Association Between the Electroconductive Value at 24 Acupoints and Blood Pressure in Community-Dwelling Japanese: The Toon Health Study
Association Between the Electroconductive Value at 24 Acupoints and Blood Pressure in Community-Dwelling Japanese: The Toon Health Study
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DOI：
10.1089/imr.2022.0008
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发表时间：
2022-08
期刊：
影响因子：
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通讯作者：
Michiko Onuma;K. Tomooka;I. Saito;K. Maruyama;Den-ichiro Yamaoka;T. Tanigawa
中科院分区：
文献类型：
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作者：
Michiko Onuma;K. Tomooka;I. Saito;K. Maruyama;Den-ichiro Yamaoka;T. Tanigawa
研究背景：良导络理论的穴位反射值属于自主神经系统，其理论基础是传统的东亚医学。病例系列报道了基于良导乐理论的针灸降低高血压患者的血压。然而，没有流行病学研究已经进行了电导率和血压之间的关联。材料与方法：研究对象为2011年至2015年期间参加Toon Health Study的30-79岁男性451人、女性950人，均未服用抗高血压药物。国家授权的针灸师使用Ryodoraku设备测量了参与者手（H1-6）和脚（F1-6）24个穴位的针灸值。在受试者休息5 min后，用自动血压计测量收缩压（SBP）和舒张压（DBP）。在调整年龄、体重指数、饮酒状况、吸烟状况、体力活动和绝经状态后，使用性别特异性多元回归分析来检查每个穴位的F4值与SBP和DBP的关联性。结果：在男性中，发现F4的F4值与SBP呈临界显著正相关，F1、F4和F5的F4值与DBP呈临界显著正相关（p <0.10）。在女性中，发现H2和F1的舒张压值与SBP显著正相关，H1、H2和H3的舒张压值与DBP显著正相关（pfor趋势<0.05）。结论：在居住在社区的日本人中，穴位的舒张压值增加与血压升高显著或边缘显著相关。需要进一步的纵向和干预性研究来阐明高血压的因果关系和治疗效果。
Background:The electroconductive value at acupoints of Ryodoraku theory, which is based on traditional East Asian medicine, pertains to the autonomic nervous system. Case series reported that acupuncture based on Ryodoraku theory lowers blood pressure in hypertensive patients. However, no epidemiological study has been conducted on the association between the electroconductivity and blood pressure. Therefore, this study examined the association between the electroconductive value at the acupoints and blood pressure in community-dwelling Japanese.Materials and Methods:The study participants were 451 men and 950 women aged 30–79 years old, who were not taking antihypertensive medication and who participated in the Toon Health Study from 2011 to 2015. Nationally licensed acupuncturists measured the electroconductive values at 24 acupoints in the hands (H1–6) and feet (F1–6) of participants using a Ryodoraku device. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured with an automatic sphygmomanometer after the participants had rested for 5 min. The association of the electroconductive value at each acupoint with SBP and DBP was examined using sex-specific multiple regression analysis after adjusting for age, body mass index, drinking status, smoking status, physical activity, and menopausal status.Results:In men, borderline significant positive association of the electroconductive values for F4 with SBP was found, and those for F1, F4, and F5 with DBP (pfor trend <0.10). In women, significant positive association of the electroconductive values for H2 and F1 with SBP was found, and those for H1, H2, and H3 with DBP (pfor trend <0.05).Conclusions:Increased electroconductive values at the acupoints were significantly or borderline significantly associated with the elevation of blood pressure in community-dwelling Japanese. Further longitudinal and interventional studies are needed to elucidate the causal relationship and therapeutic effect on hypertension.