본문 바로가기
KERD
논문KCI 등재

12주의 저항성운동이 20대 마른 비만 여성의 체격, 신체구성, 인슐린 저항성 및 혈중 지질에 미치는 영향

Effects of 12 Weeks of Resistance Training on Physique, Body Composition, Insulin Resistance, and Blood Lipid in 20s Normal Weight Obese Females

김예영|김지영|이만균
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2016.06|체육과학연구 (Korean Journal of Sport Science)|제27권 제2호|pp. 220-233|DOI 10.24985/kjss.2016.27.2.220

1

조회

0

다운로드

9

인용

0

참고문헌

키워드

body composition혈중 지질신체구성체격resistance exerciseinsulin resistance인슐린 저항성마른 비만normal weight obesityblood lipid.
주제분류체육

초록

이 연구는 12주간의 저항성운동이 20대 마른 비만(normal weight obesity) 여성의 체격, 신체구성, 인슐린 저항성 및 혈중지질에 미치는 영향을 규명하는 것이다. 마른 비만 기준에 해당되는 16명의 대상자를 운동 집단 8명과 통제 집단 8명으로 무선 할당하였다. 운동 집단의 대상자는 12주간 주3회 저항성운동을 실시한 반면, 통제 집단의 대상자는 동일한 처치 기간 중 평소의 생활을 유지하도록 하였다. 사전검사와 사후검사에서 체격, 신체구성, 인슐린 저항성, 그리고 혈중 지질을 측정하여 두 집단 간에, 그리고 두 검사 간에 반복 이원변량분석(repeated two-way ANOVA)을 이용하여 분석하였으며, 이 연구의 주요 결과는 다음과 같다. 1) 체중, BMI, 허리둘레, 엉덩이둘레, WHR과 WHtR이 운동 집단에서 유의하게 감소되었다. 2) 신체구성 변인의 유의한 변화는 없었으나, 운동 집단의 체지방량이 통제 집단에 비하여 더 감소되는 경향을 보였다. 3) 공복혈당은 두 집단에서 모두 유의하게 감소되었으나, 다른 인슐린 저항성 변인에서는 유의한 변화가 없었다. 4) 모든 혈중 지질 변인에서 유의한 변화가 나타나지 않았다. 따라서 12주간의 저항성운동이 20대 마른 비만자의 체격과 신체구성에 긍정적인 영향을 미쳤으나 인슐린 저항성과 혈중 지질에는 영향을 미치지 못했던 것으로 판단된다. 향후 연구에서 보다 높은 연령의 마른 비만자를 대상으로 연구를 진행한다면 저항성운동이 대사 지표에 미치는 영향을 보다 명확하게 규명할 수 있을 것이다.

Abstract

This study was designed to examine the effects of 12 weeks of resistance exercise training on physique, body composition, insulin resistance, and blood lipid profiles in 20s normal weight obese females. Sixteen females were randomized into one of following two groups: resistance training group (RT group; n=8) and control group (CON group; n=8). Subjects in RT group completed 12 weeks of resistance exercise training for three times/wk, and subjects in CON group were asked to maintain their normal life pattern during the same intervention period. Data were analyzed using two-way repeated measures ANOVA with post hoc test. Main results of the present study were as follows: 1) Body weight, BMI, waist circumference, hip circumference, WHR, and WHtR decreased significantly in RT group. 2) All variables regarding body composition did not change in both groups; however, fat mass was tended to decrease more in RT group than CON group. 3) Fasting plasma glucose decreased significantly in both groups, whereas other variables regarding insulin resistance did not change significantly in both groups. 4) All variables regarding blood lipids did not change significantly in both groups. Results indicate that 12 weeks of resistance exercise training was beneficial in physique and body composition; however, it was not beneficial in insulin resistance and blood lipid profiles in 20s normal weight obese females. Future research including normal weight obese subjects with higher age would be warranted to elucidate more clearly the effects of resistance exercise training on metabolic status.

참고문헌 (77)

