[논문]한의원 진료환경에서 비만환자 대상 한의통합치료의 체중 감량 효과 및 안전성에 관한 연구: 후향적 차트 리뷰

권오진; 양창섭; 김용진; 구원회; 이원구; 김기병; 제갈경환

doi:10.15429/jkomor.2022.22.2.125

한의원 진료환경에서 비만환자 대상 한의통합치료의 체중 감량 효과 및 안전성에 관한 연구: 후향적 차트 리뷰
A Study on Weight Loss Effect and Safety of Integrated Korean Medicine Treatment on Obese Patients in Local Clinics: A Restrospective Chart Review 원문보기

한방비만학회지 = Journal of Korean Medicine for Obesity Research, v.22 no.2, 2022년, pp.125 - 135

권오진 (한국한의학연구원 한의과학연구부) , 양창섭 (한국한의학연구원 한의과학연구부) , 김용진 (대전광역시 한의사협회) , 구원회 (대전광역시 한의사협회) , 이원구 (대전광역시 한의사협회) , 김기병 (대전광역시 한의사협회) , 제갈경환 (한국한의학연구원 디지털임상연구부)

Abstract ▼ AI-Helper

Objectives: A restrospective chart review were conducted to investigate the overall weight loss effect of the integrated Korean medicine treatment on obese patients (body mass index [BMI] ≥25 kg/m2) in Korean medicine clinic and analyze the difference in the effect according to lifestyle behaviors. Methods: The medical records of 43 obese patients were retrospectively analyzed including body weight, BMI, waist circumference, hip circumference, and body composition who received integrated Korean medicine treatment for 4 weeks at 24 Korean medicine clinics in Daejeon metropolitan city. All outcome measures were evaluated again 8 weeks after the end of treatment at week 12 for follow-up. EuroQol-5D (EQ-5D), the Korean version of the obesity-related quality of life scale (KOQOL) and patient's satisfaction were also evaluated. The analysis was divided according to the treatment period and observation period, and subgroup analysis was performed according to drinking and exercise habits. Results: Body weight, body fat, waist circumference, hip circumference, body fat were significantly reduced at week 4 and week 12. Theses weight reduction effects were significantly greater within treatment period (0 to 4 week) than observation period (4 to 12 week). Especially in the non-exercise group, the changes in body fat mass and body fat percent showed a significant difference between the treatment period and the observation period. KOQOL were also significantly improved at 12 week, but not in EQ-5D. No severe adverse events were observed. Conclusions: The integrated Korean medicine treatment could be effective to treat obesity including weight loss. It is necessary to prevent additional weight regain through regular exercise even after Korean medicine treatment.

주제어

표/그림 (8)

표 Table 1. Assessment Schedule
표 Table 2. Demographic Characteristics
표 Table 4. Used Treatment Methods for Obesity
표 Table 3. Prescribed Herbal Medicine for Obesity
표 Table 5. Outcome Changes at Week 4 and Week 12
표 Table 6. Outcome Changes by Lifestyle Habits at Week 4 and Week 12
표 Table 7. EQ-5D and KOQOL Changes at Week 12
표 Table 8. Satisfaction for Treatment

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