- 期刊
腹部穴位埋線及營養衛教對單純肥胖症的減重成效
Randomized Clinical Trial to Assess the Efficacy of Weight Reduction Intervention by Acupoint Catgut Embedding and Nutritional Counseling in Obesity Patients
摘要
目的：腹部穴位埋線及營養衛教廣泛地運用在體重控制，本研究擬探討腹部穴位埋線（埋線組）、營養衛教（衛教組）或合併二種介入方式（合併組）對單純性肥胖個案治療成效的差異。方法：研究對象為20-65歲且身體質量指數（Body Mass Index, BMI）≥ 27 kg/m^2或男性腰圍≥ 90 cm、女性腰圍≥ 80 cm的單純性肥胖個案32位，依隨機方式分配為三組，各組分別於每二週進行一次腹部穴位埋線、營養衛教或兩者合併介入。每次介入時測量體重、腰圍、BMI，於第0、4、8、12週時以生物電阻法分析身體組成，共為期12週，完成研究共26位。腰圍部分，三組介入後皆呈現顯著減少（p = 0.012-0.028），其減少量由高到低分別為合併組4.1 cm、埋線組4.0 cm及衛教組1.8 cm。進行三組組間比較發現，埋線組的腰圍減少量顯著高於衛教組（p = 0.025）。體重方面，則僅有埋線組達顯著差異，平均減輕1.1 kg（p ＜ 0.05）。另外，體脂肪率、肌肉量（lean body mass）和BMI，介入前後的減少量，三組皆未達統計學上差異。結論：本研究結果顯示，單純性肥胖者使用腹部穴位埋線療法、營養衛教或合併兩種方式，皆對腰圍減少具有成效，然而對體重、BMI和體脂肪率等之效益，仍需更多大型嚴謹之長期研究進行更深度探討。
並列摘要
Objective: Acupoint catgut embedding (ACE) and nutritional education (NE) were applied widely to anti-obesity. The aim of this study is to evaluate the effectiveness of ACE and NE on simple obesity. Method: Obese adults (n = 26; mean age = 44 years; mean BMI = 28.2 kg/m^2; mean waist = 93.0 cm) were randomly assigned to: (1) ACE treatment (9 members/group), (2) NE treatment (8 members/group), or ACE combined with NE treatment (9 members/group). During 12-weeks intervention, participants’ weight and waist circumference were measured at each assessment in the medical clinic every two weeks, and body composition was assessed by bioelectrical impedance analysis (BIA) in week 0, 4, 8, 12. Result: NE participants significantly reduced their protein, fat, and calorie intake by 14.2 g, 31.8 g, and 263 kcal. ACE combined with NE participants and ACE participants lost significantly more waist circumference than NE participants at week 12 (-4.1, -4.0 vs. -1.8 cm; p = 0.025). ACE participants had a mean weight loss 1.1 kg (p ＜ 0.05). However, there was not significant reduction of BMI, body fat, and lean body mass in 3 groups. Conclusion: The results of this study show that ACE, NE, and ACE combined with NE treatments are effective in reducing waist circumference. Future high quality trials with rigorous design and more participants are needed assess the effect of the three weight control intervention on obese patients.