Review Article

Acupuncture May Be a Potential Complementary Therapy for Alzheimer’s Disease: A Network Meta-Analysis

Table 2

Baseline characteristics included in NMA of the treatment of AD patients.

Study IDGroupAge (mean ± SD)Course (Month-M; Year-Y)Follow times/dInterventionsOutcomeAcupoints
ExpComExpCom

Lei [48]2220Average 67.3/66.4Average 19.2/17.8M28DBTotal effectEX-HN1, DU20, DU24, HT7, PC6, LI4, SP6, ST36, KI3
Li et al. [28]351867 ± 4/66 ± 43.1 ± 1.1/3.0 ± 1.3yNoneDATotal effect, ADLDU20/EX-HN1, GB20, BL23
371465 ± 6/65 ± 73.0 ± 1.6/2.7 ± 2.0yCB
He et al. [43]323055–69/50–69NoneNoneFBTotal effectDU20
Ou et al. [23]161465.53 ± 6.8/64.72 ± 7.62.9 ± 1.6/2.7 ± 2.0y56CBTotal effect, ADLDU20/EX-HN1, BL23
Ou et al.[23]161465.5 ± 6.8/64.7 ± 3.42.9 ± 1.6/2.7 ± 2.0y56CBTotal effectDU20/EX-HN1, BL23
Xia [38]303067.93 ± 4.68/16.40 ± 4.2667.70 ± 5.49/16.03 ± 4.00M7DBTotal effect, ADLDU20, EX-HN1, DU24, HT7, KI3, ST36, GB39, KI4, BL23, SP6
He [55]303063.83 ± 6.24/66.97 ± 7.3417.13 ± 4.44/18.93 ± 5.05M28FBTotal effect, ADLDU20, DU14, DU4, DU9
Zhou [67]505071.30 ± 8.20/68.60 ± 10.101.80 ± 0.50/1.70 ± 0.20y28DBTotal effect, ADLEX-HN3, DU20, DU23, KI3, GB39, GB20, LR3, BL18, LI4, BL23, PC6, BL17
Chen et al. [19]515168.59 ± 4.36/68.59 ± 4.362.45 ± 0.71/2.45 ± 0.71y28CBTotal effect, ADLDU20, DU24, GB20, SP10, RN17, RN12, GB12, ST36, RN6
Li et al. [11]4545(70.52 ± 5.34)/(70.56 ± 5.32)(5.46 ± 1.39)/(5.42 ± 1.35)y90EBTotal effect, ADLDU26, PC6, SP6, GB20, DU20, HT7, EX-HN1, EX-HN3
Chen et al.[25]404069.5 ± 10.3/70.1 ± 9.66.1 ± 2.9/5.7 ± 3.3y28EBADLEX-HN3, EX-HN1, DU20, DU24, GB20, KI3, GB39, LI4, LR3, BL18, BL23, PC6, BL17
Peng et al. [41]252569.4 ± 5.4/69.5 ± 5.37.5 ± 1.8/7.6 ± 1.7y10FBTotal effectDU24, DU20, DU14, DU16, DU4, KI1
Guan [18]3030/3070.5 ± 9.3/70.2 ± 9.5/69.3 ± 10.25.7 ± 3.2/5.6 ± 3.5/6.0 ± 6.0y7EB/GADLScalp acupuncture, BL23, GB39, KI3, ST36, DU26
Wang and Wang [53]454568.89 ± 3.22/69.18 ± 3.178.59 ± 2.02/8.93 ± 2.17Y28EBTotal effect, ADLDU20, DU24, DU16, DU4
Ni [66]333273.25 ± 2.70/74.14 ± 2.763.90 ± 1.52/3.20 ± 1.30y28DDTotal effectDU20, DU14
Chen [49]313148–70/50–736M-5y/5m-7y90EBTotal effectThe four-shen points, Three-brain acupuncture, The three-zhi acupuncture, Temporal three-needle
Jia et al. [15]41415.11 ± 6.53/74.50 ± 6.832.42 ± 1.00/2.50 ± 1.02Y84CBTotal effect, ADLRN17, RN12, RN6, SP10
