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Clinical Application of Gamitaeeumjowee-tang for Overweight or Obese Hypothyroidism Patients: A Retrospective Chart Review

과체중 또는 비만을 주소로 내원한 갑상선기능저하증 환자에 대한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰

  • Min-Jeong Kim (Nubebe Korean Medical Clinic Hongdae Center) ;
  • Bo-Young Won (Nubebe Korean Medical Clinic Hongdae Center) ;
  • Hyo-Jin Kim (Nubebe Korean Medical Clinic Hongdae Center) ;
  • Ka-Hye Choi (Nubebe Korean Medical Clinic Hongdae Center)
  • Received : 2023.10.20
  • Accepted : 2023.11.29
  • Published : 2023.12.31

Abstract

Objectives: Weight gain is one of the symptoms of hypothyroidism and it could deteriorate thyroid function. Our objectives are to evaluate weight changes and analyze adverse events in overweight and obese women with hypothyroidism who were prescribed Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted using medical records of patients with hypothyroidism, who had body mass indexes (BMI) above 23 and were prescribed Gamitaeeumjowee-tang for 12 weeks between August 2017 and November 2022. Reported adverse events (AEs) were assessed by severity, causality and system-organ classes. Results: Thirty patients were included (mean±standard deviation, age 46.10±9.94 years, weight 70.52±11.18 kg, BMI 28.30±3.80 kg/m2). The mean total weight loss of hypothyroidism patients was 5.45±2.77 kg, while the mean weight loss rate and mean BMI change were 7.66±3.41% and 2.18±1.07 kg/m2, respectively. Among evaluated causality of adverse events, 'Unlikely' was predominant (80.8%) and severity assessment showed most of the symptoms were mild (91.7%). Conclusions: Gamitaeeumjowee-tang could be an option for hypothyroidism patients, who are overweight or obese, to lose weight and no serious adverse events occurred. Further well-designed clinical studies are recommended.

