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Zhen Ci Yan Jiu. 2012 Dec;37(6):493-6.

[Acupuncture treatment of abdominal obesity patients by "belt vessel


(Daimai) regulating method"].
[Article in Chinese]
Liang CM1, Hu H, Li YY.
Author information
Abstract
OBJECTIVE:
To observe the clinical effect of acupuncture intervention on abdominal
obesity by stimulation of "Belt Vessel (Daimai) Regulation Acupoint Recipe".
METHODS:
A total of 35 abdominal obesity outpatients were recuited in the present
study. The "Belt Vessel (Daimai) Regulation Acupoint Recipe" was composed
of Daimai (GB 26), Tianshu (ST25), Daheng (SP 15), Zhongwan (CV 12),
Liangmen (ST 21), Shuidao (ST 28), Zusanli (ST 36), Shangjuxu (ST 37),
Fenglong (ST 40) and Zulinqi (GB 41, both sides except CV 12). In addition,
electroacupuncture was also applied to bilateral GB 26 and ST 25. The
treatment was conducted once every other day, 8 weeks altogether. The
body weight, body mass index (BMI), waist circumference (WC), hip
circumference (HC), Waist-to-hip ratio (WHR), waist-to-height ratio (WHtR)
and body fat rate [ = 1.2 x BMI + 0.23 x age-5.4-10.8 x sex (male = 1,
female = 0)] were measured or calculated. The thickness of abdominal
adipose layer (i.e.; S1 = distance from the interface of the skin and
subcutaneous fat to the linea alba abdominis at the midpoint between the
xiphoid-process and the umbilicus; S2 = distance from the interface of the
skin and subcutaneous fat to the anterior bounder of the external oblique
muscle of abdomen on the right side closely to the umbilicus center) and
visceral fat layer thickness (V 1 = distance from the midpoint of the linea
alba abdominis to the anterior bounder of the vertebra body; V 2 = distance
from the peritoneum to the right bounder of the vertebra body at the
umbilicus level) were measured for calculating ultrasound viscerofatty index
[UVI = (V 1 + V2)/(S 1 + S 2)] by using a color Doppler ultrasonography.
RESULTS:
After 8 weeks' treatment, the body weight, BMI, waist and hips
circumferences, WHtR and percentage of body fat were declined
significantly (P < 0.05, P < 0.001). The WHR was decreased compared to
that of pre-treatment, but without statistical significance (P > 0.05). The
thickness of abdominal subcutaneous adipose and visceral adipose layers
and UVI were decreased significantly following the treatment (P < 0.05, P <
0.001). The reduction of visceral adipose layer was superior to that of the
abdominal subcutaneous one (P < 0.001).
CONCLUSION:

Acupuncture intervention has a significant effect on reducing abdominal


obesity in abdominal obesity patients.

Zhen Ci Yan Jiu. 2016 Apr;41(2):159-62, 174.

[Randomized Controlled Clinical Trials for Acupuncture


Treatment of Abdominal Obesity].
[Article in Chinese]

Liang CM, Hu H, Wang CX, Sun SG, Yang WJ, Pan L.


Abstract
OBJECTIVE:

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]

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Zhen Ci Yan Jiu. 2015 Dec;40(6):484-8.

[Effect of Acupuncture Therapy on Visceral Fat Thickness in Simple


Central Obesity Patients].
[Article in Chinese]
Zhang CY, Yang L.

Abstract
OBJECTIVE:

To evaluate the efficacy of acupuncture therapy in decreasing visceral fat thickness(VFT) in


patients with simple central obesity.
METHODS:

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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