본문 바로가기
KERD
논문KCI 등재

12주간의 고강도 순환운동이 중년 비만 여성의 복부 지방, 체력, 혈중 지질 및 인슐린 저항성에 미치는 영향

Effects of 12 weeks of high intensity circuit training on abdominal fat, physical fitness, blood lipids, and insulin resistance in middle-aged obese women

1

조회

0

다운로드

12

인용

0

참고문헌

키워드

주제분류체육

초록

[목적] 이 연구의 목적은 중년 비만 여성을 대상으로 12주간의 고강도 순환운동(high intensity circuit training: HICT)이 복부 지방, 신체구성, 체력, 혈중 지질, 그리고 인슐린 저항성에 미치는 영향을 규명하는 것이다. [방법] 체지방률이 30% 이상이고, 연령이 32~48세인 중년 비만 여성 30명을 선정하여 HICT에 참여하는 운동집단과 통제집단에 각각 15명씩 무선할당 하였다. 운동집단의 대상자는 저항성운동과 유산소운동으로 구성된 HICT를 회당 40분, 주 3회, 12주간 실시한 반면, 통제집단의 대상자는 동일한 중재 기간 동안 평소의 생활습관을 그대로 유지하도록 하였다. 복부 지방, 신체구성, 체력, 혈중 지질, 그리고 인슐린 저항성과 관련된 종속변인을 측정한 후, 반복 이원변량분석을 이용하여 두 집단 간에, 그리고 사점검사와 사후검사 간에 비교하였다. [결과] 이 연구에서 얻은 주요 결과는 다음과 같다. 1) 운동집단의 총복부 지방면적, 내장지방면적, 피하지방면적, 그리고 내장지방면적/복부 지방면적 비율이 유의하게 감소되었다. 2) 운동집단의 체중, 체질량지수, 체지방량, 체지방률, 허리둘레, 그리고 허리엉덩이둘레 비율이 유의하게 감소되었다. 3) 운동집단의 근력, 근지구력, 순발력, 유연성, 평형성, 그리고 심폐지구력이 유의하게 향상되었다. 4) 운동집단의 총콜레스테롤과 중성지방이 유의하게 감소되었다. 5) 운동집단의 공복 혈당, 공복 인슐린, 그리고 HOMA-IR이 유의하게 감소되었다. [결론] 이 연구에서 얻은 결과를 종합해볼 때, 12주간 실시한 HICT는 복부 지방의 감소, 신체구성의 개선, 체력의 향상, 그리고 혈중 지질과 인슐린 저항성의 개선에 공헌한 것으로 결론지을 수 있다.

Abstract

[Purpose] The study examined the effects of a 12-week high intensity circuit training (HICT) on abdominal fat, physical fitness, blood lipids, and insulin resistance in middle-aged obese women. [Methods] Thirty obese women, aged 32-48 yrs, were recruited and randomly assigned to either HICT group (TR; n=15) or control group (CON; n=15). Subjects in the TR group participated in HICT of which resistance exercise and aerobic exercise were performed with a duration of 40 min/session and 3 sessions/wk for 12 weeks, whereas subjects in the CON group were asked to maintain their normal life patterns. Dependent variables included abdominal fat area, body composition, physical fitness, blood lipids profiles, and insulin resistance index. Analysis of variance with repeated measures with Bonferroni corrections was used to compare the outcomes between two groups. [Results] Main findings of the present study were as follows: 1) compared to the CON group, the TR group had significant reductions in overall (i.e., body mass index and percent body fat) and abdominal obesity (i.e., waist circumference, total abdominal fat area, visceral fat area, subcutaneous fat area, and visceral fat area-subcutaneous fat area ratio), 2) compared to the CON group, the TR group had significant improvements in health-related physical fitness (i.e., muscular strength, muscular endurance, muscle power, flexibility, balance, and cardiorespiratory endurance), and 3) compared to the CON group, the TR group had significant improvements in fasting lipids, glucose, insulin, and insulin resistance. [Conclusions] The current findings of the study suggested that HICT would be an effective exercise intervention to improve metabolic complications associated with obesity and poor physical fitness in obese middle-aged women.

참고문헌 (58)

