일개 한방병원에 내원한 갱년기 여성의 한의 비만 치료와 체성분 변화에 대한 후향적 분석
A Retrospective Review about Korean Medicine Treatment for Obesity and Change of Body Composition on Climacteric Women in a Korean Medicine Hospital
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to identify the current use of Korean medicine for obesity and its effect for women in climacteric period. Methods: We studied women aged 45-55 who visited Daejeon Korean medicine Hospital of Daejeon University to lose body weight from January 1, 2021 to December 31, 2022 via an analysis of the medical records. The treatment duration was continuous for more than 2 weeks, and a body composition was measured by Inbody 770 at 2 to 4 weeks after the first visit. Results: 28 patients were finally selected and their average age was 49.32±3.38 years. Based on the body mass index (BMI) classification, 19 were in the 1st obesity group, 5 in the 2nd obesity group, 3 in the overweight group and 1 in the normal group. Patients usually complained comcomitant symptoms, and the symptoms of menopausal disorder was the most frequent. The average treatment duration was 3.68±0.67 weeks and the average treatment frequency was 3.93±0.98 times. All patients took herbal medicines Gambi-tang and 23 took modified fasting therapy including Gamro-su. 14 were treated by whole body far-infrared therapy and 6 were gotten partial obesity treatment. Among patients treated for accompanying symptoms, menopausal disorders were the most common (35.71%), and herbal medicine such as Gamisoyou-san, Hominis Placenta Pharmacopuncture, moxibustion, and cupping were used. After treatment, on average, body composition changed significantly; body weight 3.28±1.82 kg, BMI 1.36±1.04 kg/m2, body fat 1.70±1.67 kg, skeletal muscle mass 0.81±0.91 kg, abdominal circumference 2.04±2.66 cm, and visceral fat area 8.91±12.83 cm2. Conclusions: We analyzed general characteristics, BMI distribution, types of Korean medicine treatment and change of body composition. This study could be used as reference to provide practical data of treatment for obese women in climacteric period.
Abstract
Objectives: This study aimed to identify the current use of Korean medicine for obesity and its effect for women in climacteric period. Methods: We studied women aged 45-55 who visited Daejeon Korean medicine Hospital of Daejeon University to lose body weight from January 1, 2021 to December 31, 2022 via an analysis of the medical records. The treatment duration was continuous for more than 2 weeks, and a body composition was measured by Inbody 770 at 2 to 4 weeks after the first visit. Results: 28 patients were finally selected and their average age was 49.32±3.38 years. Based on the body mass index (BMI) classification, 19 were in the 1st obesity group, 5 in the 2nd obesity group, 3 in the overweight group and 1 in the normal group. Patients usually complained comcomitant symptoms, and the symptoms of menopausal disorder was the most frequent. The average treatment duration was 3.68±0.67 weeks and the average treatment frequency was 3.93±0.98 times. All patients took herbal medicines Gambi-tang and 23 took modified fasting therapy including Gamro-su. 14 were treated by whole body far-infrared therapy and 6 were gotten partial obesity treatment. Among patients treated for accompanying symptoms, menopausal disorders were the most common (35.71%), and herbal medicine such as Gamisoyou-san, Hominis Placenta Pharmacopuncture, moxibustion, and cupping were used. After treatment, on average, body composition changed significantly; body weight 3.28±1.82 kg, BMI 1.36±1.04 kg/m2, body fat 1.70±1.67 kg, skeletal muscle mass 0.81±0.91 kg, abdominal circumference 2.04±2.66 cm, and visceral fat area 8.91±12.83 cm2. Conclusions: We analyzed general characteristics, BMI distribution, types of Korean medicine treatment and change of body composition. This study could be used as reference to provide practical data of treatment for obese women in climacteric period.
