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題名 | 耳穴貼壓對於臺灣女性體重過重及肥胖者改變體重及腰臀圍效益之探討=The Effect of an Ear Acupuncture Program on Reduce Body Weight and Waist-Hip Ratio in Over-Weight and Obesity Adult Women in Taiwan |
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作者 | 謝靜秀; 趙明玲; 王瓊鈺; 張紅足; 鄭貴香; 李貞儀; | 書刊名 | 臺灣中醫醫學雜誌 |
卷期 | 4:1 民94.03 |
頁次 | 頁24-35 |
分類號 | 413.915 |
關鍵詞 | 耳穴貼壓; 體重過重; 肥胖; 婦女; 腰臀圍; 減肥; Ear acupuncture; Obesity; Women; Body mass index; BMI; Waist-hip ratio; WHR; Body weight loss; |
語文 | 中文(Chinese) |
中文摘要 | 肥胖症是經濟發達國家普遍存在的健康問題,以致各種方式減肥方法常為討論,但以安全,無副作用及有療效為最主要考慮。根據世界衛生組識定義,身體質量指數(Body Mass Index,BMI)大於25kg/平方公尺為體重過重,大於30kg/平方公尺為肥胖。當能量的攝取與消耗失去平衡,這些額外攝取的能量將轉化為脂肪並儲存於體內而導致肥胖,故第二種評估肥胖的方法為測量腰圍,能反映腹部脂肪的堆積程度,當男性腰圍大於94公分,女性腰圍大於80公分曉上時為肥胖。肥胖造成心血管疾病、高血壓、糖尿病等慢性病之罹病率及死亡率上升。而傳統醫學之藥物及針灸,是許多肥胖者求助方法之一,尤其是耳穴貼壓,因具有簡便、經濟、副作用及併發症較少等優點,因此病人接受度高而廣被採用。本研究以耳穴貼壓,簡單、方便作為減肥,安全有效而且有統計顯著療效以減少腰圍臀圍顯示。採立意取樣,針對34位20至60歲、腰圍介於71-96公分,臀圍介於93-119.4公分的婦女給予王不留行貼片,在神門、口、胃、內分泌、小腸等穴位進行耳穴貼壓實驗,每日餐前在貼片的耳穴上進行按、放按摩動作,每次10分鐘。每週檢測一次腰圍及臀圍,共5週。統計資料使用電腦處理,所有數據皆以統計套裝軟體程式進行統計分析。各指標的組間差異以獨立樣本t-test及paired t-test檢驗,顯著水準定為百分之五(p<0.05)。研究結果發現五週後腰圍減少3.10±0.24公分(p<0.05),臀圍減少2.72±1.23公分(p<0.05),二者皆達統計上顯著水準。這顯示:耳穴貼壓確實可達到改變腰臀圍比例,具有減肥效果,是值得推廣的。 |
英文摘要 | Background: Obesity is a significant issue for health care systems over the world, including Taiwan. In particular, obesity is a chronic disease with monumental public health implications, which associated with coronary heart disease (CHD), hypertension, type 2 diabetes, and dyslipidemias as well as a variety of other chronic diseases and conditions. Waist-hip ratio (WHR) is commonly used in reflecting central obesity. Waist circumference is shown to have a better correlation with abdominal fat localization. Objective: To explore the efficacy of ear acupuncture in the management of obesity when diet and physical activity are no change. Design: A 5-week purposive sampling trial from November to December 2003. Participants and Setting: 34 women who had waist circumference around 71-96cm and waist-hip ratio around 93-119.4CM. The ages are between 20 to 60 years old in Hsinchu City, Taiwan. Intervention: Ear acupuncture was treated weekly for 5 weeks (10 minutes per session, 5 times per day) of the Shen Men, mouth, stomach, small intestine, and endocrine acupoint was applied. Participants need to keep their regular daily diet and physical activity. Main Outcome Measures: Change in weight from baseline to trial completion. In addition, change in appetite and compliance was documented. Results: Waist circumference for participants reduction 2.05±0.24cm (p<0.05), waist-hip ratio for participants reduction 2.72±1.23cm (p<0.05). Conclusion: These findings indicate that ear acupuncture at designated points, even no connection with a reduced-calorie diet and increased physical activity, can be effective in treating obesity. |
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