Clinical Study On Massage Combined With Exercise Training On Simple Obesity

Objective:This study evaluated the clinical effect of massage combined with exercise training on simple obesity in college students by comparing with exercise training and auricular point sticking.The changes of body weight,body mass index(BMI),waist circumference,hip circumference,waist-hip ratio(WHR),high density lipoprotein(HDL),low density lipoprotein(LDL),triglyceride(TC),cholesterol(TG),blood sugar(Glu),insulin(Ins),Leptin and other indexes before and after treatment were observed,and the possible mechanism of action was discussed,so as to provide scientific basis for clinical application of massage combined with exercise training to treat simple obesity.Methods:The one hundred patients with simple obesity included in this study were all college students from Shijiazhuang Medical College from March 2017 to May 2017.All patients were selected strictly according to diagnosis standard,inclusion and exclusion criteria.They were divided into three groups according to the stratified randomization method by obesity degree,auricular point group(thirty-three cases),exercise training group(thirty-three cases)and massage combined exercise training group(thirty-four cases).Auricular point group were treated with auricular acupoint sticking method.Spleen,stomach,kidney,triple energizer,endocrine,sympathetic,large intestine and hungry points were selected for acupuncture points,they were replaced once every 4 d,and auricular points on both sides were used alternately;Exercise training group were treated with exercise training,mainly Shaolin Internal Skill and Yi Jin Jing,once every other day for 90min/time;Massage combined exercise training group were treated with massage combined exercise training.After the above exercise training,massage plus exercise,palm root kneading,massage,tummy shaking,rubbing,vibration and other manipulations were applied to the acupoints: Zhongwan,Xiawan,Tian Shu,Dazheng,Qihai,Zusanli and Fenglong.The treatment was performed once every other day for30min/time.After eight-week of continous treatment,the clinical efficacy of each group was compared with the changes of body weight,body mass index(BMI),waist circumference,hip circumference,waist-hip ratio(WHR),high density lipoprotein(HDL),low density lipoprotein(LDL),triglyceride(TC),cholesterol(TG),blood glucose(Glu),insulin(Ins),leptin and other indicators before and after treatment.Results:1 Comparison of basic data of the three groups:there was no significant difference in gender,age,obesity degree and BMI among auricular point group,exercise training group and massage combined with exercise training group(P>0.05),which was comparable.2 Comparison of clinical effects of three groups: the total effective rate of auricular point group was 87.10%,the exercise training group was 87.50%,and the massage combined exercise training group was 93.75%.According to Wilcoxon rank sum test,the massage combined exercise training group was significantly better than that of auricular point group(P<0.05).there was no statistical difference between massage combined exercise training group and exercise training group(P>0.05).there was no statistical difference between exercise training group and auricular point group(P>0.05).3 Comparisons of physical indicators before and after the treatment among the three groups:(1)Intra-group comparison:after treatment,the body weight,BMI,waist circumference,hip circumference and WHR of the three groups of patients decreased significantly compared with before treatment.and the difference was statistically significant(P < 0.05);(2)Comparison between groups after treatment:Compared with auricular point group,the weight,BMI,waist circumference,hip circumference and WHR of massage combined with exercise training group decreasedsignificantly,with statistically significant difference(P< 0.05).Compared with the exercise training group,the weight,BMI,waist circumference,hip circumference and WHR decreased with no significant difference(P>0.05).Compared with auricular point group,waist circumference of exercise training group decreased significantly with statistical significance(P<0.05),but weight,BMI,hip circumference and WHR had no statistical significance(P>0.05).4 Comparison of blood parameters before and after treatment among the three groups:(1)Intra-group comparison: HDL,LDL,TC and TG indexes of the three groups before and after treatment showed no significant difference(P>0.05);(2)Comparison between groups after treatment:there was no significant difference in HDL,LDL,TC and TG among the three groups(P>0.05).5 Comparison of serum Glu,Ins and Leptin contents among the three groups:(1)Intra-group comparison: Ins and Leptin of the three groups of patients after treatment were significantly lower than those before treatment,with significant difference(P<0.05),but Glu changes had no significant difference(P>0.05);(2)Comparison between groups after treatment: Compared with auricular point group,Ins and Leptin in massage combined with exercise training group decreased significantly with statistically significant difference(P<0.05),while Glu changes showed no statistically significant difference(P>0.05).Compared with exercise training group,there was no significant difference in Glu,Ins and Leptin indexes(P>0.05).There was no significant difference in Ins,Leptin and Glu changes between the exercise training group and the auricular point group(P>0.05).Conclusion:1 Auricular acupoint sticking,exercise training and massage combined with exercise training can reduce the body weight,BMI,waist circumference,hip circumference and WHR,and all have therapeutic effects on simple obesity.2 Auricular acupoint sticking,exercise training and massage combined with exercise training have no obvious effect on HDL,LDL,TC,TG and Glu indexes of simple obesity college students.3 Auricular acupoint sticking,exercise training and massage combined with exercise training can reduce Ins and Leptin indexes of college students with simple obesity.4 Massage combined with exercise training is better than auricular point sticking and exercise training in reducing physical indexes and improving clinical effects of simple obesity college students.5 Massage combined with exercise training is better than auricular point sticking and exercise training in reducing Ins and Leptin indexes of simple obesity college students.