12주간의 기구 필라테스 트레이닝이 비만 중년 여성의 체력, 심혈관기능 및 혈관내피기능에 미치는 영향
Effects of a 12-week Equipment-based Pilates Training on Physical Fitness, Cardiovascular Function, and Vascular Endothelial Function in Middle-aged Obese Women
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[목적] 이 연구의 목적은 비만 중년 여성을 대상으로 12주간 실시한 기구 필라테스 트레이닝이 체력, 심혈관기능, 그리고 혈관내피기능에 미치는 영향을 규명하는 것이다. [방법] 체질량지수가 25kg·m-2 이상이고, 체지방률이 30% 이상인 30~40대의 비만 여성을 필라테스 집단과 통제 집단에 무선할당 하였다. 필라테스 집단의 대상자(12명)는 12주간, 주 3회, 회당 50분 기구 필라테스 프로그램에 참여하였고, 통제 집단(12명)의 대상자는 특별한 처치를 받지 않고 동일한 처치기간 중 평소의 생활습관을 그대로 유지하였다. 사전검사와 사후검사에서 신체구성, 체력, 혈압, 심혈관반응, 그리고 혈관내피기능을 측정한 후 두 집단 간에, 그리고 두 검사 간에 비교 분석하였다. [결과] 이 연구에서 얻은 주요 결과는 다음과 같다. 1) 체격 및 신체구성과 관련하여 필라테스 집단의 체중, 체질량지수, 체지방량, 체지방률, 허리둘레, 엉덩이둘레, 그리고 허리엉덩이둘레 비율이 유의하게 감소되었다. 2) 체력과 관련하여 필라테스 집단의 근력, 근지구력, 유연성, 그리고 심폐지구력이 유의하게 향상되었다. 3) 심혈관반응과 관련하여 필라테스 집단의 SV가 유의하게 증가되었다. 4) 혈관내피기능과 관련하여 통제 집단의 안정시와 혈관 이완시 혈관직경, 그리고 혈관 이완시 혈류량이 유의하게 감소되었다. 그리고 %FMD에서 집단과 시기의 상호작용이 유의하게나타났다. [결론] 이상의 결과를 종합해 보면, 12주간의 기구 필라테스 프로그램이 비만 중년 여성의 체격과 신체구성과 체력을개선시키고, 혈관내피기능의 개선에 공헌한 것으로 결론지을 수 있다. 또한, 비만 중년 여성의 경우 아직 심혈관기능의 현저한 저하가 나타나지 않은 이유로 심혈관기능에 대한 처치의 효과가 크게 나타나지 않았으나, 필라테스 집단의SV가 유의하게 증가된 것은 장기간의 필라테스 트레이닝이 심혈관기능의 개선 가능성을 시사한다.
Abstract
PURPOSE This study aims to investigate the effects of a 12-week equipment-based Pilates training on physical fitness, cardiovascular function, and vascular endothelial function in obese middle-aged women. METHODS Twenty-four women, aged 30- 40 years with a body mass index ≥ 25 and percent body fat ≥ 30% were randomly assigned to one of two groups: the Pilates training group (TR; n=12); and control group (CON; n=12). The TR participants underwent three 50-minute equipmentbased Pilates training sessions per week for 12 weeks. Participants in the CON maintained their normal life patterns for the same intervention period. Variables regarding physical fitness, cardiovascular function, and vascular endothelial function were measured and compared pre-test and post-test u a two-way ANOVA with repeated measures. RESULTS The main results of the study were as follows: 1) Regarding physique and body composition, participants’ body weight, body mass index, fat mass, percent body fat, waist circumference, hip circumference, and waist-to-hip ratio decreased significantly in the TR. 2) Regarding physical fitness, muscle strength, muscular endurance, flexibility, and cardiorespiratory endurance increased significantly in the TR. 3) Regarding cardiovascular response, SV increased significantly in the TR. 4) Regarding vascular endothelial function, blood vessel diameter at rest and during vasodilation as well as blood flow volume during vasodilation decreased significantly in the CON, resulting in a significant interaction between group and test in FMD percentage. CONCLUSIONS It was concluded that the 12-week equipment-based Pilates program improved the physical fitness and vascular endothelial function in obese middle-aged women.
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