic performance.

Women who have migraine before menopause may have an increased risk of developing high blood pressure after menopause, according to a study published in the April 21, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

The COMPLEMENTARY MEDICAL ASSOCIATION (The CMA) © 2012. No part of this site may be reproduced without the express permission of The Complementary Medical Association. If used without prior consent a charge of US $1,000 per article, or mini section is paid (US $50 per word (minimum) will be charged. This is not meant to reflect a commercial rate for the content, but as a punitive cost and to reimburse The CMA for legal fees and time costs). Use of the contents, without permission will be taken as consent to bill the illegal user in full.