Objective: The aim of the present study was to examine the efficacy of acupuncture in the treatment of pain together with the determination of different hormonal parameters for possible correlations in men and women of different ages. Methods: 39 women and 38 men suffering from pain and seeking acupuncture received acupuncture treatment twice a week for 5 weeks. Pain and quality of life parameters were collected via written questionnaires (VAS, QUID and SF-36), while testosterone and cortisol were determined in the saliva. Results: Cortisol and testosterone salivary levels were higher in controls than in pain subjects and higher in men than in women. Acupuncture treatment improved all parameters, decreased pain and changed the hormonal values differently depending on sex and age. Conclusions: Sex and age are important factors in changing the effects of acupuncture in the treatment of pain.
References
[1]
Yeo, S., Rosen, B., Bosch, P., Noort, M.V. and Lim, S. (2016) Gender Differences in the Neural Response to Acupuncture: Clinical Implications. Acupuncture in Medicine, 5, 364-372. https://doi.org/10.1136/acupmed-2015-011025
[2]
Li, Q.Q., Shi, G.X., Xu, Q., Wang, J., Liu, C.Z. and Wang, L.P. (2013) Acupuncture Effect and Central Autonomic Regulation. Evidence-Based Complementary and Alternative Medicine, 2013, Article ID: 267959.
https://doi.org/10.1155/2013/267959
[3]
Xu, C., Li, C., Wu, H., Wu, Y., Hu, S., Zhu, Y., Zhang, W., Wang, L., Zhu, S., Liu, J., Zhang, Q., Yang, J. and Zhang, X. (2015) Gender Differences in Cerebral Regional Homogeneity of Adult Healthy Volunteers: A Resting-State FMRI Study. BioMed Research International, 2015, Article ID: 183074.
https://doi.org/10.1155/2015/183074
[4]
Lund, I. and Lundeberg, T. (2008) Is It All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective. Acupuncture in Medicine, 26, 33-45. https://doi.org/10.1136/aim.26.1.33
[5]
Zhong, Y., Zeng, F., Liu, W., Ma, J., Guan, Y. and Song, Y. (2019) Acupuncture in Improving Endometrial Receptivity: A Systematic Review and Meta-Analysis. BMC Complementary and Alternative Medicine, 19, Article No. 61.
https://doi.org/10.1186/s12906-019-2472-1
[6]
El-Toukhy, T., Sunkara, S.K., Khairy, M., Dyer, R., Khalaf, Y. and Coomarasamy, A. (2008) A Systematic Review and Meta-Analysis of Acupuncture in in Vitro Fertilisation. BJOG: An International Journal of Obstetrics and Gynaecology, 115, 1203-1213.
https://doi.org/10.1111/j.1471-0528.2008.01838.x
[7]
Linde, K., Allais, G., Brinkhaus, B., Fei, Y., Mehring, M., Shin, B.C., Vickers, A. and White, A.R. (2016) Acupuncture for the Prevention of Tension-Type Headache. Cochrane Database of Systematic Reviews, 4, CD007587.
https://doi.org/10.1002/14651858.CD007587.pub2
[8]
Wang, L.H., Huang, W., Wei, D., Ding, D.G., Liu, Y.R., Wang, J.J. and Zhou, Z.Y. (2019) Mechanisms of Acupuncture Therapy for Simple Obesity: An Evidence-Based Review of Clinical and Animal Studies on Simple Obesity. Evidence-Based Complementary and Alternative Medicine, 2019, Article ID: 5796381.
https://doi.org/10.1155/2019/5796381
[9]
Tu, C.H., MacDonald, I. and Chen, Y.H. (2019) The Effects of Acupuncture on Glutamatergic Neurotransmission in Depression, Anxiety, Schizophrenia, and Alzheimer’s Disease: A Review of the Literature. Frontiers in Psychiatry, 10, 14.
