Effect of Acupressure on Blood Glucose Level in Diabetes Mellitus Patients: Meta-Analysis

Authors

  • Muslihatin Khuril Rosyida Masters Program in Public Health, Universitas Sebelas Maret
  • Didik Tamtomo Faculty of Medicine, Universitas Sebelas Maret
  • Hanung Prasetya Study Program of Acupuncture, Health Polytechnics, Ministry of Health Surakarta

Abstract

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from abnormalities in insulin secretion that affect blood sugar levels. Chronic hyperglycemia in DM is associated with long-term damage to several organs of the body. One of the interventions that can be given to lower blood sugar levels is acupressure therapy. The purpose of this study was to determine the effect of acupressure therapy on blood sugar levels in patients with diabetes mellitus.

Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Diabetes mellitus patients, I: Acupressure, C: No acupressure, O: Blood sugar levels. The process of searching for articles is done through a database of journals including: Pubmed, Google Scholar, Science Direct, Scopus, Spinger Link, CNKI and Hindawi. The keywords used in the literature search were: “acupressure” AND “diabetes” AND “blood sugar” AND “blood glucose” AND “standard controlled trial”, “acupressure for diabetes”, “diabetes standardized controlled trial”, “acupressure randomized controlled trial”. trial”, diabetes acupoint, “diabetes and placebo”, “acupressure” AND “diabetes”. The articles included in the study were full text articles with a randomized controlled trial study design and the results were reported with the effect size, mean standard deviations (SMD). Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.

Results: A meta-analysis of 9 articles reviewed in this study came from Taiwan, China, Indonesia, Egypt and Iran with a sample size of 451. The study results showed that acupressure therapy was able to reduce blood sugar levels in diabetes mellitus patients with SMD blood sugar values. acupressure was 0.56 units lower than no acupressure and was statistically significant with a significance value of (SMD=-0.56; 95% CI= -0.76 to -0.37; p<0.001).

Conclusion: Acupressure therapy has the effect of lowering blood sugar levels in diabetes mellitus patients.

Keywords: acupressure, blood sugar, diabetes mellitus.

Correspondence: Muslihatin Khuril Rosyida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: khurilrosyida@gmail.com. Mobile: 08564713149.

Indonesian Journal of Medicine (2023), 08(01): 68-78
https://doi.org/10.26911/theijmed.2023.08.01.07

References

Chuang SM, Leeb CC, Lod WL , Hsieha CL (2019). Effect of acupressure at Sanyinjiao on albuminuria in patients with early diabetic nephropathy: A single-blind, randomized, controlled preliminary study. Explore. 20(19): 1-5. Doi: 10.1016/j.explore.2-019.09.001.

Decroli E (2019). Diabetes Melitus Tipe 2 (Type 2 Diabetes Mellitus). Padang: Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas.

Dunning T (2014). Care of people with diabetes. UK: Wiley Blackwell.

Feng F, Fang Y, Wang Y, Hao Y (2018). Acupoint therapy on diabetes mellitus dan its common chronic complications: a review of its mechanisms. BioMed Rech. Int. 20(18): 9. Doi: 10.1155/20-18/3128378.

IDF (2021). International diabetes federation diabetes atlas 10th ed2021. IDF Diabetes Atlas 2021 IDF Diabetes Atlas. ISBN: 978-2-930229-98-0.

Jin KK, Lei C, Jing YP, Jian ML, Yang W, Fang YW (2009). Acupressure therapy inhibits the development of diabetic complications in Chinese patients with type 2 diabetes. J. Alter. Comp. Med. 15(9): 1027–1032. Doi: 10.1089=acm.2008.0608.

Kemenkes (2020). Infodatin diabetes. Jakarta: pusat data dan informasi Kemenkses RI. https://www.kemkes.go.id/downloads/resources/download/pusdatin/infodatin/Infodatin%202020%20Diabetes%20Melitus.pdf.Diakses pada 20 november 2022.

Liang F dan Koya D. (2010). Acupuncture: is it effective for treatment of insulin resistance? Diabet Obesity and Metabolism. 12(10): 555–569. Doi:10.1111/j.1463-1326.2009.01192.x.

