태권도수련이 복부비만 노인여성의 복부지방과 신기능 및 염증인자에 미치는 영향
Effect of Taekwondo Training on Abdominal Fat, Kidney Function and Inflammatory Factors in Abdominal Obese elderly Women
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초록
본 연구의 목적은 신기능이 저하되어 있는 70 세 이상의 복부비만여성을 대상으로 12주간의 태권도 프로그램을 실시하여 복부지방과 신기능 및 염증물질인 CRP, IL-6의 변화를 알아보는데 있다. 대상자는 피하지방과 내장지방의 비율이 0.4 이상이며 사구체여과율이 60 mL/min/1.73m2 이하인 노인여성 20명을 대상으로 태권도 수련군 10명, 대조군 10명으로 무선배치 하였다. 태권도 수련 프로그램은 주 4회, 12주간 실시한 결과 다음과 같은 결과가 나타났다. 태권도 수련군에서 체중(p<.05), BMI(p<.05), 체지방량(p<.01), 체지방률(p<.01), 수축기(p<.01)와 이완기(p<.05) 혈압이 유의하게 감소하였으며 최대산소섭취량(p<.05)과 체중당 최대산소섭취량(p<.01)이 유의하게 증가된 것으로 나타났다. 또한 복부지방(p<.01)이 유의하게 감소하였으며 혈당(p<.01), 인슐린(p<.05), 인슐린저항성(p<.01), 시스타틴 C(p<.01)와 CRP(p<.01)가 태권도 수련군에서 유의하게 감소된 것으로 나타났으며 대조군에서는 혈당(p<.05), 시스타틴 C(p<.05), CRP(p<.05)가 유의하게 증가하였고 사구체여과율(p<.05)이 유의하게 감소한 것으로 나타났다. 그러므로 복부비만 노인여성들에게 있어 태권도 수련 프로그램의 실시는 복부지방의 개선과 인슐린 저항성의 감소가 신기능 요소 개선에 긍정적인 영향을 가져오는 것으로 생각되며 이러한 결과는 신장질환과 염증인자로 야기될 수 있는 사망률 감소와 노인들의 의료비 감소와 삶의 질 향상에 도움을 줄 수 있을 것이라 사료된다.
Abstract
The purpose of this study was to examine the effect of taekwondo training after 12 weeks on abdominal fat, kidney function and inflammatory factors, CRP and IL-6, in abominal obese elderly women. We recruited subjects that the ratio of visceral fat and subcutaneous fat is more than 0.4 and GRF is less than 60 ml/min/1.73m2 in elderly women. Total 20 participants were randomly divided into a taekwondo training group(n=10), control group(n=10). The abdominal obese elderly women did the taekwondo training four times a week during 12 weeks. Body weight(p<.05), BMI(p<.05), body fat(p<.01), %fat(p<.01), SBP(p<.01) and DBP(p<.05) were significantly decreased and VO2max(p<.05) or VO2max per weight(p<.01) were significantly increased in the taekwondo training group. In regard to abdominal fat, all the factors(p<.0`) for significantly decrease in taekwondo training group. Glucose(p<.01), insulin(p<.05), HOMA-IR(p<.01), cystatin C(p<.01) and CRP(p<.01) were significantly reduced in the taekwondo training group and glucose(p<.05), cystatin C(p<.05) and CRP(p<.05) significantly increased and GRF(p<.05) was significantly decreased in the control group. Therefore, Taekwondo training positive effected on kidney function factors by decreasing abdominal fat and insulin resistance in abdominal obese elderly women. This study results indicated that regular taekwondo training may reduce and percent the death rate caused by kidney disease and inflammatory factors in elderly women and may improve their quality of life.
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