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Ameliorating effects and autonomic mechanisms of needle-less transcutaneous electrical stimulation at ST36 on stress-induced impairment in gastric slow waves
Background and Aim Stress has long been documented to alter gastrointestinal motility. The effects of electroacupuncture (EA) on stress and gastric motility are relatively well known; however, whether EA has an ameliorating effect on stress‐induced dysmotility remained unclear. This study aims to in...
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| Published in: | Journal of gastroenterology and hepatology 2015-11, Vol.30 (11), p.1574-1581 |
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| container_end_page | 1581 |
| container_issue | 11 |
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| container_title | Journal of gastroenterology and hepatology |
| container_volume | 30 |
| creator | Zhang, Nina Song, Gengqing Chen, Jianfeng Xu, Feng Yin, Jieyun Wu, Qiong Lin, Lin Chen, Jiande DZ |
| description | Background and Aim
Stress has long been documented to alter gastrointestinal motility. The effects of electroacupuncture (EA) on stress and gastric motility are relatively well known; however, whether EA has an ameliorating effect on stress‐induced dysmotility remained unclear. This study aims to investigate the effects and mechanisms of needle‐less transcutaneous electroacupuncture (TEA) on stress‐induced impairment in gastric slow waves.
Methods
A watch‐size digital stimulator was developed. Ten healthy volunteers were involved in a four‐session study (control, cold stress, TEA, and sham TEA). Electrogastrograpy was used to assess gastric slow waves, and electrocardiogram was recorded for the assessment of autonomic functions. The recordings were made in each session with/without stress and with TEA at ST36 or sham points.
Results
The results are as follows: (i) Cold stress‐induced gastric dysrhythmia and impaired normal slow waves (P |
| doi_str_mv | 10.1111/jgh.12995 |
| format | article |
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Stress has long been documented to alter gastrointestinal motility. The effects of electroacupuncture (EA) on stress and gastric motility are relatively well known; however, whether EA has an ameliorating effect on stress‐induced dysmotility remained unclear. This study aims to investigate the effects and mechanisms of needle‐less transcutaneous electroacupuncture (TEA) on stress‐induced impairment in gastric slow waves.
Methods
A watch‐size digital stimulator was developed. Ten healthy volunteers were involved in a four‐session study (control, cold stress, TEA, and sham TEA). Electrogastrograpy was used to assess gastric slow waves, and electrocardiogram was recorded for the assessment of autonomic functions. The recordings were made in each session with/without stress and with TEA at ST36 or sham points.
Results
The results are as follows: (i) Cold stress‐induced gastric dysrhythmia and impaired normal slow waves (P < 0.01). TEA showed a preventive effect on cold stress‐induced impairment in gastric slow waves. TEA at ST36, but not sham TEA, normalized slow waves (P = 0.03 vs stress; P = 0.44 vs control), attributed to the suppression of gastric dysrhythmia; (ii) Postprandially, there was a decrease in vagal activity in both control (P = 0.004) and stress (P = 0.002) sessions; this decrease was prevented with TEA (P < 0.05). Similarly, there was a postprandial increase in sympathetic activity in both control (P = 0.01) and stress (P = 0.002) sessions, and this increase was suppressed with TEA.
Conclusions
Needle‐less TEA at ST36 using a watch‐size stimulator is able to improve stress‐induced impairment in gastric slow waves, possibly mediated via the autonomic mechanism. Home‐based needle‐less TEA may be a viable therapy for stress‐induced impairment in gastric motility functions.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.12995</identifier><identifier>PMID: 25974066</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Autonomic Pathways - physiology ; Autonomic Pathways - physiopathology ; Cold Temperature - adverse effects ; electroacupuncture ; electrogastrography ; Female ; gastric myoelectrical activity ; Gastrointestinal Motility - physiology ; heart rate variability ; Humans ; Male ; Stomach - innervation ; Stomach Diseases - etiology ; Stomach Diseases - physiopathology ; Stomach Diseases - therapy ; stress ; Stress, Physiological - physiology ; Transcutaneous Electric Nerve Stimulation - methods</subject><ispartof>Journal of gastroenterology and hepatology, 2015-11, Vol.30 (11), p.1574-1581</ispartof><rights>2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd</rights><rights>2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25974066$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Nina</creatorcontrib><creatorcontrib>Song, Gengqing</creatorcontrib><creatorcontrib>Chen, Jianfeng</creatorcontrib><creatorcontrib>Xu, Feng</creatorcontrib><creatorcontrib>Yin, Jieyun</creatorcontrib><creatorcontrib>Wu, Qiong</creatorcontrib><creatorcontrib>Lin, Lin</creatorcontrib><creatorcontrib>Chen, Jiande DZ</creatorcontrib><title>Ameliorating effects and autonomic mechanisms of needle-less transcutaneous electrical stimulation at ST36 on stress-induced impairment in gastric slow waves</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim
Stress has long been documented to alter gastrointestinal motility. The effects of electroacupuncture (EA) on stress and gastric motility are relatively well known; however, whether EA has an ameliorating effect on stress‐induced dysmotility remained unclear. This study aims to investigate the effects and mechanisms of needle‐less transcutaneous electroacupuncture (TEA) on stress‐induced impairment in gastric slow waves.
