한방비만치료가 비만환자의 간기능에 미치는 영향 증례보고

이지현,전우현,Lee, Ji-Hyeon,Jeon, Woo-Hyeon 한방비만학회 2017 한방비만학회지 Vol.17 No.1

비만을 주소증으로 내원하여 LFT를 시행하고, 한약 치료를 포함한 비만 치료 경과 후 다시 추적한 결과 체중 감량과 간효소 수치의 개선 경향을 보인 10예를 보고하였다. 본 연구를 토대로 한약 치료를 포함한 한방 비만치료 시 유효성과 안전성에 대한 근거를 더 확보해나갈 수 있을 것으로 생각된다. Many obesity patients were affected by depressed liver function including hepatosteatosis. The aim of this study was to investigate the clinical effect of the obesity therapy with Korean herbal medicine (KHM) on obese patient with abnormal liver function. This is a retrospective observational study performed on obesity patients with abnormal liver function. All subjects have taken serum liver function tests (LFTs) before treatment. Ten patients showed abnormal LFTs. They were treated with KHM at least 15 days. During this treatment, LFTs were evaluated afterwards. Body weight and body mass index of the patients were decreased during treatments. Five of 10 subjects recovered normal levels of LFTs. While other subjects remained at abnormal level but their levels were decreased. This study shows that the obesity therapy including KHM could be effective to improve liver function on obese patient. Additional large scale studies are necessary for more evidences.

초저열량 식이와 한방비만치료를 통한 당뇨 개선 1례 보고

김길수,김호준,Kim, Kil-Soo,Kim, Ho-Jun 한방비만학회 2002 한방비만학회지 Vol.2 No.1

Increasing body weight is closely associated with increasing risk for glucose intolerance and type II diabetes. Especially, abdominal distribution of weight and visceral obesity also seriously increase the morbidity and mortality. Dietary program including very-low-calorie diet(VLCD) is regarded as most effective in the control of obesity and diabetes, which mainly due to calorie restriction rather than weight loss itself. We are reporting a case of diabetes with obesity whose fast glucose was over 220 mg/dl and BMI was $25.1kg/m^2$(fat rate 32.8%, WHR 0.9). She was prescribed VLCD and oriental medical diet program. After 10 days of hospitalization, her glucose level dropped dramatically with 3kg loss of body weight She has further lost her weight until about 53kg, but the glucose level ceased to go down probably due to loosened calorie restriction.

한방비만치료임상례중 ${\beta}3$ Adrenergic Receptor 변이율에 대한 고찰 (비만유전자보유유무에 따른 치료효과 비교)

김동열,김길수,김선민,Kim, Dong-Yeol,Kim, Kil-Soo,Kim, Sun-Min 한방비만학회 2002 한방비만학회지 Vol.2 No.1

Purpose & Methods: In order to study obese gene mutation rate in obese Korean patients and to investigate the effect at Chegamuiyiin-tang and electro-lipolysis-acupuncture on obesity treatment. the difference of the reaction to herbal dieting between patients with ${\beta}3$ adrenergic receptor mutation and the patients with wild type ${\beta}3$ adrenergic receptor is observed. Results: Chegamuiyiin-tang and electro-lipolysis-acupuncture treatment are effective on the treatment of obesity in weight reduction. body fat reduction and the circumferences of arm, abdomen, hip and thigh. In the comparison of ${\beta}3$ adrenergic receptor wild type and ${\beta}3$ adrenergic receptor mutation groups, body fat was more reduced with statistical significance, and as for BMI change and body weight change were higher in ${\beta}3$ adrenergic receptor mutation groups with no statistical significance. In the comparison of ${\beta}3$ adrenergic receptor wild type and ${\beta}3$ adrenergic receptor mutation groups among BMI under 25 patients change rate of body weight. BMI, body fact percentage, WHR and body circumference were higher in ${\beta}3$ adrenergic receptor mutation group than in ${\beta}3$ adrenergic receptor wild type group. Conclusion: These results imply that herbal dieting program combined with electro-lipolysis-acupuncture is more effective on reducing body weight and body fat in ${\beta}3$ adrenergic receptor mutation group than wild type group, and that the earlier the treatment is applied, the more effective it is.

