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Acupuncture in Menopause (AIM) study: a pragmatic, randomized controlled trial.
Nancy E Avis1, Remy R Coeytaux, Scott Isom
11Department of Social Sciences and Health Policy 2Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC 3Department of Community and Family Medicine and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
Acupuncture significantly reduces hot flashes and improves quality of life for menopausal women. Benefits persist for at least six months after treatment concludes, offering long-term relief.
Area of Science:
- Integrative Medicine
- Women's Health
- Acupuncture Research
Background:
- Vasomotor symptoms (VMS), commonly known as hot flashes and night sweats, significantly impact the quality of life for perimenopausal and postmenopausal women.
- Current treatment options for VMS may have limitations or side effects, necessitating exploration of alternative therapies.
Purpose of the Study:
- To evaluate the short-term and long-term efficacy of acupuncture in alleviating vasomotor symptoms (VMS).
- To assess the impact of acupuncture on various quality of life indicators in menopausal women.
Main Methods:
- A randomized controlled trial involving 209 women aged 45-60 experiencing frequent VMS.
- Participants were assigned to receive acupuncture treatments within the first 6 months or serve as a waitlist control during the first 6 months of a 12-month study.
- Primary outcome: daily VMS frequency. Secondary outcomes: VMS interference, sleep quality, mood, anxiety, and overall quality of life.
Main Results:
- Acupuncture group showed a 36.7% reduction in VMS frequency at 6 months compared to a 6.0% increase in the control group (P < 0.001).
- Significant improvements in VMS and quality of life were observed after just three treatments, with maximal effects after a median of eight treatments.
- The positive effects on VMS and quality of life were largely maintained at 12 months, persisting for at least 6 months post-treatment.
Conclusions:
- Acupuncture is an effective treatment for reducing vasomotor symptoms in menopausal women.
- Acupuncture provides significant and lasting improvements in quality of life for women experiencing menopausal symptoms.
- The benefits of acupuncture for VMS extend beyond the treatment period, offering sustained relief.
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