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지역 거주 노인의 활동 체력과 신체 활동수준의 관련성

Effects of physical activity level on functional fitness in community-residing older adults

김현수|김용안|신소희
한국융합학회 (Korea Convergence Society)|2022.04|한국융합학회논문지 (Journal of the Korea Convergence Society)|제13권 제4호|pp. 625-634|DOI https://doi.org/10.15207/JKCS.2022.13.04.625

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참고문헌

키워드

노인노화The elderly낙상FallAgingFunctional fitness신체 활동수준활동 체력Physical activity level
주제분류학제간연구

초록

이 연구의 목적은 지역에 거주하는 65세 이상 노인의 신체 활동(physical activity; PA) 수준과 활동 체력(functional fitness; FF) 변인 사이의 관계를 조사하는 것이었다. 피검자(남성:1,645명; 여성:2,394명)의 PA 수준은 설문지를 이용하여 조사하였고, FF는 상·하지 근력, 민첩성 및 동적 평형성, 유연성, 유산소성 능력, 협응력, 그리고 신체구성 등 체력 영역을 대표하는 6항목으로 측정, 평가하였다. 피검자는 신체 활동 권장기준에 따라 권장량보다 낮은 그룹 (low physical activity; LPA)과 권장량 기준을 충족하는 그룹(PA)으로 나누었고, PA 그룹은 다시 강도 수준에 따라 중강도 그룹(MIPA)과 고강도 그룹(HIPA)으로 분류하였다. 권장량 수준을 충족하는 피검자는 48%였고, 이들은 모든 항목에서 LPA보다 성적이 높았다(p<.001). HIPA 그룹은 MIPA 그룹보다 민첩성 및 동적 평형성, 협응력, 그리고 하지 근력(여성)이 유의하게 높았다(p<.001). 결론적으로 지역에 거주하고 있는 노인이 활동 체력을 유지하고 개선하기 위해서는 건강을 위해 권장하고 있는 신체 활동량을 충족시켜야 하며, 특히 낙상 관련 체력을 개선하기 위해서는 강도가 높은 신체 활동을 할 필요가 있다.

Abstract

The objective of this study was to examine the relationship between physical activity (PA) level and functional fitness (FF) parameters in community-dwelling older adults aged 65 or above in Korea. Subjects’ (M: 1,645; F: 2,394) PA level were assessed using a questionnaire. The subjects were divided into two groups: one below the recommended level of PA(LPA) and one above the recommended level (PA). PA was further classified by intensity level into medium- and high-intensity PA (MIPA and HIPA respectively) groups. FF was assessed based on six test items representing the following fitness areas: lower and upper body strength, agility and dynamic balance, flexibility, aerobic capacity, coordination, and body composition. Of the subjects, 36% met the recommended level of PA. Both MIPA and HIPA were superior to LPA in all FF items(p<.05). The HIPA group was significantly better in terms of agility and dynamic balance, coordination, and lower body strength (only in women) than was the MIPA group(p<.05). In conclusion, PA above the recommended level is needed to maintain functional fitness. In addition, HIPA seems to promote fall-related functional fitness and should be encouraged when safe and feasible.

참고문헌 (43)