https://doi.org/10.3389/fpsyt.2019.00014
[10]
Patil, S., Sen, S., Bral, M., Reddy, S., Bradley, K.K., Cornett, E.M., Fox, C.J. and Kaye, A.D. (2016) The Role of Acupuncture in Pain Management. Current Pain and Headache Reports, 22, 1-8. https://doi.org/10.1007/s11916-016-0552-1
[11]
Aloisi, A.M. (2017) Why We Still Need to Speak about Sex Differences and Sex Hormones in Pain. Pain and Therapy, 6, 111-114.
https://doi.org/10.1007/s40122-017-0084-3
[12]
Morris, C.J., Aeschbach, D. and Scheer, F.A. (2012) Circadian System, Sleep and Endocrinology. Molecular and Cellular Endocrinology, 349, 91-104.
https://doi.org/10.1016/j.mce.2011.09.003
[13]
Liu, L.J., Du, H.L., Jin, Y.C. and Chen, J.W. (2007) Effects of Combined Acupuncture and Medicine Therapy on the Breast Tissue and Expressions of Estrogen Receptor Subgroups in the Rat of Hyperplasia of Mammary Glands. Chinese Acupuncture & Moxibustion, 27, 279-283.
[14]
Maurer, A.J., Lissounov, A., Knezevic, I., Candido, K.D. and Knezevic, N.N. (2016) Pain and Sex Hormones: A Review of Current Understanding. Pain Management, 6, 285-296. https://doi.org/10.2217/pmt-2015-0002
[15]
Aloisi, A.M., Bachiocco, V., Costantino, A., Stefani, R., Ceccarelli, I., Bertaccini, A. and Meriggiola, M.C. (2007) Cross-Sex Hormone Administration Changes Pain in Transsexual Women and Men. Pain, 132, S60-S67.
https://doi.org/10.1016/j.pain.2007.02.006
[16]
Ceccarelli, I., Scaramuzzino, A., Massafra, C. and Aloisi, A.M. (2003) The Behavioral and Neuronal Effects Induced by Repetitive Nociceptive Stimulation Are Affected by Gonadal Hormones in Male Rats. Pain, 104, 35-47.
https://doi.org/10.1016/S0304-3959(02)00460-8
[17]
Chen, X., Zhang, J. and Wang, X. (2016) Hormones in Pain Modulation and Their Clinical Implications for Pain Control: A Critical Review. Hormones, 15, 313-320.
https://doi.org/10.14310/horm.2002.1696
[18]
Kudielka, B.M. and Kirschbaum, C. (2005) Sex Differences in HPA Axis Responses to Stress: A Review. Biological Psychology, 69, 113-132.
https://doi.org/10.1016/j.biopsycho.2004.11.009
[19]
Coutinho, A.E. and Chapman, K.E. (2011) The Anti-Inflammatory and Immunosuppressive Effects of Glucocorticoids, Recent Developments and Mechanistic Insights. Molecular and Cellular Endocrinology, 335, 2-13.
https://doi.org/10.1016/j.mce.2010.04.005
[20]
Bachman, E., Travison, T.G., Basaria, S., Davda, M.N., Guo, W., Li, M., Connor Westfall, J., Bae, H., Gordeuk, V. and Bhasin, S. (2013) Testosterone Induces Erythrocytosis via Increased Erythropoietin and Suppressed Hepcidin: Evidence for a New Erythropoietin/Hemoglobin Set Point. The Journals of Gerontology Series A Biological Sciences and Medical Sciences, 69, 725-735.
https://doi.org/10.1093/gerona/glt154
[21]
Miocevic, O., Cole, C.R., Laughlin, M.J., Buck, R.L., Slowey, P.D. and Shirtcliff, E.A. (2017) Quantitative Lateral Flow Assays for Salivary Biomarker Assessment: A Review. Frontiers in Public Health, 5, 133. https://doi.org/10.3389/fpubh.2017.00133
[22]
McHenry, J., Carrier, N., Hull, E. and Kabbaj, M. (2014) Sex Differences in Anxiety and Depression: Role of Testosterone. Frontiers in Neuroendocrinology, 35, 42-57.
