Comparison of Three Protocols: Dietary Therapy and Physical Activity, Acupuncture, or Laser Acupuncture in Management of Obese Females

Authors

  • Nayera E Hassan Biological Anthropology Department, National Research Centre, Giza
  • Sahar A El-Masry Biological Anthropology Department, National Research Centre, Giza
  • Salwa M Elshebini Nutrition and Food Science Department, National Research Centre, Giza
  • Muhamed Al-Tohamy Biological Anthropology Department, National Research Centre, Giza
  • Nihad H Ahmed Nutrition and Food Science Department, National Research Centre, Giza
  • Enas Abdel Rasheed Clinical Pathology Department, National Research Centre, Cairo
  • Gamila SM El-Saeed Medical Biochemistry, National Research Centre, Cairo
  • Nagwa M Hassan Head of Laser and Acupuncture Field, National Research Centre, Cairo
  • Emad N Zikri Complementary and Alternative Medicine Department, National Research Centre, Cairo
  • Mohamed S El Hussieny Biological Anthropology Department, National Research Centre, Giza

DOI:

https://doi.org/10.3889/oamjms.2014.030

Keywords:

Obesity, visceral fat, Dietary Measures and physical activity, acupuncture, laser acupuncture.

Abstract

AIM: The aim of this study was to compare efficiency of three types of obesity management protocols: dietary measures and physical activity; acupuncture or laser acupuncture with   healthy diet among obese females.

SUBJECTS AND METHODS: Randomized longitudinal prospective study, carried out on 76 adult females. Blood pressure, anthropometric, ultrasonographic and biochemical assessments were done.

RESULTS: Females undergo nutritional intervention showed highly significant improvement in the anthropometric measurements, visceral fat at umbilicus by US and diastolic blood pressure (decreased), and insignificant differences in fasting blood sugar and lipid profile. Female undergo acupuncture intervention showed highly significant improvement in visceral fat by US, lipid profile (decreased triglycerides, total cholesterol and LDL, and increased HDL), and decreased fasting blood sugar, and insignificant differences in the anthropometric measurements. Those undergo laser intervention showed highly significant improvement in all anthropometric measurements under study, visceral fat at umbilicus by US, blood pressure and some parameters of lipid profile (decreased total cholesterol and LDL).

CONCLUSIONS: Nutritional intervention alone could be used to reduce weight if the lipid profile within normal range, but if it is impaired, acupuncture should be used beside. To strength the reduction in body anthropometry, laser intervention was recommended beside the nutritional intervention.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

World Health Organization. “Obesity and Overweight Fact Sheet, 2011. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/index.html AccessedSeptember2011

Egypt Demographic and Health Survey. Nutritional status. Chapter 14, 2008:pp.183-195.

Ghroubi S, Elleuch H, Chikh T, Kaffel N, Abid M, Elleuch MH. Physical training combined with dietary measures in the treatment of adult obesity. A comparison of two protocols. Annals of Physical and Rehabilitation Medicine. 2009; 52: 394–413. DOI: https://doi.org/10.1016/j.rehab.2008.12.017

Hong S. Relation between Treatment Course and Therapeutic Effects of Acupuncture for Female Obesity of Different Types. Journal of Traditional Chinese Medicine. 2008; 28(4): 258-261. DOI: https://doi.org/10.1016/S0254-6272(09)60005-4

Jelcić J, Korsić M. Obesity as a medical and public health problem. Lijec Vjesn. 2009; 131(9-10):279-85.

Beechy L, Galpern J, Petrone A, Das SK. Assessment tools in obesity — Psychological measures, diet, activity, and body composition. Physiology & Behavior. 2012; 107:154–171. DOI: https://doi.org/10.1016/j.physbeh.2012.04.013

Seagle HM, Wyatt HR, Hill JO. Obesity: overview of treatments and interventions. Nutrition in the Prevention and Treatment of Disease, Third Edition, 2013:pp 445-464. DOI: https://doi.org/10.1016/B978-0-12-391884-0.00024-X

Hiernaux J, Tanner JM. Growth and physical studies. In: Human Biology: A guide to field methods. Weiner JS, Lourie SA, editors. Oxford. U.K: IBP. London: Blackwell Scientific Publications, 1969.

Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18(6):499-502. DOI: https://doi.org/10.1093/clinchem/18.6.499

WHO 2008: who Standard Acupuncture Point Location in the Western Pacific Region, Jun 25.2008 -249 pages.

FAD Laser Information 2009: Compliance Guide For Laser Products, US Department of Health and Human Services Public Health Service FAD Center for Devices and Radiological Health HHS publication FDA, 2009: 86-8260.

National Heart, Lung, and Blood Institute, Obesity Education Initiative Expert Panel, Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report, Obes.Res. 1998;6(Suppl.2): 51S _209S.

