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To observe the curative effect of acupuncture intervention in reducing visceral fat content
and secretary function in abdominal obesity patients.
METHODS:
A total of 73 cases of abdominal obesity patients were randomly divided into acupuncture
group (n = 50) and control group (n = 23) according to the randomized block design. For
patients of the acupuncture group, Zhongwan (CV 12), Tianshu (ST 25), Daheng (SP 15),
Daimai (GB 26), Shuidao (ST 28), Waiguan (SJ 5) and Zulinqi (GB 41) were punctured with
filiform needles, followed by electroacupuncture stimulation (2 Hz/100 Hz, 4-8 mA) of
bilateral ST 25 and GB 26 for 20 min, once every other day for 8 weeks. In addition, the
patients were also given with health education in every session of treatment. The patients
of the control group were asked to receive health education including restraining wine or
liquor and salt intake, stopping smoking, increasing physical activities, regular daily life
habit, etc. The abdominal fat thickness was detected using a color Doppler
ultrasonography, and serum visfatin level was assayed using ELISA. Additionally, the body
weight, body mass index (BMI), waist circumstance (WC) and hip circumference (HC) were
determind.
RESULTS:
After the treatment, the subcutaneous fat thickness levels including the subcutaneous fat at
the mid-point between the xyphoid and the umbilicus (S1) and the right side of the
umbilicus (S2), and serum visfatin content, WC and HC in both control and acupuncture
groups, visceral fat at the mid-point between the xyphoid and the umbilicus (V1) and at the
right side of the um- bilicus (V2), and antero-hepatic fat (AHF), perirenal fat (PRF) , and
body weight and BMI in the acupuncture group were significantly reduced in comparison
with pre-treatment in the same one group ( P<0.05, P<0.001), while the ultrasonic visceral
fat index [UVI, = (V1 +V2)/(SI + S2)] of the control group was markedly increased (P<0.05).
The S1, V1, V2, AHF, PRF and UVI levels, and BMI, WC and HC were significantly lower in
the acupuncture group than in the control group (P<0.05, P<0.001). No statistical
differences were found between the two groups in the S2, body weight and serum visfatin
levels (P>0.05).
CONCLUSION:
Acupuncture therapy can effectively reduce the visceral fat content, being better than
simple health education. Both acupuncture treatment and health education can decrease
serum visfatin level, regulating visceral fat's secretion.
PMID:
27323445
[PubMed - indexed for MEDLINE]
Format: Abstract
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Abstract
OBJECTIVE:
Sixty patients with simple central obesity (syndrome of stomach and intestinal excessive
heat) were randomly divided into control and acupuncture groups. Patients of the control
group were treated with diet control and physical exercise procedure (basic treatment) for 6
months, and those of the acupuncture group treated with basic treatment combined with
acupuncture stimulation of main acupoints Shuifen (CV 9), Yinjiao (CV 7), and bilateral
Tianshu (ST 25), Huaroumen (ST 24) and bilateral Wailing (ST 26), etc., in combination
with electroacupuncture (EA, 50- 100 Hz, 1- 5 mA) of bilateral ST 25, CV 9 and CV 7 for 30
min, once every other day for 3 months. The VFT (1 cm above the umbilicus) was detected
by using an ultrasonic diagnosis instrument, and the body mass index (BMI, body
weight/height(2)), and waist circumfe-rence (WC) were measured before treatment, 3 and 6
months after the treatment, respectively.
RESULTS:
Following 3 and 6 months' treatment, the VFT, BMI and WC of both groups were
significantly decreased (P<0.01), and the effects of the acupuncture group were
significantly superior to those of the control group in lowering VFT [(51.5 6.5) mm vs (48.3
4.7) mm)] and WC [(88.2 3.6)cm vs (85.9 4.3)cm] 6 months' after the treatment
(P<0.05). There was no significant difference between the control and acupuncture groups
in BMI fowllowing 6 months' treatment [(31.0 4.3) vs (30.1 3.2), P>0.05].
CONCLUSION:
Acupuncture intervention combined with diet control and physical exercise can effectively
decrease VFT and WC in simple central obesity patients. VFT is a sensitive and better
parameter for evaluating the effect of obesity treatment.
PMID:
26887212
[PubMed - indexed for MEDLINE]
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