Journal of Korean Medicine for Obesity Research (한방비만학회지)

The Society of Korean Medicine for obesity Research (한방비만학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis of Factors Related to the Use of Both Korean and Western Medicine Treatment in Patients with Overweight and Obesity: Based on the Korea Health Panel Annual Data 2019

과체중 및 비만 환자에서 한·양방 의료 이용과 관련된 요인분석: 제2기 한국의료패널 자료를 중심으로

  • Chan-Young Kwon (Department of Oriental Neuropsychiatry, College of Korean Medicine, Dong-eui University)
  • 권찬영 (동의대학교 한의과대학 한방신경정신과)
  • Received : 2024.04.02
  • Accepted : 2024.05.13
  • Published : 2024.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: We used the Korea Health Panel Annual Data 2019 to analyze factors related to visits to both Korean medicine and Western medicine (WM) outpatient clinics among patients with overweight and obesity. Methods: The inclusion criteria for this study are as follows: 1) adults over 18 years of age, 2) overweight or obese with a body mass index of 25.0 or more, 3) visited WM outpatient clinics at least once during 2019. Total 2,963 individuals were included in WM group or integrative medicine (IM) group. Using the Andersen healthcare utilization model, factors related to healthcare utilization of the participants were classified. Binomial logistic regression analysis was used to analyze factors associated with IM use. Results: Among the participants, 80.49% (n=2,385) were assigned to WM group and 19.51% (n=578) to IM group. As a result of the regression analysis, factors significantly related to the use of IM included the elderly over 65 years of age, sex (men), college or higher education level, residential area (Gwangju/Jeolla/Jeju), presence of cancer, and presence of musculoskeletal disease. The main diagnosis associated with both WM and IM use was most frequently musculoskeletal conditions. Also, IM group received WM treatment for musculoskeletal conditions more frequently compared to WM group. Conclusions: This study is the first to analyze healthcare utilization patterns among overweight or obese patients in Korea. The current findings suggest that the presence of musculoskeletal conditions, especially in this population, may be strongly associated with concurrent use of IM services.

Keywords

Acknowledgement

This study used the Korea Health Panel Annual Data 2019 (Version 2.0.1) jointly hosted by the Korea Institute for Health and Social Affairs and the National Health Insurance Service.

