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코로나-19 시기의 비대면 실시간 필라테스 트레이닝이 좌식생활 중년 비만 여성의 신체구성, 심혈관기능 및 체력에 미치는 영향

Effects of Online Live Pilates Training during the COVID-19 Pandemic on Body Composition, Cardiovascular Function, and Physical Fitness in Sedentary Middle-aged Obese Women

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초록

[목적] 이 연구의 목적은 10주간의 비대면 실시간 필라테스 트레이닝이 좌식생활 중년 비만 여성의 신체구성, 심혈관기능, 그리고 체력에 미치는 영향을 규명하는 것이다. [방법] 이 연구의 대상자는 하루 8시간 이상 좌식생활을 하는 30~49세 중년 비만 여성으로서 BMI가 25kg/m2 이상이고 허리둘레가 85cm 이상인 자 30명이었으며, 이들을 필라테스 집단과 통제 집단으로 15명씩 무선 할당하였으나처치 기간 중 4명이 탈락하였다. 필라테스 집단의 대상자 13명은 10주간, 주 3회, 회당 60분 비대면 실시간 매트 필라테스 운동을 실시하였고, 통제 집단의 대상자 13명은 동일한 처치 기간 동안 평소의 생활습관을 그대로 유지하도록 하였다. 사전검사와 사후검사에서 신체구성, 심혈관기능, 하지정맥기능, 체력, 그리고 1RM(최대반복횟수)과 관련된 종속변인을 측정하여 집단 간에, 그리고 검사 간에 평균 차이를 분석하였다. [결과] 이 연구에서 얻은 주요 결과는 다음과 같다. 1) 신체구성과 관련하여 필라테스 집단의 체중, 체질량지수, 체지방량, 그리고 허리둘레가 유의하게 감소되었다. 2) 심혈관기능과 관련하여 필라테스 집단의 1회 박출량과 심박출량이 유의하게 증가되었고, 총말초혈관저항은 유의하게 감소되었다. 3) 하지정맥기능과 관련하여 필라테스 집단의 오금부위 정맥 혈류속도와 혈류량이 유의하게 증가되었다. 4) 체력과 관련하여 필라테스 집단의 심폐지구력, 근지구력, 유연성, 그리고 평형성이 유의하게 향상되었다. 5) 1RM과 관련하여 필라테스 집단의 biceps curl, lat pull down, leg curl, 그리고 leg extension이 유의하게 증가되었다. [결론] 이상의 결과를 종합해보면, 10주간의 비대면 실시간 필라테스 트레이닝이 좌식생활을 하는 중년 비만 여성의신체구성, 심혈관기능, 하지정맥기능, 그리고 체력의 개선에 공헌하였다고 결론지을 수 있다. 특히, 좌식생활과 비만으로 인하여 하지정맥류의 발생 위험이 큰 중년 여성에게 있어서 심혈관기능과 하지정맥기능이 개선된 것으로 임상적으로 큰 의미가 있다.

Abstract

PURPOSE This study aimed to investigate how a 10-week online live Pilates training held during the COVID-19 pandemic affected body composition, cardiovascular function, and physical fitness in sedentary middle-aged obese women. METHODS Thirty obese women, aged 30 to 49 years (BMI : 25kg/m2 or more; waist circumference: 85cm or more) who were leading a sedentary lifestyle for more than 8 hours a day were assigned to one of two groups—that is, the Pilates training group (TR) and the control group (CON). Four participants were dropped from the study during the intervention period. Participants in the TR group (n=13) performed online live mat Pilates exercises (3 sessions per week; 60 minutes per session for 10 weeks, whereas participants in the CON group (n=13) were asked to maintain their normal lifestyles during the same intervention period. Independent variables related to body composition, cardiovascular function, venous function in the lower body, physical fitness, and 1-RM (repetition maximum) were measured at pre-test and post-test, and data were compared between the two groups and between the two tests. RESULTS 1) Regarding body composition, body weight, body mass index, fat mass, and waist circumference decreased significantly in the TR group. 2) Regarding cardiovascular function, stroke volume and cardiac output increased significantly in the TR group, and total peripheral resistance decreased significantly in the TR group. 3) Regarding venous function in the lower body, blood flow velocity and blood flow volume of the parenchyma area increased significantly in the TR group. 4) Regarding physical fitness, cardiorespiratory endurance, muscular endurance, flexibility, and balance improved significantly in the TR group. 5) 1RM of biceps curl, lat pull-down, leg curl, and leg extension increased significantly in the TR group. CONCLUSIONS It was concluded that the 10-week online live Pilates training had positive effects on the body composition, cardiovascular function, venous function in the lower body, and physical fitness of middle-aged obese women leading sedentary lifestyles.

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