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Table 1 Summary of studies included in meta-analysis

From: Efficacy of acupuncture for primary osteoporosis: a systematic review and meta-analysis of randomized controlled trials

Author, year

Participants

Sample size

Interventions

Outcomes

EG

CG

EG

CG

EG

CG

Frequency

Duration of treatment

Acupoints

Cai 2014

WA:51 ± 6

EA:52 ± 7

50 ± 6

WA:30

EA:30

30

WA + EA

Calci D tablets

qd

1 month

BL11, BL23, GB39

1), 2)

Cai 2015

51 ± 7

50 ± 6

43

42

WA + calcil D tablets

Calcci D tablets

qd

4 months

BL11, BL23, GB39

1)

Chen 2004

58.12 ± 7.25

57.63 ± 7.68

30

30

WA + calcage D

Calcci D

qod

6 months

DU14, ST36, BL23, BL26

1), 3), 5)

Chen 2022

64 ± 5

64 ± 5

31

32

needling + Calcage D

Calcitriol gel pills

qod

12 weeks

BL23, BL20, RN4, ST36, GB39, SP6

1), 3)

Chen 2022

67.04 ± 4.82

67.39 ± 4.40

27

28

EA + Calci D

Calcci D

qod

4 weeks

ST36, ST30, GB34, GB39, BL18, BL20, BL23

2), 3)

Dong 2014

65.8 ± 5.3

66.7 ± 5.6

20

20

needling

Alfacalciferol softgels

6 times a week

3 months

RN12, RN6, RN4, SP15, KI14, KI13

2)

Du 2011

64 ± 8

66 ± 9

32

32

needling

Leli capsules

qod

3 months

LR14, BL18, BL20, BL23, ST36, GB34, GB39, SP6, KI3, LR3

1), 3), 5)

Feng 2021

63.91 ± 5.58

63.57 ± 5.63

34

33

needling + calcium carbonate tablets + alfacalciferol softgels + alendronate tablets

Calcium carbonate tablets

 + alfacalciferol softgels

 + alendronate sodium tablets

tiw

13 weeks

BL20, BL21, SP3, ST42, SP2, ST41

1), 3), 6)

Ge 2015

77.6 ± 8.3

79.2 ± 2.6

49

44

needling

Calcium carbonate D3

 + calcitriol + alendronate sodium

once every three days

3 months

RN12, RN6, RN4, ST24, ST26, SP15

1), 2), 3), 4)

Hu 2016

61.4 ± 8.3

62.1 ± 8.7

35

35

needling

Calcium carbonate D3 tablets

qd

3 months

BL20, BL21, BL23, BL18, ST36

1), 3), 5)

Huang 2016

68.59 ± 4.43

68.44 ± 4.35

40

40

EA

Calcitriol softgels

qd

3 months

BL18, BL20, BL23, EX-B2, BL40, ashi point

1)

Jin 2003

60.70 ± 5.34

66.82 ± 6.51

32

30

EA

Tablets

tiw

3 months

EX-B2, ashi point, BL23, BL20, DU4, ST36, GB34

1), 2)

Li 2018

58.6 ± 4.3

59.4 ± 4.9

30

30

needling + zolescophospic acid injection

zole-lephosphate injection

qd

2 months

BL23, GB39, DU4, ST36, RN4

1), 3)

Liang 2007

61.3

61.3

40

40

WA

Calcci D

qod

3 months

BL11, DU14, DU4, BL23, BL20, ST36, GB39

1), 3)

Liu 2023

60.03 ± 5.06

59.45 ± 5.34

31

29

needling

Calcium carbonate D3

qod

3 months

BL23, ST36, BL11, EX-B2, DU4, KI3, BL20, RN12, SP10, BL17

1), 3)

Luo 2015

54.8 ± 6.2

54.8 ± 6.2

18

18

WA

Leli calcium capsules

qod

6 months

BL18, BL23, GB34, ST36, BL11, SP6, GB39, RN4

1), 3)

Nong 2011

67.75 ± 6.83

69.42 ± 4.12

32

31

WA

Vidine calcium tablets

qod

3 months

BL11, BL18, BL23, ST36, GB34, GB39, SP6, RN4

1), 2), 3)

Ou 2011

64.4 ± 5.3

65.6 ± 6.6

25

30

WA + alenphosphate sodium

Alendronate sodium

qod

6 months

BL20, BL23, DU4, RN8, ST36, SP6

1)

Pang 2008

68.8 ± 5.2

68.3 ± 5.3

30

30

WA

Vidine calcium tablets

qd

3 months

BL23, ST36, GB39, BL11, RN4, BL18, SP6, GB34

2), 3)

Qiu 2018

62.2 ± 9.3

61.4 ± 8.9

30

30

needling

Alendronate sodium tablets

qod

6 months

BL23, BL20, BL40, BL11, GB34, ST36

1), 3)

Shi 2010

66.70 ± 5.34

65.82 ± 6.51

15

15

needling + Calcium needle

Calcium breath needle

50 IU intramuscular injection

5 times a week

3 months

RN12, RN6, RN4, SP15

2)

