• Title/Summary/Keyword: Obesity clinic

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The Correlation between HTMA(Hair Tissue Mineral Analysis) Results and Obese Degree (모발미네랄분석결과와 비만도의 상관성)

  • Song, Jae-Chol;Lee, Jae-Sung;Lee, Kyung-Hee;Shin, Hyun-Taeg
    • Journal of Korean Medicine for Obesity Research
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    • v.4 no.1
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    • pp.67-80
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    • 2004
  • Objectives: Obesity is a growing epidemic with subsequent health consequences leading not only to reduced quality of life but also to increased medical costs. Recently nutritional balances are emphasized in the field of obesity, and especially maintaining proper equilibriums of minerals. The correlation of minerals obtained from the method of HTMA(Hair Tissue Mineral Analysis) with obese degree has not been studied in Korea yet. We studied any significant difference of mineral concentrations and components according to the obese degree. Methods: 78 subjects were analyzed who visited Garosero clinic of oriental medicine to lose their weight from June to November 2004. We used BMI(Body Mass Index), PBF(Percent Body Fat), WHR(Waist-Hip Ratio) and abdominal circumference obtained by bio-electrical impedance analysis as an obese degree. And we analyzed correlation with mineral concentrations and ratios obtained from HTMA. Results & Conclusion: 1. Na, K, Zn, Se had significant correlation with obese degree in case of nutritional minerals from HTMA. Especially, K had high significance. 2. Toxic minerals from HTMA had no significance with obese degree. 3. Rb had significant correlation with obese degree in case of additional minerals from HTMA. 4. Among important ratios from HTMA, Na/K had significant correlation with obese degree, but Ca/K had correlation except PBF, and Na/Mg had correlation except WHR. 5. Among toxic ratios from HTMA, Se/Hg had significant correlation with obese degree, but S/Hg had correlation except BMI. 6. Na, K, Zn, Rb, Na/K, Ca/K had significant differences between obesity groups classfied by BMI. Ob II group had sinificant difference from NW group in cases of K, Zn, Rb, Na/K, and Ob II group had sinificant difference from OW group in case of Ca/K.

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A Clinical Study on the Effect of 62 cases through Obesity Clinic in Dae-Gu Hanny University (대구한의대 비만클리닉 내원 환자 62명에 대한 임상적 관찰)

  • Hur, Jin-Il;Kim, Dong-Woo;Park, Kyung;Kim, Dae-Jun;Byun, Joon-Seok;Choi, Bin-Hye
    • The Journal of Internal Korean Medicine
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    • v.27 no.2
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    • pp.345-355
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    • 2006
  • Objectives : The purposes of this study are to evaluate the effect of treatment in obesity clinic in Dae-Gu Hanny University and to improve the oriental medical methods of treatment in obesity patients. Methods : 62 patients were classified into four groups by Body Mass Index(BMI) : normal, overweight, 1st obesity and 2nd obesity groups. Weight, BMI, body fat rate and abdominal fat rate were compared in each group by t-test. Results : In distribution of sex, male were 10(16.1%), female were 52(83.9%). Mean age was $31.0{\pm}2.59$ and the patients in twenties and thirties were the most. Mean weight was $71.80{\pm}4.08kg$ and 1st obesity group(23) was the most. Mean BMI was $27.11{\pm}1.20(kg/m^2)$. BMI Changes in obesity groups treated by obesity clinic were $0.95{\pm}0.68kg/m^2$ in normal group, $1.45{\pm}0.38kg/m^2$ in overweight group, $2.67{\pm}0.48kg/m^2$ in 1st obesity group and $4.01{\pm}1.10kg/m^2$ in 2nd obesity group. The changes in all groups were significant. The more the obesity degree was. the more weight loss was. Conclusions : The weight and BMI in patients were almost decreased significantly when they treated. It resulted that the effect of oriental medical treatment in obesity was positive. This study is the effect of treatment in obesity by several medical methods and it is thought that the study of the effects of treatment in obesity by each medical methods that were used in this study is necessary.

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The Retrospective Analysis on Obese and Overweight Female Patients with Korean Medical Treatment and Its Effectiveness for Clinical Setting of Seasonal Treatment (비만 및 과체중 여성에 대한 한의 비만치료의 효과 및 계절별 치료기간 설정을 위한 후향적 분석)

