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순환운동이 비만중년여성의 건강 체력 및 대사증후군 위험인자에 미치는 영향

Effects of circulation exercise on Health Related Fitness and metabolic syndrome risk factors in obese middle age women

  • 손원목 (부산대학교 체육교육과) ;
  • 오덕자 (부산대학교 체육교육과)
  • Son, Won-Mok (Department of Physical Education, Pusan National University) ;
  • Oh, Deuk-Ja (Department of Physical Education, Pusan National University)
  • 투고 : 2018.09.12
  • 심사 : 2018.12.07
  • 발행 : 2018.12.31

초록

본 연구의 목적은 12주간 순환운동이 비만중년여성의 건강 체력 및 대사증후군 위험인자에 미치는 영향을 알아보기 위하여 실시하였다. $BMI\;25kg/m^2$ 이상인 40대 비만중년여성 중 순환운동군(10명), 대조군(10명)으로 총 20명을 대상으로 실시하였으며, 모든 검사항목은 동일한 방법과 조건으로 건강 체력 및 대사증후군 관련인자 대하여 사전, 사후 총 2회 측정하였다. 순환운동은 12주간, 주3회, 30~40분, 60~80%HRR 강도로 실시하였다. 측정변인에 대해 평균값과 표준편차($M{\pm}SD$)를 산출한 후 사전 운동군과 대조군의 신체적 특성과 각 측정변인에 대한 동질성 검정을 위하여 독립 t-test를, 집단 내의 사전 사후 평균치 변화에 대한 차이 검증은 종속 t-test를, 집단 간 차이에 대한 주효과 검정 및 집단 간 시기 간 상호작용 효과는 반복측정 분산분석을 이용하였다. 건강 체력에서 체지방률(p<.01)은 유의하게 감소하였으며, 제지방량(p<.05), 근지구력(p<.01), 유연성(p<.01) 및 심폐지구력(p<.001)은 유의하게 증가하였다. 대사증후군 위험인자 중 허리둘레(p<.05), SBP(p<.05), Glucose(p<.05) 및 TG(p<.001)는 유의하게 감소하였으며, HDL-C(p<.001)는 유의하게 증가하였다. 순환운동이 비만중년여성의 건강 체력 및 대사증후군 위험인자의 개선에 도움을 줄 수 있을 것으로 사료된다.

The purpose of this study was to investigate the effects of circulation exercise on health related fitness and metabolic syndrome risk factors obese in middle age women. Twenty, obese middle age women($BMI<25kg/m^2$) composed of circulation exercise group(EX, n=10), the control group(CON, n=10). The variables of health related fitness, metabolic syndrome risk factors were measured in all the subjects before the start and after the end of 12 week circulation exercise program(60~80 %HRR, 3 times per week, 30~40 mins). The test data were analyzed by paired t-test and repeated ANOVA, and the alpha level of p<.05 was set for all tests of significance. Health related fitness and metabolic syndrome risk factors were measured pre and 12 weeks of post exercise training. %body fat(p <.01) was significantly decreased in EX group compared to CON group. LBM(p <.05), muscular endurance(p <.05), flexibility(p <.05) and cardiorespiratory endurance(p <.001) were significantly increased in EX group compared to CON group. WC(p <.05), SBP(p <.01), DBP(p <.05), Glucose(p <.05) and TG(p <.05) were significantly decreased in EX group compared to CON group. HDL-C(p <.01) was significantly increased in EX group compared to CON group. These results suggest that 12 weeks of circulation exercise training improves health related fitness and metabolic syndrome risk factors. Thus, this newly proposed circulation exercise modality can be a useful therapy to improve both health related fitness and metabolic syndrome risk factors in obese middle age women.

