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. Author manuscript; available in PMC: 2011 Oct 12.
Published in final edited form as: Cochrane Database Syst Rev. 2009 Oct 7;(4):CD006690. doi: 10.1002/14651858.CD006690.pub2
Methods Parallel placebo-controlled randomised trial

Participants SETTING: Outpatients at the Obesity Clinic of Kyoto Prefectual University, Japan
WHO PARTCIPATED: n= 81 (44 in treatment group mean age 52.6 yrs, mean weight
90.8 kg, mean BMI 36.7; in the 41 in control group mean age 54.8, mean weight 90.3,
mean BMI 36.1)
INCLUSION CRITERIA: IGT (WHO 1999) and obese
EXCLUSION CRITERIA: People with kidney, heart and/or liver disease, any metabolic
or endocrine disease, psychiatric disorders and cancer.
CO-MORBIDITIES: obesity
CO-MEDICATIONS: none reported

Interventions INTERVENTION: Bofu-tsusho-san (Scutellariae Radix, Glycyrrhizae Radix, Platycodi
Radix, Gypsum Fibrosum, Atractylodis Rhizoma, Rhei Rhizoma, Schizonepetae Spica,
Gardeniae Fructus, Paeoniae Radix, Cnidium Rhizoma, Angelicae Radix, Menthae
Herba, Ledebouriellae Radix, Ephedrae Herba, Forsythiae Fructus, Zingiberis
Rhizoma, Talcum, Natrium Sulphuricum), dry extract, three times a day (t.i.d) 30 mins
before meals, for 24 wks plus lifestyle modification (diet & exercise).
CONTROL: placebo three times a day (t.i.d) 30 mins before meals, for 24wks plus
lifestyle modification (diet & exercise)
Lifestyle modification for all participants involved a diet of 1200 kcal/day, analysed
based on food ingestion records, and exercise (5000 steps/day) determined by
pedometer recordings.

Outcomes FBG (mg/dL), 2hr-GTT (mg/dL), HbA1c (%), triglycerides (mg/dL), HDL (mg/dL), LDL
(mg/dL), total cholesterol (mg/dL), fasting insulin (μU/mL), 2hr insulin (μU/mL), insulin
AUC, HOMA-IR.
Outcomes for all measures were assessed at baseline, 12 weeks, and 24 weeks.
Note: For FBG mg/dL & 2hr-GTT conversion to mmol/L: mg/dl of glucose to mmol/l,
divided by 18.
For total cholesterol, HDL, LDL mg/dL conversion to mmol/L: convert mg/dl of HDL or
LDL cholesterol to mmol/l, divided by 38.67.
For triglycerides mg/dL conversion to mmol/L: mg/dl of triglycerides to mmol/l, divide by
89.

Study details DURATION OF INTERVENTION: 24 weeks
DURATION OF FOLLOW-UP: 24 weeks
RUN-IN PERIOD: after 2 months of lifestyle modification (diet and exercise therapy as
described above), the active drug or placebo was introduced.

Publication details LANGUAGE OF PUBLICATION: English and Japanese
COMMERCIAL FUNDING: no
NON-COMMERCIAL FUNDING: This study was supported, in part, by a Grant-in-Aid
(No.14571106; to TY) for Scientific Research from the Ministry of Education, Culture,
Sports, Science and Technology of Japan.
PUBLICATION STATUS (PEER REVIEW JOURNAL): yes
PUBLICATION STATUS (JOURNAL SUPPLEMENT): no
PUBLICATION STATUS (ABSTRACT): yes

Stated aim of study The aim of the study was to determine whether BF was effective in decreasing visceral
adiposity and insulin resistance.

Notes

Risk of bias table