Augmentation of Cancer Cachexia Components With Targeted Acupuncture in Patients With Gastrointestinal Cancers: A Randomized Controlled Pilot Study

Integrative Cancer Therapies
Oliver GrundmannThomas J George

Abstract

Patients with gastrointestinal (GI) cancer-associated cachexia are at risk of high morbidity and mortality. This randomized single-blind pilot study compared the complementary use of targeted acupuncture (TA) with nontargeted acupuncture (NTA) for halting cachexia symptoms. GI cancer patients with cachexia undergoing chemotherapy were assigned to receive 8 weekly sessions of either TA (n = 15) or NTA (n = 15) following a specific acupuncture protocol. Bioelectrical impedance analysis and weight were measured weekly. Biological markers, including C-reactive protein, prealbumin, tumor necrosis factor-α, lactate dehydrogenase (LDH), leptin, and ghrelin blood levels were determined at specific intervals. Prealbumin levels and fat-free mass were significantly higher in the NTA group at the end of the study, but remained stable in TA group. TA group had significantly lower (230 IU/L vs 288 IU/L, P = .04) LDH at the end of the study, but elevated tumor necrosis factor-α levels (13.15 pg/mL vs 9.24 pg/mL, P = .04). The absolute blood leptin and ghrelin levels decreased in the TA but remained stable in the NTA group. Both groups maintained weight, but the TA group trended toward weight gain during the last 2 weeks of the study. No adver...Continue Reading

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Citations

Oct 1, 2019·Current Opinion in Supportive and Palliative Care·Rony DevShalini Dalal
Sep 24, 2019·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Saunjoo L YoonThomas J George
Feb 13, 2020·Hospital Practice·Anne M MeehanHaixia Qin
Jul 21, 2020·World Journal of Gastroenterology : WJG·Zhi Yu
Nov 26, 2020·Cell Biology International·Keywan Mortezaee

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