참고문헌 (23)
- An HW, "A Retrospective Analysis on Outpatients with Climacteric Syndrome and Postmenopausal Syndrome in a Korean Medicine Hospital", J Korean Obstet Gynecol, 36(4), pp.61~77 (2023)
- Kim SJ, "Association between Age at Natural Menopause and Prevalence of Obesity, Hypertension, Diabetes, and Hypercholesterolemia", Korean Public Health Research, 47(1), pp.1~9 (2021)
- Nam EY, "The Systematic Review on Clinical Studies of Traditional Korean Medicine Treatment for Obesity in Menopausal Women", J Korean Med Obes Res, 19(1), pp.56~67 (2019)
- Cho HS, "The Retrospective Analysis of Effects of H Gambitang(GB-001)on Weight Loss in Pre-and Post-Menopausal Obese Woman", J Korean Med Obes Res, 20(1), pp.20~30 (2020)
- Yun YS, "Obesity in Women : Effect of Pregnancy and Menopause", J Korean Acad Fam Med, 23(5), pp.553~564 (2002)
- Yoo JE, "The Effects of Wild Ginseng Complex Pharmacopuncture Combined with Hyperthermia on Abdominal Obesity in Post-Menopause Women : Case Report", J Korean Med Obes Res, 16(2), pp.133~137 (2016)
- The Society of Korean Medicine Obstetrics and Gynecology, "Korean Medicine Clinical Practice Guidelines of Menopausal Symptoms and Postmenopausal Syndrome", pp.32~42 (2021), Koonja publishers
- Shin KA, "The differences of metabolic syndrome risk factors according to obesity and abdominal obesity in elderly korean women", Korean Journal of Clinical Laboratory Science, 48(4), pp.304~311 (2016)
- Jun EM, "The Relationship between the Obesity and the Metabolic Syndrome in Korean Adult Women", Journal of the Korean Data Analysis Society, 23(5), pp.2297~2306 (2021)
- Yang MS, "A Literature Review on Obesity in Postmenopausal Women", Journal of Society of Korean Medicine for Obesity Research, 8(2), pp.1~13 (2008)
- Han MS, "Metabolic Syndrome Emerging from Menopause", J Korean Soc Menopause, 17(3), pp.127~135 (2011)
- Choi H, "The Korean Menopausal Women`s Attitudes and Awareness on Menopause : Results of Korean Gallup Epidemiologic Survey on Menopause and HRT", J Menopausal Med, 9(1), pp.36~43 (2003)
- The compilation committee of Herbology, "Herbology", pp.152~ (2011), Younglim publisher
- Yoon SH, "Effect and Safety of Combined Treatment of Gambihwan and Garcinia Cambogia on Weight Loss : A Retrospective Observational Study", J Korean Med Obes Res, 20(1), pp.31~39 (2020)
- Jang IS, "The Need for Clinical Practice Guidelines in Usage of Mahuang in Weight Loss", J Korean Med Obes Res, (1), pp.23~29 (2007)
- Park HS, "A Retrospective Analysis of the Effectiveness of Taking Gambi-tang in Overweight and Obese Adult", J Int Korean Med, 43(3), pp.413~422 (2022)
- Baek SE, "Effects of the Modified Fasting Therapy Using Gamrosu and Herbal Medicine on Changes of Body Compositions in Women : Case Series", J Korean Med Obes Res, 18(2), pp.152~158 (2018)
- Ki SH, "Anti-obesity effects of galgeun-tang in high fat diet induced obese mice model", J Korean Med Rehabil, 26(2), pp.13~28 (2016)
- Song EM, "Effects of Far-infrared Therapy on Weight Loss in Korean Obese Women", J Korean Med Obes Res, 12(1), pp.20~32 (2012)
- Lee HI, "Effects of Hwanggimacmundong-tang on Body Weight and Gene Expression in Obese Rats with Estrogen Deficiency", J Korean Obstet Gynecol, 31(2), pp.49~67 (2018)
- Jung JY, "Effects of Electroacupuncture on Parameters Related to Obesity in Adults with Abdominal Obesity : Three arm Randomized Single Blind Pilot Study", J Acupunct Res, 27(6), pp.43~57 (2010)
- Lee SK, "Effects of Electroacupuncture and Herbal Medicine on Body Composition Changes in Obese Patients", Korean J Oriental Physiology & Pathology, 20(3), pp.697~700 (2006)
- Chon YJ, "A Case Report for the Effects of Pharmacopuncture Combined Thread Implantation Therapy to Improve Localized Obesity", J Korean Med Obes Res, 15(2), pp.144~148 (2015)
