| Objectives Wrinkles on the face are a typical phenomenon of aging. Surgery and various conservative treatments have been performed to improve facial wrinkles. Surgery has many side effects, and other conservative treatments have little or no effect. The purpose of this paper is to introduce a case in which gold thread implantation acupuncture safely improved facial wrinkles for a long time and effectively. Methods The thickness, length, and number of gold thread implantation acupuncture were performed differently according to the patient s condition in 4 women in their late 40s to mid 60s, whose facial wrinkles progressed or worsened. The evaluation before and after the procedure ranged from 3 months to 6 months. The effect was evaluated by the Wrinkle Severity Rating Scale (WSRS). Results Facial wrinkles were significantly improved after gold thread implantation acupuncture. After 3 months or 6 months, there was no discomfort or pain after treatment. Conclusions Gold thread implantation acupuncture with facial muscles or subcutaneous tissue is a conservative treatment that can improve facial wrinkles without any side effects. |
| Objectives The purpose of this study is to verify the validity and reliability of the Korean version of Weight Efficacy Life-Style Questionnaire (K-WEL), which has been cross-culturally translated and face validated. Methods In this study, 375 obesity patients who visited a Korean medicine clinic in Seoul participated and we examined the validity and reliability of the questionnaire via exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and internal reliability. Results The 20 questions on the K-WEL questionnaire were classified into 4 factors of 15 questions based on the results of EFA, and its root mean error of approximation, goodness of fit index, and comparative fit index was 0.06, 0.92, and 0.93, respectively, so the model fit met the criteria. As a result of CFA, K-WEL15 has low correlations between questions on the sub-factors and low independence between sub-factors, thus the construct validity was found to be low. In the reliability test, the Cronbach s α ranged from 0.71 to 0.83 for each factor, showed a reliable level. Conclusions K-WEL was found to be inappropriate for measuring eating self-efficacy. In future studies, it is necessary to further develop a questionnaire with high validity to be used for the treatment and management of obesity in Korea, by considering the socio-cultural background of Korean and the construction of self-efficacy. |
| Objectives The purpose of this study is to predict the initial average weight loss in overweight and obese adults taking Gamitaeeumjowi-tang. Methods A retrospective analysis was performed on 25,988 overweight and obese people taking Gamitaeeumjowi-tang from January, 2017 to May, 2019. Exploratory data analysis (EDA) was performed using age, gender, weight, BMI (body mass index), Lf/Hf of heart rate variability (HRV), and patient health questionnaire-9 (PHQ-9). After categorizing using significant variables, multiple regression analysis was conducted with the average weight loss corresponding to the combinations of categories as the dependent variable. Results Through EDA, age, gender, initial weight, and initial BMI were identified as significant variables for the initial weight loss. As a result of multiple regression analysis after categorizing the significant variables, the R2 was 0.820 and the Adj. R2 was 0.798. Conclusions In this study, multiple regression analysis was performed using the combination of categorized age, sex, initial weight, and initial BMI. As a result, the initial average weight loss could be predicted with high explanatory power. |
| Good psychiatric interventions are required for the treatment and management of obesity in the clinical field of Korean medicine. Cognitive behavioral therapy, a standardized method of psychiatric intervention for mental management, modifies patient s behavior by managing daily life, and correcting distorted cognition. Cognitive behavioral therapy is already included in the guidelines for managing obesity. Recently cognitive behavioral therapy is installed in the form of apps and used to monitor one s own activities and thoughts. In the field of Korean medicine, various factors of cognitive behavioral therapy can be applied as treatment methods for obese patients. Meditation-based method, including form of mindfulness meditation, such as ‘walking meditation’ and ‘eating meditation’ can be applied, and emotional freedom techniques, a form of energy technique, can also be used. |