Keywords

References

  1. Chaker L, Razvi S, Bensenor IM, Azizi F, Pearce EN, Peeters RP. Hypothyroidism. Nat Rev Dis Primers. 2022 ; 8(1) : 30.
  2. Korean Thyroid Association. Thyroid disease FACT SHEET 2021 [Internet]. 2021 [cited 2023 Sep 25]. https://www.thyroid.kr/board/list.html?num=573&start=0&sort=top%20desc,num%20desc&code=notice&key=&keyword=
  3. Health Insurance Review & Assessment Service. Health care bigdata hub [Internet]. 2023 [cited 2023 Sep 25]. https://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfoTab1.do
  4. Chiovato L, Magri F, Carle A. Hypothyroidism in context: where we've been and where we're going. Adv Ther. 2019 ; 36(Suppl 2) : 47-58. https://doi.org/10.1007/s12325-019-01080-8
  5. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 4th ed. Kunja. 2015 : 301.
  6. Walczak K, Sieminska L. Obesity and thyroid axis. Int J Environ Res Public Health. 2021 ; 18(18) : 9434.
  7. Kalra S, Aggarwal S, Khandelwal D. Thyroid dysfunction and dysmetabolic syndrome: the need for enhanced thyrovigilance strategies. Int J Endocrinol. 2021 ; 2021 : 9641846.
  8. Cordido M, Juiz-Valina P, Urones P, Sangiao-Alvarellos S, Cordido F. Thyroid function alteration in obesity and the effect of bariatric surgery. J Clin Med. 2022 ; 11(5) : 1340.
  9. Song RH, Wang B, Yao QM, Li Q, Jia X, Zhang JA. The impact of obesity on thyroid autoimmunity and dysfunction: a systematic review and meta-analysis. Front Immunol. 2019 ; 10 : 2349.
  10. Ettleson MD, Bianco AC. Individualized therapy for hypothyroidism: is T4 enough for everyone? J Clin Endocrinol Metab. 2020 ; 105(9) : e3090-104. https://doi.org/10.1210/clinem/dgaa430
  11. Lee SY, Braverman LE, Pearce EN. Changes in body weight after treatment of primary hypothyroidism with levothyroxine. Endocr Pract. 2014 ; 20(11) : 1122-8. https://doi.org/10.4158/EP14072.OR
  12. Alidrisi HA, Odhaib SA, Altemimi MT, Mansour AA. Patterns of bodyweight changes in patients with hypothyroidism, a retrospective study from Basrah, southern Iraq. Cureus. 2021 ; 13(6) : e15408.
  13. Rios-Prego M, Anibarro L, Sanchez-Sobrino P. Relationship between thyroid dysfunction and body weight: a not so evident paradigm. Int J Gen Med. 2019 ; 12 : 299-304. https://doi.org/10.2147/IJGM.S206983
  14. Tokuchi Y, Nakamura Y, Munekata Y, Tokuchi F. Low carbohydrate diet-based intervention for obstructive sleep apnea and primary hypothyroidism in an obese Japanese man. Asia Pac Fam Med. 2016 ; 15 : 4.
  15. Choe JH, Park HS. 3-case review of hypothyroidism presented with obesity or weight gain. J Korean Soc Study Obes. 1994 ; 3(1) : 65-70.
  16. Shim SS, Park IH, Park CE, Chung WS. Korean medicine treatment (Banhabakchulchunma-tang) for an obese patient with hypothyroidism: two case reports. J Korean Med Obes Res. 2023 ; 23(1) : 42-50. https://doi.org/10.15429/jkomor.2023.23.1.42
  17. Karmisholt J, Andersen S, Laurberg P. Weight loss after therapy of hypothyroidism is mainly caused by excretion of excess body water associated with myxoedema. J Clin Endocrinol Metab. 2011 ; 96(1) : E99-103. https://doi.org/10.1210/jc.2010-1521
  18. Sirigiri S, Vaikkakara S, Sachan A, Srinivasarao PV, Epuri S, Anantarapu S, et al. Correction of hypothyroidism leads to change in lean body mass without altering insulin resistance. Eur Thyroid J. 2016 ; 5(4) : 247-52. https://doi.org/10.1159/000448889
  19. Yang DH, Kim CH, Jung JG, Jung HW, Choi CH. The effects of Taeyeumjowee-tang and Taeyeumjoweebaemahwang-tang on obese rats. Kor J Herbol. 2010 ; 25(3) : 103-9.
  20. Kang EY, Park YB, Kim MY, Park YJ. A study on factors associated with weight loss by 'Gamitaeeumjowee-tang'. J Korean Med Obes Res. 2017 ; 17(2) : 68-76. https://doi.org/10.15429/jkomor.2017.17.2.68
  21. Lee AR, Lee DY, Kim MJ, Lee HS, Choi KH, Kim SY, et al. Gamitaeeumjowee-tang for weight loss in diabetic patients: a retrospective chart review. J Korean Med. 2021 ; 42(1) : 46-58. https://doi.org/10.13048/jkm.21004
  22. Park MJ, Kim E, Ok JM, Choi KH, Lim YW. Gamitaeeumjowee-tang for weight loss in overweight and obese women with polycystic ovary syndrome: a retrospective chart review. J Korean Med Obes Res. 2022 ; 22(2) : 136-46. https://doi.org/10.15429/jkomor.2022.22.2.136
  23. Yoon NR, Yoo YJ, Kim MJ, Kim SY, Lim YW, Lim HH, et al. Analysis of adverse events in weight loss program in combination with 'Gamitaeeumjowee-tang' and low-calorie diet. J Korean Med Obes Res. 2018 ; 18(1) : 1-9. https://doi.org/10.15429/jkomor.2018.18.1.1
  24. Park YJ, Cominguez DC, Kim HJ, Jin JS, Koh DJ, Kim SY, et al. Therapeutic effects of Gambi-jung for the treatment of obesity. Biomed Pharmacother. 2021 ; 141 : 111838.
  25. Kim E, Lim YW, Ok JM, Kim SY. Analysis of weight loss and adverse events in overweight, and obese patients on Korean medicine weight management program with face-to-face treatment and non-face-to-face treatment: a retrospective chart review. J Korean Med. 2022 ; 43(3) : 65-78. https://doi.org/10.13048/jkm.22031
  26. Hwang MJ, Shin HD, Song MY. Literature review of herbal medicines on treatment of obesity since 2000; mainly about Ephedra herba. J Korean Med Obes Res. 2007 ; 7(1) : 39-54.
  27. Jo GW, Ok JM, Kim SY, Lim YW. Review on the efficacy and safety of Mahuang and ephedrine in the treatm ent of obesity-focused on RCT. J Korean Med. 2017 ; 38(3) : 170-84. https://doi.org/10.13048/jkm.17034
  28. Li JE, Song YK, Lim HH. Clinical trial of Taeeumjowui-tang (Taiyintiaowei-tang) on obese patients: randomized, double blind, placebo-controlled study. J Oriental Rehab Med. 2010 ; 20(4) : 197-213.
  29. Kim HJ, Kim JY. Clinical report about the adverse reactions of Taeeumin.Soeumin.Soyangin by Taeeumjowi-tang. Korean J Oriental Physiol Pathol. 2008 ; 22(6) : 1600-5.