성인의 심폐체력 수준: 2014-2015 Korea Institute of Sports Science Fitness Standards (KISS FitS) Project 자료를 중심으로
Cardiorespiratory Fitness Among Korean Adults: 2014-2015 Korea Institute of Sports Science Fitness Standards (KISS FitS) Project
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초록
본 연구는 성인 남, 녀의 Bruce 트레드밀 운동시간과 예측된 최고산소섭취량의 분포를 제시하고 심폐체력과 대사증후군, 좌업생활습관 및 교육수준과의 관련성을 조사하고자 하였다. 본 연구는 2014-2015년도에 ‘국민체력100 한국인 건강체력 기준개발(Korea Institute of Sports Science Fitness Standards: KISS FitS) 프로젝트에 참여한 자 중 최대운동부하검사를 실시한 2,006명(19-64세)을 대상으로 분석하였다. 성인남자의 평균 운동시간은 19-29세 11분 26초, 30-39세 11분 18초, 40-49세 11분 06초, 50-59세 10분 03세, 그리고 60-64세 8분 51초였으며, 성인여자는 각각 9분 49초, 9분 09초, 8분 42초, 8분 01초, 그리고 7분 33초로 나타났다. 성인남자의 예측된 최고산소섭취량은 19-29세 42.3, 30-39세 41.8, 40-49세 41.2, 50-59세 37.6, 그리고 60-64세 33.6 ml/kg/minute였으며, 성인여자는 각각 34.0, 31.8, 30.3, 28.0 그리고 26.4ml/kg/minute로 나타났다. 심폐체력수준과 교육수준은 남녀 모두에서 양의 관련성이 나타났으며, 좌업생활자는 규칙적인 운동 혹은 신체활동을 하는 사람보다 유의하게 심폐체력이 낮았다. 마지막으로 대사증후군의 유병률의 승산비는 연령, 흡연유무, 음주유무 그리고 좌업생활습관을 통제하고도 낮은 체력수준을 가지고 있는 사람에 비해, 남자의 경우 중간 체력수준일 때 약 50%와 높은 체력수준일 때 약 87%로, 여자의 경우 중간 체력수준일 때 약 48%와 높은 체력수준일 때 약 50%로 감소하는 것으로 나타났다. 이런 결과는 향후 한국인의 체력 평가를 추적하는 데 이용할 수 있을 것이며, 또한 교육수준, 좌업생활습관 및 대사증후군에 의한 체력의 차이는 맞춤 보건 및 체육정책, 프로그램 및 서비스를 개발하는 데 기초자료로 이용할 수 있을 것이다.
Abstract
To provide the distribution of cardiorespiratory fitness including Bruce treadmill exercise time and estimated peak oxygen uptake (VO₂peak) and investigate association with cardiorespiratory fitness and metabolic syndrome, sedentary lifestyle, or education level among Korean adults. Analysis of data on 2,006 adults (19-64 yr) who had completed a maximal grade treadmill exercise test, from the Sports Institute of Sports Science Fitness Standards (KISS FitS) project 2014-2015. The mean maximal exercise time was 11’26’‘, 11’18’‘, 11’06’‘, 10’03’‘ and 8’51’‘ (minutes and seconds) for men 19-29, 30-39, 40-49, 50-59 and 60-64 years of age, respectively, for women, it was 9’49’‘, 9’09’‘, 8’42’‘, 8’01’‘ and 7’33’‘ for the corresponding age groups. The mean peak oxygen uptake was estimated as 42.3, 41.8, 41.2, 37.6 and 33.6 ml/kg/minute for men 19-29, 30-39, 40-49, 50-59 and 60-64 years of age, respectively, For women, it was 34.0, 31.8, 30.3, 28.0 and 26.4 ml/kg/minute for the corresponding age groups. A positive association between cardiorespiratory fitness level and education level was observed for both men and women. Furthermore, participants with sedentary lifestyle had a significantly lower cardiorespiratory fitness than participants with activity lifestyle. Finally, Men with moderate and high fitness level had 50% and 87% lower odds for the metabolic syndrome, and women had 48% and 50% lower odds for the metabolic syndrome, respectively, than the ones with low fitness level after adjustment for age, smoking, alcohol intake, and sedentary lifestyle. These results can be used to track future Korean assessments and to evaluated interventions. The differences in fitness status by education level, sedentary lifestyle or metabolic syndrome can also be used to develop health policies, program and educational services.