키워드

Table 1. Characteristics of subject

SHGSCZ_2018_v19n12_170_t0001.png 이미지

Table 2. circulation exercise program

SHGSCZ_2018_v19n12_170_t0002.png 이미지

Table 3. The changed of Health Related Fitness

SHGSCZ_2018_v19n12_170_t0003.png 이미지

Table 4. The changed of Metabolic Syndrome Risk Factors

SHGSCZ_2018_v19n12_170_t0004.png 이미지

참고문헌

  1. H. K. Chang, B. K. Cha, "Influencing factors of climacteric women's depression", Journal of Korean Academy of Nursing, Vol.33, No.7, pp. 972-980, 2003. DOI: https://doi.org/10.4040/jkan.2003.33.7.972
  2. J. H. Choi, J. H. Yang, J. P. Han, "A comparative analysis of body composition and blood lipid profile during exercise and detraining in exercise type in the middle-aged obese women", The Korean Journal of Physical Education, Vol.45, No.3, pp. 525-536, 2006.
  3. C. H. Ha, S. Ha, W. Y. So, "Effects of a 12-week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women", Journal of Korean Public Health Nursing, Vol.26, No.3, pp. 417-427, 2012. DOI: https://doi.org/10.5932/jkphn.2012.26.3.417
  4. National health insurance service, "National health screening statistical yearbook", Seoul : Deawon press, 2015.
  5. D. I. Kim, "Relationships between walking, body mass index, and risk factors of metabolic syndrome among korean adults: data from the fifth korea national health and nutrition examination survey (2010-2012)", The Korean Journal of Obesity, Vol.24, No.4, pp. 227-229, 2015. DOI: https://doi.org/10.7570/kjo.2015.24.2.108
  6. C, Lorenzo, K. Williams, K. J. Hunt, S. M. Haffner, "The National Cholesterol Education Program - Adult Treatment Panel III, International Diabetes Federation, and World Health Organization definitions of the metabolic syndrome as predictors of incident cardiovascular disease and diabetes", Diabetes Care, Vol. 30, No.1, pp. 8-13, 2007. DOI: https://doi.org/10.2337/dc06-1414
  7. K. J. Bae, I. H. Chang, "Effect of pilates exercise on body shape, physical fitness and trunk muscle activity in menopause, non-menopause middle-aged woman", Journal of Coaching Development, Vol.15, No.4, pp. 135-144, 2013.
  8. S. B. Lee, W. J. Cho, K. H. Lee. "Change of body composition and metabolic syndrome risk factors by yearly physical activity levels in korean middle aged women - Korea National Health and Nutritional Examination Survey(2007, 2010, 2015)", Korean Journal of Sports Science, Vol.26, No.5, pp. 1067-1078, 2017.
  9. T. H. Lim, Y. S. Lee, "Effect of college students' physical activity on stress and happiness : focused on the mediating effect of positive psychological capital", The Korean Journal of Physical Education, Vol.53, No.1, pp. 155-166, 2014. DOI: https://doi.org/10.24159/joec.2015.21.4.211
  10. S. L. Jung, "The effect of circuit training and aerobic exercise on the metabolic syndrome risk factors, the arteriosclerosis index of the middle-aged obesity women", Korean Journal of Sports Science, Vol.18, No.1, pp. 1019-1030, 2009.
  11. H. J. Kim, C. K. Kang, H. Park, M. G. Lee, "Effects of vitamin D supplementation and circuit training on indices of obesity and insulin resistance in T2D and vitamin D deficient elderly women", Journal of Exercise Nutrition and Biochemistry, Vol.18, No.3, pp. 249-257, 2014. DOI: https://doi.org/10.5717/jenb.2014.18.3.249
  12. O. J. Choi, S. Y. Chun, "The effects of 12 weeks circuit training on body composition and coronary artery risk factors in menopausal obese women", Journal of Sport and Leisure Studies, Vol.38, No.2, pp. 961-970, 2009.
  13. Ministry of culture, sports and tourism, "The survey of national physical fitness", Seoul : Wonhwa D&P, 2007.
  14. N. K. Pollock, P. J. Bernard, B. Gutin, C. L. Davis, H. Zhu, Y. Dong, "Adolescent obesity, bone mass, and cardiometabolic risk factors", Journal of Pediatrics, Vol.158, No.5, pp. 727-734, 2011. DOI: https://doi.org/10.1016/j.jpeds.2010.11.052
  15. G. Fisher, G. R. Hunter, B. A. Gower, "Aerobic exercise training conserves insulin sensitivity for 1 yr following weight loss in overweight women", Journal of Applied Physiology, Vol.112, No.4, pp. 688-693, 2012. DOI: https://doi.org/10.1152/japplphysiol.00843.2011
