1.中国中医科学院医学实验中心 北京 100700
2.中国中医科学院中药研究所
3.北京外国语大学英语学院
4.南京中医药大学第一临床医学院
谢继鼎,男,在读硕士生
# 代金刚,男,博士,研究员,博士生导师,主要研究方向:中医导引疗法、慢病防治研究,E-mail:zhongyidai@163.com
纸质出版日期:2023-10-30,
网络出版日期:2023-08-11,
收稿日期:2023-05-10,
移动端阅览
谢继鼎, 田思玮, 郑鑫, 等. 基于红外热成像技术和腧穴理论探究八段锦对体质量指数的作用[J]. 北京中医药大学学报, 2023,46(10):1473-1480.
XIE Jiding, TIAN Siwei, ZHENG Xin, et al. Exploring the effects of baduanjin on body mass index based on infrared thermal imaging and acupoint theory[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(10):1473-1480.
谢继鼎, 田思玮, 郑鑫, 等. 基于红外热成像技术和腧穴理论探究八段锦对体质量指数的作用[J]. 北京中医药大学学报, 2023,46(10):1473-1480. DOI: 10.3969/j.issn.1006-2157.2023.10.021.
XIE Jiding, TIAN Siwei, ZHENG Xin, et al. Exploring the effects of baduanjin on body mass index based on infrared thermal imaging and acupoint theory[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(10):1473-1480. DOI: 10.3969/j.issn.1006-2157.2023.10.021.
目的
2
运用红外热成像技术,基于中医经络腧穴理论探究八段锦对健康人体质量指数(BMI)、腹部和常用减肥穴位温度的影响。
方法
2
招募北京市120名健康人作为受试者,1∶1∶1随机数字表法分为试验组、对照组和空白组,试验过程中脱落13人,共计107人完成试验。试验组(
n
=36)进行八段锦干预,对照组(
n
=35)进行广播体操干预,空白组(
n
=36)不进行运动干预,干预时间为12周。入组前和干预12周后,使用专业体脂秤测量BMI,红外热成像仪检测腹部和双侧天枢、双侧足三里、中脘、关元的温度,比较3组干预前后的变化,并进行中介效应检验。
结果
2
干预后组间比较,3组BMI差异无统计学意义,试验组腹部、双侧天枢、中脘的温度高于其他2组(
P
<
0.05,
P
<
0.01)。干预前后组内比较,试验组的BMI降低(
P
<
0.01),腹部、双侧天枢、中脘温度升高(
P
<
0.01)。中介效应检验显示,在八段锦对腹部温度的提升作用中,中脘和左侧天枢存在明显中介效应。
结论
2
八段锦可以降低BMI、减少肥胖风险,同时可以提高腹部温度、促进代谢,其机制可能与激活天枢和中脘,从而调控内脏功能有关。
Objective
2
To investigate the effects of baduanjin on the body mass index (BMI) and temperature of the abdomen and commonly used weight-loss acupoints in healthy person using infrared thermal imaging and the meridian and acupoint theory of traditional Chinese medicine.
Methods
2
A total of 120 healthy individuals from Beijing were enrolled as participants
and were randomly divided into the experimental group
control group
and blank group at a 1: 1: 1 random number table method. During the course of the study
13 individuals dropped out
leaving a total of 107 participants who completed the intervention. The experimental group (
n
=36) received baduanjin exercise intervention
the control group (
n
=35) received calisthenics intervention
and the blank group (
n
=36) received no exercise intervention. The duration of intervention was 12 weeks. Before enrollment and after the 12-week intervention
BMI was measured by a professional body fat scale
and the temperature of the abdomen
bilateral Tianshu (ST25)
bilateral Zusanli (ST36)
Zhongwan (CV12)
and Guanyuan (CV4) were detected by infrared thermal imaging. The changes of the three groups before and after intervention were compared
and the mediation effect test was conducted.
Results
2
After the intervention
there was no significant difference in BMI among the three groups. However
the experimental group exhibited significantly higher temperatures of the abdomen
bilateral Tianshu (ST25)
and Zhongwan (CV12) compared with the other two groups (
P
<
0.05
P
<
0.01). Within-group analysis showed a significant decrease in BMI in the experimental group (
P
<
0.01) and significant increases in temperatures of the abdomen
bilateral Tianshu (ST25)
and Zhongwan (CV12) (
P
<
0.01). Mediation effect analysis revealed a significant mediating effect of Zhongwan (CV12) and the left Tianshu (ST25) in the elevation of abdominal temperature induced by baduanjin exercise.
Conclusion
2
Baduanjin can effectively reduce BMI and the risk of obesity. Additionally
it can increase abdominal temperature and promote metabolism
possibly through the activation of the Tianshu (ST25) and Zhongwan (CV12) acupoints
thereby regulating visceral functions.