  1. 2020 Elderly statistics, "Statistics Korea", ~ (2020)
  2. T. Prohaska, "Physical activity, public health, and aging : critical issues and research priorities", J Gerontol B Psychol Sci Soc Sci, 61(5), pp.S267~S273 (2006)
  3. G. Wang, "Physical activity, cardiovascular disease, and medical expenditures in U. S. adults", Ann Behav Med, 28(2), pp.88~94 (2004)
  4. M. J. Daley, "Exercise, mobility and aging", Sports Med, 29(1), pp.1~12 (2000)
  5. R. Ewing, "Relationship between urban sprawl and physical activity, obesity, and morbidity", Am J Health Promot, 18(1), pp.47~57 (2003)
  6. World Health Organization, "ACTIVE : a technical package for increasing physical activity" (2018), WHO
  7. Guijing Wang, "Physical activity, cardiovascular disease, and medical expenditures in U.S. adults", Annals of Behavioral Medicine, 28(2), pp.88~94 (2004), Oxford University Press (OUP)[DOI]
  8. American College of Sports Medicine, "ACSM's guidelines for exercise testing and prescription" (2018), Williams anc Wikins
  9. 김형준, "노인 여성의 유산소 운동강도별 트레이닝이 신체구성, 건강관련체력 및 삶의 질에 미치는 영향", 체육과학연구, 31(1), pp.35~47 (2020), 국민체육진흥공단 한국스포츠정책과학원[DOI]
  10. 2012 National Sport Participation Survey in Korea, "Ministry of Culture, Sports and Tourim", ~ (2012)
  11. Roberta E. Rikli, "Development and Validation of a Functional Fitness Test for Community-Residing Older Adults", Journal of Aging and Physical Activity, 7(2), pp.129~161 (1999), Human Kinetics[DOI]
  12. R.J. Shephard, "Objectively measured physical capability levels and mortality: systematic review and meta-analysis", Yearbook of Sports Medicine, 2011, pp.387~389 (2011), Elsevier BV[DOI]
  13. J. M. Guralnik, "A Short Physical Performance Battery Assessing Lower Extremity Function: Association With Self-Reported Disability and Prediction of Mortality and Nursing Home Admission", Journal of Gerontology, 49(2), pp.M85~M94 (1994), Oxford University Press (OUP)[DOI]
  14. 김현수, "지역 고령자의 삶의 질과 신체기능과의 관계", 운동과학, 16(1), pp.57~64 (2007), 한국운동생리학회[DOI]
  15. 김현수, "여성노인의 활동체력과 건강관련 삶의 질의 경로분석 모형", 한국사회체육학회지, (39), pp.475~481 (2010), 한국사회체육학회
  16. Agnieszka Nawrocka, "Functional Fitness and Quality of Life among Women over 60 Years of Age Depending on Their Level of Objectively Measured Physical Activity", International Journal of Environmental Research and Public Health, 16(6), pp.972~ (2019), MDPI AG[DOI]
  17. J. S. Brach, "Gait Variability and the Risk of Incident Mobility Disability in Community-Dwelling Older Adults", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 62(9), pp.983~988 (2007), Oxford University Press (OUP)[DOI]
  18. Darren K. McGuire, "A 30-Year Follow-Up of the Dallas Bed Rest and Training Study", Circulation, 104(12), pp.1358~1366 (2001), Ovid Technologies (Wolters Kluwer Health)[DOI]
  19. Diana A. Santos, "Sedentary behavior and physical activity are independently related to functional fitness in older adults", Experimental Gerontology, 47(12), pp.908~912 (2012), Elsevier BV[DOI]
  20. P. A. Brill, "Functional fitness in older adults" (2004), Human Kinetics
  21. Jennifer S. Brach, "Physical Activity and Functional Status in Community-Dwelling Older Women", Archives of Internal Medicine, 163(21), pp.2565~ (2003), American Medical Association (AMA)[DOI]
  22. Élvio R. Gouveia, "Functional Fitness and Physical Activity of Portuguese Community-Residing Older Adults", Journal of Aging and Physical Activity, 21(1), pp.1~19 (2013), Human Kinetics[DOI]
  23. W.H. Frishman, "Accelerated Longitudinal Decline of Aerobic Capacity in Healthy Older Adults", Yearbook of Medicine, 2006, pp.374~376 (2006), Elsevier BV[DOI]
  24. Hulya Donat Tuna, "Effect of age and physical activity level on functional fitness in older adults", European Review of Aging and Physical Activity, 6(2) (2009), Springer Science and Business Media LLC[DOI]