  16. M. Gray, R. Di Brezzo, I. L. Fort, "The effects of power and strength training on bone mineral density in premenopausal women", The Journal of Sports Medicine and Physical Fitness, Vol.53, No.4, pp. 428-436, 2013.
  17. K. M. Kang, H. J. Kim, H. S. Cho, M. G. Lee, "Effects of 8 weeks of smart pone-based circuit training on body composition, physical fitness, and quality of life in male employees", Korean Journal of Sports Science, Vol.26, No.2, pp. 977-989, 2017.
  18. W. S. Jung, M. G. Lee, "Effects of a 12-week circuit training on daily living fitness, isokinetic function, and biochemical property of muscle in sarcopenia elderly women", The Korean Journal of Physical Education, Vol.56, No.5, pp. 679-691, 2017. DOI: https://doi.org/10.23949/kjpe.2017.09.56.5.49
  19. R. H. Gray, P. M. John, M. B. Marcas, "Effects of resistance training on older adults", Sports Medicine, Vol.34, No.5, pp. 329-348, 2004. https://doi.org/10.2165/00007256-200434050-00005
  20. J. E. B. Myers, L. Berliner, J. Briere, C. T. Hendrix, C. Jenny, T. A. Reid, "APSAC handbook on child maltreatment, 2nd ED", Thousand Oaks, Ca: Sage Publications, 2002.
  21. P. Skinner, L. Kopecky, S. Seburg, T. Roth, J. Eich, N. M. Lewis, "Development of a medical nutrition therapy protocol for female collegiate athletes", Journal of the American Dietetic Association, Vol.101, No.8, pp. 914-917, 2001. DOI: https://doi.org/10.1016/s0002-8223(01)00225-5
  22. H. J. Jung, J. H. Cha, C. H. Kwon, "Comparison of daily behavior and health-related fitness in middle-aged women by BMI", The Korean Journal of Growth and Development, Vol.17, No.2, pp. 81-87, 2009.
  23. K. Y. Lee, "The effect of circuit training and aerobic exercise on body composition, physical fitness, and Metabolic Syndrome factors of middle-aged obese women", Korean Journal of Sports Science, Vol.26, No.6, pp. 1221-1230, 2017.
  24. K. Y. Yun, Y. J. Kim, "The effect of circuit weight training on body composition and physical fitness of middle-aged women for 12 week", Journal of Digital Convergence, Vol.14, No.6, pp 363-370, 2016. DOI: :https:///doi.org/10.14400/jdc.2016.14.6.363
  25. J. H. Ahn, "The effect of 12 weeks rhythmic rope-jumping exercise on blood lipid of middle-aged women", Korean Journal of Sports Science, Vol.14, No.2, pp. 591-597, 2005.
  26. ACSM, "ACSM's guidelines for exercise testing and prescription", Lippincott Williams & Wilkins, 2006.
  27. W. S. Jung, M. G. Lee, "Effects of 12 weeks of circuit training on body composition and surrogate indices of major lifestyle disease in sarcopenia elderly women", Korean Journal of Sports Science, Vol.26, No.6, pp. 1113-1124, 2017.
  28. ACSM, "ACSM's resource manual for guidelines for exercise testing and prescription", Mc Baltimore: Williams & Wilkins, 2010.
  29. O. Ozcelik, H. Dogan, H. Kelestimur, "Effects of eight weeks of exercise training and oralist therapy on body composition and maximal exercise capacity in obese females", Public Health, Vol.120, No.1, pp. 76-82, 2006. DOI: https://doi.org/10.1016/j.puhe.2005.05.010
  30. Y. J. Kim, J. H. Kim, S. M. Ha, J. S. Kim, J. W. Kim, B. K. Yoon, D. Y. Kim, "Effects of circulation exercise on health-related physical fitness, blood pressure and blood vessel elasticity of obese women in the 50s", Journal of Oil & Applied, Vol.34, No.4, pp. 756-768, 2017.
  31. J. B. Meigs, "Invited commentary: insulin resistance syndrome? Syndrome X? Multiple metabolic syndrome? A syndrome at all? Factor analysis reveals patterns in the fabric of correlated metabolic risk factors", American Journal of Epidemiology, Vol.152, No.10, pp. 908-911, 2000. DOI: https://doi.org/10.1093/aje/152.10.908
  32. K. H. Kim, K. S. Park, H. J. Lee, "The effect of aqua and Land aerobic exercise on atherosclerosis indices and CRP of women with metabolic syndrome", Korean Journal of Sports Science, Vol.49, No.2, pp. 445-454, 2010.
