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http://dx.doi.org/10.15429/jkomor.2021.21.1.22

Effect of Korean Medicine Treatment Including Korean Medicine Counselling on Weight Loss in Patients with Morbid Obesity: A Retrospective Chart Review  

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)
Publication Information
Journal of Korean Medicine for Obesity Research / v.21, no.1, 2021 , pp. 22-31 More about this Journal
Abstract
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.
Keywords
Morbid obesity; Counseling; Korean medicine;
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