A Study for Effects of Metabolic Syndrome Care Program with Korean Medicine in Public Health Center

Article information

J Korean Med. 2014;35(1):135-144
Publication date (electronic) : 2014 March 30
doi : https://doi.org/10.13048/jkm.14013
Gangjin-Gun public health center, Department of Korean Medicine
Correspondence to: 박은성(Park, Eun-Seong)전라남도 강진군 강진군보건소, Tel: +82-61-432-3598, Fax: +82-61-430-3539, E-mail: josephesp@hanmail.net
Received 2014 February 21; Revised 2014 March 27; Accepted 2014 March 27.

Abstract

Objectives

The purpose of this study is to evaluate the effects of Metabolic Syndrome care program with Korean Medicine in public health center.

Methods:

The data were collected from 28 participations who joined Korean Medicine care program. The program was started from April of 2013 and finished November of 2013. The effect of Metabolic Syndrome were evaluated with blood pressure check and blood test, physical test.

Results:

The number of Metabolic Syndrome patients decreased after the program(−24.9%). Specially TG decreased from 83.321 to 80.036(p<0.05) and FBS also decreased 8.607(p<0.01) after the program. HDL increased from 47.821 to 53.000(p<0.01) but blood pressure didn’t change. BMI decreased 0.789(p<0.01) and abdominal obesity decreased 2.607(p<0.01) after the program significantly.

Conclusions:

From these study, the Metabolic Syndrome care program with Korean Medicine is worthy for treating Metabolic Syndrome.

Time Table of Metabolic Syndomr Care Program with Korean Medicine.

The General Peculiarity of Participants

Change of The Number of Risk Factors with the Program.

Change of The Number of Participants with More than 3 Risk Factors.

Change of Blood Pressure and Blood Test Result with the Program.

Change of Obesity with the Program.

References

1. Lee EK, Chong MS, Lee KN. Considerations on a support system for Oriental medicine public health programs. Kor. J. Oriental Preventive Medical Society 2011;15(3):1–16.
2. Ministry of Health and Welfare. Local Community Healthcare Program 2013 Ministry of Health and Welfare; 2013.
3. Seo JR, Bae SS. The Effect of Metabolic Syndrome Management Program in a Public Health Center. J Agric Med Community Health 2011;36(4):264–279.
4. Isomaa B, Almgren P, Tuomi T, Forseen B, Lahti K, Nisseen M. Cardiovascular morbidity and morbidity associated with the metabolic syndrome. Diabetes Care 2001;24:683–689.
5. Lakka HM, Laaksonen DE. The metabolic syndrome and total and Cardiovasular disease mortality in middle-aded men. JAMA 2002;288(21):2709–16.
6. The IDF Consensus Worldwide Definition of the Metabolic Syndrome. International Diabetes Federation. 2006.
7. Jang DM. Current Status and Policy Recommendations of Oriental Public Health Programs. Korean journal of oriental preventive medical society 2007;11(2):101–112.
8. Han DW. Exhibition and publicity of research performance in future growth engine Seoul: Hanyang University; 2007.
9. Han DW. Evaluation of Health Promotion Program using traditional Korean medicine and Development of Standard Manual for Planning and Implementing the Program Ministry of Health and Welfare; 2009.
10. Han DW, Song JC, Joung JY. Measuring Efficiency of Public Health Program using Traditional Korean Medicine: A DEA Approach Health and Social Welfare Review. 2010;30(2):484–518.
11. Jeong CB. A Study on the Activation Plan of Oriental Medical Health Promotion Program [dissertation] Iksan: Wonkwang University; 2010.
12. Lee JS. The Study on Recognition of Traditional Korean Medical Public Health Program in Public Health Oriental Medical Doctors[dissertation] Iksan: Wonkwang University; 2011.
13. Song TJ. A Study on the Plan to improve the Traditional Korean Medicine Healthcare Program for Public Health Oriental Medical [dissertation] Iksan: Wonkwang University; 2012.
14. Min SY, Kim JH. A Survey on Recognition about Oriental Childcare and Oriental Medicine in Parents Attending in Oriental Childcare Class in Health Center. J Korean Oriental Pediatrics December. 2011;25(3):35–45.
15. Park ES. A Study for Role and Effects of Atopic Dermatitis Care Program with Korean Medicine in Public Health Center. The Journal of Korean Oriental Medicine 2013;34(1):146–159.
16. Park ES, Moon YH, Kim YH, Choi KH, Jang DW. A Study for Management and Effects of Children’s Care Program with Traditional Korean Medicine in Public Health Center. J Korean Oriental Med 2012;33(1):52–67.
17. Ford ES, Giles WH, Dietz WH. Prevalence of metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 2002;287(3):356–359.
18. Alberti KGMM, Zimme PZT. “Definition, Diagnosis, and Classification of Diabetes Mellitus and its Complications”. World Health Organization 2013;:3233.
19. Pollex RL, Hegele RA. “Genetic determinants of the metabolic syndrome”. Nat Clin Pract Cardiovasc Med 2006;3(9):4829.
20. Edwardson CL, Gorely T, Davies MJ, Gray LJ, Khunti K, Wilmot EG, et al. Association of sedentary behaviour with metabolic syndrome: a meta-analysis. PLoS One 2012;7(4):e34916.
21. He D, Xi B, Xue J, Huai P, Zhang M, Li J. Association between leisure time physical activity and metabolic syndrome: a meta-analysis of prospective cohort studies. Endocrine 2013;
22. Bremer AA, Mietus-Snyder M, Lustig RH. Toward a unifying hypothesis of metabolic syndrome. Pediatrics 2012;129(3):55770.
23. Vancampfort D, Correll CU, Wampers M, Sienaert P, Mitchell AJ, De Herdt A, et al. Metabolic syndrome and metabolic abnormalities in patients with major depressive disorder: a meta-analysis of prevalences and moderating variables. Psychol Med 2013;21:112.
24. Vancampfort D, Vansteelandt K, Correll CU, Mitchell AJ, De Herdt A, Sienaert P, et al. Metabolic syndrome and metabolic abnormalities in bipolar disorder: a meta-analysis of prevalence rates and moderators. Am J Psychiatry 2013;170(3):26574.
25. Xi B, He D, Zhang M, Xue J, Zhou D. Short sleep duration predicts risk of metabolic syndrome: A systematic review and meta-analysis. Sleep Med Rev 2013;S1087-0792(13)00071-3.
26. Brunner EJ, Hemingway H, Walker BR, Page M, Clarke P, Juneja M, et al. Adrenocortical, autonomic, and inflammatory causes of the metabolic syndrome: nested case-control study. Circulation 2002;106(21):26346.

