Acupuncture for perimenopausal insomnia: a systematic review and meta-analysis Article Swipe
Ruqin Yang
,
Shumin Zhang
,
Gaoyangzi Huang
,
Xin Tang
,
Qifu Li
,
Huang Ya
,
Yibin Deng
,
Hongyang Wang
,
Ziwen Chen
,
Taipin Guo
,
Fanrong Liang
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fmed.2025.1673994
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fmed.2025.1673994
Objective Perimenopausal insomnia (PMI) significantly compromises the quality of life and the physical and mental wellbeing of perimenopausal women. Although many randomized controlled trials (RCTs) indicate that acupuncture alleviates PMI symptoms, comprehensive evidence on its efficacy and safety is lacking. We conducted a meta-analysis to systematically evaluate the therapeutic efficacy and safety of acupuncture for PMI, aiming to provide robust, evidence-based guidance for clinical practice. Methods A total of 12 trials were included in the study, involving 499 participants in the acupuncture group and 495 in the control group, all of which provided data for the meta-analysis. Quality assessment was performed using the Cochrane Risk of Bias (ROB) tool. RevMan version 5.4 and Stata 18.0 software were used for meta-analysis and sensitivity analysis. Results A total of 10 studies were included, with the random-effects model showing that acupuncture significantly improved sleep quality compared to the drug control group, as evidenced by a reduction in Pittsburgh Sleep Quality Index (PSQI) scores [mean difference (MD) = −2.26, 95% confidence interval (CI) (−4.23 to −0.29), p < 0.00001]. Subgroup analyses revealed that acupuncture outperformed Estazolam (MD = −2.89, p < 0.00001). However, it did not outperform alprazolam (MD = −2.30, p = 0.27) or diazepam (MD = −6.55, p < 0.00001). Compared to sham acupuncture, acupuncture resulted in a significantly greater reduction in PSQI scores (MD = −4.85, p = 0.0001). Acupuncture also led to reductions in luteinizing hormone (LH) (MD = −6.55, p < 0.00001) and follicle-stimulating hormone (FSH) (MD = −12.12, p = 0.002), and an increase in estradiol (E2) levels (MD = 11.96, p < 0.00001). One study reported a significant improvement in Insomnia Severity Index (ISI) scores (MD = −3.64, p = 0.0003). Adverse event data were reported in only 4 of the 12 studies. Conclusion Current evidence of low to moderate quality suggests that acupuncture may offer potential benefits and demonstrate good safety for PMI. However, these findings require further validation through large-scale, multicenter, double-blind RCTs using standardized protocols. Systematic review registration https://www.crd.york.ac.uk/PROSPERO/ , Identifier (CRD42018092917).
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- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3389/fmed.2025.1673994
- https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2025.1673994/pdf
- OA Status
- gold
- References
- 21
- OpenAlex ID
- https://openalex.org/W4415097758
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4415097758Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fmed.2025.1673994Digital Object Identifier
- Title
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Acupuncture for perimenopausal insomnia: a systematic review and meta-analysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-10-13Full publication date if available
- Authors
-
Ruqin Yang, Shumin Zhang, Gaoyangzi Huang, Xin Tang, Qifu Li, Huang Ya, Yibin Deng, Hongyang Wang, Ziwen Chen, Taipin Guo, Fanrong LiangList of authors in order
- Landing page
-
https://doi.org/10.3389/fmed.2025.1673994Publisher landing page
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https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2025.1673994/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2025.1673994/pdfDirect OA link when available
- Cited by
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0Total citation count in OpenAlex
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21Number of works referenced by this work
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