Mood MS, Yavari Z, Taghanaki HB, Mah-Mourad G (2021). The effect of acupressure on fasting blood glucose, glycosylated hemoglobin, and stress in patients with type 2 diabetes. Compl. Therapies in Clin. Prac. 43(21): 101393. Doi: 10.1016/j.ctcp.2021.101393R.

Murti B (2018). Prinsip dan metode riset epidemiologi (Epidemiological research principles and methods). Edisi V. Bintang Fajar Offset Colomadu.

Najafi SS, Ghorbani H, Yoosefinejad AK, Kalyani MN (2020). The effect of acupressure on fasting blood glucose dan glycosylated hemoglobin levels in diabetic patients: a randomized controlled trial. IJCBNM. 9(2): 152-158. Doi: 10.30476/ijcbnm.2021.86059.1318.

Nurwati I, Wijayanti L, Suparyanti EL, Hdanayani S, Muthmainah M, Dirgahayu P (2020). Buku pdanuan blok 7.3 akupunktur medik 2020. Fakultas kedokteran universitas sebelas maret. ISBN: 978-602-494-092-8.

PERKENI (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia (Guidelines for the management and prevention of type 2 diabetes mellitus in adults in Indonesia). Jakarta: PERKENI.

Purnamasari P (2014). Buku ajar ilmu penyakit dalam (Internal medicine textbook). Edisi 6. Jakarta: Interna Publishing.

Purwanto P, Chistiyawati M, Sumanto S (2020). Pengaruh terapi akupuntur terhadap metabolisme glukosa pada penderita overweight dan obesitas di kelurahan mojosongo, surakarta (The effect of acupuncture therapy on glucose metabolism in overweight and obese patients in Mojosongo Village, Surakarta). J. Ket. Fis. 5(1): 13-30. Doi: 10.37341/jkf.v5-i1.204.

Setyowati H. 2018. Akupresur untuk Kesehatan Wanita Berbasis Hasil Penelitian (Acupressure for Wo-men's Health Based on Research Results). UNIMA PRESS. ISBN: 978-602-51079-5-5.

Shamy SS, El-Kholy, Mahmoud L, Ahmed MK (2018). Ameliorative potential of acupressure on gestational diabetes mellitus: A randomized controlled trial. J. Compl. Int. Med. 20(18): 20180011. Doi: 10.1515/jcim-2-018-0011.

Simadibrata C, Budihardjo FA, Srilestari A (2017). The effect of electroacupuncture at the MAIC 3 endocrine ear acupoint on fasting blood glucose levels in type 2 diabetes mellitus patients. the 1st physics and technologies in medicine dan dentistry symposium: IOP Publishing. Doi:10.1088/1742-6596/884/1/012129.

Tang WR, Chen WJ, Yu CT, Chang YC, Chen CM, Wang CH, Yang SH (2014). Effect of acupressure on fatigue of lung cancer patients undergoing chemotherapy; an experimental pilot study. Comp. Ther. Med. 22(4):581-591. Doi: 10.1016/j.ctim.2014.05.006

Wei BL, Gao Y, Kang Y, Cheng C, Wen QZ (2019). Effect of self-acupoint massage on blood glucose level dan quality of life in older adults with type 2 diabetes mellitus: a randomized controlled trial. J. Gero. Nurs. 45(8): 43-48. Doi: 10.3928/0098913420190709-05

Xie Y, Meng TH, Jia JS, Song SL, Xin TK, Zhou X, Shi HZ., et al. (2022). Clinical effect of abdominal massage therapy on blood glucose dan intestinal microbiota in patients with type 2 diabetes. Oxid. Med. Cell. 20(22): 8. Doi: 10.1155/2022-/2286598.

Zarvasi A, Jaberi AA, Bonabi TB, Tasha-kori M (2018). Effect of self-acupressure on fasting blood sugar (FBS) dan insulin level in type 2 diabetes patients: a randomized clinical trial. Electronic Physician. Doi: 10.190-82/7155.

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2023-01-10

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