The Effect of Electroacupuncture on Abdominal Fat Deposit and Parameters for Obesity

장침 전기자극 시술이 복부지방과 비만지표에 미치는 효과

  • Song, Sung-Min (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Won University) ;
  • Song, Yun-Kyung (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Won University) ;
  • Lim, Hyung-Ho (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Won University)
  • 송성민 (경원대학교 한의과대학 한방재활의학과교실) ;
  • 송윤경 (경원대학교 한의과대학 한방재활의학과교실) ;
  • 임형호 (경원대학교 한의과대학 한방재활의학과교실)
  • Received : 2010.03.22
  • Accepted : 2010.04.10
  • Published : 2010.04.30

Abstract

Objectives : This study was performed to evaluate the effect of the electroacupuncture therapy on abdominal fat deposit without diet, exercise and herbal medication. It was also designed to check the changes of free fatty acid in blood and catecholamine in urine to observe the mechanism of the electroacupuncture efficacy. Methods : 10 volunteers over 85 cm(male, 90 cm) in waist circumferences were recruited, and 10 electroacupuncture treatments were applied on their abdominal subcutaneous fat area for 4-5 weeks. We measured anthropometric factors, abdominal fat area with CT scanning, and the changes of free fatty acid in blood and catecholamine in urine before treatment and after the last treatment. Results : In this study, significant changes were shown in weight, waist circumference, waist/hip ratio, body mass index and body fat percent after the electroacupuncture therapy. There were also significant decreases of visceral fat area, visceral/subcutaneous fat area ratio in CT scanning. The blood level of free fatty acid and the urine level of catecholamine were increased after treatments, but the changes were not statistically significant. Conclusions : This study showed the efficacy of the electroacupuncture therapy on the abdominal fat deposit. But significant changes couldn't be found out in free fatty acid and catecholamine. Further studies that compensate for the limitations of this study are required to confirm the mechanism of the electroacupuncture efficacy.

