Browse > Article
http://dx.doi.org/10.15429/jkomor.2022.22.2.125

A Study on Weight Loss Effect and Safety of Integrated Korean Medicine Treatment on Obese Patients in Local Clinics: A Restrospective Chart Review  

Ojin Kwon (Korean Medicine Science Research Division, Korea Institute of Oriental Medicine)
Changsop Yang (Korean Medicine Science Research Division, Korea Institute of Oriental Medicine)
Young Jin Kim (The Association of Korean Medicine, Daejeon Metropolitan City Branch)
Won Hae Ku (The Association of Korean Medicine, Daejeon Metropolitan City Branch)
Won Gu Lee (The Association of Korean Medicine, Daejeon Metropolitan City Branch)
Ki Byung Kim (The Association of Korean Medicine, Daejeon Metropolitan City Branch)
Kyung Hwan Jegal (Digital Health Research Division, Korea Institute of Oriental Medicine)
Publication Information
Journal of Korean Medicine for Obesity Research / v.22, no.2, 2022 , pp. 125-135 More about this Journal
Abstract
Objectives: A restrospective chart review were conducted to investigate the overall weight loss effect of the integrated Korean medicine treatment on obese patients (body mass index [BMI] ≥25 kg/m2) in Korean medicine clinic and analyze the difference in the effect according to lifestyle behaviors. Methods: The medical records of 43 obese patients were retrospectively analyzed including body weight, BMI, waist circumference, hip circumference, and body composition who received integrated Korean medicine treatment for 4 weeks at 24 Korean medicine clinics in Daejeon metropolitan city. All outcome measures were evaluated again 8 weeks after the end of treatment at week 12 for follow-up. EuroQol-5D (EQ-5D), the Korean version of the obesity-related quality of life scale (KOQOL) and patient's satisfaction were also evaluated. The analysis was divided according to the treatment period and observation period, and subgroup analysis was performed according to drinking and exercise habits. Results: Body weight, body fat, waist circumference, hip circumference, body fat were significantly reduced at week 4 and week 12. Theses weight reduction effects were significantly greater within treatment period (0 to 4 week) than observation period (4 to 12 week). Especially in the non-exercise group, the changes in body fat mass and body fat percent showed a significant difference between the treatment period and the observation period. KOQOL were also significantly improved at 12 week, but not in EQ-5D. No severe adverse events were observed. Conclusions: The integrated Korean medicine treatment could be effective to treat obesity including weight loss. It is necessary to prevent additional weight regain through regular exercise even after Korean medicine treatment.
Keywords
Obesity; Korean medicine; Retrospective chart review; Weight loss;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Korean National Health Insurance Service. The 2018 obesity white book. Wonju : Korean National Health Insurance Service. 2018 : 208.
2 Nam GE, Kim YH, Han K, Jung JH, Rhee EJ, Lee SS, et al. Obesity fact sheet in Korea, 2020: Prevalence of obesity and abdominal obesity from 2009 to 2018 and social factors. J Obes Metab Syndr. 2021 ; 30(2) : 141-8.   DOI
3 Baik I. Forecasting obesity prevalence in Korean adults for the years 2020 and 2030 by the analysis of contributing factors. Nutr Res Pract. 2018 ; 12(3) : 251-7.   DOI
4 EQ-5D. EQ-5D product [Internet]. Rotterdam: EuroQol; 2022 [cited 2022 Aug 31]. Available from: https://euroqol.org/eq-5d-instruments/eq-5d-3l-about/.
5 Lee SI. Validity and reliability evaluation for EQ-5D in Korea. Korea Disease Control and Prevention Agency. 2011.
6 Park HS, Sung SW, Ou SW, Lee KY, Kim BS, Han JH, et al. Development of Korean version of obesity-related quality of life scale. Korean J Obes. 2003 ; 12(4) : 280-92.
7 Ryan DH, Yockey SR. Weight loss and improvement in comorbidity: differences at 5%, 10%, 15%, and over. Curr Obes Rep. 2017 ; 6(2) : 187-94.   DOI
8 Jung HG, Jeong HS. Factors related to successful weight reduction among subjects who tried to reduce their weight for 1 year: data from the 2015 Korea national health and nutrition examination survey. J Health Info Stat. 2017 ; 42(4) : 355-60.   DOI
9 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.
10 Cava E, Yeat NC, Mittendorfer B. Preserving healthy muscle during weight loss. Adv Nutr. 2017 ; 8(3) : 511-9.   DOI
11 Duan T, Kang JW, Lee S, Lee W, Jeoung J, Cha Y. Analysis of research trend about Jowiseungcheong-tang (Diaoweishengqing-tang) for treating obesity and metabolic disease: focused on domestic journals. J Korean Med Rehabi. 2021 ; 31(4) : 13-23.   DOI
12 Song MR, Lee HW, Jo JY, Kim EK. Analysis of women's body mass index, weight perception and obesity-related quality of life. J Korean Acad Fundam Nurs. 2010 ; 17(3) : 419-26.
13 Kim JH. Association between body shape Index, perceived body shape and self-rated health, quality of life in korean adults population using sixth Korea National Health and Nutrition Examination Survey. Health Soc Welfare Rev. 2018 ; 38(4) : 323-40.
14 Seo MH, Lee WY, Kim SS, Kang JH, Kang JH, Kim KK, et al. 2018 Korean society for the study of obesity guideline for the management of obesity in Korea. J Obes Metab Syndr. 2019 ; 28(1) : 40-5.   DOI
15 Cheon C, Song YK, Ko SG. Efficacy and safety of euiiyin-tang in korean women with obesity: a randomized, double-blind, placebo-controlled, multicenter trial. Complement Ther Med. 2020 ; 51 : 102423.
16 National Institute of Korean Medicine Development. Survey on the use of tradtional Korean medicine and comsumption of herbal medicine 2020. Gyeongsan : National Institute of Korea Medicine Development. 2021.
17 Azushima K, Tamura K, Haku S, Wakui H, Kanaoka T, Ohsawa M, et al. Effects of the oriental herbal medicine bofu-tsusho-san in obesity hypertension: a multicenter, randomized, parallel-group controlled trial (ath-d-14-01021.R2). Atherosclerosis. 2015 ; 240(1) : 297-304.   DOI
18 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.
19 Seo DM, Lee SH, Lee JD. Clinical observation on effects and adverse effects of choweseuncheng-tang on obesity patients. J Acupunct Res. 2005 ; 22(3) : 145-54.
20 Fang S, Wang M, Zheng Y, Zhou S, Ji G. Acupuncture and lifestyle modification treatment for obesity: a meta-analysis. Am J Chin Med. 2017 ; 45(2) : 239-54.   DOI
21 Kim SH, Han KS, Kwon OJ, Lee WG, Yoon CS, Lee JH. Effect of Korean medicine treatment including Korean medicine counselling on weight loss in patients with morbid obesity: a retrospective chart review. J Korean Med Obes Res. 2021 ; 21(1) : 22-31.   DOI
22 Chung WS, Kim KW, Jo JY, Kim H. Development of manual for standard counseling of obesity patients in Korean medicine. J Korean Med Obes Res. 2019 ; 19(2) : 113-8.   DOI
23 World Health Organization. Regional office for the western pacific. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney : Health Communications Australia. World Health Organization. 2000.
24 Kang KW, Moon JS, Kang BG, Kim BY, Choi SM, Shin MS. Comparison of pattern identification diagnosis according to symptom scale based on obesity pattern identification questionnaire. J Korean Med Obes Res. 2009 ; 9(1) : 37-44.