Effect of Acupuncture on Insulin Sensitivity in Women With and Without Polycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) is the most common endocrine and metabolic disorder in
women. The main metabolic phenotype is hyperinsulinemia and insulin resistance, which are
independent of body weight and worsen hyperandrogenism and ovulatory dysfunction.
Pharmacological treatments are symptom oriented and usually effective but have metabolic and
gastrointestinal side effects. Therefore, it is important to evaluate new nonpharmacological
treatment strategies, as most women with PCOS require long-term treatment.
Hypothesis and Aims Our central hypothesis is that acupuncture break the vicious circle of
androgen excess and reverse insulin resistance and improve health related quality of life
and affective symptoms in overweight and obese women with and without PCOS.
The specific aim are designed to test the hypotheses that
1. Acupuncture (acute and chronic i.e. 5 weeks treatment, 3 times per week) improves
insulin sensitivity in overweight and obese women with and without PCOS
2. Acupuncture (acute and chronic i.e. 5 weeks treatment, 3 times per week) regulate key
signaling molecules and mitochondrial oxidation/biogenesis in skeletal muscle and
adipose tissue in overweight and obese women with and without PCOS
3. Acupuncture (chronic i.e. 5 weeks treatment, 3 times per week) improve health related
quality of life and symptoms of anxiety and depression in overweight and obese women
with and without PCOS
Time frame of the study is 5-6 weeks. No long term follow up.
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Change in insulin sensitivity
glucose disposal rate measured by euglycemic hyperinsulinemic clamp.
Day 1 and Week 5
Sweden: Regional Ethical Review Board