Table 2: Characteristics of the studies that assessed the effects of acupuncture on carnitine, creatine, glutathione levels and oxidative stress.
| Authors | Participants | Intervention group | Control/sham group | Outcome Measures | Results | 
| Toda, et al. [103] | 15 male mice, 5 in each group. | EA and MA groups received acupuncture at ST- 36 and ST-41 Treatment time = 15 minutes. | Control group received no treatment for 15 minutes. | Carnitine and glutathione levels in the blood and muscles. | Carnitine level in the muscle tissue of the MA group was significantly higher than those of the EA group and control group (P < 0.001). Glutathione levels in the muscle tissues of the EA group and MA group were significantly higher than that of the control group (P < 0.001). | 
| Lin, et al. [107] | 24 healthy male rats. | Stomach meridian group received EA to ST-2, ST-21, and ST-36 Gall Bladder meridian group received EA to GB- 14, GB-24, and GB- 34. 
 Single session | Control received no treatment. | Proton nuclear magnetic resonance- (1H NMR-) to measure metabolic changes. | EA induced significant variations in 31 metabolites, e.g., amino acids, organic acids, choline esters and glucose. A significant increase in lysine and creatine levels. | 
| Kim, et al. [106] | 120 obese patients. | Received a combination of MA and EA 2 times per week for 6 weeks to LI-4, LI-11, SP-6, ST- 36, CV-6, CV-12, ST-25, and ST-28. | Received a combination of sham-MA and sham- EA 2 times per week for 6 weeks LI-4, LI-11, SP- 6, ST-36, CV-6, CV-12. | Serum lipid, carnitine, and amino acid levels. | There were no significant differences in amino acid levels between groups, while carnitine levels were significantly increased (p < 0.05) in the treatment group compared with the control group. | 
| 
 Ma, et al. [99] | The numbers in each group were not mentioned. | Received acupuncture to ST- 36, UB-40, UB-23, CV-4. | The control group enjoyed an extended rest. | Urine metabolic changes before and after intense exercise. | After the treatment with acupuncture, the levels of distinguished metabolites, 2-hydroxybutyrate, 3-hydroxyisovalerate, lactate, pyruvate, citrate, dimethylglycine, choline, glycine, hippurate, and hypoxanthine were recovered at an accelerated speed in the acupuncture group in comparison with the control/sham acupuncture group. | 
| Gao, et al. [100] | 60 healthy male rats. | MA group GV-4, GV- 14, GB-30, ST-36, 
 EA group GV-4, GV- 14, GB-30, ST-36. | Control group received no treatment and rested. 
 Swimming group received no treatment. | Ca2+ levels and Ca2+ -ATPase activity in sarcoplasmic reticulum of skeletal muscle cells. | In comparison with control group, Ca2+ content and Ca2+ -ATPase activity in sarcoplasmic reticulum of skeletal muscle cells in model group were lower (P < 0.01, 0.05); while compared with model group, both Ca2+ content and Ca2+ -ATPase activity in sarcoplasmic reticulum in MA and EA groups increased significantly (P < 0.01). The activity of Ca2+ -ATPase of MA group was higher than that of control group (P < 0.05). No significant | 
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 | Treatment time 20 minutes before swimming exercise. | 
 | 
 | differences were found between MA and EA groups in Ca2+ content and Ca2+ -ATPase activity (P > 0.05). | 
| Gao, et al. [102] | 40 healthy male rats | MA group GV-4, GV- 14, GB-30, ST-36, EA group GV-4, GV- 14, GB-30, ST-36, Treatment time 20 minutes before swimming exercise. | Control group received no treatment and rested. 
 Swimming group received no treatment. | Antioxidant enzyme and Ca2+ (-) ATPase activities and Ca2+ levels in mitochondria of skeletal muscle cells. | The GSH-Px and Ca(2+)-ATPase activities in the mitochondria of the skeletal muscle decreased significantly (P < 0.05) and Ca2+ content increased (P < 0.01) in the swimming group as compared with the control group; in the acupuncture group, SOD activity increased significantly (P < 0.05), GSH-Px and Ca (2+)-ATPase activities increased as compared with the swimming group (P < 0.05); Ca2+ contents in the swimming group and the electroacupuncture group significantly increased as compared with the control group (P < 0.01). | 
SD: Significant Differences; No SD: no Significant Differences; MA: Manual Acupuncture; EA: Electroacupuncture; SA: Sham Acupuncture