八段锦体质量指数红外热成像腧穴
baduanjinbody mass indexinfrared thermal imagingacupoint
KOH TC. Baduanjin: an ancient Chinese exercise[J]. Am J Chin Med, 1982, 10(1-4): 14-21.
鲍丽颖,汪洋,刘俊荣.健身气功“八段锦”对不同血脂水平中老年人肺活量的影响[J].中国老年学杂志,2013,33(5):1140-1141.
ZOU LY, PAN ZJ, YEUNG A, et al. A review study on the beneficial effects of Baduanjin[J]. J Altern Complement Med, 2018, 24(4): 324-335.
Cheng FK. Effects of Baduanjin on mental health: a comprehensive review[J]. J Bodyw Mov ther, 2015, 19(1): 138-149.
刘晨,董婕.祖国传统体育保健对缓解大学生抑郁情绪的研究[J].体育世界(学术版),2011(7): 54-56.
杨洁,张哲,邢峰丽,等.康复锻炼结合赋能教育指导下的八段锦练习对骨质疏松椎体骨折患者术后康复的影响[J].环球中医药,2022,15(12):2467-2470.
LI R, JIN L, HONG P, et al. The effect of baduanjin on promoting the physical fitness and health of adults[J/OL]. Evid Based Complement Alternat Med, 2014, 2014: 784059 [2023-04-23]. https://www.hindawi.com/journals/ecam/2014/784059/https://www.hindawi.com/journals/ecam/2014/784059/.
ENGIN A. The definition and prevalence of obesity and metabolic syndrome[J]. Adv Exp Med Biol, 2017, 960: 1-17.
MEI LJ, CHEN QY, GE L, et al. Systematic review of Chinese traditional exercise baduanjin modulating the blood lipid metabolism[J/OL]. Evid Based Complement Alternat Med, 2012, 2012: 282131 [2023-04-23]. https://www.hindawi.com/journals/ecam/2012/282131/https://www.hindawi.com/journals/ecam/2012/282131/.
余忠舜,喻治达,沈建丽.健身气功·八段锦对肥胖女大学生脂代谢的影响[J].当代体育科技,2017,7(4):25-26.
AMIHǍESEI IC, CHELARU L. Metabolic syndrome a widespread threatening condi-tion; risk factors, diagnostic criteria, therapeutic op-tions, prevention and controversies: an overview[J]. Rev Med Chir Soc Med Nat Iasi, 2014, 118(4): 896-900.
JONES BF. A reappraisal of the use of infrared thermal image analysis in medicine[J]. IEEE Trans Med Imaging, 1998, 17(6): 1019-1027.
LAFFAYE G, EPISHEV VV, TETIN IA, et al. Predicting body fat mass by IR thermographic measurement of skin temperature: a novel multivariate model[J]. Quant Infrared Thermogr J, 2020, 17(3): 192-209.
FERNANDES ADEA, AMORIM PR, BRITO CJ, et al. Regional skin temperature response to moderate aerobic exercise measured by infrared thermography[J/OL]. Asian J Sports Med, 2016, 7(1): e29243 [2023-04-23]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870826/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870826/.
SAVASTANO DM, GORBACH AM, EDEN HS, et al. Adiposity and human regional body temperature[J]. Am J Clin Nutr, 2009, 90(5): 1124-1131.
JALIL B, HARTWIG V, MORONI D, et al. A pilot study of infrared thermography based assessment of local skin temperature response in overweight and lean women during oral glucose tolerance test[J/OL]. J Clin Med, 2019, 8(2): 260 [2023-04-23]. https://www.mdpi.com/2077-0383/8/2/260https://www.mdpi.com/2077-0383/8/2/260.
DE JONGH RT, SERN EH, IJZERMAN RG, et al. Impaired microvascular function in obesity: implications for obesity-associated microangiopathy, hypertension, and insulin resistance[J]. Circulation, 2004, 109(21): 2529-2535.
CAI W, CHEN AW, DING L, et al. Thermal effects of acupuncture by the infrared thermography test in patients with tinnitus[J]. J Acupunct Meridian Stud, 2019, 12(4): 131-135.
赵旭斌,霍建忠.基于红外热像技术验证“后溪通督脉”理论[J].中国针灸,2023,43(3):305-308.
刘孟,吕天宜,闫康,等.基于红外热成像技术与脊柱形态检测技术探讨气功顺腹式呼吸对脊督一体结构的调节效应[J].北京中医药大学学报,2023,46(9):1-9.
刘锋,刘争强,章文春.基于中医行气技术的形气神降糖行气法红外热成像检测与临床疗效观察[J].中华中医药杂志,2022,37(12):7387-7391.
田思玮,孙沛泽,韩自荣,等.红外成像技术在导引研究中的应用述评[J].光明中医,2022,37(8):1491-1494.
田思玮,宋军,闪增郁,等.基于红外成像探究“双手托天理三焦”的即刻效应[J].时珍国医国药,2022,33(8):1919-1921.
