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穴位埋線降低體重與體脂肪率的系列病例研究

Decreasing Body Weight and Body Fat Percentage by Acupoint Catgut Implantation-A Case Series Study

摘要


Background: Acupoint-catgut implantation treatment has been used broadly for the treatment of lumbar muscle strains, allergic rhinitis, and irritable bowel syndrome. Within the last 10 years it has also been applied to the treatment of obesity. In prior studies manual and electrical-acupuncture have proven to reduce obesity; however, one limitation for almost all of these studies has been not recording the effects on body fat percentage and basal metabolic rate. Patients and methods: Our study collected medical records of patients who came to the Chinese Medicine clinic during June to December 2010. The patients included had a BMI > 24 and a waistline > 80 cm. Each patient was prescribed four sessions of acupoint-catgut implantation treatment every two weeks during two months. The acupoints included were: CV12, CV9, CV6, CV4, KI14 (bilaterally), ST21, ST24, ST25, ST27, ST28, ST34, ST40, SP15, SP14, SP6 and GB26. The end points measured were patients’ weight, BMI, waistline, body fat percentage, and basal metabolic rate. Results: All fifteen patients who attended the Chinese Medicine clinic completed full treatment. The average reduction in waistline was 2.71±2.16 cm after the first month (-2.83±2.31% difference from baseline), and 3.03±2.70 cm after the second month (compared to the baseline). The average waistline decreased from 93.17±9.09 cm to 46±8.74 cm after first month, and 90.14±7.54 cm after the second month. Both the two-tail paired sample t-test had a p value <0.05. Body fat percentage decreased 0.26±0.78% after the first month, but decreased 1.05±1.07% after the second month (3.40±3.77% from prior measurement). The average body fat percentage decreased from 32.63±4.88% to 32.37±5.14% after first month(non-significant), and 31.59±5.32% after the second month (p<0.001). The weight decreased 1.87±1.79 kg after the first month and 3.10±1.41 kg after the second month (2.46±2.08%, and 4.19±1.61% from prior measurements respectively). The average weight decreased from 72.97±13.61 kg to 71.09±12.79 kg after first month, and 90. 69.87±12.77 kg after the second month. There were significant differences in both periods. Body Mass Index also showed a decrease. After the first month it was lowered by 0.45±0.74 kg/m^2 and after the second month by 1.36±0.64 kg/m^2 (both were significant). This represents 1.61±2.53% and 4.95±2.46% from the original measurements; The average Body Mass Index decreased from 27.20±3.76 kg/m^2 to 26.52±3.60 kg/m^2 after first month, and 26.06±3.58 kg/m^2 after the second month. Additionally, the difference between the second month and the first month was significant. Basal metabolic rate decreased 22.52±25.21 Kcal/day after the first month and 35.54±21.03 Kcal/day after the second month. The average Basal metabolic rate decreased from 1518.84±261.80 Kcal/day to 1496.32±244.70 Kcal/day after first month and 1483.31±244.98 Kcal/day after the second month. There were significant differences in both periods. The following results showed that acupoint-catgut implantation treatment reduces BMI, weight, waistline and body fat percentage; furthermore, patients' weight and BMI decreased significantly between the first and second month. Six patients reported feeling localized tenderness and swelling after treatments; nevertheless, there were no needle sickness complications (fainting, coma, or changes in blood pressure). Conclusion: This study found that acupoint-catgut implantation treatment was effective at decreasing weight, BMI, waistline, body fat percentage and basal metabolic rate. We also found that longer treatment periods provide a greater decrease in body fat percentage, weight and BMI. Further well-designed double-blinded trials are needed in the future to provide greater proof of the effect of absorbable suture treatments on obesity.