  • Shin, Won Yong;Seo, Gi Seong;Song, Joo Hyun;Baek, Cheol Hyun
    • Journal of Korean Medicine for Obesity Research
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    • v.17 no.1
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    • pp.10-19
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    • 2017
  • Objectives: The aim of study was to investigate the effect of herbal medicine on obesity and to define which seasonal factor could be utilized to make an obesity treatment program more effective. Methods: Three hundred and forty-four subjects were recruited and data were analyzed for weight, body fat, muscular volume, body fat ratio, body mass index (BMI) change and treatment duration. At first, age classification was performed for the comparisons. Moreover, starting season of treatment was categorized to determine it's influence over the treatment. Results: It was found the administration of herbal medicine could diminish every analyzed fields of entire patients. Compared among age groups, there were no significant differences of all fields. However, the categorization of start season showed significant differences of weight, BMI change and treatment duration. In addition, the analysis of assumed 10% weight loss elicited patients started treatment in spring and winter should spend 12 and 13 weeks and summer would be 9.5 weeks. Conclusions: It was found herbal medicine would be effective for female obesity and expected patients could achieve 5.91 kg weight loss for 65.88 days treatment. Summer group had significant shorter treatment duration and it was presumed summer group had more concentration for achievement. Days required for assumed 10% weight loss was calculated to be 84 days in spring, 67 days in summer, 96 days in winter. Hereafter, further controlled study with more numbers of patients should be needed to determine the goal of medical treatment for obesity.

Review on Acceptability of Patients towards Obesity Treatment Program (비만 진료 프로그램에 대한 수용성 태도 분석)

  • Lee, Eom-jee;Kim, Seo-Young;Lim, Young-Woo;Park, Young-Bae
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.42-55
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    • 2019
  • Objectives: Acceptability of patients towards obesity treatment program is associated with better weight loss outcomes. The purpose of this study was to review previously published study results of the predictive factors associated with patients' acceptability in obesity treatment. Methods: Authors searched for the articles related to acceptability reported as continuation, attendance and adherence, published from 2011 to 2018 found on Pubmed, Scopus, Research Information Sharing Service, and Koreanstudies Information Service System. A total of 23 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detail categories. Results: Regarding the continuation of the treatment, unchangeable factors such as younger age, lower educational level, male sexuality and lower accessibility to physical activity predicted lower continuation. Furthermore, changeable factors such as early and half weight loss, better accessibility to the treatment and financial incentives for retention predicted higher continuation rate. Greater degree of attendance was predicted by unchangeable factors such as economical affordability, and changeable predictors such as half weight loss and proximity to the clinic. Main factors of adherence to the recommendation were unchangeable predictors such as weight loss experience, and changeable predictors such as more physical activity and appropriate dietary habits. Negative psychological state predicted lower continuation, attendance and adherence rate. Conclusions: Our review results suggest that unchangeable and changeable predictors of acceptability of patients should be carefully examined during treatments of obesity.

Review on the Efficacy and Safety of Mahuang and Ephedrine in the Treatment of Obesity -Focused on RCT- (비만 치료에서 마황 및 에페드린의 유효성, 안전성에 대한 고찰 - RCT 연구를 중심으로 -)

  • Jo, Ga-Won;Ok, Ji-Myung;Kim, Seo-Young;Lim, Young-Woo
    • The Journal of Korean Medicine
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    • v.38 no.3
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    • pp.170-184
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    • 2017
  • Objectives: The objective of this study was to summarize randomized clinical trials (RCTs) that have assessed efficacy and safety of mahuang and ephedrine on treatment of obesity and to propose better process of study. Methods: NLM Medline (pubmed), the Cochrane library, Scopus, Science Direct, RISS, KISS were systemically searched for clinical trials investigating the efficacy, safety of mahuang and ephedrine on treatment of obesity from 2000 to 2017. Results: 16 RCTs met all the inclusion criteria. In most reports, mahuang and ephedrine significantly reduced body weight, body fat mass. There were no serious adverse events associated with mahuang and ephedrine in all studies. Conclusions: In appropriate dose of mahuang and ephedrine for healthy adult was safe, and weight loss effect of mahuang and ephedrine was better than control group. Improved clinical practice guidelines should be developed for safe use of mahuang and ephedrine.

Eating Self-Efficacy: Development of a Korean Version of the Weight Efficacy Life-Style Questionnaire - A Cross-Cultural Translation and Face-Validity Study (식이 자기 효능감: 한국어판 Weight Efficacy Life-Style 설문지 개발 - 횡문화적 번역 및 안면 타당도 검증)

  • Seo, Hee-Yeon;Ok, Ji-Myung;Kim, Seo-Young;Lim, Young-Woo;Park, Young-Bae
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.24-30
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    • 2019
  • Objectives: Eating self-efficacy is an important predictor of successful weight control behaviors during obesity treatment. The Weight Efficacy Life-Style Questionnaire (WEL) is an internationally used measure of eating self-efficacy. The objective of this study was to develop the Korean version of WEL (K-WEL) and verify face validity. Methods: According to previously published guidelines, the cross-cultural translation was conducted through organizing the expert committee, translation, back-translation, synthesis, grammar review, and final synthesis. Following the translation of the WEL into Korean, face validity was performed for 35 subjects. Results: After all the versions of the questionnaire were examined, the translated WEL questionnaires were finally synthesized and licensed by the developer in writing. Regarding the translated WEL questionnaires, seven out of 35 subjects (20%) offered ideas about ambiguous expressions in them. All four points indicated in the face validity verification were additionally modified for greater clarity and understanding. Conclusions: We developed the Korean version of WEL and completed face validity. In future research, it would be necessary to provide further study on the reliability and validity of the Korean version of WEL.