https://doi.org/10.1016/j.yfrne.2013.09.001
[23]
Harman, S.M., Metter, E.J., Tobin, J.D., Pearson, J. and Blackman, M.R. (2001) Longitudinal Effects of Aging on Serum Total and Free Testosterone Levels in Healthy Men. Baltimore Longitudinal Study of Aging. The Journal of Clinical Endocrinology & Metabolism, 86, 724-731. https://doi.org/10.1210/jcem.86.2.7219
[24]
Clifton, S., Macdowall, W., Copas, A.J., Tanton, C., Keevil, B.G., Lee, D.M., Mitchell, K.R., Field, N., Sonnenberg, P., Bancroft, J., Mercer, C.H., Wallace, A.M., Johnson, A.M., Wellings, K. and Wu, F.C. (2016) Salivary Testosterone Levels and Health Status in Men and Women in the British General Population: Findings from the Third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). The Journal of Clinical Endocrinology & Metabolism, 101, 3939-3951.
https://doi.org/10.1210/jc.2016-1669
[25]
Nunes, L.A., Mussavira, S. and Bindhu, O.S. (2015) Clinical and Diagnostic Utility of Saliva as a Non-Invasive Diagnostic Fluid: A Systematic Review. Biochemia Medica, 25, 177-192. https://doi.org/10.11613/BM.2015.018
[26]
De Benedittis, G., Massei, R., Nobili, R. and Pieri, A. (1988) The Italian Pain Questionnaire. Pain, 33, 53-62. https://doi.org/10.1016/0304-3959(88)90203-5
[27]
Apolone, G. and Mosconi, P. (1998) The Italian SF-36 Health Survey: Translation, Validation and Norming. Journal of Clinical Epidemiology, 51, 1025-1036.
https://doi.org/10.1016/S0895-4356(98)00094-8
[28]
Aloisi, A.M., Buonocore, M., Merlo, L., Galandra, C., Sotgiu, A., Bacchella, L., Ungaretti, M., Demartini, L. and Bonezzi, C. (2011) Chronic Pain Therapy and Hypothalamic-Pituitary-Adrenal Axis Impairment. Psychoneuroendocrinology, 36, 1032-1039. https://doi.org/10.1016/j.psyneuen.2010.12.017
[29]
Paananen, M., O’Sullivan, P., Straker, L., Beales, D., Coenen, P., Karppinen, J., Pennell, C. and Smith, A. (2015) A Low Cortisol Response to Stress Is Associated with Musculoskeletal Pain Combined with Increased Pain Sensitivity in Young Adults: A Longitudinal Cohort Study. Arthritis Research & Therapy, 17, Article No. 355.
https://doi.org/10.1186/s13075-015-0875-z
[30]
Van Cauter, E., Leproult, R. and Kupfer, D.J. (1996) Effects of Gender and Age on the Levels and Circadian Rhythmicity of Plasma Cortisol. The Journal of Clinical Endocrinology & Metabolism, 81, 2468-2473. https://doi.org/10.1210/jc.81.7.2468
[31]
Horstman, A.M., Dillon, E.L., Urban, R.J. and Sheffield-Moore, M. (2012) The Role of Androgens and Estrogens on Healthy Aging and Longevity. The Journals of Gerontology Series A Biological Sciences and Medical Sciences, 67, 1140-1152.
https://doi.org/10.1093/gerona/gls068
[32]
Qiu, W.Q., Claunch, J., Kong, J., Nixon, E.E., Fang, J., Li, M., Vangel, M. and Hui, K.K. (2010) The Effects of Acupuncture on the Brain Networks for Emotion and Cognition: An Observation of Gender Differences. Brain Research, 1362, 56-67.
https://doi.org/10.1016/j.brainres.2010.09.040