並列摘要


Background: Acupoint-catgut implantation treatment has been used broadly for the treatment of lumbar muscle strains, allergic rhinitis, and irritable bowel syndrome. Within the last 10 years it has also been applied to the treatment of obesity. In prior studies manual and electrical-acupuncture have proven to reduce obesity; however, one limitation for almost all of these studies has been not recording the effects on body fat percentage and basal metabolic rate. Patients and methods: Our study collected medical records of patients who came to the Chinese Medicine clinic during June to December 2010. The patients included had a BMI > 24 and a waistline > 80 cm. Each patient was prescribed four sessions of acupoint-catgut implantation treatment every two weeks during two months. The acupoints included were: CV12, CV9, CV6, CV4, KI14 (bilaterally), ST21, ST24, ST25, ST27, ST28, ST34, ST40, SP15, SP14, SP6 and GB26. The end points measured were patients’ weight, BMI, waistline, body fat percentage, and basal metabolic rate. Results: All fifteen patients who attended the Chinese Medicine clinic completed full treatment. The average reduction in waistline was 2.71±2.16 cm after the first month (-2.83±2.31% difference from baseline), and 3.03±2.70 cm after the second month (compared to the baseline). The average waistline decreased from 93.17±9.09 cm to 46±8.74 cm after first month, and 90.14±7.54 cm after the second month. Both the two-tail paired sample t-test had a p value <0.05. Body fat percentage decreased 0.26±0.78% after the first month, but decreased 1.05±1.07% after the second month (3.40±3.77% from prior measurement). The average body fat percentage decreased from 32.63±4.88% to 32.37±5.14% after first month(non-significant), and 31.59±5.32% after the second month (p<0.001). The weight decreased 1.87±1.79 kg after the first month and 3.10±1.41 kg after the second month (2.46±2.08%, and 4.19±1.61% from prior measurements respectively). The average weight decreased from 72.97±13.61 kg to 71.09±12.79 kg after first month, and 90. 69.87±12.77 kg after the second month. There were significant differences in both periods. Body Mass Index also showed a decrease. After the first month it was lowered by 0.45±0.74 kg/m^2 and after the second month by 1.36±0.64 kg/m^2 (both were significant). This represents 1.61±2.53% and 4.95±2.46% from the original measurements; The average Body Mass Index decreased from 27.20±3.76 kg/m^2 to 26.52±3.60 kg/m^2 after first month, and 26.06±3.58 kg/m^2 after the second month. Additionally, the difference between the second month and the first month was significant. Basal metabolic rate decreased 22.52±25.21 Kcal/day after the first month and 35.54±21.03 Kcal/day after the second month. The average Basal metabolic rate decreased from 1518.84±261.80 Kcal/day to 1496.32±244.70 Kcal/day after first month and 1483.31±244.98 Kcal/day after the second month. There were significant differences in both periods. The following results showed that acupoint-catgut implantation treatment reduces BMI, weight, waistline and body fat percentage; furthermore, patients' weight and BMI decreased significantly between the first and second month. Six patients reported feeling localized tenderness and swelling after treatments; nevertheless, there were no needle sickness complications (fainting, coma, or changes in blood pressure). Conclusion: This study found that acupoint-catgut implantation treatment was effective at decreasing weight, BMI, waistline, body fat percentage and basal metabolic rate. We also found that longer treatment periods provide a greater decrease in body fat percentage, weight and BMI. Further well-designed double-blinded trials are needed in the future to provide greater proof of the effect of absorbable suture treatments on obesity.

參考文獻


元滑壽(2009)。難經本義。北京市:中國中醫藥出版社。
明馬元台註、明張隱庵註(1984)。黃帝內經靈樞。台北市:台聯國風出版社。
明馬元台註、明張隱庵註(1984)。黃帝內經素問。台北市:台聯國風出版社。
Colditz, GA,Willett, WC,Rotnitzky, A,Manson, JE(1995).Weight gain as a risk factor for clinical diabetes mellitus in women.Ann. Intern. Med..122,481-486.
Elamin, EM(2005).Nutritional care of the obese intensive care unit patient.Curr. Opin. Crit. Care.11,300-309.

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