  1. American College of Sports Medicine, "American College of Sports Medicine position stand. Progression models in resistance training for healthy adults", Medicine and Science in Sports and Exercise, 41(3), pp.687~708 (2009)
  2. Ashwell, M., "Waist‐to‐height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors : Systematic review and meta analysis", Obesity reviews, 13(3), pp.275~286 (2012)
  3. Bann, D., "Physical activity across adulthood in relation to fat and lean body mass in early old age : findings from the medical research council national survey of health and development, 1946-2010", American Journal of Epidemiology, 179(10), pp.1197~1207 (2014)
  4. Beunza, J. J., "Sedentary behaviors and the risk of incident hypertension* The SUN Cohort", American Journal of Hypertension, 20(11), pp.1156~1162 (2007)
  5. Bloomgarden, Z. T., "Insulin resistance : current concepts", Clinical Therapeutics, 20(2), pp.216~231 (1998)
  6. Castaneda, C., "A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes", Diabetes Care, 25(12), pp.2335~2341 (2002)
  7. Korean Adult Health Behaviors into: Smoking, Drinking, Physical Activity Centered, "Centers for Disease Control and Prevention", ~ (2010)
  8. 조성봉, "저칼로리 식이와 걷기운동이 혈중지질 변화에 미치는 영향", 한국체육과학회지, 18(1), pp.947~957 (2009), 한국체육과학회
  9. 조완주, "요가와 저항성 운동프로그램이 비만중년여성의 건강관련체력과 혈중지질에 미치는 영향", 한국체육학회지, 50(3), pp.571~579 (2011), 한국체육학회
  10. Chudyk, A., "Effects of exercise on cardiovascular risk factors in Type 2 diabetes : A meta-analysis", Diabetes Care, 34(5), pp.1228~1237 (2011)
  11. 정승교, "20대 여성의 비만 검진 방법으로서의 체질량지수와 허리둘레", 기본간호학회지, 16(1), pp.14~20 (2009), 기본간호학회
  12. Conus, F., "Characteristics of metabolically obese normal-weight (MONW) subjects", Applied Physiology, Nutrition, and Metabolism, 32(1), pp.4~12 (2007)
  13. Dandona, P., "Metabolic syndrome : A comprehensive perspective based on interactions between obesity, diabetes, and inflammation", Circulation, 111(11), pp.1448~1454 (2005)
  14. De Heredia, F. P., "Obesity, inflammation and the immune system", Proceedings of the Nutrition Society, 71(2), pp.332~338 (2012)
  15. De Lorenzo, A., "Normal weight obese(NWO)women : An evaluation of a candidate new syndrome. Nutrition", Metabolism and Cardiovascular Diseases, 16(8), pp.513~523 (2006)
  16. Després, J. P., "Abdominal obesity and metabolic syndrome", Nature, 444(7121), pp.881~887 (2006)
  17. Dvorak, R. V., "Phenotypic characteristics associated with insulin resistance in metabolically obese but normal-weight young women", Diabetes, 48(11), pp.2210~2214 (1999)
  18. Frankenfield, D. C., "Limits of body mass index to detect obesity and predict body composition", Nutrition, 17(1), pp.26~30 (2001)
  19. Gholap, N., "Type 2 diabetes and cardiovascular disease in South Asians", Primary Care Diabetes, 5(1), pp.45~56 (2011)
  20. Gianoudis, J., "Associations between sedentary behaviour and body composition, muscle function and sarcopenia in community-dwelling older adults", Osteoporosis International, 26(2), pp.571~579 (2015)
  21. 하창호, "12주간의 복합운동이 여자 대학생의 신체조성과 대사증후군 위험인자에 미치는 영향", 한국체육과학회지, 21(3), pp.865~875 (2012), 한국체육과학회[DOI]
  22. Haffner, S. M., "Management of dyslipidemia in adults with diabetes", Diabetes care, 21(1), pp.160~178 (1998)
  23. Hasbum, B., "Effects of a controlled program of moderate physical exercise on insulin sensitivity in nonobese, nondiabetic subjects", Clinical Journal of Sport Medicine, 16(1), pp.46~50 (2006)
  24. Ho, S. S., "The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial", BMC Public Health, 12(1), pp.704~ (2012)
  25. Hsieh, S. D., "The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women", Preventive Medicine, 40(2), pp.216~220 (2005)
  26. 허선, "영양교육피드백과 복합운동을 병행한 행동수정이 비만 여고생의 대사증후군 관련인자, 아디포사이토카인 및 식이섭취 변화에 미치는 영향", 한국체육학회지, 51(2), pp.441~451 (2012), 한국체육학회[DOI]
  27. Ibáñez, J., "Resistance training improves cardiovascular risk factors in obese women despite a significative decrease in serum adiponectin levels", Obesity, 18(3), pp.535~541 (2010)
  28. 정선희, "절식요법이 2명의 비만청소년의 체성분 변화에 미치는 영향", 대한한방소아과학회지, 19(2), pp.1~11 (2005), 대한한방소아과학회
