Shehab Mahmoud ABD EL- KADER, Doaa Ahmed KHALİFA

Impact of weight loss on psychological well being and biochemical modulation in obese patients: A comparison of two treatment protocols

Obezite kendi başına önemli bir sağlık problemidir; bu aynı zamanda psikiyatrik hastalıkları da içeren diğer sağlık problemleri ile birliktedir. Diyet ve kilo kaybının psikolojik etkileri obezite yönetimi alanında bir tartışma konusu olmaktadır. Bu çalışmanın amacı obez kadınlarda fiziksel egzersiz ve akapunktur veya elektroakapunktur gibi diyet önlemlerini içeren iki çeşit tedavi protokolüyle kilo vermenin psikolojik iyi hal ve biyokimyasal modülasyonlar üzerine etkisini araştırmaktı. Kırk obez kadın çalışmaya alındı ve iki eşit gruba ayrıldı. Birinci gruba (A) diyet önlemleri ve akapunktur ile birlikte fiziksel egzersiz uygulandı. İkinci gruba (B) diyet ön- lemleri, elektroakapunktur ve fiziksel egzersiz uygulandı. Program haftada üç uygulama içeren 3 ay süre uygulandı. Her iki grupta tedavi sonrası Vücüt kitle indeksi (VKİ), leptin, total kolesterol (TK), düşük dansiteli lipoprotein kolesterol (LDL-c), trigliserid (TG), Beck Depresyon Skalası (BDS ve duygu durum profilinde belirgin düşüş ve yüksek dansiteli lipoprotein kolesterol (HDL-c) ve Rosenberg self-Esteem Skalasında (RSES) belirgin yükselme izlendi, fakat grup (B) deki değişiklikler grup (A)dan daha fazlaydı. Ancak çalışmanın sonunda grup (A) ve grup (B) arasında araştırılan parametrelerin ortalama düzeyleri arasında belirgin farklılık saptanmadı. Obez kadınlarda fiziksel egzersiz ve diyet ölçümleri ile birlikte elektroakapunktur psikolojik iyi hal ve biyokimyasal modülasyonlar için tercih edilecek yöntem olabilir.

Kilo kaybının obez hastalarda psikolojik iyi hal ve biyokimyasal modulasyon üzerine etkisi: İki tedavi protokolünün karşılaştırması

Obesity is a serious health issue by itself; it is also associated with other health problems including psychiatric illnesses. The psychological effects of dieting and weight loss have been a matter of controversy in the field of obesity management. The aim of this study was to compare the impact of weight loss as a result of two types of treatment protocols included physical training and dietary measures with acupuncture or electroacupuncture on psychological well being and biochemical modulation in obese fe- males. Forty obese females participated in the study, and were included in two equal groups. The first group (A) received physical training combined with dietary measures and acupuncture. The second group (B) received physical training combined with dietary measures and electroacupuncture. The program consisted of three sessions per week for three months. There was a significant decrease in Body Mass Index (BMI), Leptin, Total Cholesterol (TC), Low Density Lipoprotein Cholesterol (LDL-c), Triglycerides(TG), Beck Depression Inventory (BDI ) & Profile of Mood States(POMS) and increase in High Density Lipoprotein Cholesterol (HDL-c) & Rosenberg Self-Esteem Scale (RSES) in both groups after treatments, but the changes in group (B) were greater than in group (A). However, there was no significant difference between mean levels of the investigated parameters in group (B) and group (A) at the end of the study. Physical training and dietary measures with electroacupuncture can be used as methods of choice for psychological well being and biochemical modulation in obese females.

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