TCM-Akzeptanz bei (Prä‑)Adipösen ± Libidoverlust
摘要
Traditional Chinese medicine (TCM) is part of evidence-based multimodal treatment strategies for weight problems and psycho-social metabolic syndrome in Asia.
ObjectiveThe aim of this study was to determine the extent to which libido problems in (pre-)obese individuals influence the acceptance of TCM therapies.
Materials and methodsIn this retrospective subgroup analysis of the prospective BARBQTCM cross-sectional study, 498 (pre-)obese individuals from a Swiss obesity center completed an anonymous questionnaire. Interest in various TCM treatment strategies for symptoms of the metabolic syndrome and willingness to visit a TCM outpatient clinic and spend money on TCM were evaluated.
ResultsIn the BARBQTCM cohort, three-quarters were female (77.3%), with a median BMI of 30.1 kg/m2 and a median age of 49 years. A weight regain of > 10 kg after bariatric surgery was confirmed by 150 patients (30.1%). Eight out of 10 respondents were interested in TCM therapies (top three: acupressure, acupuncture, and TCM dietary counseling). A quarter of patients (26.9%) reported libido problems. Overall, the cohort with libido problems had significantly higher TCM acceptance than the comparison group (p < 0.001), would visit a TCM outpatient clinic more frequently, and would spend significantly more money on TCM. Experience with complementary medicine (RR: 1.12; p < 0.001) was the only influencing factor for increased TCM acceptance.
ConclusionLibido problems should not be ignored in the multimodal treatment of the psycho-social metabolic syndrome. TCM can provide support here, as the acceptance of those affected to use complementary medical therapies as a cornerstone of evidence-based medicine was confirmed by the Swiss BARBQTCM cohort.