Acupuncture and Herbal Medicine Improved the Quality of life of Obese Women

한방치료를 받은 여성 비만환자의 삶의 질 연구

  • Jung, Soon-Kwan (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Yeom, Seung-Ryong (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kwon, Young-Dal (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University)
  • 정순관 (원광대학교 광주한방병원 한방재활의학과) ;
  • 염승룡 (원광대학교 광주한방병원 한방재활의학과) ;
  • 권영달 (원광대학교 광주한방병원 한방재활의학과)
  • Published : 2007.08.25

Abstract

To examine the difference of health-related quality of life (QoL) of obese patients between before and after treatment of Korean traditional medicine. This study was assessed in 18 obese-women (age 29.72${\pm}$7.38) treated by acupuncture and herbal medicine using SF-36 quality of life questionnaire between January and July 2006, a 36 item instrument yielding 8 dimensions (Social functioning, Role limitation-Physical, Role limitation-Emotion, Mental health, Vitality, Bodily pain, and General health) and a total score. Their weight was measured by Inbody 3.0 (Biospace co. Korea). QoL and body composition was assessed twice at baseline (B) and 4 weeks after treatment. Auricular acupuncture and electrical needle stimulation to abdomen, thigh, and arm fat was used twice a week and complex herb formula was prescribed according to their constitution and symptoms for 4 weeks. Herb medication was taken 2 times a day. Respective variables were analyzed with Wilcoxon signed ranks test and the level set for statistical significance was p <0.05. The mean of the body weight (P=0.000;B64,68${\pm}$6.86, 4 WKs 60.47${\pm}$5.69), fat percentage (P=0.000;B33.14${\pm}$4.86, 4 WKs 30.16${\pm}$5.34), body mass index (P=0.000;B25.18${\pm}$2.44, 4 WKs 23.46${\pm}$2.09) and fat weight (P=0.000;B21.66${\pm}$5.06, 4 WKs 18.41${\pm}$4.57) of some obese patients decreased significantly between before and after treatment for 4 weeks. Physical functioning (P=0.48;B27.06${\pm}$3.17, 4 WKs 28.00${\pm}$1.71), Mental health (P=0.01 ;B18.83${\pm}$5.25, 4 WKs 22.00${\pm}$3.73), Vitality (P=0.028;B13.89${\pm}$3.03, 4 WKs 15.44${\pm}$2.53), Bodily pain (P=.0014;B8.84${\pm}$1.75, 4 WKs 10.15${\pm}$1.78), and the total scores (P=0.001;B104.99${\pm}$12.60, 4 WKs 114.58${\pm}$11.11) of SF-36 were increased significantly after treatments. These data show some differences in QoL and BMI between before and after treatment on obesity and suggest that the treatment with acupuncture and herbal medicine have a positive impact on several domains of QoL of some obese patients. Further randomized clinical trials (RCTs) including follow-up are needed to examine whether acupuncture and herb medicine have a positive effect on QoL of treatment group compared with control group.

Keywords

References

  1. 민헌기 외. 내분비학. 서울, 고려의학, pp 104-105, 1999
  2. 대한비만학회. 비만치료지침. 서울, 도서출판 한의학, p 11, 2003
  3. Kawachi, I. Physical and psychological consequence of weight gain. J Clin Psychiatry 60(21):5-9, 1999 https://doi.org/10.4088/JCP.v60n0102
  4. 권영달. 비만과 건강관련 삶의 질. 대한한방비만학회지 4(1): 125-138, 2004
  5. Fontaine, K.R., Cheskin, L.J., Barofsky, I. Health related quality of life in obese persons seeking treatment. J Fam Pract, 43: 265-270, 1996
  6. Fontaine, K.R., Bartlett, S.J., Barofsky, I. Health related quality of life among obese persons seeking and not currently seeking treatment. Int J Eat Disord, 27: 101-105, 2000 https://doi.org/10.1002/(SICI)1098-108X(200001)27:1<101::AID-EAT12>3.0.CO;2-D
  7. Doll, H.A., Petersen, S.E., Stewart-Brown, S.L. Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res, 8: 160-170, 2000 https://doi.org/10.1038/oby.2000.17
  8. 박용우, 신호철, 김철환. 과체중 및 체지방 분포와 건강관련 삶의 질. 가정의학회지 21(6):753-761, 2000
  9. 임영택, 박용우, 김철환, 신호철, 김장원. 비만 환자에서 체중감소가 삶의 질에 미치는 영향. 가정의학회지 22(4):556-564, 2001
  10. 이수경. 과체중 및 비만이 건강관련 삶의 질에 미치는 영향. 한방재활의학과학회지 13(4):91-98, 2003
  11. 권영달, 조현주. 한방 비만클리닉에 내원한 일부 비만 여성의 삶의 질. 동의생리병리학회지 20(6):1732-1741, 2006
  12. 한방재활의학과학회. 한방재활의학과학. 서울, 군자출판사, p 394, 2005
  13. Health Communications Australia Pty Limit. The Asia-Pacific Perspective Redefining Obesity and Its Treatment. Sydney, Australia, 2000
  14. 대한 비만학회. 한국인에서 비만 및 복부비만 기준을 위한 체질량지수 및 허리둘레 분별점 설정 사업 보고서. 2005
  15. 보건복지부. 국민영양조사보고서. p 98, 99, 2002
  16. 김길수. 한방살빼기. 서울, 동아일보사, p 60, 61, 125, 1994
  17. 김달래. 사상체질과 비만의 상관성에 관한 연구. 사상의학회지 8(1):319-335, 1996
  18. 문세희. 사상체질별 체성분분석과 이를 통한 비만과의 상관관계 고찰. 한방재활의학과학회지 12(4):1-10, 2002
  19. 배정환, 신현대. 비만환자에서의 태.소음양인의 분포. 한방재활의학과학회지 7(2):142-153, 1997
  20. 조은룡. 침구대단순성 비만환자 당대사적 영향. 제2차 전국중서의경합비만병연구학술적요편 p 11, 1989
  21. Choy, D.S. Eidenschenk E. Effect of tragus clips on gastric peristalsis: a pilot study. Journal of Alternative and Complementary Medicine 4: 399-403, 1998
  22. 劉志誠. 침구대단순성 비만신상선 공능적 영향. 제2차 전국중 서의경합비만병연구학술적요편, p 17, 1989
  23. 向野義人. 耳鍼療法が肥滿者の食慾に及ほす影響の檢討. 全日本鍼灸學會雜誌 31(1):24-29, 1981
  24. Cella, D.F., Tulsky, D.S. Measuring quality of life today: methodological aspects. Oncology (Huntingt), 4(5):29-38, 1990
  25. 이성원, 오광택, 정원태, 배상철. 한국인 골관절염 환자의 건강 관련 삶의 질. 대한류마티스학회지 9(4):73-83, 2002
  26. 신호철, 송상욱, 김용철, 이재호, 옥선명, 염근상. 한국형 건강 상태 평가도구의 개발-CHCMS V.1.0. 가정의학회지 19(11):33, 1998
  27. 이창범, 이혜순, 배상철, 최웅환. 비만을 동반한 골관절염 환자의 체중감량이 삶의 질에 미치는 영향. 대한비만학회지 13(4):293-299, 2004
  28. 강순구, 이창범, 이혜순, 배상철, 최웅환. 집단치료를 통한 비만환자의 체중감량이 삶의 질에 미치는 영향. 대한비만학회지 14(3):149-154, 2005
  29. Ware, J.E., Snow, K.K., Kosinski, M. et al. SF-36 Health Survey:Manual and Interpretation Guide. New England Medical Center, Boston MA, 1993