참고문헌 (30)
- American College of Sports Medicine, "ACSM’s Guidelines for Exercise Testing and Prescription" (2014), Lippincott Williams & Wilkins
- Blair, S. N., "Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women", JAMA, 276(3), pp.205~210 (1996)
- Blair, S. N., "Physical fitness and all-cause mortality. A prospective study of healthy men and women", JAMA, 262(17), pp.2395~2401 (1989)
- Bouchard, C., "Genetics of aerobic and anaerobic performances", Exercise Sports Science Review, 120, pp.27~58 (1992)
- Bruce, R. A., "Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease", American Heart Journal, 85(4), pp.546~562 (1973)
- Carnethon, M. R., "Cardiorespiratory fitness in young adulthood and the development of cardiovascular disease risk factors", JAMA, 290(23), pp.3092~3100 (2003)
- Carnethon, M. R., "Association of 20-year changes in cardiorespiratory fitness with incident type 2 diabetes : the coronary artery risk development in young adults(CARDIA)fitness study", Diabetes Care, 32(7), pp.1284~1288 (2009)
- 채덕희, "남성과 여성 사무직 근로자의 신체활동에 미치는 영향요인 비교", 지역사회간호학회지, 24(3), pp.273~281 (2013), 한국지역사회간호학회[DOI]
- Cress, M. E., "Maximal voluntary and functional performance levels needed for independence in adults aged 65 to 97 years", Physical Therapy, 83(1), pp.37~48 (2003)
- Duncan, G. E., "Cardiovascular fitness among U. S. adults : NHANES 1999-2000 and 2001-2002", Medicine and Science in Sports and Exercise, 37(8), pp.1324~1328 (2005)
- Earnest, C. P., "Maximal estimated cardiorespiratory fitness, cardiometabolic risk factors, and metabolic syndrome in the aerobics center longitudinal study", Mayo Clinic Proceedings, 88(3), pp.259~270 (2013)
- Ekelund, L. G., "Physical fitness as a predictor of cardiovascular mortality in asymptomatic North American men. The Lipid Research Clinics Mortality Follow-up Study", New England Journal Medicine, 319(21), pp.1379~1384 (1988)
- Eriksen, L., "Cardiorespiratory fitness in 16 025 adults aged 18-91 years and associations with physical activity and sitting time", Scandinavian journal of medicine & science in sports (2015)
- Farrell, S. W., "Influences of cardiorespiratory fitness levels and other predictors on cardiovascular disease mortality in men", Medicine and Science in Sports and Exercise, 30(6), pp.899~905 (1998)
- Fleg, J. L., "Accelerated longitudinal decline of aerobic capacity in healthy older adults", Circulation, 112(5), pp.674~682 (2005)
- Jackson, A. S., "Role of lifestyle and aging on the longitudinal change in cardiorespiratory fitness", Archives of internal medicine, 169(19), pp.1781~1787 (2009)
- 진정권, "중년 남성 소방공무원의 규준지향 체력평가기준치", 한국사회체육학회지, (62), pp.785~794 (2015), 한국사회체육학회
- Katzmarzyk, P. T., "Cardiorespiratory fitness attenuates the effects of the metabolic syndrome on all-cause and cardiovascular disease mortality in men", Archives of Internal Medicine, 164(10), pp.1092~1097 (2004)
- Katzmarzyk, P. T., "Metabolic syndrome, obesity, and mortality : impact of cardiorespiratory fitness", Diabetes Care, 28(2), pp.391~397 (2005)
- 김원기, "중학생의 생활습관과 주관적 건강상태 및 체력과의 관계", 한국사회체육학회지, (43), pp.1023~1032 (2011), 한국사회체육학회
- 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)
- 이효, "Physical activity disparities by socioeconomic status among metabolic syndrome patients: The Fifth Korea National Health and Nutrition Examination Survey", Journal of exercise rehabilitation, 12(1), pp.10~14 (2016), 한국운동재활학회
- 박세정, "Bruce Protocol을 이용한 최대산소섭취량 예측식의 타당도 검증", 한국체육측정평가학회지, 16(3), pp.41~50 (2014), 한국체육측정평가학회
- Piirtola, M., "Association between education and future leisure-time physical inactivity : a study of Finnish twins over a 35-year follow-up", BMC Public Health, 16(1), pp.720~ (2016)
- Sanders, L. F., "Population-based reference standards for cardiovascular fitness among U. S. adults : NHANES 1999-2000 and 2001-2002", Medicine and Science in Sports and Exercise, 38(4), pp.701~707 (2006)
- 소위영, "한국성인 남성의 고혈압 기준에 따른 체력수준의 차이", Korean Journal of Health Promotion, 9(2), pp.122~128 (2009), 대한임상건강증진학회
- Stevens, J., "Fitness and fatness as predictors of mortality from all causes and from cardiovascular disease in men and women in the lipid research clinics study", American Journal of Epidemiology, 156(9), pp.832~841 (2002)
- Sui, X., "A prospective study of cardiorespiratory fitness and risk of type 2 diabetes in women", Diabetes Care, 31(3), pp.550~555 (2008)
- The EP., "Executive summary of the third report of the National Cholesterol Education Program(NCEP)Expert Panel on Detection, Evluation, and Treatment of High Blood Cholesterol in Adult Treatment Panel III)", JAMA, 285, pp.2486~2497 (2001)
- Wang, C. Y., "Cardiorespiratory fitness levels among US adults 20-49 years of age : findings from the 1999-2004 National Health and Nutrition Examination Survey", American Journal of Epidemiology, 171(4), pp.426~435 (2010)