Article information Continued

Table 1

Time Table of Metabolic Syndomr Care Program with Korean Medicine.

Time Program contents Manager

1 week ○ Program presentation Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Basic health screening, blood test
○ Health consultation and medication

2 week ○ Survey for health check Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

3 week ○ Introducing of herb tea for health Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

4 week ○ Health consultation and medication Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

5 week ○ Healthcare Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

6 week ○ Stress test Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

7 week ○ Diet education for weight management Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

8 week ○ Health consultation and medication Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

9 week ○ Introducing of herb tea for health Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

10 week ○ Introducing of variety of healthcare method Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

11 week ○ Health consultation and medication Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

12 week ○ Basic health screening, blood test Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

13 week ○ Survey of program Health Promotion Workforce team, Public Health Doctor in Korean Medicine
○ Exercising
○ Acupunturetreatment

Table 2

The General Peculiarity of Participants

Category Frequency Percent(%) Mean SD
Sex mele 5 17.9 - -
female 23 82.1 - -

Age twenties 1 3.6
thirties 1 3.6
forties 7 25.2
fifties 5 17.9 60.0 16.6244
sixties 4 14.2
seventies 8 28.4
eighties 2 7.1

Symptoms 1 1 3.6 - -
2 5 17.9 - -
3 7 25.2 - -
4 7 25.2 - -
5 8 28.4 - -

Diabetes yes 20 71.4 - -
no 8 28.6 - -

Hypertension yes 19 67.9 - -
no 9 32.1 - -

Highperlipidemia yes 18 64.3 - -
no 10 35.7 - -

HDL-cholesterol < 40,50 yes 18 64.3 - -
no 10 35.7 - -

Obesity yes 22 78.6 - -
no 6 22.4 - -

Table 3

Change of The Number of Risk Factors with the Program.

The Number of Risk factor Variable Pre Post Difference
0 n 0 0 0
% 0 0 0

1 n 1 5 4
% 3.6 17.9 +14.3

2 n 5 8 3
% 17.9 28.5 +10.6

3 n 7 7 0
% 25.2 25.2 0

4 n 7 7 0
% 25.2 25.2 0

5 n 8 1 −7
% 28.5 3.6 −24.8

Table 4

Change of The Number of Participants with More than 3 Risk Factors.

The Number of Risk factor Variable Pre Post Difference
3≤ n 22 15 −7
% 78.6 53.7 −24.9

Table 5

Change of Blood Pressure and Blood Test Result with the Program.

Category Variable Pre Post P-value

M ± S.D M ± S.D
Blood Pressure systolic 130.464 129.750 .691
±15.2643 ±10.0577

diastolic 83.321 80.036 .123
±13.0556 ±8.6259

Blood Test TG 197.250 145.679 .010**
±103.2791 ±74.7430

HLD 47.821 53.000 .003*
±8.3801 ±9.5297

FBS 117.464 108.857 .002*
±26.4750 ±23.0871
*

p<0.01,

**

p<0.05

Table 6

Change of Obesity with the Program.

Category Variable Pre Post P-value

M ± S.D M ± S.D
Obesity BMI 24.946 24.157 .000*
±3.3282 ±3.1918

Waist measurement 88.714 86.107 .000*
±7.2984 ±6.5738
*

p<0.01