한방비만학회지 (Journal of Korean Medicine for Obesity Research)

  • 제21권1호
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  • Pages.22-31
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  • 2021
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  • 1976-9334(pISSN)
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  • 2288-1522(eISSN)
한방비만학회 (The Society of Korean Medicine for obesity Research)
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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

  • 김성하 (한국한의학연구원 임상의학부) ;
  • 한경선 (한국한의학연구원 임상의학부) ;
  • 권오진 (한국한의학연구원 임상의학부) ;
  • 이원구 (대전시 한의사협회) ;
  • 윤철상 (대전시 한의사협회) ;
  • 이준환 (한국한의학연구원 임상의학부)
  • Kim, Sungha (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Han, Kyungsun (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kwon, Ojin (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Wongu (The Association of Korean Medicine, Daejeon Metropolitan) ;
  • Yoon, Chulsang (The Association of Korean Medicine, Daejeon Metropolitan) ;
  • Lee, Jun-Hwan (Clinical Medicine Division, Korea Institute of Oriental Medicine)
  • 투고 : 2020.10.27
  • 심사 : 2021.01.05
  • 발행 : 2021.06.30
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초록

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.

키워드

과제정보

본 연구는 대한한의사협회(ERN1911130) 및 한국한의학연구원(KSN2013210)의 지원으로 수행되었다.

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