  33. ACSM, "ACSM's guidelines for exercise testing and prescription (7th)", Philadelphia: Lippin-cott Williams & Wilkins, 2005.
  34. D. E. Laaksonen, H. M. Lakka, L. K. Niskanen, G. A. Kaplan, J. T. Salonen, T. A. Lakka, "Metabolic syndrome and development of diabetes mellitus: application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study", American Journal of Epidemiology, Vol.156, No.11, pp. 1070-1077, 2002. DOI: https://doi.org/10.1093/aje/kwf145
  35. I. Janssen, P. T. Katzmarzyk, R. Ross, "Waist circumference and not body mass index explains obesity-related health risk", The American Journal of Clinical Nutrition, Vol.79, No.3, 379-384, 2004. DOI: https://doi.org/10.1093/ajcn/79.3.379
  36. O. H. Oh, J. H. Kwon, H. S. Lee, "Effects of combined circuit training on body composition, blood lipid and physical fitness in young-and older-old adults", Korean Journal of Sports Science, Vol.25, No.1, pp. 1279-1291, 2016.
  37. J. H. Lee, "Effects of aerobic exercise on arterial pulse wave velocity and vessel pressure in patients with anti-hypertensives agents", Ph.d. Dissertation, Hanyang University, Seoul, Korea, 2005.
  38. J. W. Nahm, T. K, Kim, M. J. Kim, Y. A. Kim, J. H. Kim, J. H. Lee, "Effects of Degree of Personal Training and Monitoring during IT-based Circuit Training on Health Indices in Male Employees", The Korean Journal of Physical Education, Vol.55, No.3, pp. 565-576, 2016.
  39. Y. D. Ahn, S. Y. Park, "The effect of circuit Exercise on Physical Fitness, Metabolic Syndrome Factor and Changes in Growth hormone and Insulin-like growth factor-1 in Obese Middle-aged Women", The Korean Journal of Physical Education, Vol. 22, No.4, pp. 1197-1208, 2013.
  40. P. F. Kokkinos, P. Narayan, V. Papademetriou, "Exercise as hypertension therapy", Cardiology Clinics, Vol.19, No.3, pp. 507-516, 2001. https://doi.org/10.1016/S0733-8651(05)70232-0
  41. S. M Lee, M. J. Kim, "The effect of aerobic exercise on hypertension and DM patient", Korea Sports Research, Vol.16, No.4, pp. 411-420, 2005.
  42. S. H. Kim, "The effects of 12 weeks of circuit exercise on obesity, physical fitness and metabolic syndrome index in elderly obese women", Journal of the Korean Gerontological Society, Vol.29, No.3, pp. 823-835, 2009.
  43. L. Sylow, M. Kleinert, E. A. Richter, T. E. Jensen, "Exercises stimulated glucose uptake-regulation and implications for glycaemic control", Nature Reviews Endocrinology, Vol.13, No.3, pp. 133-148, 2017. DOI: https://doi.org/10.1038/nrendo.2016.162
  44. S. J. Montain, M. N. Sawka, C. B. Wenger, "Hyponatremia associated with exercise: risk factors and pathogenesis", Exercise and Sport Sciences Reviews, Vol.29, No.3, pp. 113-117, 2001. DOI: https://doi.org/10.1097/00003677-200107000-00005
  45. Y. H. Son, A. Y. Jeon, J. S. Roh, Y. H. Seo, "Impact on basic strength and blood composition of the elderly in the circuit training program", "Korean Journal of Sports Science", Vol.25, No.5, pp. 1041-1049, 2016.
  46. S. Tucci, U. Flogel, U. Spiekerkoetter, "Sexual dimorphism of lipid metabolism in very long-chain acyl-CoA dehydrogenase deficient (VLCAD-/-) mice in response to medium-chain triglycerides (MCT)", Biochimica et Biophysica Acta, Vol.1852, No.7, pp. 1442-1450, 2015. DOI: https://doi.org/10.1016/j.bbadis.2015.04.009
  47. I. M. Singh, M. H. Shishehbor, B. J. Ansell, "High-density lipoprotein as a therapeutic target: a systematic review", The Journal of the American Medical Association, Vol.298, No.7, pp. 786-798, 2007. https://doi.org/10.1001/jama.298.7.786
  48. E. C. Eem, H. S. Cho, M. G. Lee, "Effects of 8 weeks of circuit training on blood lipids, insulin resistance, cardiovascular function, and metabolic syndrome risk factors in bus drivers", Korean Journal of Sport Science, Vol.28, No.1, 11-25, 2017. DOI: https://doi.org/10.24985/kjss.2017.28.1.11
  49. J. Y. Lee, "Effects of swimming exercise on blood components, leptin and hypothalamic-pituitary-adrenal axis hormone changes in obese women", Ph. d. Dissertation, Won Kwang University. Iksan, Korea, 2002.