원저 : 비만 및 과체중 성인 여성에서 한방비만변증과 생활 습관 및 심리적 요인 간의 상관관계

조유정 ( Yu Jeong Cho ),이아라 ( A Ra Lee ),황미자 ( Mi Ja Hwang ),송미연 ( M Yeon Song ) 한방비만학회 2011 한방비만학회지 Vol.11 No.2

The aim of the study was to investigate the relationship between oriental obesity pattern, life habitual factors(eating attitude, physical activity) and psychological factors(depression, stress, self-esteem) in korean obese and overweight women. Methods This study was performed in obese and overweight(BMI ≥ 23 kg/m2) women in Korea (n=56). Simple anthropometry including weight, BMI, waist circumference, BIA(bioelectrical impedance analysis) were done. To assess psychological factors, the Rosenberg self-esteem scale (SES) questionnaire, Beck depression inventory (BDI) questionnaire and stress response inventory (SRI) questionnaire were administered. Regarding diet, Korean eating attitude test(KEAT-26) was done. International physical activity questionnaire(IPAQ) was administered for exercise and physical activity intensity and quantities. All values were verified using correlation analysis. Results 1. The subjects had stagnation of the liver qi>food accumulation>yang deficiency>blood stasis>spleen vacuity in the order. 2. Stagnation of the liver qi score had significant relationships with self-esteem(r=-0.520, p<0.05) and depression(r=0.688, p<0.01) in stagnation of the liver qi group. There was a relationship between food accumulation score and eating attitude(r=0.784, p<0.01) in food accumulation group. 3. Lean mass had a significant relationship with self-esteem(r=0.434, p<0.05) fat mass had a significant relationship with stress (r=0.633, p<0.01) and in stagnation of the liver qi group. 4. Physical activity had significant relationships with lean mass(r=0.628, p<0.01) and with fat mass(r=-0.478, p<0.05) in group. Conclusions This study maintained that psychological factors play major roles in obesity with symptoms of stagnation of the liver qi and life habit(dietary factors and physical activity) in food accumulation.

원저 : 한방비만프로그램의 체중감량 경과 관찰

이윤재 ( Yoon Jae Lee ),류은경 ( Eun Kyung Ryu ) 한방비만학회 2009 한방비만학회지 Vol.9 No.1

Objectives The purpose of this study was to investigate the clinical effect of oriental medical therapy on obesity and the progress of weight loss through an oriental obesity program. Methods The subjects were treated from January 2008 to February 2009 in J Korean Medical Hospital. Herbal medicine, electrolipolysis, auricular acupuncture were performed during the treatment period. We checked the change of weight every treatment time and measured the body composition by bioelectrical impedance analysis(BIA) every 2 weeks. Results The progress of weight loss was steady in the first 4 weeks except for the sixth weight check. After 4 weeks treatment, the weight loss was 3.52±1.98Kg and 4.83±2.68%. Total fat mass measured by BIA significantly decreased 2.58±1.30Kg after 4 weeks. Age and the weight loss were significantly negative correlated. Conclusions Oriental obesity treatment could be effective on obesity, but further studies would be needed for the foundation of a clinical guideline reflecting various factors.

원저 : 과체중,비만 소아에 대한 한방비만치료프로그램 효과

이윤재 ( Yoon Jae Lee ),류은경 ( Eun Kyung Ryu ) 한방비만학회 2009 한방비만학회지 Vol.9 No.1

Objectives The purpose of this study was to investigate the effect of oriental treatment on pediatric overweight and obesity. Methods From the December 2006 to the May 2008, 19 children were treated of obesity control in J Korean Hospital. Herbal medicine, electrolipolysis, auricular acupuncture was done 2 times per week for 4 weeks with the consulting of diet and exercise. Nine children were treated for 9 weeks. We checked the change of weight at treatment time and the body composition measured by bioelectrical impedance analysis(BIA) per 2 weeks. Results After 4 weeks treatment, the weight loss was 2.67±1.75kg. And after 9 weeks treatment, the weight loss of 9 children was 5.91±2.73kg. Total fat mass measured by BIA significantly decreased 2.38±1.19kg after 4 weeks. BMI and the weight loss of children were significantly correlated. After 4 weeks treatment the BMI significantly decreased 1.43±0.89kg/m2. After 8 weeks treatment the BMI of 9 children significantly decreased 3.31±1.47kg/m2. Conclusions The pediatric obesity could be effective treated by herdal medicine and electroacupuncture.

원저 : 한방비만프로그램을 통한 체중과 부위별 복부둘레의 경과 관찰 및 상관성 연구

허수정 ( Su Jeong Heo ),이재은 ( Jae Eun Ie ),김현진 ( Hyun Jin Kim ),조현주 ( Hyun Ju Cho ),명성민 ( Sung Min Myoung ) 한방비만학회 2009 한방비만학회지 Vol.9 No.2