  25. R.J. Shephard, "Physical activity of Canadian adults: Accelerometer results from the 2007 to 2009 Canadian Health Measures Survey", Yearbook of Sports Medicine, 2011, pp.111~113 (2011), Elsevier BV[DOI]
  26. T J Harris, "What factors are associated with physical activity in older people, assessed objectively by accelerometry?", British Journal of Sports Medicine, 43(6), pp.442~450 (2008), BMJ[DOI]
  27. 강선희, "고강도 웨이트 트레이닝이 노인여성의 신체조성과 체력기능수행에 미치는 영향", 한국산학기술학회논문지, 12(2), pp.805~812 (2011), 한국산학기술학회
  28. Naoto Kamide, "Reference values for the Timed Up and Go test in healthy Japanese elderly people: Determination using the methodology of meta-analysis", Geriatrics &amp; Gerontology International, 11(4), pp.445~451 (2011), Wiley[DOI]
  29. Julienne Large, "Using the Timed Up and Go Test to stratify elderly inpatients at risk of falls", Clinical Rehabilitation, 20(5), pp.421~428 (2006), SAGE Publications[DOI]
  30. Morten T Kristensen, "Timed “Up &amp; Go” Test as a Predictor of Falls Within 6 Months After Hip Fracture Surgery", Physical Therapy, 87(1), pp.24~30 (2007), Oxford University Press (OUP)[DOI]
  31. Catherine M Arnold, "The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis", BMC Geriatrics, 7(1) (2007), Springer Science and Business Media LLC[DOI]
  32. H. A. Bischoff, "Identifying a cut-offpoint for normal mobility: a comparison of the timed 'up and go' test in community-dwelling and institutionalised elderly women", Age and Ageing, 32(3), pp.315~320 (2003), Oxford University Press (OUP)[DOI]
  33. Rebecca J. Hess, "Walking Skill Can Be Assessed in Older Adults: Validity of the Figure-of-8 Walk Test", Physical Therapy, 90(1), pp.89~99 (2010), Oxford University Press (OUP)[DOI]
  34. Jennifer S Brach, "Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed", Journal of NeuroEngineering and Rehabilitation, 2(1) (2005), Springer Science and Business Media LLC[DOI]
  35. N. B. Alexander, "Rising From a Chair: Effects of Age and Functional Ability on Performance Biomechanics", Journal of Gerontology, 46(3), pp.M91~M98 (1991), Oxford University Press (OUP)[DOI]
  36. N. K. Fukagawa, "Strength Is a Major Factor in Balance, Gait, and the Occurrence of Falls", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 50A(Special), pp.64~67 (1995), Oxford University Press (OUP)[DOI]
  37. Stephen R. Lord, "Physiological Factors Associated with Injurious Falls in Older People Living in the Community", Gerontology, 38(6), pp.338~346 (1992), S. Karger AG[DOI]
  38. Ben F. Hurley, "Strength Training in the Elderly", Sports Medicine, 30(4), pp.249~268 (2000), Springer Science and Business Media LLC[DOI]
  39. Zoran Milanovic, "Age-related decrease in physical activity and functional fitness among elderly men and women", Clinical Interventions in Aging, pp.549~ (2013), Informa UK Limited[DOI]
  40. Satoru Kodama, "Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women", JAMA, 301(19), pp.2024~ (2009), American Medical Association (AMA)[DOI]
  41. M. Visser, "Muscle Mass, Muscle Strength, and Muscle Fat Infiltration as Predictors of Incident Mobility Limitations in Well-Functioning Older Persons", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(3), pp.324~333 (2005), Oxford University Press (OUP)[DOI]
  42. 성순창, "남녀 노인의 6분 걷기 검사와 강도별 신체활동량 수준과의 관련성", 한국체육과학회지, 26(5), pp.911~919 (2017), 한국체육과학회[DOI]
  43. LAURA E. VOORRIPS, "The physical condition of elderly women differing in habitual physical activity", Medicine &amp; Science in Sports &amp; Exercise, 25(10), pp.1152???1157~ (1993), Ovid Technologies (Wolters Kluwer Health)[DOI]

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