Acknowledgement

Supported by : 경원대학교

References

  1. 박혜순. 한국인에서의 대사증후군의 역학. 대한비만학회지. 2002;22:203-11.
  2. 대한비만학회. 임상비만학. 제2판. 서울:고려의학. 2001:113-71.
  3. 박혜순, 조흥준, 김영식, 김철준. 성인의 비만과 관련된 질환. 가정의학회지. 1992;13:344-53.
  4. 보건복지부. 국민영양조사 보고서. 제3기 기본 보고서. 2005:40.
  5. Bouchard C, Bray GA, Hubbard VS. Basic and clinical aspects of regional fat distribution. Am J ClinNutr. 1990;52:946-50.
  6. Kannel WB, Cupples LA, Ramaswami R, Stokes J 3rd, Kreger BE, Higgins M. Regional obesity and risk of cardiovascular disease. The Framingham Study. J Clin Epidemiol. 1991;44:183-90. https://doi.org/10.1016/0895-4356(91)90265-B
  7. Despres JP, Lemieux I, Bergeron J, Pibarot P,Mathieu P, Larose E, Rodes-Cabau J, Bertrand OF, Poirier P. Abdominalobesity and the metabolic syndrome:contribution to global cardiometabolicrisk. Arterioscler Thromb Vasc Biol. 2008;28:1039-49. https://doi.org/10.1161/ATVBAHA.107.159228
  8. Despres JP. The insulin resistance-dyslipidemic syndrome of visceral obesity: effect on patient's risk. Obes Res. 1998;6:8S-17S. https://doi.org/10.1002/j.1550-8528.1998.tb00683.x
  9. Jeamine B, Albu, Albert J, Koveraand Julia A, Johnson. Fatdistribution and health in obesity. Ann. of the New York academy of sciences. 2000;904:491-501.
  10. 이윤재, 황덕상, 이창훈, 이경섭. 피하지방 및 피하지방의 분획과 관련된 임상적 의의에 관한고찰. 한방비만학회지. 2007;7(2):15-25.
  11. 김정환, 고연석, 이정한, 원재균, 신병철, 권영달, 송용선. 비만환자의 전기지방분해침 시술후 허리둘레 감소에 대한 임상적 고찰. 한방재활의학과학회지. 2005;15(3):1-11.
  12. 황덕상, 안수정, 김성신, 신현택, 김용석, 이경섭. 저주파 전침자극이 허벅지 둘레에 미치는 영향에 대한 연구. 대한한방비만학회지. 2005;5(1):1-8.
  13. 안순선, 허동석. 경피기주요법과 전기지방분해침이 복부지방에 미치는 임상적 관찰. 한방재활의학과학회지. 2009;19(2):275-87.
  14. 신승우, 김길수. 복부비만 치료 후 피하 및 내장지방의 변화. 대한한방비만학회지. 2006;6(2):95-104.
  15. 진성순, 송윤경, 임형호. 지방분해를 위한 침전기자극 시술의 안정성 및 안전성 연구. 한방재활의학과학회지. 2009;19(1):169-86.
  16. Cabioglu MT, Ergene N, Surucu HS, Celik HH, Findik D. Serum IgG, IgA, IgM, and IgE levels after electroacupuncture and diet therapy in obese women. American Journal of Chinese Medicine. 2007;35(6):955-65. https://doi.org/10.1142/S0192415X07005429
  17. Cabioglu MT, Tan Uner. Electroacupuncture treatment of obesity with psychological symptoms. International Journal of Neuroscience. 2007;117(5):579-90. https://doi.org/10.1080/00207450500535545
  18. Zhan MJ, Wang HM. Observation on therapeutic effects of electroacupuncture for obesity polycystic ovary syndrome. Journal of Acupuncture and Tuina Science. 2008;6(2) :90-3. https://doi.org/10.1007/s11726-008-0090-4
  19. 이영미, 박혜순, 천병철, 김현수. 복부지방의 지표로서 부위별 허리둘레 측정값의 신뢰도. 대한비만학회지. 2002;11(2):123-30.
  20. 안병철. 과체중-비만의 사회경제적 비용 추계. 제 2차 국민영양정책토론회. 2005.
  21. 한방재활의학과학회. 한방재활의학과학회지. 서울:군자출판사. 2003:356-9.
  22. 정재혁, 황덕상, 이창훈, 김용석, 이경섭. Scopus 검색을 통한 비만치료에 응용되는 침 연구에 대한 최근 동향 고찰 -2006년 이후를 기준으로. 한방비만학회지. 2008;8(1):23-32.
  23. Tina D, Liu Y. Han J. Study on the effect of transcutaneous electric nerve stimulation onobesity. Beijing Da Xue Xue Bao. 2003;35(3):277-9.
  24. Juan Carlos Crespo de la Rosa. Cellulite. Madrid Spain. 1992:1-11.
  25. 성호경. 생리학. 제2판. 서울:대학서림. 1983:30-6.
  26. 김호준, 정석희, 이종수, 김성수, 신현대. 전기지방분해침의 이론적 근거에 관한 고찰. 한방재활의학과학회지. 1999;9(2):55-64.
  27. 이수경, 이시우. 한약과 전기침치료가 비만환자의 체성분 변화에 미치는 영향. 동의생리병리학회지. 2006;20(3):697-700.
  28. 최빈혜, 허진일, 김동우, 박경, 김대준, 변준석. 대구한의대 비만클리닉 내원 환자 62명에 대한 임상적 관찰. 대한한방내과학회지. 2006;27(2):345-55.
  29. Lukaski HC, Johnson PE, Bolonchuk WW, Lykken GI. Assesment of fatfree mass using bioelectrical impedance measurements of the humanbody. Am J Clin Nutr. 1985;41:810-7.
  30. 김현수, 박혜순. 생체전기저항 신체구성 분석기의 재현성 및 타당도. 대한비만학회지. 2002;11(4):389-97.
  31. 정영진, 박지영, 차기철, 박혜순. 체성분 분석기 InBody 3.0으로 측정된 허리둘레 및 허리-엉덩이 둘레비의 정확도. 대한비만학회지. 2002;11(2):115-22.
  32. 서상도, 이상엽, 민홍기, 김영주, 홍정익, 김윤진. 성별과 체질량지수에 따라 달리 적용되어야 하는 체성분 분석기의 복부둘레. 가정의학회지. 2006;27:612-9.
  33. Stuart Ira Fox. 생리학. 제7판. 서울:라이프사이언스. 2004:76-7.
  34. 대한비만학회. 임상비만학. 제3판. 서울:고려의학. 2008:61-4.
  35. 이귀녕, 권오현. 임상병리파일. 제3판. 서울:의학문화사. 2000:164-8.
  36. 송미영, 박지훈, 이정호, 김호준, 이명종. 피하지방 감량에 있어 경피침주요법의 유효성 및 안전성 평가. 대한한방비만학회지. 2007;7(1):71-85.
  37. Thomas GN, Ho SY, Lam KS, Janus ED, Hedley AJ, Lam TH. Hong Kong Cardiovascular Risk Factor Prevalence Study Steering Committee:impact of obesity and bodyfat distribution on cardiovascularrisk factors in Hong Kong Chinese. Obes Res. 2004;12(11):1805-13. https://doi.org/10.1038/oby.2004.224
  38. Gus M, Fuchs SC, Moreira LB, Moraes RS, Wiehe M, Silva AF, Albers F, Fuchs FD. Association between different measurements of obesity and the incidence of hypertension. Am J Hypertens. 2004;17(1):50-3. https://doi.org/10.1016/j.amjhyper.2003.08.010
  39. Suh YK, Kim HS, Kim JS, Choi HM. Plasma LDL particle size affects the blood lipid profileand dietary intakesamong Korean adults. Korean J Community Nutr. 2004;9(1):58-65.
  40. Maeda K, Okubo K, Shimomura I, Funahashi T, MatsuzawaY, Matsubara K. cDNA cloning and expression of a novel adipose specific collagen-like factor, apM1(Adipose Most abundant Gene transcript1). Biochem Biophys Res Commun. 1996;221:286-9. https://doi.org/10.1006/bbrc.1996.0587
  41. Weyer C, Funahashi T, Tanaka S, Hotta K, Matsuzawa Y, Pratley RE, Tataranni PA. Hypoadiponect in emiainobesity and type 2 diabetes: close association with insulin resistance and hyperinsulinemia. J Clin Endocrinol Metab. 2001;86:1930-5. https://doi.org/10.1210/jc.86.5.1930
  42. Cnop M, Havel PJ, Uzschneider KM, Carr DB, Sinha MK, Boyko EJ, Retzlaff BM, Knopp RH, Brunzell JD, Kahn SE. Relationship of adiponectin to body fatdistribution, insulin sensitivity and plasma lipoproteins:evidence for independent roles of age and sex. Diabetologia. 2003;46:459-69. https://doi.org/10.1007/s00125-003-1074-z
  43. 대한비만학회. 실전비만학 성인&소아. 제2판. 서울:가본의학. 2008:214.
  44. 조영규, 강재헌. C-Reactive Protein과 심혈관질환의 예방. 대한비만학회지. 2006;15(2):81-90.