  29. Kang, S. J., "The effects of aerobic exercise and weight training on the body composition and blood profiles of the obese midle-aged women", The Korea Journal of Sports Science, 11(1), pp.441~453 (2002)
  30. Karelis, A. D., "Metabolic and body composition factors in subgroups of obesity : what do we know?", The Journal of Clinical Endocrinology & Metabolism, 89(6), pp.2569~2575 (2004)
  31. Kelley, G. A., "Resistance training and bone mineral density in women : A meta-analysis of controlled trials", American Journal of Physical Medicine and Rehabilitation, 80(1), pp.65~77 (2001)
  32. 김명수, "규칙적인 고강도 걷기 운동이 중년여성의 신체구성 및 인슐린 저항성에 미치는 영향", 한국생활환경학회지, 20(3), pp.357~369 (2013), 한국생활환경학회
  33. Klop, B., "Dyslipidemia in obesity : mechanisms and potential targets", Nutrients, 5(4), pp.1218~1240 (2013)
  34. 고진호, "성인여성의 체지방률, BMI 및 허리둘레로 구분한 비만유형간 신체구성의 비교", 한국발육발달학회지, 15(1), pp.1~7 (2007), 한국발육발달학회
  35. Kolluri, R., "Dyslipidemia in South Asians living in a western community", Journal of Clinical Lipidology, 3(1), pp.14~18 (2009)
  36. Korean Society for the Study of Obesity, "Guidelines for Obesity Treatment 2012", ~ (2012)
  37. Kotsis, V., "Mechanisms of obesity-induced hypertension", Hypertension Research, 33(5), pp.386~393 (2010)
  38. Kyle, U. G., "Body composition interpretation : contributions of the fat-free mass index and the body fat mass index", Nutrition, 19(7), pp.597~604 (2003)
  39. Lamounier-Zepter, V., "Insulin resistance in hypertension and cardiovascular disease", Best Practice & Research Clinical Endocrinology & Metabolism, 20(3), pp.355~367 (2006)
  40. Lee, C. M. Y., "Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI : a meta-analysis", Journal of Clinical Epidemiology, 61(7), pp.646~653 (2008)
  41. 이강우, "남·여 대학생의 Body shaping (체중조절·체형관리·체력향상)을 위한 유산소·저항 운동 및 식이조절 프로그램의 효과검증에 관한 연구", 한국체육과학회지, 23(4), pp.1115~1130 (2014), 한국체육과학회
  42. 이승환, "Prevalence and Characteristics of Metabolically Obese but Normal Weight and Metabolically Healthy but Obese in Middle-aged Koreans: the Chungju Metabolic Disease Cohort (CMC) Study", Endocrinology and Metabolism, 26(2), pp.133~141 (2011), 대한내분비학회
  43. Lee, S. H., "A novel criterion for identifying metabolically obese but normal weight individuals using the product of triglycerides and glucose", Nutrition & Diabetes, 5(4), pp.149~ (2015)
  44. Leon, B., "Weight loss programs may have beneficial or adverse effects on fat mass and insulin sensitivity in overweight and obese black women", Journal of Racial and Ethnic Health Disparities, 1(3), pp.140~147 (2014)
  45. 임회진, "여대생들의 체지방률과 신체활동량에 따른 건강 체력", 한국생활환경학회지, 17(5), pp.557~562 (2010), 한국생활환경학회
  46. Madeira, F. B., "Normal weight obesity is associated with metabolic syndrome and insulin resistance in young adults from a middle-income country", PLoS One, 8(3), pp.60673~ (2013)
  47. Maffeis, C., "Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children", The Journal of Pediatrics, 152(2), pp.207~213 (2008)
  48. Mathieu, P., "Obesity, inflammation, and cardiovascular risk", Clinical Pharmacology and Therapeutics, 87(4), pp.407~416 (2010)
  49. Matthews, D. R., "Homeostasis model assessment : insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man", Diabetologia, 28(7), pp.412~419 (1985)
  50. National Investigation on Participation in Sports for All, "Ministry of Culture, Sports and Tourism", ~ (2010)
  51. National Investigation on Participation in Sports for All, "Ministry of Culture, Sports and Tourism", ~ (2012)
  52. Mohan, M., "Insulin resistance is associated with all-cause mortality and accelerates the risk of progression to diabetes in non diabetic heart failure patients", Journal of the American College of Cardiology, 63(12) (2014)
  53. Olson, T. P., "Moderate resistance training and vascular health in overweight", Medicine and science in sports and exercise, 38(9), pp.1558~1564 (2006)
  54. Pattyn, N., "The effect of exercise on the cardiovascular risk factors constituting the metabolic syndrome", Sports Medicine, 43(2), pp.121~133 (2013)