References

  1. Consultation WHO. Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser. 2000 ; 894 : 1-253.
  2. Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism. 2022 ; 133 : 155217.
  3. Kim BY, Kang SM, Kang JH, Kang SY, Kim KK, Kim KB, et al. 2020 Korean society for the study of obesity guidelines for the management of obesity in Korea. J Obes Metab Syndr. 2021 ; 30(2) : 81-92. https://doi.org/10.7570/jomes21022
  4. Yang YS, Han BD, Han K, Jung JH, Son JW; Taskforce Team of the Obesity Fact Sheet of the Korean Society for the Study of Obesity. Obesity fact sheet in Korea, 2021: trends in obesity prevalence and obesity-related comorbidity incidence stratified by age from 2009 to 2019. J Obes Metab Syndr. 2022 ; 31(2) : 169-77. https://doi.org/10.7570/jomes22024
  5. Lin X, Li H. Obesity: epidemiology, pathophysiology, and therapeutics. Front Endocrinol (Lausanne). 2021 ; 12 : 706978.
  6. Korea Institute of Oriental Medicine. Korean medicine clinical practice guideline: obesity. Elsevier. 2016.
  7. Jegal KH, Ko MM, Kim BY, Son MJ, Kim S. A national survey on current clinical practice pattern of Korean medicine doctors for treating obesity. PLoS One. 2022 ; 17(3) : e0266034.
  8. Cha J, Ahn EK, Kim MJ, Jung SY, Kim HS, Kim E, et al. Weight control registry using Korean medicine: a protocol for a prospective registry study. Int J Environ Res Public Health. 2022 ; 19(21) : 13903.
  9. Seo HS, Lee SH, Yim MH, Jeong YK, Chang GT, Ahn YJ, et al. Integrative Korean medicine treatment for obesity and overweight in children and adolescents: a multicenter retrospective chart review study. Diabetes Metab Syndr Obes. 2023 ; 16 : 2821-32. https://doi.org/10.2147/DMSO.S426848
  10. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995 ; 36(1) : 1-10. https://doi.org/10.2307/2137284
  11. Ministry of Health and Welfare & National Institute for Korean Medicine Development. Usage and consumption of Korean medicine report in 2022 [Internet]. 2023 [cited 2024 May 1]. https://nikom.or.kr/koms/board/view.do?menu_idx=19&manage_idx=142&board_idx=563685&group_depth=0&parent_idx=0&group_idx=0&rowCount=10&search_type=title%2Bcontent&search_text=&viewPage=1
  12. Haywood C, Sumithran P. Treatment of obesity in older persons-a systematic review. Obes Rev. 2019 ; 20(4) : 588-98. https://doi.org/10.1111/obr.12815
  13. Zhong YM, Luo XC, Chen Y, Lai DL, Lu WT, Shang YN, et al. Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis. Postgrad Med J. 2020 ; 96(1134) : 221-7. https://doi.org/10.1136/postgradmedj-2019-137221
  14. Payab M, Hasani-Ranjbar S, Shahbal N, Qorbani M, Aletaha A, Haghi-Aminjan H, et al. Effect of the herbal medicines in obesity and metabolic syndrome: a systematic review and meta-analysis of clinical trials. Phytother Res. 2020 ; 34(3) : 526-45. https://doi.org/10.1002/ptr.6547
  15. Lee B, Kim TH, Birch S, Alraek T, Lee HW, Nielsen A, et al. Comparative effectiveness of acupuncture in sham-controlled trials for knee osteoarthritis: a systematic review and network meta-analysis. Front Med (Lausanne). 2023 ; 9 : 1061878.
  16. Liang Y, Xu Y, Zhu Y, Ye H, Wang Q, Xu G. Efficacy and safety of Chinese herbal medicine for knee osteoarthritis: systematic review and meta-analysis of randomized controlled trials. Phytomedicine. 2022 ; 100 : 154029.
  17. Liao CC, Chien CH, Shih YH, Tsai FJ, Li JM. Acupuncture is effective at reducing the risk of stroke in patients with migraines: a real-world, large-scale cohort study with 19-years of follow-up. Int J Environ Res Public Health. 2023 ; 20(3) : 1690.
  18. Wei M, Wang D, Kang D, Lee MS, Choi TY, Ang L, et al. Overview of cochrane reviews on Chinese herbal medicine for stroke. Integr Med Res. 2020 ; 9(1) : 5-9. https://doi.org/10.1016/j.imr.2019.11.009
  19. Li X, Jia HX, Yin DQ, Zhang ZJ. Acupuncture for metabolic syndrome: systematic review and meta-analysis. Acupunct Med. 2021 ; 39(4) : 253-63. https://doi.org/10.1177/0964528420960485
  20. Wearing SC, Hennig EM, Byrne NM, Steele JR, Hills AP. Musculoskeletal disorders associated with obesity: a biomechanical perspective. Obes Rev. 2006 ; 7(3) : 239-50. https://doi.org/10.1111/j.1467-789X.2006.00251.x
  21. Zhang Y, Wang C. Acupuncture and chronic musculoskeletal pain. Curr Rheumatol Rep. 2020 ; 22(11) : 80.
  22. Karimi S, Pasdar Y, Hamzeh B, Ayenehpour A, Heydarpour F, Goudarzi F. Obesity phenotypes related to musculoskeletal disorders; a cross-sectional study from RaNCD cohort. Arch Public Health. 2022 ; 80(1) : 185.
  23. Pati S, Irfan W, Jameel A, Ahmed S, Shahid RK. Obesity and cancer: a current overview of epidemiology, pathogenesis, outcomes, and management. Cancers (Basel). 2023 ; 15(2) : 485.
  24. Renehan AG, Harvie M, Cutress RI, Leitzmann M, Pischon T, Howell S, et al. How to manage the obese patient with cancer. J Clin Oncol. 2016 ; 34(35) : 4284-94. https://doi.org/10.1200/JCO.2016.69.1899
  25. Ojukwu M, Mbizo J, Leyva B, Olaku O, Zia F. Complementary and alternative medicine use among ov erweight and obese cancer surv iv ors in the United States. Integr Cancer Ther. 2015 ; 14(6) : 503-14. https://doi.org/10.1177/1534735415589347
  26. Ee C, Cave AE, Naidoo D, Boyages J. Prevalence of and attitudes towards complementary therapy use for weight after breast cancer in Australia: a national survey. BMC Complement Altern Med. 2019 ; 19(1) : 332.
  27. Alwhaibi M, Sambamoorthi U. Sex differences in the use of complementary and alternative medicine among adults with multiple chronic conditions. Evid Based Complement Alternat Med. 2016 ; 2016 : 2067095.
  28. Neiberg RH, Aickin M, Grzywacz JG, Lang W, Quandt SA, Bell RA, et al. Occurrence and co-occurrence of types of complementary and alternative medicine use by age, gender, ethnicity, and education among adults in the United States: the 2002 National Health Interview Survey (NHIS). J Altern Complement Med. 2011 ; 17(4) : 363-70. https://doi.org/10.1089/acm.2009.0157
  29. Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/ gender differences in obesity prevalence, comorbidities, and treatment. Curr Obes Rep. 2021 ; 10(4) : 458-66. https://doi.org/10.1007/s13679-021-00453-x
  30. Heo J, Oh J, Kim J, Lee M, Lee JS, Kwon S, et al. Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea. PLoS One. 2012 ; 7(11) : e51004.
  31. Lee B, Yang C, Yim MH. Factors affecting Korean medicine health care use for functional dyspepsia: analysis of the Korea health panel survey 2017. Healthcare (Basel). 2022 ; 10(7) : 1192.
  32. Kwon CY. Research trends of pharmacopuncture: a bibliometric analysis using VOSviewer (2007-2023). J Pharmacopuncture. 2023 ; 26(3) : 227-37. https://doi.org/10.3831/KPI.2023.26.3.227
  33. Kim SY, Shin IS, Park YJ. Effect of acupuncture and intervention types on weight loss: a systematic review and meta-analysis. Obes Rev. 2018 ; 19(11) : 1585-96. https://doi.org/10.1111/obr.12747
  34. Jang HJ, Oh H. Trends and inequalities in overall and abdominal obesity by sociodemographic factors in Korean adults, 1998-2018. Int J Environ Res Public Health. 2021 ; 18(8) : 4162.
  35. Kwon S, Heo S, Kim D, Kang S, Woo JM. Changes in trust and the use of Korean medicine in South Korea: a comparison of surveys in 2011 and 2014. BMC Complement Altern Med. 2017 ; 17(1) : 463.