노인의 국민체력100 체력증진교실 참여가일상생활체력 및 균형자신감에 미치는 영향
Effects of Korean National Fitness Award Program Group Exercise on Daily Fitness and Balance Confidence among the Elderly Participants
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참고문헌
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초록
본 연구의 목적은 노인의 국민체력100 체력증진교실 운동프로그램 참여가 일상생활체력 및 균형자신감에 미치는 영향을 규명하는 것이었다. 본 연구는 2013년 국민체력100사업의 노인기 시범사업으로 전국 10개 체력인증센터에서 진행된 8주간의 체력증진교실의 복합운동 프로그램 참여자를 중심으로 신체구성, 일상생활체력, 균형자신감 및 건강관련 삶의 질을 분석하였다. 신체구성과 일상생활체력 항목은 국민체력100 노인기 사업항목으로 한정하였으며, 균형자신감 및 건강관련 설문을 추가로 조사하였다. 총 참여자 중 사전과 사후검사 및 설문지조사에 모두 참여한 496명(여성노인 80.2%)의 자료를 전체는 물론 남성노인과 여성노인으로 구분하여 분석하였으며, 다음과 같은 결과를 얻었다. 1) 신체구성은 체중, 체질량지수와 체지방률에서 모두 유의한 감소가 나타났으나(p<.05), 제지방량은 변화가 없었다. 2) 일상생활체력은 상대악력, 의자에앉았다일어서기, 2분제자리걷기, 그리고 앉아윗몸앞으로굽히기에서 유의한 증가가 나타났고(p<.01), 의자에앉아3m표적돌아오기에서 유의한 감소(p<.01)가 나타났으며, 8자보행은 변화가 없었다. 3) 균형자신감(K-ABC) 평가항목에서 유의한 증가가 나타났다(p<.001). 4) 건강관련 삶의 질 평가항목(EQ-5D index)에서는 유의한 변화는 나타나지 않았으며, 주관적 건강지표(EQ-VAS)에서는 유의한 증가가 나타났다(p<.001). 따라서 국민체력100 체력증진교실 운동프로그램이 참여노인의 일상생활체력과 균형자신감에 긍정적인 영향을 미치는 것으로 나타났으며, 아울러 신체구성과 건강관련 삶의 질에도 긍정적인 영향을 미치는 것을 확인할 수 있었다. 추후 효과적인 노인 체력증진프로그램의 개발 및 보급을 위하여 본 연구의 결과를 기초자료로 활용할 수 있을 것이다.
Abstract
The purpose of this study was to investigate the effects of National Fitness Award program group exercise classes on daily fitness and balance-confidence among the elderly participants(n=496, 80.2% women). This study investigated body composition, daily fitness, and balance-confidence, and quality of life among the subjects who participated in the combined exercise program of improving physical fitness class for 8-week in the 10 national physical fitness certification centers by the demonstration project for the elderly of 2013 Korean National Fitness 100 project. Body composition and physical fitness for daily living were defined by Korean National Fitness 100 project for elderly, also the balance-confidence and health-related questionnaires were added. The following results were obtained by comparing the pre-test and post-test. In body composition body weight (p<.05), body mass index (p<.05), fat mass (p<.01), and percent body fat (p<.05) were significantly decreased, but muscle mass was not. Except for walking-around-two-cones-in-a-figure 8, all other daily fitness items such as relative grip strength (p<.001), chair sit to stand, two minutes place to walk, and sit-and-reach significantly increased (p<.01), and timed up and go were significantly decreased (p<.01). In balance confidence rating ABC tests (p<.001) were shown significantly increased. Although, quality of life measured by EQ-5D was not significantly improved, self-health status measured by EQ-VAS (p<.001) showed significant increase. Therefore, the group exercises of National Fitness Award program improved body composition, daily fitness and balance confidence in Korean elderly participants.
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