Tian and Cheng [17]353550–80None5/30FBTotal effectEX-HN1, DU20, DU24, EX-HN3, DU26, DU16, HT7
Geng [10]363668–87/69–855.19/5.31M7CBTotal effectDU26, PC6, SP6, KI1, DU24, EX-HN1, DU20, LI4, LR3, GB39
Qing [39]303070.31 ± 5.43/70.27 ± 5.9312.63 ± 2.94/12.30 ± 3.09M7DBTotal effectDU20, EX-HN1, KI3, KI4, GB39, RN6, ST36
Liang [60]373773.8 ± 6.7/72.5 ± 5.27.1 ± 1.8/6.4 ± 1.3Y14FBTotal effect, ADLDU20, ST36, GB39, EX-HN1, KI4, KI3
Zhang [24]414172.19 ± 2.6124.16 ± 3.08 M20EBTotal effect, ADLDU26, GB39, ST36, BL23, KI3
Wei et al. [26]333368.37 ± 5.37/68.71 ± 5.777.77 ± 1.65/(7.88 ± 1.67YNoneFBADLDU20, KI1
Ben et al. [42]373771.5 ± 4.7/70.2 ± 4.63.2 ± 1.9/3.0 ± 1.4y84CBTotal effectST36, ST40
Zhu [57]404070 ± 2/66 ± 29.02 ± 0.31/9.13 ± 0.25y10CBTotal effectDU20, EX-HN1, ST36, KI3, KI4, GB39
Yao et al. [64]242476.52 ± 6.365/76.43 ± 6.253.6 ± 1.65/3.6 ± 1.65Y30EBTotal effectDU20
Zhang et al. [59]4040average77.6/76.8average9.5/9.2y30EBTotal effectDU20, GB39, EX-HN1, LI4, ST36
Lin [35]30/303069.7 ± 5.36/73.2 ± 4.81/71.6 ± 5.2255.9 ± 6.18/53.7 ± 5.92/61.3 ± 8.46d28C/FBTotal effect, ADLThe four-shen points, Three-brain acupuncture, The three-zhi acupuncture, Temporal three-needle
Wang et al. [20]363672.05 ± 3.70/70.31 ± 3.793.33 ± 1.98/2.60 ± 1.51y84CBTotal effectDU20, DU14
Liu [52]202072.2 ± 4.8/74.4 ± 4.740.6 ± 13.4/35.7 ± 12.9 M84CBTotal effectDU20, DU14
202073.2 ± 4.9/70.7 ± 4.436.5 ± 13.7/33.3 ± 12.1 M84DATotal effect
Chen et al. [40]404067.19 ± 10.53/68.32 ± 9.45.36 ± 2.84/5.80 ± 3.48Y20EBADLEX-HN3, EX-HN1, DU20, DU24, DU23, GB20, KI3, GB39, LI4, LR3, BL18, BL23, PC6, BL17
Wang and Li [51]505069.79 ± 6.52/71.47 ± 6.325.54 ± 2.25/5.39 ± 2.03y10/20FBTotal effect, ADLDU26, SP6, PC6, GB20, GB12, EX-HN12, EX-HN13, SJ17
Li [37]515171.28 ± 2.34/71.25 ± 2.384.75 ± 1.33/4.72 ± 1.30y10FBTotal effect, ADLSP6, ST36, EX-HN1, ST40, HT7, PC6, KI3, DU26, EX-HN3, DU20, GB20, DU16
Wang et al. [63]272870.7 ± 9.1/70.3 ± 8.05.8 ± 0.6/5.0 ± 1.1y28FBTotal effectNone
Ma [58]303063.83 ± 6.24/66.97 ± 7.3417.13 ± 4.44/18.93 ± 5.05 M8CBTotal effect, ADLDU20, DU14, DU4, BL23, GB39, KI3
Jin [30]262663.73 ± 9.12/64.88 ± 8.974.91 ± 2.29/4.86 ± 2.32y180FBTotal effect, ADLThe four-shen points
Chen et al. [44]50/505073.16 ± 7.69/72.86 ± 7.23/72.06 ± 6.974.02 ± 0.11/3.96 ± 0.15/3.84 ± 0.1990F/CBTotal effectDU20, EX-HN1