  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. Zeinab AminiLari, "The Effect of 12 Weeks Aerobic, Resistance, and Combined Exercises on Omentin-1 Levels and Insulin Resistance among Type 2 Diabetic Middle-Aged Women", Diabetes and Metabolism Journal, 41(3), pp.205~212 (2017), 대한당뇨병학회[DOI]
  3. Baria, F., "Randomized controlled trial to evaluate the impact of aerobic exercise on visceral fat in overweight chronic kidney disease patients", Nephrology Dialysis Transplantation, 29(4), pp.857~864 (2014)
  4. Coker, R. H., "Influence of exercise intensity on abdominal fat and adiponectin in elderly adults", Metaboilc Syndrome and Related Disorders, 7(4), pp.363~368 (2009)
  5. Contrò, V., "Effects of different circuit training protocols on body mass, fat mass and blood parameters in overweight adults", Journal of Biological Research-Bollettino Della Società Italiana di Biologia Sperimentale, 90(1), pp.10~12 (2017)
  6. de Camargo Smolarek, A., "The effects of strength training on cognitive performance in elderly women", Clinical Interventions in Aging, 11, pp.749~754 (2016)
  7. Devries, M. C., "Supplemental protein in support of muscle mass and health: Advantage whey", Journal of Food Science, 80(S1), pp.A8~A15 (2015)
  8. Dudgeon, W. D., "In a single-blind, matched group design : Branched-chain amino acid supplementation and resistance training maintains lean body mass during a caloric restricted diet", Journal of the International Society of Sports Nutrition, 13(1), pp.1~10 (2016)
  9. Esan, J. A., "Effect of Circuit Strength Training Programme on Waist-to-Hip Ratio of College Students", Cypriot Journal of Educational Sciences, 13(3), pp.340~348 (2018)
  10. Franklin, N. C., "Circuit resistance training attenuates acute exertion-induced reductions in arterial function but not inflammation in obese women", Metabolic Syndrome and Related Disorders, 13(5), pp.227~234 (2015)
  11. Gierach, M., "Correlation between body mass index and waist circumference in patients with metabolic syndrome", ISRN Endocrinology, 2014, pp.1~6 (2014)
  12. Goldberg, A. C., "Familial hypercholesterolemia: Screening, diagnosis and management of pediatric and adult patients: Clinical guidance from the National Lipid Association Expert Panel on Familial Hypercholesterolemia", Journal of Clinical Lipidology, 5(3), pp.S1~S8 (2011)
  13. Golding, L. A., "YMCA Fitness Testing and Assessment Manual" (2000), Human Kinetics
  14. Goodpaster, B. H., "Enhanced fat oxidation through physical activity is associated with improvements in insulin sensitivity in obesity", Diabetes, 52(9), pp.2191~2197 (2003)
  15. Guilherme, J., "Influence of non-preferred foot technical training in reducing lower limbs functional asymmetry among young football players", Journal of Sports Sciences, 33(17), pp.1790~1798 (2015)
  16. Hagner, W., "Changes in level of VO2max, blood lipids, and waist circumference in the response to moderate endurance training as a function of ovarian aging", Menopause, 16(5), pp.1009~1013 (2009)
  17. 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.704~713 (2012)
  18. Irving, B. A., "Effect of exercise training intensity on abdominal visceral fat and body composition", Medicine and Science in Sports and Exercise, 40(11), pp.1863~1872 (2008)
  19. Ismail, I., "A systematic review and meta-analysis of the effect of aerobic vs. resistance exercise training on visceral fat", Obesity Reviews, 13(1), pp.68~91 (2012)
  20. Kang, H. J., "Effects of 12-week circuit weight training and aerobic exercise on body composition, physical fitness, and pulse wave velocity in obese collegiate women", Soft Computing, 16(3), pp.403~410 (2012)
  21. 김형준, "Effects of vitamin D supplementation and circuit training on indices of obesity and insulin resistance in T2D and vitamin D deficient elderly women", Physical Activity and Nutrition, 18(3), pp.249~257 (2014), 한국운동영양학회
  22. 김지운, "Effect of circuit training on body composition, physical fitness, and metabolic syndrome risk factors in obese female college students", Journal of exercise rehabilitation, 14(3), pp.460~465 (2018), 한국운동재활학회
  23. 김예영, "12주간의 유산소운동과 저항성운동이 여성 노인 당뇨병환자의 복부지방, 체력, 아디포카인 및 염증지표에 미치는 영향", 체육과학연구, 23(3), pp.489~501 (2012), 국민체육진흥공단 한국스포츠정책과학원[DOI]
  24. Klika, B., "High-intensity circuit training using body weight : Maximum results with minimal investment", ACSM’s Health and Fitness Journal, 17(3), pp.8~13 (2013)
  25. Konow, N., "Muscle power attenuation by tendon during energy dissipation", Proceedings of the Royal Society B: Biological Sciences, 279(1731), pp.1108~1113 (2011)
  26. Report for Development of Model of Fitness Certification Centers, "Korea Institute of Sport Science", ~ (2014)
  27. Le, S., "Effect of aerobic exercise on insulin resistance and central adiposity disappeared after the discontinuation of intervention in overweight women", Journal of Sport and Health Science, 5(2), pp.166~170 (2016)
  28. Lee, M. G., "Effects of high-intensity exercise training on body composition, abdominal fat loss, and cardiorespiratory fitness in middle-aged Korean females", Applied Physiology, Nutrition, and Metabolism, 37(6), pp.1019~1027 (2012)
  29. Lee, O., "Correlation between YMCA step-test and maximum oxygen consumption (VO2max) as measurement tools for cardiorespiratory", Epidemiology and Health, 30(1), pp.73~81 (2008)
