Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Hipnoterapinin Obezite Hastalarında Kilo Kaybıyla Beraber İnsülin Direncine Olan Etkisi
Effects of Hypnotherapy on Weight Loss and Thus on Insulin Resistance in Obese Patients
Serpil ERŞANa, Etem Erdal ERŞANb
aNiğde Ömer Halisdemir Üniversitesi Tıp Fakültesi, Tıbbi Biyokimya ABD, Niğde, TÜRKİYE
bNiğde Ömer Halisdemir Üniversitesi Tıp Fakültesi, Ruh Sağlığı ve Hastalıkları ABD, Niğde, TÜRKİYE
J Tradit Complem Med. 2020;3(3):367-74
doi: 10.5336/jtracom.2020-75823
Article Language: TR
Full Text
ÖZET
 Bu çalışmada, sağlıklı ve dengeli beslenmeyi sağlamak amacıyla hipnoterapi seansına başvuran obezite hastalarında uygulanan hipnoterapinin, seans sonucunda kilo kaybıyla beraber insülin direncine olan etkisininin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya, beden kitle indeksleri (BKİ) 30 kg/m2 ve üstü olan, 10 haftalık seansı tamamlayan toplam 41 birey alındı. Haftada 1 seans olmak üzere 2,5 ay boyunca hipnoterapi seansı uygulandı. Hipnoterapi seansının başlangıcında ve sonunda BKİ, açlık kan şekeri (AKŞ) ve açlık serum insülin düzeyleri ölçüldü. İnsülin direnci, HOMA-IR testi ile belirlendi. Bulgular: Hastaların, ortalama BKİ değerleri, seans başlangıcında 33,60±4,92 kg/m2 iken seans bitiminde 31,41±4,65 kg/m2 olarak belirlendi. Serum insülin düzeyleri, seans başlangıcında 15,89±8,19 μIU/mL, seans bitiminde 12,15±7,05 μIU/mL olarak tespit edildi. İnsülin direnci ise seans başlangıcında 3,81±2,27, seans bitiminde 2,92±1,96 olarak tespit edildi. Buna göre hipnoterapi seansı sonrası BKİ, serum insülin düzeyleri ve insülin direnci anlamlı ölçüde azalmıştır. Ayrıca AKŞ, insülin düzeyleri ve insülin dirençlerinin birbirleri arasında, pozitif yönde istatistiksel olarak anlamlı bir korelasyon saptandı. Sonuç: Bu araştırma, obezite tedavisinde hipnoterapinin, obezite hastalarında kilo kaybına ve bunun sonucunda insülin direncinde dikkate değer oranlarda değişiklilere neden olduğunu işaret etmektedir. Hipnoterapinin; kolay uygulanması, etkili olması, yan etkisinin olmaması, ayrıca gerek tek başına gerekse diğer tedavilere eklenerek uygulanması obezite tedevisinde bazı avantajlar sağlayabilir

Anahtar Kelimeler: Obezite; hipnoterapi; kilo kaybı; insülin direnci
ABSTRACT
 Objective: In this study, it was aimed to investigate effects of hypnotherapy on weight loss, and thus on insulin resistance in obese patients who presented to the psychiatry outpatient clinic to participate in hypnotherapy sessions to develop healthy and balanced diet. Material and Methods: The study sample included 41 individuals with a body mass ındex (BMI) of ≥30 kg/m2 who completed the 10-week hypnotherapy. Hypnotherapy session was performed for 2.5 months, one session per week. BMI, fasting blood glukoz (FBG) and fasting serum insulin levels were measured at the beginning and end of the hypnotherapy session. Insulin resistance was determined by HOMA-IR test. Results: The mean BMI values of the patients were 33.60±4.92 kg/m2 and 31.41±4.65 kg/m2 at the beginning and end of the hypnotherapy sessions respectively. Serum insulin levels were 15,89±8,19 μIU/mL at the beginning of the hypnotherapy sessions were 12.15±7.05 μIU/mL at the end of the hypnotherapy sessions. Insulin resistance were 3,81±2,27 at the beginning of the hypnotherapy sessions were 2.92±1.96 at the end of the hypnotherapy sessions. The results showed that BMI, serum insulin levels and insulin resistance decreased significantly after the hypnotherapy sessions. In addition, there were statistically significant correlation between the beginning and end of the hypnotherapy sessions FBG, serum insulin levels and insulin resistance. Conclusion: This study indicates that hypnotherapy in obesity treatment leads to weight loss in obese patients and thus to considerable changes in insulin resistance. Hypnotherapy is easy to apply, effective, has no for side effects, and can be applied both alone and in combination with other treatments.

Keywords: Obesity; hypnotherapi; weight loss; insulin resistance
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