In-group comparisons of demographic variables such as age, BMI and gender were and optimal exercise data were analyzed through variance univariate analysis. Both linear and quadratic analysis used in the study indicated there is no major significant effect overall treatment, acupuncture or instruction. Further, the results indicated that there is no significant effect on treatment of any acupuncture through instruction interaction on the physiological outcomes. The inclusion of instruction as a factor in the study was a major methodological improvement compared to previous studies. The main reason is that placebo effects have been assumed to contribute to some effects of