The Clinical Research On Acupuncture Combined With Dietary Adjustments And Aerobic Exercise For Treatment Of Simple Obesity

Objective: Through the contrast between the effect of acupuncture combined with dietary adjustments and aerobic exercise and simple dietary adjustments and aerobic exercise for treatment of simple obesity, the patients were observed the changes in body weight, BMI, TG, TC, LDL-C, HDL-C, WHR and Leptin before and after treatment, and we scientifically evaluate the role of acupuncture combined with dietary adjustments and aerobic exercise to lose weight. It is further confirmed that acupuncture combined with dietary adjustments and aerobic exercise method is a definite efficacious, economical and practical, non-toxic side effects, user-friendly, comprehensive therapy.Methods: 67 cases of out-patients with simple obesity whitch came from the Traditional Chinese Medicine Hospital of Hebei,the second Hospital of Hebei Medical University and Central Hospital of Shijiazhuang are Consistent with the diagnosis standards and inclusion criteria and were randomly divided into control and treat groups. Each group of age, sex, BMI, FPG, lipid content has no significant difference, they are comparable. In the control group uses dietary adjustments and aerobic exercise of treatment:①Dietary adjustments method: According to eating specific software of obesity in patients researched and developed by the Shenzhen Institute of Nutrition and Professor Wang Shaojin to adjust the prescription diet obese patients to eat three meals a day and the proportion of diet;②Aerobic exercise method: Patients choose daily jogging or brisk walking for aerobic exercise, no less than 30 minutes. On the basis of the control group, the patients in treat group were acupunctured Acupoints of zhongwan, tianshu, guanyuan, zusanli, fenglong, Yinlingquan, sanyinjiao, pishu and weishu connected to electro-acupuncture equipment after Deqi, lasting 30 minutes. 1 time per day, 15 times per course of treatment, 3 days per interval, a total of 3 courses of treatment.Separately in each group before treatment, after the end of each course of treatment, we measure patients'weight, waist circumference, hip circumference ad calculate BMI and WHR; before and after treatment we test the TG, TC, LDL-C, HDL-C and Lep in serum, use SPSS11.5 for windows statistical software for data analysis.Results: The course of treatment because of various reasons, 6 patients have detached case is finally 61 cases, one of the control group 30 cases, 31 cases of treatment group.⒈Comparison of clinical efficacy Level: In the treatment group 20 cases reached gradeⅠ, 9 cases reached gradeⅡ, 2 cases reached gradeⅢgrade, 0 case reached gradeⅣ; in the control group 4 cases reached gradeⅠ, 15 cases reached grade Ⅱ, 11 cases reached gradeⅢ, 0 case reached gradeⅣ; Z=- 4.218, p=0.000<0.01, the difference is statistically significant.⒉Weight comparison: In the treatment group respectively at the ends of the 1st and 3rd courses of treatment weight was significantly lower than in the control group, the difference was significant (p<0.05), in the two groups at the end of the 2nd course of treatment the difference compared was not significant (p>0.05); in two groups compared before treatment were significantly lower, the differences were statistically significant (p<0.01); the differential value between before and after treatment in treatment group was significantly higher than in the control one, the difference was significant (p<0.01).⒊BMI comparison: In the treatment group respectively at the 1st and 3rd courses of treatment BMI was significantly lower than in the control group, the differences were statistically significant (p<0.01); in two groups at the end of the 2nd course of treatment the difference compared was significant (p<0.05); in two groups compared before treatment were significantly lower, the differences were statistically significant (p<0.01); the differential value between before and after treatment in the treatment group was significantly lower than in the control group, the difference was significant (p<0.01).⒋WHR comparison: In the treatment group at the 1st course of treatment WHR was significantly lower than in the control group, the difference was significant (p<0.05), in the two groups at the 2nd and 3rd courses of treatment compared , there was no significant difference(p>0.05). Before and after treatment comparison, the differences in the two groups were statistically significant (p<0.01).⒌Comparison of lipid content:TG comparison: In the two groups TG was significantly lower than the pre-treatment, the differences were significant (p<0.05). The differential value between before and after treatment was no significant (p>0.05).TC comparison: Compared with before and after treatment, in the control group TC was decreased significantly, the difference was significant (p<0.05), in the treatment group TC was significantly decreased, the difference was significant (p<0.01); compared the differential value between before and after treatment, the difference was not significant (p>0.05). LDL-C comparison: Compared with before and after treatment, in the two groups LDL-C was decreased significantly, the difference was significant (p<0.01); compared the differential value between before and after treatment the difference was not significant (p>0.05).HDL-C comparison: Compared with before and after treatment, the difference of the control group was not significant (p>0.05), the treatment group HDL-C was significantly increased, the difference was significant (p<0.05).⒍Lep comparison: In the two groups were significantly lower than the treatment before, the differences were statistically significant (p<0.01). After treatment, in the treatment group Lep was higher than in the control group, the difference between the two groups was significant (p<0.05).Conclusion:1.Effect of acupuncture combined with dietary adjustments and aerobic exercise of loss weight can significantly improve the clinical efficacy.2.Acupuncture combined with dietary adjustments and aerobic exercise and dietary adjustment and Aerobic exercise can reduce the body weight of patients with simple obesity; after short term and long-term therapy, acupuncture combined with dietary adjustment and aerobic exercise to reduce the role of body weight is more obvious, which is better than dietary adjustment and aerobic exercise.3.Acupuncture combined with dietary adjustment and aerobic exercise and dietary adjustment and aerobic exercise can reduce BMI of patients with simple obesity; after every course of therapy, acupuncture combined with dietary adjustment and aerobic exercise to reduce the role of BMI is more obvious, which is better than dietary adjustment and aerobic exercise.4.Effect of acupuncture combined with dietary adjustment and aerobic exercise and dietary adjustment and aerobic exercise can reduce the WHR in patients with simple obesity, and no difference in two ways; after short term treatment, the effect of acupuncture combined with dietary adjustment and aerobic exercise to reduce the role of WHR is more obvious, which is better than dietary adjustment and aerobic exercise.5.Acupuncture combined with dietary adjustment and aerobic exercise and dietary adjustment and aerobic exercise can adjust the levels of TG, TC, LDL-C in serum of patients with simple obesity, and no difference in two ways; effect of acupuncture combined with dietary adjustment and aerobic exercise can increase HDL-C content, while the other method for HDL-C is not obvious.6.Effect of acupuncture combined with dietary adjustment and aerobic exercise and dietary adjustment and aerobic exercise can reduce the lep content in serum of patients with obesity, the role of acupuncture combined with dietary adjustment and aerobic exercise significantly is better than dietary adjustment and aerobic exercise.In summary, this study of acupuncture combined with Diet adjustment and Aerobic exercise to cure simple obesity than simply Diet adjustment and Aerobic exercise has obvious advantages, reflected in:①After the short term and long term therapy, it can significantly reduce the body weight and BMI in patients with simple obesity;②after the short term therapy, it can significantly improve WHR;③it can affect the levels of TG, TC, LDL-C, HDL-C in serum, regulate blood lipids, improve the disorder status of Lipid metabolism;④it can reduce the serum content of lep in serum and improve lep resistance.