Lamarche B, Després JP, Pouliot MC, Moorjani S, Lupien PJ, Thériault G, Tremblay A, Nadeau A, Bouchard C. Is body fat loss a determinant factor in the improvement of carbohydrate and lipid metabolism following aerobic exercise training in obese women? Metabolism. 1992;41(11):1249-56. DOI: https://doi.org/10.1016/0026-0495(92)90017-5

Di Buono M, Hannah JS, Katzel LI, Jones PJ. Weight loss due to energy restriction suppresses cholesterol biosynthesis in overweight, mildly hypercholesterolemic men. J Nutr. 1999;129(8):1545-8. DOI: https://doi.org/10.1093/jn/129.8.1545

Wozniar, P., G. Stachowiak, A K. Pieta-Dolinska and J. Oszkowski. Laser acupuncture and low-calorie diet during visceral obesity therapy after menopause. Acta Obtst. Gynecol. Scand. 2003; (1): 69-73. DOI: https://doi.org/10.1034/j.1600-0412.2003.820113.x

Chu, N.F., M.J. Stampfer, D. Splegelman, N. Rifai, G.S. Hotamisligil and E.B. Rimm. Dietary and lifestyle factors in relation to plasma leptin concentrations among normal weight and overweight men. Int. J. Obes. Relat. Metab. Disord. 2001;5(1): 106-14. DOI: https://doi.org/10.1038/sj.ijo.0801468

Zhou-hong WU. Effects of the Multiple Needling with Shallow Insertion for Simple Obesity: A Clinical Observation on Lipid Metabolism and on the Chest, Waist and Hip Circumferences. J. Traditional Chinese Medicine. 2009; 29: 179-181. DOI: https://doi.org/10.1016/S0254-6272(09)60060-1

Lee, Myeong Soo, Kim Jeong Hwan, Lim Hyun-Ja and Shin Byung-Cheul. Effects of abdominal electroacupuncture on parameters related to obesity in obese women: A pilot study. Complementary Therapies in Clinical Practice. 2009; 12: 97-100. DOI: https://doi.org/10.1016/j.ctcp.2006.01.002

Sun, F. The antiobesity effect of acupuncture and its influence on water and salt metabolism. Zhen. Ci. Yan. Jiu. 1996;21(2): 19-24.

Zhang H, Peng Y, Liu Z, Li S, Lv Z, Tian L, Zhu J, Zhao X, Chen M. Effects of acupuncture therapy on abdominal fat and hepatic fat content in obese children: a magnetic resonance imaging and proton magnetic resonance spectroscopy study. J Altern Complement Med. 2011 May;17(5):413-20.doi: 10.1089/acm.2010.0322 DOI: https://doi.org/10.1089/acm.2010.0322

Soong, Y. The treatment of exogenous obesity employing auricular acupuncture. Am. J. Chin. Med. 1975; 3(3): 285-7. DOI: https://doi.org/10.1142/S0192415X75000311

Richards, D. and Marley J. Stimulation of auricular acupuncture points in weight loss. Aust. Fam. Physician. 1998; 27 (Suppl.) 2: S73-S7. DOI: https://doi.org/10.1016/S0965-2299(99)80101-0

Shiraishi, T., M. Onoe, T. Kojima, Y. Sameshima and Kageyama. Effect of auricular stimulation on feeding-related hypothalamus neuronal activity in normal and obese rats. Brain Res. Bull. 1995; 6 (2): 141-8. DOI: https://doi.org/10.1016/0361-9230(94)00179-5

Shiriaishi, T., M. Onoe, T.A. Kojima, T. Kageyama, Sawatsugawa, K. Saku, H. Yoskhimatsu and Sakata. Effects of bilateral auricular acupuncture stimulation on body weight in healthy volunteers and mildly obese patients. Exp. Biol. Med., (Maywood). 2003;28(10): 1210-7. DOI: https://doi.org/10.1177/153537020322801016

Bounds RG, Grandjean PW, O’Brien BC. Inman C, Crouse SF. Diet and short term plasma lipoprotein lipid changes after exercise in trained men. Int J Sport Nutur Exerc Metab. 2000;10 (2): 114-27. DOI: https://doi.org/10.1123/ijsnem.10.2.114

Grandjean PW, Crouse SF, Rohack JJ. Influence of cholesterol status on blood lipid and lipoprotein enzyme responses to aerobic exercise. J Appl Physiol. 2000;89 (2): 472-80. DOI: https://doi.org/10.1152/jappl.2000.89.2.472

Downloads

Published

2014-04-16

How to Cite

1.
Hassan NE, El-Masry SA, Elshebini SM, Al-Tohamy M, Ahmed NH, Abdel Rasheed E, El-Saeed GS, Hassan NM, Zikri EN, El Hussieny MS. Comparison of Three Protocols: Dietary Therapy and Physical Activity, Acupuncture, or Laser Acupuncture in Management of Obese Females. Open Access Maced J Med Sci [Internet]. 2014 Apr. 16 [cited 2024 May 27];2(2):191-7. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2014.030

Issue

Section

A - Basic Science

Most read articles by the same author(s)