Literatural Study on the Factors Influencing on Postpartum Weight Retention (산후비만에 영향을 미치는 인자에 대한 문헌적 고찰 -Medline에서 검색한 연구논문을 중심으로-)

  • Ryu, Eun-Kyung;Kim, Kyung-Sook
    • Journal of Korean Medicine for Obesity Research
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    • v.1 no.1
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    • pp.63-75
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    • 2001
  • Objectives : Many women associate one or more of their pregnancies with the development of adult obesity. This study was designed to determine influencing factors on postpartum weight retention and whether the breast-feeding was available to weight loss in puerperium. Methods : Articles from the literature on 'postpartum weight retention' were examined. Results : These articles show that different factors were related with postpartum weight retention. This study suggests that moderate weight gain during pregnancy is important to prevent postpartum maternal obesity. Especially weight gain from 20 weeks to 36 weeks of pregnancy is important. Falling in depression and anxiety during postpartum period should be avoided and social support is also needed. Delivery at the financially secure status is also recommended. Sufficient physical activity and exercise are needed to prevent from postpartum weight retention. Weight loss with dieting and exercise during lactation don't have a bad influence on the growth of infants.

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A Review Study of Treatments for Taeeumin Obesity (태음인 비만의 치료에 대한 임상 논문 분석)

  • Hur, Hansol;Kang, O-seok
    • Journal of Sasang Constitutional Medicine
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    • v.31 no.4
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    • pp.28-40
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    • 2019
  • Objectives The purpose of this study is to analyze how obesity of Taeeumin have been treated. Methods We searched clinical studies from the databases including Koreanstudies Information Service System(KISS), Oriental medicine Advanced Searching Integrated System(OASIS), Research Information Sharing Service(RISS), National Discovery for Science Leader(NDSL), Korea Citation Index(KCI) and pubmed with the keywords relevant to treatment of Taeeumin obesity. Results A total of 14 studies were analyzed. Herbal medicines were mostly used, and the most frequently used prescription was Taeeumjowi-tang. And concurrent therapies such as diet therapy, exercise therapy, electroacupuncture were performed. Several evaluation methods were used, and patient's body weight was the most used. Conclusion Through this literature review, we could find out tendencies of Korean medicine treatments of obesity of taeeumin up to date and some points that may have clinical significance.

Korean Medicine Treatment (Banhabakchulchunma-tang) for an Obese Patient With Hypothyroidism: Two Case Reports (갑상선 기능 저하증을 동반한 비만 환자에게 반하백출천마탕 투여 후 호전된 증례 2예)

  • Sang-Song Shim;In-Hye Park;Chang-Eun Park;Won-Seok Chung
    • Journal of Korean Medicine for Obesity Research
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    • v.23 no.1
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    • pp.42-50
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    • 2023
  • Obesity often develops to hypothyroidism patients because thyroid hormone is associated with changes in body weight, body temperature, and energy expenditure. Obesity is not only pointed out as the cause of various other diseases, but also can worsen thyroid function, so obesity treatment is essential for hypothyroidism patients. But there is lack of studies about obesity treatment for hypothyroidism patients in Korea. In this study, two obese patients who diagnosed hypothyroidism were treated by Korean medicine. We prescribed herbal medicine (Banhabakchulchunma-tang) for about 2 months. A total of 6.5 kg and 4.5 kg of weight loss were observed respectively, and there were no serious side effects. Further large-scale clinical trials are needed to evaluate the anti-obesity effect and the effect of thyroid function improvement.

Effect of Acupotomy with Selective Cryolysis for Localized Fat: Case Report (도침치료와 냉각요법을 병용한 부분 비만의 치료: 증례보고)

  • Yoon, Sang-hoon;Mun, Yong-Jin;Cho, Kyong-Ha
    • Journal of Korean Medicine for Obesity Research
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    • v.15 no.2
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    • pp.149-152
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    • 2015
  • The aim of this study is to report clinical progresses on localized fat. We devised the method of treat localized fat using acupotomy with selective cryolysis. We selected 4 subjects among the patients who maintained their body weight (within 5%) to minimize effects of losing weight. We practiced acupotomy with selective cryolysis therapy on 4 lesion of abdominal fat, 2 lesion of upper arm fat, 5 times for 2 month. All subjects had loss of abdominal circumference, and 1 subject had significantly loss of upper arm circumference. And there was no adverse effects. It shows that method of using acupotomy with selective cryolysis may be effective on localized fat.