근감소증 여성노인의 복합운동이 근육지수와 균형척도에 미치는 영향
Effects of Combined Exercise on the Skeletal Muscle Mass Index and Balance Scale of Elderly Women with Sarcopenia
2
조회
0
다운로드
19
인용
0
참고문헌
키워드
초록
[PURPOSE] This study set out to apply combined exercise to elderly women with sarcopenia and investigate its effects on their skeletal muscle mass index (SMI)-related factors through appendicular skeletal muscle mass (ASM) and balance scale-related factors. [METHODS] The subjects include 22 elderly women (79.13±5.88 years old) with sarcopenia whose SMI was 25.1% or lower based on ASM according to the dual-energy X-ray absorptiometry (DEXA) results. The exercise group (10) carried out combined exercise, which consisted of aerobic exercise and resistance exercise for 30~50 minutes a day three times per week for 12 weeks. The control group (12) maintained the lifestyle before the experiment without special treatments. The investigator measured and analyzed the factors related to SMI and balance scale before and after the experiment and treated collected data through repeated measures of two-way ANOVA with the statistical significance level set at α=.05. [RESULTS] There were significant interactive effects between the time of measurement and groups in body fat percentage (p=.019), total muscle mass (p<.001), upper limb muscle mass (p=.005), lower limb muscle mass (p<.001), ASM (p<.001), and SMI (p<.001). While there were significant differences between the times of measurement in total length (p=.004), sway velocity (p=.004), and stability score (p=.030), no significant interactive effects were observed between the time and groups. [CONCLUSIONS] The 12-week combined exercise seems to have positive influences on the SMI-related factors for elderly women with sarcopenia to prevent falls or fractures. For future research, it is required to develop a variety of exercise methods for the elderly with sarcopenia whose ASM decline is prominent.
Abstract
[PURPOSE] This study set out to apply combined exercise to elderly women with sarcopenia and investigate its effects on their skeletal muscle mass index (SMI)-related factors through appendicular skeletal muscle mass (ASM) and balance scale-related factors. [METHODS] The subjects include 22 elderly women (79.13±5.88 years old) with sarcopenia whose SMI was 25.1% or lower based on ASM according to the dual-energy X-ray absorptiometry (DEXA) results. The exercise group (10) carried out combined exercise, which consisted of aerobic exercise and resistance exercise for 30~50 minutes a day three times per week for 12 weeks. The control group (12) maintained the lifestyle before the experiment without special treatments. The investigator measured and analyzed the factors related to SMI and balance scale before and after the experiment and treated collected data through repeated measures of two-way ANOVA with the statistical significance level set at α=.05. [RESULTS] There were significant interactive effects between the time of measurement and groups in body fat percentage (p=.019), total muscle mass (p<.001), upper limb muscle mass (p=.005), lower limb muscle mass (p<.001), ASM (p<.001), and SMI (p<.001). While there were significant differences between the times of measurement in total length (p=.004), sway velocity (p=.004), and stability score (p=.030), no significant interactive effects were observed between the time and groups. [CONCLUSIONS] The 12-week combined exercise seems to have positive influences on the SMI-related factors for elderly women with sarcopenia to prevent falls or fractures. For future research, it is required to develop a variety of exercise methods for the elderly with sarcopenia whose ASM decline is prominent.
