[논문]고도비만 환자 대상 한의 비만 상담을 포함한 한의치료의 체중 감량 효과: 후향적 차트 리뷰

김성하; 한경선; 권오진; 이원구; 윤철상; 이준환

doi:10.15429/jkomor.2021.21.1.22

고도비만 환자 대상 한의 비만 상담을 포함한 한의치료의 체중 감량 효과: 후향적 차트 리뷰
Effect of Korean Medicine Treatment Including Korean Medicine Counselling on Weight Loss in Patients with Morbid Obesity: A Retrospective Chart Review 원문보기

한방비만학회지 = Journal of Korean Medicine for Obesity Research, v.21 no.1, 2021년, pp.22 - 31

김성하 (한국한의학연구원 임상의학부) , 한경선 (한국한의학연구원 임상의학부) , 권오진 (한국한의학연구원 임상의학부) , 이원구 (대전시 한의사협회) , 윤철상 (대전시 한의사협회) , 이준환 (한국한의학연구원 임상의학부)

Abstract ▼ AI-Helper

Objectives: We conducted a retrospective chart review to investigate the effects of Korean Medicine (KM) treatment on weight loss in patients with morbid obesity (body mass index [BMI]≥30 kg/m2) and to compare the effects of KM counseling and non-counseling on weight loss. Methods: We performed a retrospective chart review of patients with morbid obesity who received KM treatment for at least 1 month. We evaluated the effects of KM treatment on body weight, BMI, body fat, fat mass, EuroQol-5D, and the Korean version of the obesity-related quality of life scale (KOQOL). We also assessed the liver and kidney functions, and adverse events. We performed a comparative analysis between the counseling and non-counseling groups. Results: A total of 37 patients who underwent 4 weeks of KM treatment involving Wolbi-tang, electroacupuncture, and KM counseling were included in this study. Twenty-one patients were assigned to the counseling group and sixteen patients to the non-counseling group. There was a significant decrease in weight, BMI, fat mass, and KOQOL (P<0.05) with improvements in total cholesterol, low-density lipoprotein, and triglycerides. The counseling group had a greater reduction in body weight, BMI, body fat, and fat mass compared to the non-counseling group, although it was not significant. In the BMI below 35 (n=25), the reduction ratio of body weight, body fat mass, and body fat was higher in the counseling group than in the non-counseling group; additionally, body fat decreased significantly in counseling group (P<0.05). No severe adverse effects were observed. Conclusion: KM treatment could be effective for weight loss, especially in patients with morbid obesity, KM counseling could also be a good tool for weight loss, typically in patients with BMI<35 kg/m2.

주제어

표/그림 (8)

그림 Fig. 1. Flow chart.
표 Table 1. Wolbi-tang Composition and Dose
표 Table 2. Outcome Assessment
표 Table 3. Demographic Characteristics
표 Table 4. Outcome Changes at Week 4 and 8
표 Table 5. Comparison between Korean Medicine Counseling and Non-counseling Group
표 Table 6. Comparison between Counseling and Non-counseling Group in 30 kg/m²2 (n=25)
그림 Fig. 2. Overall satisfaction toward Korean medicine treatment in patients with morbid obesity treated by Korean medicine treament including Korean medicine counselling. C group: counseling group, N group: non-counseling group.

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