Methods
A watch‐size digital stimulator was developed. Ten healthy volunteers were involved in a four‐session study (control, cold stress, TEA, and sham TEA). Electrogastrograpy was used to assess gastric slow waves, and electrocardiogram was recorded for the assessment of autonomic functions. The recordings were made in each session with/without stress and with TEA at ST36 or sham points.
Results
The results are as follows: (i) Cold stress‐induced gastric dysrhythmia and impaired normal slow waves (P < 0.01). TEA showed a preventive effect on cold stress‐induced impairment in gastric slow waves. TEA at ST36, but not sham TEA, normalized slow waves (P = 0.03 vs stress; P = 0.44 vs control), attributed to the suppression of gastric dysrhythmia; (ii) Postprandially, there was a decrease in vagal activity in both control (P = 0.004) and stress (P = 0.002) sessions; this decrease was prevented with TEA (P < 0.05). Similarly, there was a postprandial increase in sympathetic activity in both control (P = 0.01) and stress (P = 0.002) sessions, and this increase was suppressed with TEA.
Conclusions
Needle‐less TEA at ST36 using a watch‐size stimulator is able to improve stress‐induced impairment in gastric slow waves, possibly mediated via the autonomic mechanism. Home‐based needle‐less TEA may be a viable therapy for stress‐induced impairment in gastric motility functions.</description><subject>Adult</subject><subject>Autonomic Pathways - physiology</subject><subject>Autonomic Pathways - physiopathology</subject><subject>Cold Temperature - adverse effects</subject><subject>electroacupuncture</subject><subject>electrogastrography</subject><subject>Female</subject><subject>gastric myoelectrical activity</subject><subject>Gastrointestinal Motility - physiology</subject><subject>heart rate variability</subject><subject>Humans</subject><subject>Male</subject><subject>Stomach - innervation</subject><subject>Stomach Diseases - etiology</subject><subject>Stomach Diseases - physiopathology</subject><subject>Stomach Diseases - therapy</subject><subject>stress</subject><subject>Stress, Physiological - physiology</subject><subject>Transcutaneous Electric Nerve Stimulation - methods</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNo9kcFu1DAURS0EotPCgh9AXrJJayd2nCyrEZ1SKlgQBGJjOc7L1MV2hjyHoR_Dv-J2Sr3xk3zOlZ4vIW84O-X5nN1ub0552bbyGVlxIVjBlaifkxVruCzairdH5BjxljEmmJIvyVEpWyVYXa_I3_MA3k2zSS5uKYwj2ITUxIGaJU1xCs7SAPbGRIcB6TTSCDB4KDwg0jSbiHZJJsK0IAWf7dlZ4ykmFxafU6dITaJfuqqmecQ0Z69wcVgsDNSFnXFzgJioi3Rr8N6m6Kc93ZvfgK_Ii9F4hNeP9wn5evG-W18W1583H9bn14WrSiGLRnKpymaUkolhyMFN0_aCtdL041DllWvFhBAV543lKpPcSNYLwdta9cry6oS8O-Tu5unXAph0cGjB-8Nimquy5I0sG5XRt4_o0gcY9G52wcx3-v-XZuDsAOydh7und870fVc6d6UfutJXm8uHIRvFwXCY4M-TYeafulaVkvrbp42uf6y7i-9dpz9W_wDqxZfn</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Zhang, Nina</creator><creator>Song, Gengqing</creator><creator>Chen, Jianfeng</creator><creator>Xu, Feng</creator><creator>Yin, Jieyun</creator><creator>Wu, Qiong</creator><creator>Lin, Lin</creator><creator>Chen, Jiande DZ</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Ameliorating effects and autonomic mechanisms of needle-less transcutaneous electrical stimulation at ST36 on stress-induced impairment in gastric slow waves</title><author>Zhang, Nina ; Song, Gengqing ; Chen, Jianfeng ; Xu, Feng ; Yin, Jieyun ; Wu, Qiong ; Lin, Lin ; Chen, Jiande DZ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3245-8515728f5504ddced889b4095abfd30756704443118c177281a50b441967b7c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Autonomic Pathways - physiology</topic><topic>Autonomic Pathways - physiopathology</topic><topic>Cold Temperature - adverse effects</topic><topic>electroacupuncture</topic><topic>electrogastrography</topic><topic>Female</topic><topic>gastric myoelectrical activity</topic><topic>Gastrointestinal Motility - physiology</topic><topic>heart rate variability</topic><topic>Humans</topic><topic>Male</topic><topic>Stomach - innervation</topic><topic>Stomach Diseases - etiology</topic><topic>Stomach Diseases - physiopathology</topic><topic>Stomach Diseases - therapy</topic><topic>stress</topic><topic>Stress, Physiological - physiology</topic><topic>Transcutaneous Electric Nerve Stimulation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Nina</creatorcontrib><creatorcontrib>Song, Gengqing</creatorcontrib><creatorcontrib>Chen, Jianfeng</creatorcontrib><creatorcontrib>Xu, Feng</creatorcontrib><creatorcontrib>Yin, Jieyun</creatorcontrib><creatorcontrib>Wu, Qiong</creatorcontrib><creatorcontrib>Lin, Lin</creatorcontrib><creatorcontrib>Chen, Jiande DZ</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Nina</au><au>Song, Gengqing</au><au>Chen, Jianfeng</au><au>Xu, Feng</au><au>Yin, Jieyun</au><au>Wu, Qiong</au><au>Lin, Lin</au><au>Chen, Jiande DZ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ameliorating effects and autonomic mechanisms of needle-less transcutaneous electrical stimulation at ST36 on stress-induced impairment in gastric slow waves</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2015-11</date><risdate>2015</risdate><volume>30</volume><issue>11</issue><spage>1574</spage><epage>1581</epage><pages>1574-1581</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim
Stress has long been documented to alter gastrointestinal motility. The effects of electroacupuncture (EA) on stress and gastric motility are relatively well known; however, whether EA has an ameliorating effect on stress‐induced dysmotility remained unclear. This study aims to investigate the effects and mechanisms of needle‐less transcutaneous electroacupuncture (TEA) on stress‐induced impairment in gastric slow waves.
Methods
A watch‐size digital stimulator was developed. Ten healthy volunteers were involved in a four‐session study (control, cold stress, TEA, and sham TEA). Electrogastrograpy was used to assess gastric slow waves, and electrocardiogram was recorded for the assessment of autonomic functions. The recordings were made in each session with/without stress and with TEA at ST36 or sham points.
Results
The results are as follows: (i) Cold stress‐induced gastric dysrhythmia and impaired normal slow waves (P < 0.01). TEA showed a preventive effect on cold stress‐induced impairment in gastric slow waves. TEA at ST36, but not sham TEA, normalized slow waves (P = 0.03 vs stress; P = 0.44 vs control), attributed to the suppression of gastric dysrhythmia; (ii) Postprandially, there was a decrease in vagal activity in both control (P = 0.004) and stress (P = 0.002) sessions; this decrease was prevented with TEA (P < 0.05). Similarly, there was a postprandial increase in sympathetic activity in both control (P = 0.01) and stress (P = 0.002) sessions, and this increase was suppressed with TEA.
Conclusions
Needle‐less TEA at ST36 using a watch‐size stimulator is able to improve stress‐induced impairment in gastric slow waves, possibly mediated via the autonomic mechanism. Home‐based needle‐less TEA may be a viable therapy for stress‐induced impairment in gastric motility functions.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25974066</pmid><doi>10.1111/jgh.12995</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of gastroenterology and hepatology, 2015-11, Vol.30 (11), p.1574-1581 |
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| subjects | Adult Autonomic Pathways - physiology Autonomic Pathways - physiopathology Cold Temperature - adverse effects electroacupuncture electrogastrography Female gastric myoelectrical activity Gastrointestinal Motility - physiology heart rate variability Humans Male Stomach - innervation Stomach Diseases - etiology Stomach Diseases - physiopathology Stomach Diseases - therapy stress Stress, Physiological - physiology Transcutaneous Electric Nerve Stimulation - methods |
| title | Ameliorating effects and autonomic mechanisms of needle-less transcutaneous electrical stimulation at ST36 on stress-induced impairment in gastric slow waves |
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