운동과 영양교육이 대사성 증후군의 인슐린 저항성과 심폐기능 및 신체구성에 미치는 영향
The Effects of Exercise and Nutrition Education on Insulin Resistance, Cardiopulmonary Functionand Body Composition in Metabolic Syndrome
0
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
본 연구의 목적은 대사성 증후군을 대상으로 운동과 영양교육을 동시에 처치하여 대사증후군의 인슐린 저항성, 심폐기능, 신체구성에 미치는 영향을 규명하는데 있다. 본 연구의 대상은 서울시 J구 보건소에서 대사성 증후군으로 판명된 중년여성 중 인슐린 저항성과 분비능에 이상이 있는 8명을 대상으로 하였다. 사전검사를 통해 인슐린 저항성과 인슐린 분비능 이상 유무를 판별하고 운동부하 검사를 실시하여 유산소운동의 강도를 결정하고 덤벨로 1RM을 측정하여 근력운동의 강도를 결정하였다. 운동프로그램은 12주간 주 3회 운동과 영양교육을 실시하였으며 연구 결과 다음과 같은 결과를 나타내었다. 첫째, 12주간의 운동과 영양교육 후 대사증후군의 인슐린 저항성에 유의한 효과를 나타내었으나 인슐린 분비능에는 유의한 변화가 없었다. 둘째, 12주간의 운동과 영양교육 후 대사증후군의 심폐기능 변인 가운데 운동지속시간은 통계적으로 유의한 효과가 나타난 반면 최대산소섭취량은 유의한 효과가 나타나지 않았다. 셋째, 12주간의 운동과 영양교육 후 대사증후군의 신체구성 변인 가운데 체중과 체지방량은 통계적으로 유의한 효과가 나타난 반면 근육량은 유의한 효과가 나타나지 않았다. 이상의 결과를 종합해 볼 때, 12주간의 운동과 영양교육이 대사증후군의 인슐린 저항성, 운동지속시간, 체중, 체지방량에 효과를 나타내었으나 대사성증후군과 체력의 향상을 위하여 좀 더 구체적인 운동프로그램을 설정하여 피험자에 대한 철저하고 확실한 통제가 뒷받침되어야 할 것으로 사료된다.
Abstract
The purpose of this study was to investigate the effects of exercise and nutrition education on insulin resistance, cardiopulmonary function and body composition in metabolic syndrome. The subjects of this study consist of eight metabolic syndrome women in J gu Seoul public health center to have a HOMA-IR and HOMA-β. We had a pre-test to determine a HOMA-IR and HOMA-β, performed the maximal exercise testing by Astrand protocol to determine the intensity of aerobic exercise, measured 1RM to determine the intensity of strength training. Subjects were performed exercise and nutrition education 3 times per week for 12 weeks. The data was statistically analyzed in paired t-test(p<.05) to identify their mean differences within group. The results of this study were as follows: First, the 12 weeks exercise and nutrition education had a positive influence in HOMA-IR of metabolic syndrome at the p<.05 level but had not a positive effect in HOMA-β. Second, the 12 weeks exercise and nutrition education had a positive influence in exercise time of metabolic syndrome at the p<.05 level but had not a positive effect in O2max. Third, the 12 weeks exercise and nutrition education had a positive influence in body weight and fat mass of metabolic syndrome at the p<.05 level but had not a positive effect in lean body mass. In conclusion, the 12 weeks exercise and nutrition education had a favorable effects in insulin resistance, exercise time, body weight and fat mass of metabolic syndrome.
참고문헌 (28)
- "내당능장애와 초기당뇨에 있어 신체활동 수준이 인슐린 감수성과 췌장 β세포의 인슐린 분비능에 미치는 영향", 11(1), pp.67~76 (2002)
- "장기간의 운동이 고령층의 대사성 증후군 위험 요인과 상완동맥 내피기능에 미치는 영향" (2004)
- "대사증후군과 운동", pp.41~48 (2002)
- "698명에서 NCEP-ATPⅢ 기준에 의한 대사증후군의 유병율", 63(3), pp.290~298 (2002)
- "인슐린 저항성의 발생기전", 7(2), pp.177~182 (1992)
- "대사증후군의 위험예측인자로서 인슐린 저항성", 63(1), pp.54~60 (2002)
- "American College of Sports Medicine,", 211 (2000)
- "Rats and tissue sites of non-insulin and insulin-mediated glucose uptake in humans", 255 (1998)
- "Body mass index is the most important determining factor for the degree of insulin resistance in non-obese type 2 diabetic patients in Korea", 53, pp.142~146 (2004)
- "Age-related differences in metabolic adaptations following re- sistance training in women", 39, pp.133~138 (2004)
- "Long-chain acyl-CoA esters as indicators of lipid metabolism and insulin sensitivity in rat human muscle American Journal of Physiology Endocrinology Metabolism", 279, pp.5545~560 (2000)
- "Metabolic effects of the addition of resistive to aerobic exercise in older men International Journal of Nutrition and exercise", 14(1), pp.73~80 (2004)
- "American Journal of Cardiology", 83, pp.25~29 (1999)
- "Prospective analysis of the insulin resistance syndrome", pp.715~722 (1992)
- "Effects of exercise in glucose tolerance and insulin resistance", pp.55~65 (1986)
- "Effects of an energy-restrictive diet with or without exercise on abdominal fat and metabolic risk factors in obese women", 25(3), pp.431~438 (2002)
- "Intramyocellular lipid comcentrations are correlated with insulin sensitivity in humans", 42, pp.113~116 (1999)
- "Diabetes Mellitus- A fundamental and Clinical text" (2004), Lippincott Williams & Wilkins
- "National Institutes of Health Third report of the National Cholesterol Education Program Expert panel on detection and treatment of high blood cholesterol in adults National Institutes of Health", (01-3670), pp.01~3670 (2001), National Institutes of Health.
- "Executive Summary of The Third Report of The National Cholesterol Education Program Expert Panel on Detection And Treatment of High Blood Chlesterol In Adults", 285, pp.2486~97 (2001), JAMA,
- "Relationship between insulin resistance and plasma lipid levels in healthy young men", 47, pp.427~ (1998), Diabetes
- "Its role in insulin-sensitivity and the metabolic disturbances of diabetesmellitus", pp.785~789 (1963)
- "Role of insulin resistance in human disease", pp.1595~607 (1988)
- "Muscle fat oxidative capacity is not impaired by age but by physical inactivity association with insulin sensitivity", 18(6), pp.737~739 (2004)
- "Effect of exercise training on insulin sensitivity and glucose metabolic in lean Jounal of Applied Physiology", eda, pp.2402~2411 (1991)
- "Incidence and clinical characteristics of the metabolic syndrome in patients with coronary artery disease", 14(3), pp.207~12 (2003)
- "Contractile activity increases glucose uptake by muscle in severely diabetic rats Journal of Applied Physiology", pp.1054~1049 (1984)
- "Lower b-cell secretion in physically active first-degree relatives of type 2 diabetes patients", 49(7), pp.833~838 (2000), Metabolism