Evidence map›Paper›PMID 33146953›Full record

Trial reportBrain and behavior2021

Gender-related difference in altered fractional amplitude of low-frequency fluctuations after electroacupuncture on primary insomnia patients: A resting-state fMRI study.

Xiao-Hua Shi, Yu-Kai Wang, Tie Li, Hong-Yu Liu, Xin-Tong Wang, Zhi-Hong Wang, Jing Mang, Zhong-Xin Xu

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Xiao-Hua ShiDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Yu-Kai WangDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Tie LiDepartment of Acupuncture and Moxibustion, Changchun University of Chinese Medicine, Changchun, China.
Hong-Yu LiuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Xin-Tong WangDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Zhi-Hong WangDepartment of Acupuncture and Moxibustion, Changchun University of Chinese Medicine, Changchun, China.
Jing MangDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Zhong-Xin XuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.ORCID 0000-0002-0338-1182
Union Hospital · CNChangchun University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary insomnia (PI) is defined as a sleep disorder with no definite cause or inducement. Electroacupuncture, a treatment of inserting needles into specific points on the body surface and applying electrical stimulation, has been proved effective in treating PI with minimal adverse effects. However, the influence of gender difference on the clinical treatment efficacy of electroacupuncture for PI patients remains unclear. Therefore, we designed a clinical trial to compare the clinical treatment efficacy of electroacupuncture for PI patients with different genders. The research on the mechanism of electroacupuncture suggested it could modulate the sleep and wakefulness by activating or deactivating brain regions via a needling/tactile somatosensory specific stimulus. Therefore, we also designed a resting-state functional magnetic resonance imaging (rs-fMRI) study to detect the spontaneous brain activity of PI patients before and after the electroacupuncture treatment.

methodThirty PI patients were recruited to accept 5-week electroacupuncture treatment on HT-7. Athens Insomnia Scale (AIS) and Pittsburgh sleep quality index (PSQI) questionnaires were used to evaluate the clinical treatment efficacy. Rs-fMRI was employed to observe the spontaneous brain activity in the resting state at the baseline and after 5 weeks of electroacupuncture treatment, which was measured by the fractional amplitude of low-frequency fluctuations (fALFF).

resultThe AIS and PSQI scores were significantly decreased both in the female PI group and the male PI group after treatment. The decreased PSQI of female patients was significantly more than that of male patients (p < .05). The gender-related difference in the cerebral response to electroacupuncture was mainly in posterior cingulate and supramarginal gyrus.

conclusionThere is a gender-related difference in the clinical treatment efficacy of electroacupuncture for PI patients, and female patients may benefit more from electroacupuncture. Gender-related differences in the cerebral response to electroacupuncture may be one of the factors affecting clinical treatment efficacy.

Indexed as

ElectroacupunctureSleep Initiation and Maintenance DisordersBrainBrain MappingFemaleHumansMagnetic Resonance ImagingMaleamplitude of low-frequency fluctuationselectroacupuncturefunctional magnetic resonance imagingprimary insomnia

Identifiers

PMID33146953
PMCPMC7821580
OpenAlexW3095644947

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.