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激光针灸和饮食干预对关键肥胖参数的影响。

Effects of Laser Acupuncture and Dietary Intervention on Key Obesity Parameters.

作者信息

Sebayang Robby Gunawan, Aditya Carolin, Abdurrohim Kemas, Lauwrence Bunyamin, Mihardja Hasan, Kresnawan Triyani, Helianthi Dwi Rachma

机构信息

Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, Indonesia.

Department of Acupuncture, RSUP Persahabatan, Jakarta, Indonesia.

出版信息

Med Acupunct. 2020 Apr 1;32(2):108-115. doi: 10.1089/acu.2019.1398. Epub 2020 Apr 16.

Abstract

The scope of obesity includes quality of life (QoL); emotions; and financial burdens on individuals, families, and society. Obesity contributes to many diseases, such as coronary heart disease, type 2 diabetes, stroke, osteoarthritis, and cancer. Dietary modifications, lifestyle interventions, pharmacologic agents, and surgical interventions are some ways to address obesity; yet, safer, more-effective options are needed. Laser acupuncture can significantly lower body mass index (BMI) by reducing abdominal and visceral adipose tissue content and regulating lipid metabolism. This study investigated the effects of laser acupuncture + diet modification on fasting blood-glucose level, insulin level, waist:hip ratio, QoL scoring, high-density lipoprotein (HDL) level, triglycerides, BMI, and appetite scoring in obese patients. The patients ( = 38) were divided randomly into 2 groups: (1) laser acupuncture + dietary intervention ( = 19) and (2) sham laser acupuncture + dietary intervention ( = 19). Both groups had the same dietary intervention and laser acupuncture sessions, 3 times/week for 4 weeks. All parameters were assessed before and after the interventions. There were statistically significant differences in waist:hip ratio ( = 0.000), QoL scores ( = 0.000), BMI ( = 0.000), and appetite scores ( = 0.000) between the 2 groups after the interventions. There were no differences in levels of blood glucose ( = 0.543), insulin ( = 1.00), HDL ( = 0.208), and triglycerides ( = 0.413) between the 2 groups after the interventions. Combining laser acupuncture and a dietary intervention has good effects on waist:hip ratio, QoL scores, BMI, and appetite scores in obese patients.

摘要

肥胖的影响范围包括生活质量(QoL)、情绪以及对个人、家庭和社会的经济负担。肥胖会引发多种疾病,如冠心病、2型糖尿病、中风、骨关节炎和癌症。饮食调整、生活方式干预、药物治疗和手术干预是应对肥胖的一些方法;然而,仍需要更安全、更有效的选择。激光针灸可通过减少腹部和内脏脂肪组织含量以及调节脂质代谢,显著降低体重指数(BMI)。本研究调查了激光针灸 + 饮食调整对肥胖患者空腹血糖水平、胰岛素水平、腰臀比、生活质量评分、高密度脂蛋白(HDL)水平、甘油三酯、BMI和食欲评分的影响。38名患者被随机分为两组:(1)激光针灸 + 饮食干预组(n = 19)和(2)假激光针灸 + 饮食干预组(n = 19)。两组接受相同的饮食干预和激光针灸治疗,每周3次,共4周。在干预前后对所有参数进行评估。干预后,两组之间的腰臀比(P = 0.000)、生活质量评分(P = 0.000)、BMI(P = 0.000)和食欲评分(P = 0.000)存在统计学显著差异。干预后,两组之间的血糖水平(P = 0.543)、胰岛素水平(P = 1.00)、HDL水平(P = 0.208)和甘油三酯水平(P = 0.413)没有差异。联合激光针灸和饮食干预对肥胖患者的腰臀比、生活质量评分、BMI和食欲评分有良好效果。

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