Liu [14]404066.21 ± 3.72/65.65 ± 3.243.86 ± 1.23/3.42 ± 1.12y90DATotal effectDU20, DU26, PC6, SP6, ST40, KI3
Zhang et al. [46]303072.36 ± 4.14/72.31 ± 4.123.25 ± 1.29/3.18 ± 1.26Y90DBTotal effectDU20, KI1
Wang et al. [16]313172.74 ± 8.36/75.77 ± 7.032.50(1.00,4.25)/3.00(2.00,5.00)y56FBTotal effectDU20, EX-HN3, GB15, GB8, GB20, LI4, LI11, ST36, LR3
Xia et al. [56]303049 ± 11/50 ± 123.79 ± 0.27/4.07 ± 0.27y56FBADLDU20, DU16
Zhang [65]252564.23 ± 1.56/65.42 ± 2.454.12 ± 1.42/4.23 ± 1.42yNoneDBTotal effectPC6, DU26, DU20, SP6, DU14, HT7
Zhang et al. [34]464672.6 ± 9.2/71.7 ± 8.7None90FBTotal effect, ADL(BL23, BL20, DU20)/(BL15, ST36, EX-HN1)
Wang and Li [27]606069.5 ± 3.5/69.2 ± 3.63.3 ± 0.8/3.5 ± 0.9y28EBTotal effect, ADLTemporal three-needle, three-brain acupuncture, The four-shen points, The three-zhi acupuncture, HT7
Li et al. [21]434376.5 ± 6.3/77.5 ± 6.83.1 ± 0.8/2.9 ± 0.7yNoneDATotal effect, ADLDU20, DU14, DU24, DU16
Tao and Li [47]454564.23 ± 1.56/65.42 ± 2.454.12 ± 1.42/4.23 ± 1.43yNoneDBTotal effectKI1, DU20
Chen et al. [62]484874.36 ± 5.47/75.13 ± 5.813.42 ± 0.73/3.29 ± 0.68Y90FBTotal effect, ADLDU20, DU26, PC6, SP6, GB39, ST40, KI3
Liu [36]2020/2067.2 ± 4.2/68.3 ± 5.1/68.8 ± 5.6None28DA/BTotal effectEX-HN1, DU20, HT7, ST36
Zhang [50]322851–80None15DATotal effectDU26, PC6, SP6, DU20, DU14, HT7, GB39, Eye acupuncture
Liu et al. [29]242256–78/55–778M-5y28DBTotal effectEX-HN1, DU20, DU24, HT7, PC6, LI4, SP6, ST36, LR3
Li and Li [33]404070.24 ± 5.14/69.37 ± 4.674.85 ± 1.50/4.82 ± 1.47y28DBTotal effect, ADLDU20, DU26, DU15, DU24, DU14, DU9
Zhao et al. [45]161667 ± 2.125.17 ± 1.05Y60CBTotal effect, ADLDU20, DU14
Zhu et al. [12]202072.3 ± 66M-3y56CBTotal effectDU20, BL23, SP10, BL17
202056DA
Liu et al. [54]404069.16 ± 2.12/68.09 ± 6.2410.05 ± 2.60/9.79 ± 5.227CBTotal effectThree-smell acupuncture
Peng and Dong [22]2828/2862–791-8Y84DB/ATotal effect, ADLDU20, EX-HN1, DU14, RN4
Ji et al. [61]5353NoneNone30CBTotal effectDU20, PC6
Li et al. [13]20/202055–80None84C/DATotal effectBL23, BL17, HT7, DU20
Luo et al. [31]484867.7 ± 7.2Over 6M25CBTotal effectDU14, BL23, KI3, ST36

A-herbal medicine; B-western medicine; C-acupuncture. D-acupuncture + herbal medicine; E-acupuncture + herbal medicine + western medicine; F-acupuncture + western medicine; G-herbal medicine + western medicine.