태권도 운동이 대사증후군 고령여성의 신기능 및 체력에 미치는 영향
Effects of Taekwondo Exercise on Kidney Function and Physical Fitness in Older Women with Metabolic Syndrome
1
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
본 연구의 목적은 대사증후군 노인여성을 대상으로 12주간의 태권도 운동의 실시가 대사증후군 위험인자, 신기능, 체력의 변화를 연구하는데 있다. 대상자는 대사증후군 노인여성 16명을 대상으로 태권도 운동군 8명, 대조군 8명으로 무선배치 하였다. 태권도 운동 프로그램의 평균 운동 강도는 1~4주는 HRR의 40~60%, 5~12주는 HRR의 50~70%로 1회 60분, 주 3회, 12주간 실시하였으며 다음과 같은 결과를 나타내었다. TMM, 인슐린, HOMA-IR, 시스타틴 C, 사구체 여과율, 체중당 최대산소섭취량, 팔굽혀펴기, 좌전굴, 눈감고 외발서기 및 대사증후군 위험인자인 혈압과 혈당이 그룹과 시기간의 상호작용에서 유의한 차이가 나타났다. 그리고 시스타틴 C와 대사증후군 위험인자와의 상관관계에서 혈압, 혈당과 유의한 정적 상관관계가 있는 것으로 나타났다. 따라서 규칙적인 태권도 운동은 대사증후군 노인여성의 비만의 개선과 근육량의 증가를 가져오며 이에 따른 체력의 향상이 나타났다. 또한 대사증후군 위험인자와 신기능의 개선에 효과적인 것으로 나타나 태권도 운동이 노인들의 만성질환 예방과 의료비 감소에 도움을 줄 수 있을 것이라 사료된다.
Abstract
The purpose of this study was to investigate the effects of taekwondo on body composition, kidney function risk factors, physical fitness and metabolic syndrome risk factors in older women with metabolic syndrome. Subjects were consisted of metabolic syndrome symptom over 65years old women and the taekwondo exercise program in conducted 60 minutes, 3 times a week for 12 weeks. There were significant decrease in %body fat, insulin, HOMA-IR, cystain C, SBP, DBP and fasting glucose. There were significant increase in TMM, GFR, O2max(㎖/㎏/min), Push-up, Sit-and-reach, Closed-eyes one leg standing in taekwondo exercise group. Also, there were the positive correlation of SBP, DBP, glucose with cystatin C, respectively. This study demonstrates that taekwondo exercise significantly results in modest improvements of metabolic syndrome risk factors, kidney function, physical fitness in older women with metabolic syndrome.
참고문헌 (35)
- 김선영, "한국 성인에서 혈청 Cystatin C와 대사증후군 및 구성인자의 연관성", Diabetes and Metabolism Journal, 32(5), pp.409~417 (2008), 대한당뇨병학회
- 박상갑, "복합운동트레이닝이 50대 대사증후군 남성의 신체조성과 경동맥 및 상완동맥의 내경에 미치는 영향", 한국사회체육학회지, (34), pp.1017~1028 (2008), 한국���회체육학회
- 2008 국민건강통계: 국민건강영양조사 제4기 2차년도, "보건복지가족부", ~ (2008)
- 윤은주, "성별에 따른 노인의 대사증후군과 건강행태", 석사, 임상간호학과, pp.2010
- 질병관리본부 만성병조사팀, "2005 건강행태 및 만성질환 통계 자료집" (2005), 질병관리본부
- A.C.S.M, "Guidelines for exercise testing and prescription", pp.55~92 (2006), Baltimore. Williams ＆ Wilkins
- A.C.S.M, "Guidelines for exercise testing and prescription", pp.250~252 (2010)
- Alberti, K. G., "The metabolic syndrome--a new worldwide definition", Lancet, 366, pp.1059~1062 (2005)
- Anderssen, S. A., "Combined diet and exercise intervention reverses the metabolic syndrome in middle-aged males: results from the Oslo Diet and Exercise Study", Scand J Med Sci Sports, 17(6), pp.687~695 (2007)
- Cepeda, J., "Cystatin C and cardiovascular risk in the general population", Rev Esp Cardiol, 63(4), pp.415~422 (2010)
- Chan, S. P., "Kinematic and electromyographic analysis of the push movement in tai chi", Br J Sports Med, 37(4), pp.339~344 (2003)
- Chien, K. L., "Renal function and metabolic syndrome components on cardiovascular and all-cause mortality", Atherosclerosis, 197(2), pp.860~867 (2008)
- Church, T., "Exercise in obesity, metabolic syndrome, and diabetes", Prog Cardiovasc Dis, 53(6), pp.412~418 (2011)
- Clyne, N., "The importance of exercise training in predialysis patients with chronic kidney disease", Clin Nephrol, 61, pp.10~13 (2004)