  55. Poehlman, E. T., "Effects of resistance training and endurance training on insulin sensitivity in nonobese, young women : A controlled randomized trial 1", The Journal of Clinical Endocrinology & Metabolism, 85(7), pp.2463~2468 (2000)
  56. Prado, C. M. M., "Sarcopenic obesity : a critical appraisal of the current evidence", Clinical Nutrition, 31(5), pp.583~601 (2012)
  57. Rees, K., "Dietary Advice for Reducing Cardiovascular Risk. Issue 3, Cochrane Collaboration", pp.1~157 (2013), John Wiley & Sons
  58. Rey-López, J. P., "Sedentary behaviour and obesity development in children and adolescents. Nutrition", Metabolism and Cardiovascular Diseases, 18(3), pp.242~251 (2008)
  59. Rognmo, Ø., "Cardiovascular risk of high-versus moderate-intensity aerobic exercise in coronary heart disease patients", Circulation, 126(12), pp.1436~1440 (2012)
  60. Romero-Corral, A., "Normal weight obesity : A risk factor for cardiometabolic dysregulation and cardiovascular mortality", European Heart Journal, 31(6), pp.737~746 (2010)
  61. Ross, R., "Exercise‐induced reduction in obesity and insulin resistance in women : a randomized controlled trial", Obesity research, 12(5), pp.789~798 (2004)
  62. Savva, S. C., "Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index", International Journal of Obesity, 24(11), pp.1453~1458 (2000)
  63. Sigal, R. J., "Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes : a randomized trial", Annals of Internal Medicine, 147(6), pp.357~369 (2007)
  64. 소위영, "36주간 저항성 운동이 비만노인의 신체구성, 체력 및 혈중 지질에 미치는 영향", 한국보건간호학회지, 24(1), pp.39~48 (2010), 한국보건간호학회
  65. Solomon, T. P., "Exercise and diet enhance fat oxidation and reduce insulin resistance in older obese adults", Journal of Applied Physiology, 104(5), pp.1313~1319 (2008)
  66. Stiegler, P., "The role of diet and exercise for the maintenance of fat-free mass and resting metabolic rate during weight loss", Sports Medicine, 36(3), pp.239~262 (2006)
  67. Strasser, B., "Evidence for resistance training as a treatment therapy in obesity", Journal of Obesity (2011)[DOI]
  68. Succurro, E., "Insulin secretion in metabolically obese, but normal weight, and in metabolically healthy but obese individuals", Obesity, 16(8), pp.1881~1886 (2008)
  69. 석민화, "저항운동이 폐경 전·후 비만여성의 신체구성, 골밀도 및 아디포사이토카인에 미치는 영향", 체육과학연구, 20(4), pp.693~703 (2009), 국민체육진흥공단 부설 한국스포츠개발원
  70. Sullivan, P. W., "The impact of obesity on diabetes, hyperlipidemia and hypertension in the united states", Quality of Life Research, 17(8), pp.1063~1071 (2008)
  71. Tamura, Y., "Effects of diet and exercise on muscle and liver intracellular lipid contents and insulin sensitivity in type 2 diabetic patients", The Journal of Clinical Endocrinology & Metabolism, 90(6), pp.3191~3196 (2005)
  72. Virtanen, K. A., "Increased fat mass compensates for insulin resistance in abdominal obesity and Type 2diabetes : A Positron-Emitting Tomography Study", Diabetes, 54(9), pp.2720~2726 (2005)
  73. Warren, T. Y., "Sedentary behaviors increase risk of cardiovascular disease mortality in men", Medicine and Science in Sports and Exercise, 42(5), pp.879~885 (2010)
  74. Welborn, T. A., "Waist-hip ratio is the dominant risk factor predicting cardiovascular death in Australia", Medical Journal of Australia, 179(11, pp.12) (2003), 580~585
  75. Wold Health Organization, "Obesity and Overweight", Fact sheet No. 311, ~ (2015)
  76. 유재희, "복합운동과 걷기운동 프로그램이 여대생의 체구성, 건강상태 지각 및 스트레스에 미치는 효과 비교 -마른 비만 대상자를 중심으로-", 보건교육건강증진학회지, 26(4), pp.93~105 (2009), 한국보건교육건강증진학회
  77. Yusuf, S., "Obesity and the risk of myocardial infarction in 27, 000 participants from 52 countries : A case-control study", The Lancet, 366(9497), pp.1640~1649 (2005)

이 간행물의 다른 논문 (15건)

체급경기 선수들의 단기간 체중감량이 생리학적 변인에 미치는 영향유현승pp. 209-219노인의 노쇠, 신체활동과 일상생활체력의 관련성박수현, 이미현, 정진욱, 송주호, 송홍선, 고병구, 박세정pp. 234-2448주 동안의 영양보조제 섭취 차이가 중년여성의 운동수행능력 및 피로회복에 미치는 영향고병구, 이종백, 성봉주, 노대성, 서태범, 이진석, 김병권pp. 245-257카이로프랙틱과 PNF 운동의 복합처치가 앞쪽머리자세 환자 목 부위의 근뼈대계 기능에 미치는 영향오동건, 성순창, 이만균pp. 258-271워킹화 기능 개선을 위한 보행 속도에 따른 중년 여성의 하지 동작 특성 연구김진현, 이정호, 임규찬, 공세진pp. 272-280
원문 보기