Acupuncture to Reduce Sleep Disturbances in Perimenopausal and Postmenopausal Women: A Systematic Review and Meta-analysis

@article{Chiu2016AcupunctureTR,
  title={Acupuncture to Reduce Sleep Disturbances in Perimenopausal and Postmenopausal Women: A Systematic Review and Meta-analysis},
  author={Hsiao-Yean Chiu and Yu-Jung Hsieh and Pei-Shan Tsai},
  journal={Obstetrics \& Gynecology},
  year={2016},
  volume={127},
  pages={507–515}
}
OBJECTIVE: To examine the association of acupuncture with sleep disturbances and serum sex hormone levels in perimenopausal and postmenopausal women and whether there are associated changes in sex hormone levels. DATA SOURCES: We systematically searched electronic databases (EMBASE, PubMed, PsycINFO, CINAHL, ClinicalTrials.gov, Wanfang Data Chinese Database, and China Knowledge Resource Integrated Database) and the reference lists of the identified studies. METHODS OF STUDY SELECTION… 
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Despite limited evidence, in comparison to hypnotics, acupuncture was associated with significant improvements in PMI, and reductions of other menopausal symptoms, suggesting that acupuncture may be a useful addition to treatment for PMI.
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TLDR
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TLDR
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TLDR
The safety and efficacy of various acupuncture treatments for perimenopausal insomnia are compared through network meta-analysis to provide reliable evidence for evaluating the efficacy and safety of acupuncture in the treatment of perimenpausal insomnia.
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TLDR
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TLDR
A meta-analysis of 13 randomized clinical trials that examined the effect of needle acupuncture on hot flush and menopause symptoms in patients with breast cancer showed that acupuncture had no significant effect on the frequency and the severity of hot flush, but significantly alleviated menopausal symptoms.
Acupuncture for treatment of insomnia: An overview of systematic reviews.
The Role of Acupuncture in Treating Perimenopausal Insomnia: An Overview and Quality Assessment of Systematic Reviews and Meta-Analyses
TLDR
Acupuncture appears to be beneficial for PMI management, but the quality of evidence is weakened by the unsatisfactory quality of both SRs/MAs and original trials included.
Combination of acupuncture improves the effect of estazolam on senile insomnia
TLDR
The sub-score analysis of the PSQI showed that a combination of acupuncture and estazolam was more effective in improving subjective sleep quality, sleep duration, habitual sleep efficiency and daytime function than acupuncture or estazlam alone.
Overview of Treatment Guidelines and Clinical Practical Guidelines That Recommend the Use of Acupuncture: A Bibliometric Analysis.
TLDR
Considerably more recommendations were found for the use of acupuncture than are known within the acupuncture or medical communities; a trend by year was also found; a rise in the number of positive statements about acupuncture was typically followed by a rises in thenumber of recommendations of acupuncture.
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References

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TLDR
This meta-analysis confirms that acupuncture improves hot flash frequency and severity, menopause-related symptoms, and quality of life (in the vasomotor domain) in women experiencing naturalMenopause.
Acupuncture improves sleep in postmenopause in a randomized, double-blind, placebo-controlled study
TLDR
Comparison of baseline and post-treatment data of the acupuncture group showed that treatment resulted in significantly lower scores on the Pittsburgh Questionnaire and an improvement in psychological WHOQOL, suggesting acupuncture was effective in improving reported sleep quality and quality of life in postmenopausal women with insomnia.
The Effect of Acupuncture on Postmenopausal Symptoms and Reproductive Hormones: A Sham Controlled Clinical Trial
TLDR
Acupuncture was effective in reducing menopausal complaints when compared to sham acupuncture and can be considered as an alternative therapy in the treatment of menopausal symptoms.
An exploratory pilot study of acupuncture on the quality of life and reproductive hormone secretion in menopausal women.
TLDR
In conclusion, acupuncture is shown to be effective in relieving vasomotor and physical disturbances of menopausal women with effects lasting at least up to 3 months after termination of the treatment.
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TLDR
Acupuncture can contribute to a more rapid reduction in vasomotor symptoms and increase in health-related quality of life in postmenopausal women but probably has no long-term effects.
A Randomized Controlled study on Insomnia During Menopause Treated with the Combination of Acupuncture and Chinese Herbs
TLDR
The therapeutic effect of the combination of acupuncture and herbs is better than that of herbs, which is related with 5-HT,IL-1,TNF-α.
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TLDR
Traditional acupuncture was significantly more effective in reducing hot flush frequency from baseline and hot flush severity and flushes were significantly less severe in the acupuncture group, with a small effect size.
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TLDR
Acupoint sticking therapy can improve the quality of sleep and clinical symptoms and regulate the levels of hormones for patients with perimenopausal insomnia.
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