Sun 2017

59.88 ± 6.18

59.88 ± 6.18

30

30

EA + Calci D

Calcci D

qod

3 months

BL23, BL20, BL21, KI3, BL11, GB39, SP6

1), 2)

Tan 2016

59.4 ± 2.5

60.3 ± 3.6

40

40

EA

Calcium carbonate D3

chewable tablets

qd

6 months

BL23, SP6, DU4

1), 2), 3)

Tian 2020

65 ± 5

64 ± 6

32

33

needling

Alendronate tablets

tiw

3 months

BL23, GB25, BL20, LR13, BL18, LR14, BL11, GB39, ST36, GB34, GB31, ST31, ST33

1), 2), 3), 4)

Tian 2023

66 ± 4

65 ± 5

36

36

needling

Alendronate tablets

tiw

6 months

BL18, LR14, BL23, GB25, BL20, LR13, BL21, RN12, GB34, GB39, GB31, ST31, ST33

1), 2)

Wang 2004

47.87

49.62

50

50

needling

Gaitianli + gamma oryzanol

qd

3 months

BL23, BL18, ST36, KI1, SP10

1), 3)

Wang 2013

58 ± 5

56 ± 7

G1:50

G2:50

50

G1:EA

G2:EA + Calcitriol Soft Capsules

Rogue full gel pills

qd

6 months

BL20, BL21, BL23, BL18, DU3, DU4, BL40, ashi point, RN12, ST25, RN4, EX-CA1, ST36, SP6, KI3, GB39

1), 2), 3), 5), 6)

Wang 2016

61.83 ± 4.71

62.23 ± 4.29

30

31

EA

Calcium carbonate D3 tablets

qod

6 months

BL11, BL23, ST36

1), 3)

Wang 2019

62.93 ± 7.23

62.93 ± 6.95

30

30

needling

Manual acupuncture

qd

3 months

BL23, BL20, DU4, ST36, RN4, ashi point

1), 2), 3)

Wu 2012

68 ± 5.27

68 ± 5.27

25

30

WA + alfacalciferol + calciferol D

Alfacalciferol + Calcil D

tiw

3 months

BL23, DU4, ST36, GB39

1), 2)

Xin 2021

66.95 ± 4.6

67.26 ± 4.58

40

40

WA + calcitonin + salmon calcitonin injection + alendronate sodium

Calci + Salmon Calcitonin Injection

 + Alendronate Sodium

qod

3 months

BL11, BL23, ST36, GB39, BL18, SP6, GB34

1), 2), 3)

Yang 2016

60.8 ± 4.3

61.2 ± 4.7

54

50

needling + salmon calcitonin + Alan phosphate sodium + calci

Salmon calcitonin + Alan phosphate sodium + calciton

qod

6 months

ST36, BL23, BL26, KI3, BL20, SP6, ashi point

1), 2), 3)

Zhang 2014

62.21 ± 4.65

62.74 ± 5.07

25

25

EA

Alfacalciferol softgels

qod

3 months

BL23, DU4, ST36, RN4, BL20, BL40, KI3

1), 2), 3)

Zhang 2016

65.6 ± 6.6

64.4 ± 5.3

20

20

EA + Fairy Bone Capsules

Fairy Bone Capsules

qd

6 months

EX-B2

1), 2)

Zhang 2021

63.62 ± 7.76

63.49 ± 7.81

39

39

WA + alendronate sodium + calcium carbonate D3 tablets

Calcium carbonate D3 tablets

 + alendronate sodium

qod

8 weeks

BL23, BL11, GB39, ST36, DU4

1), 3)

Zhao 2008

64.00 ± 5.99

66.90 ± 5.89

20

20

WA

Vidine calcium tablets

qod

3 months

BL11, BL18, BL23, ST36, GB34, GB39, SP6, RN4

1), 3), 5)

Zhao 2013

65.6 ± 3.4

64.2 ± 2.32

50

50

needling + Calci D + Luo Gaiquan

Calcil D + Rogai Whole

 + Alendronate Sodium Tablets

qod

4 months

EX-B2

1), 2)

Zhao 2015

62.4 ± 8.5

61.9 ± 9.0

34

32

needling

Salmon calcitonin or sodium allenphosphate

 + calcium carbonate D3 or calcitriol

qod

6 months

GB39, BL23, RN4, RN6, DU4, ST36, SP6, SP9, GB34

1), 2), 3)

Zhou 2014

62.39 ± 7.12

61.37 ± 8.06

30

30

WA + risedronate

Risedronate sodium

qd

1 month

BL18, BL23, BL20

1), 2), 3)

Zhu 2015

70.5 ± 3.3

69.3 ± 3.6

30

30

needling

group health management interventions

qd

5 months

DU14, DU4, BL20, KI3, ST36

1), 2), 3)

  1. EG: experimental group; CG: control group; WA: warming acupuncture; EA: electroacupuncture; qd: once daily; qod: once every other day; tiw: 3 times a week
  2. outcomes: 1) bone mineral density (BMD); 2) pain visual analog scale (VAS); 3) clinical therapeutic effect; 4) Oswestry disability index (ODI); 5) level of serum alkaline phosphatase, and 6) level of E2