李唯溱,姜伟,刘健.温针灸治疗痰湿闭阻型单纯性肥胖的临床研究[J].针刺研究,2018,43(8):522-525.
LACEY JM, TERSHAKOVEC AM, FOSTER GD. Acupuncture for the treatment of obesity: a review of the evidence[J]. Int J Obes Relat Metab Disord, 2003, 27(4): 419-427.
CABYOGLU MT, ERGENE N, TAN U. The treatment of obesity by acupuncture[J]. Int J Neurosci, 2006, 116(2): 165-175.
WANG Q, LI WH, ZHOU QH, et al. Weight reduction effects of acupuncture for obese women with or without perimenopausal syndrome: a pilot observational study[J]. Am J Chin Med, 2012, 40(6): 1157-1166.
陆颖,李青,李洁.针刺减肥经络腧穴运用规律文献分析[J].中医杂志,2012,53(21):1856-1859.
施洁,朱小娟,郭海莲,等.针灸对单纯性肥胖患者血脂状态、炎症指标及减肥疗效的影响[J].河北中医药学报,2018,33(5):39-41.
陈霞,黄伟,金熠婷,等.基于复杂网络技术对电针治疗单纯性肥胖处方分析[J].中国针灸,2018,38(3):331-336.
LIN H. Treatment of 90 cases of simple obesity with intermuscular needling method[J]. J Acupunct Tuina Sci, 2006, 4(1): 35-36.
唐春林,戴德纯,赵桂凤,等.电针配合穴位埋线治疗心脾两虚型单纯性肥胖临床观察[J].中国针灸,2009,29(9):703-707.
SIU PM, YU AP, CHIN EC, et al. Effects of Tai Chi or conventional exercise on central obesity in middle-aged and older adults: a three-group randomized controlled trial[J]. Ann Intern Med, 2021, 174(8): 1050-1057.
万苏建,丁智炜,赵鑫雨,等.《黄帝内经》布气疗法探讨[J].中华中医药杂志,2020,35(4):1633-1636.
刘园园,彭柳莹,谢胜.运用红外热像图观察逆周天小循环中央导引术对人体经络脏腑气血的影响[J].中医药导报,2019,25(8):71-73.
马欣,张杰.健身气功八段锦对中老年人平衡能力的影响[J].山东体育科技,2016,38(1):58-61.
袁会娟,陈金香,唐长凤,等.耳穴埋豆联合八段锦对慢性阻塞性肺疾病患者肺功能的影响[J].光明中医,2023,38(4):688-690.
黄美维.八段锦联合七步训练法在冠心病PCI术后心脏康复中的效果[J].光明中医,2022,37(24):4443-4445.
SU YS, XIN JJ, YANG ZK, et al. Effects of different local moxibustion-like stimuli at Zusanli (ST36) and Zhongwan (CV12) on gastric motility and its underlying receptor mechanism [J/OL]. Evid Based Complement Alternat Med, 2015, 2015: 486963 [2015-07-12]. https://www.hindawi.com/journals/ecam/2015/486963/https://www.hindawi.com/journals/ecam/2015/486963/.
WANG M, YUAN MQ, GUAN ZY, et al. The effect of electroacupuncture on obesity through browning of white adipocytes and mitochondrial autophagy[J]. Indian J Pharm Sci, 2020, 2020(7): 67-72.
杨薇,汪子栋,姜楠,等.上脘 中脘 下脘穴汇解及临床应用[J].光明中医,2023,38(1):35-38.
PEPLOW PV, BAXTER GD. Electroacupuncture for control of blood glucose in diabetes: literature review[J]. J Acupunct Meridian Stud, 2012, 5(1): 1-10.
KIM MS, SUNG BK, OGAY V, et al. Novel circulatory connection from the acupoint Zhong Wan (CV12) to pancreas[J]. J Pharmacopuncture, 2008, 11(1): 13-19.
张慧敏,吴学良,姜超,等.针刺减肥对体成分影响的临床观察[J].针刺研究,2017,42(2):173-177.
WANG M, GAO YH, XU J, et al. Zusanli (ST36) acupoint injection for preventing postoperative ileus: A systematic review and meta-analysis of randomized clinical trials[J]. Complement Ther Med, 2015, 23(3): 469-483.
MOOVENTHAN A, NINGOMBAM R, NIVETHITHA L. Effect of bilateral needling at an acupuncture point, ST-36 (Zusanli) on blood glucose levels in type 2 diabetes mellitus patients: A pilot randomized placebo controlled trial[J/OL]. J Complement Integr Med, 2020, 17(3): 20190100 [2023-04-23]. https://www.degruyter.com/document/doi/10.1515/jcim-2019-0100/htmlhttps://www.degruyter.com/document/doi/10.1515/jcim-2019-0100/html.
JI B, HU J, MA SX. Effects of electroacupuncture Zusanli (ST36) on food intake and expression of POMC and TRPV1 through afferents-medulla pathway in obese prone rats[J]. Peptides, 2013, 40: 188-194.
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