  30. Lizcano, F., "Estrogen deficiency and the origin of obesity during menopause", BioMed Research International, 2014 (2014)
  31. Lord, S. R., "Exercise effect on dynamic stability in older women : A randomized controlled trial", Archives of Physical Medicine and Rehabilitation, 77(3), pp.232~236 (1996)
  32. Maillard, F., "Effect of highintensity interval training on total, abdominal and visceral fat mass : A meta-analysis", Sports Medicine, 48(2), pp.269~288 (2018)
  33. Maillard, F., "Highintensity interval training reduces abdominal fat mass in postmenopausal women with type 2 diabetes", Diabetes and Metabolism, 42(6), pp.433~441 (2016)
  34. 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)
  35. Investigation of Status of National Physical Fitness, "Ministry of Culture, Sports and Tourism", ~ (2017)
  36. Moliner-Urdiales, D., "Body adiposity index and all-cause and cardiovascular disease mortality in men", Obesity, 21(9), pp.1870~1876 (2013)
  37. Annual Report for Statistics of Health Screening in 2016, "National Health Insurance Service", ~ (2017)
  38. Nordström, A., "Higher prevalence of type 2 diabetes in men than in women is associated with differences in visceral fat mass", The Journal of Clinical Endocrinology and Metabolism, 101(10), pp.3740~3746 (2016)
  39. Ogwumike, O. O., "Effects of a 12-week endurance exercise program on adiposity and flexibility of Nigerian perimenopausal and postmenopausal women", Nigerian Journal of Physiological Sciences, 26(2), pp.199~206 (2011)
  40. Park, S. K., "The effect of combined aerobic and resistance exercise training on abdominal fat in obese middle-aged women", Journal of Physiological Anthropology and Applied Human Science, 22(3), pp.129~135 (2003)
  41. Paoli, A., "Effects of high-intensity circuit training, low-intensity circuit training and endurance training on blood pressure and lipoproteins in middle-aged overweight men", Lipids in Health and Disease, 12(1), pp.131~138 (2013)
  42. Romero-Arenas, S., "Impact of resistance circuit training on neuromuscular, cardiorespiratory and body composition adaptations in the elderly", Aging and Disease, 4(5), pp.256~263 (2013)
  43. Ryo, M., "Clinical significance of visceral adiposity assessed by computed tomography : A Japanese perspective", World Journal of Radiology, 6(7), pp.409~416 (2014)
  44. Samuel, V. T., "The pathogenesis of insulin resistance : Integrating signaling pathways and substrate flux", The Journal of Clinical Investigation, 126(1), pp.12~22 (2016)
  45. Sanal, E., "Effects of aerobic or combined aerobic resistance exercise on body composition in overweight and obese adults: Gender differences. A randomized intervention study", European Journal of Physical Rehabilitation and Medicine, 49(1), pp.1~11 (2013)
  46. Santos, D. A., "Are cardiorespiratory fitness and moderate-to-vigorous physical activity independently associated to overweight, obesity, and abdominal obesity in elderly?", American Journal of Human Biology, 24(1), pp.28~34 (2012)
  47. Sculthorpe, N., "Lowfrequency high intensity interval training is an effective method to improve muscle power in lifelong sedentary aging men : A randomized controlled trial", Journal of the American Geriatrics Society, 63(11), pp.2412~2413 (2015)
  48. Slentz, C. A., "Inactivity, exercise, and visceral fat. STRRIDE : A randomized, controlled study of exercise intensity and amount", Journal of Applied Physiology, 99(4), pp.1613~1618 (2005)
  49. Solanki, R., "Effects of high intensity circuit training using body weight on aerobic fitness and muscular endurance in college students", Physiotherapy, 101, pp.e1418~e1419 (2015)
  50. Sperlich, B., "Functional highintensity circuit training improves body composition, peak oxygen uptake, strength, and alters certain dimensions of quality of life in overweight women", Frontiers in Physiology, 8, pp.172~180 (2017)
  51. Takeshima, N., "Effect of concurrent aerobic and resistance circuit exercise training on fitness in older adults", European Journal of Applied Physiology, 93(1), pp.173~182 (2004)
  52. Tambalis, K., "Responses of blood lipids to aerobic, resistance, and combined aerobic with resistance exercise training : A systematic review of current evidence", Angiology, 60(5), pp.614~632 (2009)
  53. Vaziri, N. D., "ACAT inhibition reverses LCAT deficiency and improves plasma HDL in chronic renal failure", American Journal of Physiology-Renal Physiology, 287(5), pp.F1038~F1043 (2004)
  54. Volaklis, K. A., "Muscular strength as a strong predictor of mortality : A narrative review", European Journal of Internal Medicine, 26(5), pp.303~310 (2015)
  55. WHO, "Obesity and Overweight", ~ (2018)
  56. Willis, L. H., "Effects of aerobic and", or resistance training on body mass and fat mass in overweight or obese adults, 2012, pp.113(12), 1831~1837
  57. Wong, S. L., "Cardiorespiratory fitness is associated with lower abdominal fat independent of body mass index", Medicine and Science in Sports and Exercise, 36(2), pp.286~291 (2004)
  58. Zhang, H., "Effect of high-intensity interval training protocol on abdominal fat reduction in overweight Chinese women : A randomized controlled trial", Kinesiology : International Journal of Fundamental and Applied Kinesiology, 47(1), pp.57~66 (2015)

관련 논문AI추천

이 간행물의 다른 논문 (17건)