The purpose of this study was to investigate the progress of weight and waist circumference(WC) through oriental obesity treatment and clarify the correlation between weight loss and WC change. Methods The subjects were treated from January 2007 to September 2009 in J Oriental Medical Center. Herbal medicine, electro acupuncture, oriental obesity physiotherapy were performed for a month. We checked the change of weight and WC at every treatment. We classified the WC into upper, middle, lower parts specifically and measured them individually. Measurements were analyzed by using one-way repeated measures ANOVA and we also investigated correlation between weight loss and WC change. Results (1) During the first and second treatment sessions, the weight loss was the highest, 0.96±0.86 kg(1.46±1.32 %) and during the 5th and 6th treatment sessions, the lowest 0.37±0.61 kg. The final weight loss was 3.71±1.47 kg(5.51±2.12 %). (2) After 8 treatment sessions, the reductions of upper, middle and lower WC were 3.59±2.26 %, 5.93±2.75 %, 5.51±3.22 %, respectively. As the patients received more treatment, there was a progressive decline in the variation of weight and middle WC. However, the decline rate of upper and middle WC fluctuated during the treatments, forming a W-shaped curve. (3) Analysis of the correlation between the weight loss and WC change shows that the reduction of middle WC was most closely associated with the weight loss. Conclusions This study indicated that the rate of weight loss and WC reduction showed stagnation during the 5th and 6th treatment sessions, and the reduction of middle WC was most closely associated with the weight loss. Since the progress of weight and WC change is an important field of research on obesity, further systemic studies would be needed for the foundation of a clinical guideline.

초저열량 식이와 한방비만치료를 통한 당뇨 개선 1례 보고

김호준 ( Ho Jun Kim ),김길수 ( Kil Soo Kim ) 한방비만학회 2002 한방비만학회지 Vol.2 No.1

Increasing body weight is closely associated with increasing risk for glucose intolerance and type 2 diabetes. Especially, abdominal distribution of weight and visceral obesity also seriously increase the morbidity and mortality. Dietary program including very-low-calorie diet(VLCD) is regarded as most effective in the control of obesity and diabetes, which mainly due to calorie restriction rather than weight loss itself. We are reporting a case of diabetes with obesity whose fast glucose was over 220 mg/dl and BMI was 25.1 kg/m2(fat rate 32.8%, WHR 0.9). She was prescribed VLCD and oriental medical diet program. After 10 days of hospitalization, her glucose level dropped dramatically with 3kg loss of body weight. She has further lost her weight until about 53kg, but the glucose level ceased to go down probably due to loosened calorie restriction.

최근 10년간 한방비만학회지의 연구동향 분석: 2010-2019년 한방비만학회지 게재논문을 중심으로

박서현,송윤경,Park, Seohyun,Song, Yun-kyung 한방비만학회 2020 한방비만학회지 Vol.20 No.2

Objectives: This study performed to identify trends in research published in the Journal of Korean Medicine for Obesity Research during last one decade. Methods: All of the articles in the Journal of Korean Medicine for Obesity Research published from 2010 to 2019 were collected. Search were conducted through "http://jkomor.org." Collected articles were classified into year and type of publication. Additional data including study design, study topics, characteristics of participants and treatment, outcomes was extracted from full text of each study. Results: Total 135 articles were analyzed. The number of studies were increasing after 2015. According to classification by type of study, percentage of clinical study took 27%, preclinical study took 37%, literary study took 21%, and case report took 15%. The number of studies were grown and study topics have been diversified. However for the growth of quality, concern for subjects, study design, quality assessment according to research guidelines and ethical consideration is needed. Conclusions: The number of studies and issues each study focused on have been increasing. To improve the quality of studies, further studies should be followed.

한방비만치료의 소아비만 증례 1

주재용 ( Jae Yong Ju ),최정은 ( Jung Eun Choi ),김길수 ( Kil Soo Kim ) 한방비만학회 2003 한방비만학회지 Vol.3 No.1

2003년 2월 28일부터 비만치료를 시작하여 2003년 7월 14일까지 일차적 비만치료를 받은 소아비만환자 1례에서 한방비만치료(體感薏苡仁湯복용, 초저열량식이요법, 운동요법, 행동수정요법, 물리치료요법, 지방분해침 등)를 지속적으로 시행한 결과 각종 비만지표, 혈액검사소견, 복부컴퓨터단층촬영상 지방비율 등에서 유의성 있는 변화들이 관찰되었기에 이에 그 경과를 보고하는 바이다. Childhood obesity is harmful to health and growth. We had experienced a childhood obese patient. From Feb. 28. 2003 to July. 14. 2003. We applied Chegameuiyin-tang(體感薏苡仁湯), electrolipolysis and VLCD(very low calorie diet), behavioral therapy, aerobic exercise, infra-red therapy, auricular acupuncture, and aqua-massage. Through this obesity treatment during 5 months, total weight loss was 12.2kg, reduction of percent body fat was 13.4% (from 38.5 to 25.1), her condition and hepatic index(AST, ALT) was improved.