참고문헌 (33)
- Berg, K., "The balance scale: Reliability assessment with elderly residents and patients with and acute stroke", Scandinavian Journal of Rehabilitation Medicine, 27, pp.27~36 (1995)
- Choi, J. H., "The Effects of Tai Chi Exercise on Physiologic, Psychological Functions, and Falls among Fall-Prone Elderly", The Journal of Muscle and Joint Health, 10(1), pp.62~76 (2003)
- Crilly, R. G., "Effect of exercise on postural sway in the elderly", Gerontology, 35, pp.1318~1332 (1989)
- Dreyer, H. C., "Role of protein and amino acids in the pathophysiology and treatment of sarcopenia", The Journal of the American College of Nutrition, 24(2), pp.140S~145S (2005)
- Faul, F., "G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behavior Research Methods, 39, pp.175~191 (2007)
- 구미옥, "노인 낙상예방 맞춤운동의 개발 및 효과", Journal of Korean Academy of Nursing, 36(2), pp.341~352 (2006), 한국간호과학회
- 홍지영, "12주 유산소·저항·복합 운동이 비만 여성 노인의 생리·심리 요인에 미치는 영향 : 근감소증과 낙상효능감을 중심으로", 박사, 체육학과 체육학전공, pp.2012
- 홍지영, "12주 유･무산소성 복합운동이 비만 여성 노인의 체력 및 신체조성, 근육지수, 혈중지질에 미치는 영향", 대한비만학회지, 22(1), pp.30~38 (2013), 대한비만학회
- 홍상모, "Sarcopenia의 최신지견: 근감소증", 대한내과학회지, 83(4), pp.444~454 (2012), 대한내과학회[DOI]
- 장학철, "근감소증과 근감소성 비만", 노인병, 15(1), pp.1~7 (2011), 대한노인병학회
- Jang, J. H., "Effects of combined exercise on fall-related physical fitness and Rheumatoid Arthritis inflammatory factors in older women with sarcopenic obesity", doctor, pp.2011
- Janssen, I., "Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability", Journal of the American Geriatrics Society, 50, pp.889~896 (2002)
- 김정희, "노인 인구에서 근감소증과 심혈관계 대사질환 위험인자와의 연관성 조사", Annals of geriatric medicine and research, 14(3), pp.121~130 (2010), 대한노인병학회
- Kim, J., "Total-body skeletal muscle mass: estimation by a new dual-energy X-ray absorptiometry method", The American journal of clinical nutrition, 76, pp.378~383 (2002)
- 권명순, "낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과", Journal of Korean Academy of Nursing, 41(2), pp.165~174 (2011), 한국간호과학회
- Kwon, Y. C., "The effects of multi-component exercise training on VO2max, muscle mass, whole bone mineral density and fall risk in community-dwelling elderly women", Japanese Journal of Physical Fitness and Sports Medicine, 57, pp.339~348 (2008)
- Lee, S., "Sarcopenic obesity is more closely associated with knee osteoarthritis than is nonsarcopenic obesity: A cross‐sectional study", Arthritis & Rheumatism, 64, pp.3947~3954 (2012)
- Legters, K., "Fear of falling, balance confidence and health-related quality of life in individuals with postpolio syndrome", Physiotherapy Theory and Practice, 22(3), pp.127~135 (2006)
- Lim, S., "Sarcopenic Obesity:Prevalence and Association With Metabolic Syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA)", Diabetes Care, 33(7), pp.1652~1654 (2010)
- Lord, S. R., "The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: a randomized, controlled trial", Journal of the American Geriatrics Society, 51(12), pp.1685~1692 (2003)
- Marom-Klibansky, R., "Physical activity for the elderly", Harefuah, 141(7), pp.646~665 (2002)
- McCarthy, J. P., "Compatibility of adaptive responses with combining strenghth and endurance training", Medicine and Science in Sports and Exercise, 27(3), pp.429~436 (1995)
- Nair, K. S., "Aging muscle", The American Journal of Clinical Nutrition, 81, pp.953~963 (2005)
- Nitz, J. C., "The efficacy of aspecific balance-strategy training program for preventing falls among older people: a pilot randomised controlled trial", Age and Aging, 33, pp.52~58 (2004)
- 박은영, "복합운동프로그램이 노인의 낙상관련 체력에 미치는 효과", 운동과학, 14(2), pp.181~192 (2005), 한국운동생리학회
- 박상갑, "복합운동이 근육감소증 고령여성의 자립생활체력, IL-6, TNF-α와 경동맥 혈관에 미치는 영향", 한국사회체육학회지, (45), pp.771~781 (2011), 한국사회체육학회
- Schilke, J. M., "Slowing the aging process with physical activity", Journal of Gerontological Nursing, 17(6), pp.4~8 (1991)
- Shahin, D., "Insulin resistance in early untreated rheumatoid arthritis patients", Clinical Biochemistry, 43(7-8), pp.661~656 (2010)
- Solomon, A. M., "Modifying muscle mass-the endocrine perspective", Journal of Endocrinology, 191, pp.349~360 (2006)
- Taaffe, D. R., "Sarcopenia: Exercise as a treatment strategy", Australian Family physician, 35(3), pp.130~133 (2006)
- Vandervoort, A. A., "Aging of the human neuromuscular system", Muscle & Nerve, 25, pp.17~25 (2002)
- Vivian H. H., "Advanced Fitness Assessment and Exercise Prescription" (2010), Human Kinetics Pub
- Zamboni, M., "Sarcopenic obesity: a new category of obesity in the elderly", Nutrition, Metabolism and Cardiovascular Diseases, 18, pp.388~395 (2008)