- Donahue, R. P., "Elevated cystatin C concentration and progression to pre-diabetes: the Western New York study", Diabetes Care, 30(7), pp.1724~1729 (2007)
- Johnson, J. L., "Exercise training amount and intensity effects on metabolic syndrome (from Studies of a Targeted Risk Reduction Intervention through Defined Exercise)", Am J Cardiol, 100(12), pp.1759~1766 (2007)
- Korolenko, T. A., "Cystatin C: a biological role and impaired secretion in viral hepatitis c and hepatic cirrhosis", Klin Lab Diagn, (12), pp.18~20 (2007)
- LaMonte, M. J., "Cardiorespiratory fitness is inversely associated with the incidence of metabolic syndrome: a prospective study of men and women", Circulation, 112(4), pp.505~512 (2005)
- Larsson, A., "Serum cystatin C is associated with other cardiovascular risk markers and cardiovascular disease in elderly men", Int J Cardiol, 125(2), pp.263~264 (2008)
- Laterza, O. F., "Cystatin C: an improved estimator of glomerulat filtration rate", Clin Chem, 48, pp.699~707 (2002)
- Leehey, D. J., "Aerobic exercise in obese diabetic patients with chronic kidney disease: a randomized and controlled pilot study", Cardiovasc Diabetol, 8, pp.62~ (2009)
- Li, F., "Tai Chi and fall reductions in older adults: a randomized controlled trial", J Gerontol A Biol Sci Med Sci, 60(2), pp.187~194 (2005)
- 노한내, "한국 소아 청소년에서 비만 및 대사 이상의 유병률", Pediatric Gastroenterology, Hepatology & Nutrition, 12(2), pp.207~214 (2009), 대한소아소화기영양학회
- Odden, M. C., "Cystatin C and measures of physical function in elderly adults: the Health, Aging, and Body Composition (HABC) Study", Am J Epidemiol, 164(12), pp.1180~1189 (2006)
- Parikh, N. I., "Clinical correlates and heritability of cystatin C (from the Framingham Offspring Study)", 102(9), pp.1194~1198 (2008)
- Pedrosa, C., "Obesity and metabolic syndrome in 7-9 years-old Portuguese schoolchildren", Diabetol Metab Syndr, 2(1), pp.1~7 (2010)
- Servais, A., "Is serum cystatin-C a reliable marker for metabolic syndrome", 121(5), pp.426~432 (2008)
- Straznicky, N. E., "Exercise augments weight loss induced improvement in renal function in obese metabolic syndrome individuals", J Hypertens, 29(3), pp.553~564 (2011)
- Straznicky, N. E., "Sympathetic neural adaptation to hypocaloric diet with or without exercise training in obese metabolic syndrome subjects", Diabetes, 59(1), pp.71~79 (2010)
- Surendar, J., "Association of cystatin-C with metabolic syndrome in normal glucose-tolerant subjects (CURES-97)", Diabetes Technol Ther, 12(11), pp.907~912 (2010)
- Tanaka, A., "A new approach for evaluating renal function and its practical application", J Pharmacol Sci, 105, pp.1~5 (2007)
- Tjønna, A. E., "Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: a pilot study", Circulation, 118(4), pp.346~354 (2008)
- Toyama, K., "Exercise therapy correlates with improving renal function through modifying lipid metabolism in patients with cardiovascular disease and chronic kidney disease", J Cardiol, 56(2), pp.142~146 (2010)
- Yang, Y. S., "Use of serum cystatin C to detect early decline of glomerular filtration rate in type 2 diabetes", Intern Med, 46(12), pp.801~806 (2007)
- Yassine, H. N., "Effects of exercise and caloric restriction on insulin resistance and cardiometabolic risk factors in older obese adults--a randomized clinical trial", J Gerontol A Biol Sci Med Sci, 64(1), pp.90~95 (2009)