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장기간 운동이 여성 고령자의 대사성 증후군의 위험 요인에 미치는 영향

Effects of long-term exercise training on metabolic syndrome factors in elderly women

박성태|김연수|박상연|강현주|이동기|우재홍|엄우섭|전태원|박익렬|Stewart Kerry J
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2004.06|체육과학연구 (Korean Journal of Sport Science)|제15권 제2호|pp. 19-31

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운동ExerciseMetabolic syndromeElderly women여성 고령자대사성 증후군
주제분류체육

초록

대사성 증후군 위험 요인은 제2형 당뇨병으로 진전되고 심혈관질환뿐만 아니라 모든 만성질환의 원인이 되고 있다. 본 연구의 목적은 대사성 증후군의 위험 요인을 가지고 있는 여성 고령자를 대상으로 장기간의 운동이 대사성 증후군의 위험 요인에 미치는 영향을 살펴보는 데 있다. 실험대상자는 대사성 증후군의 위험 요인에 해당되는 27명의 여성 고령자를 대상으로 하였다. 대사성 증후군의 진단 기준은 미국 콜레스테롤 교육 프로그램(NCEP)에서 제시한 증가된 허리둘레, 상승된 혈압, 높은 중성지방, 저하된 고밀도지단백콜레스테롤, 상승된 공복 시 혈당인 경우로 정의하였다. 운동은 6개월 동안 주당 3회, 일일 30분 동안 실시하였다. 운동효과를 검증하기 위하여 운동 프로그램 전․후 허리둘레, 혈압, 혈중지질, 공복 시 혈당 등을 측정하여 종속 t 검증을 수행한 결과는 다음과 같다. 허리둘레는 87.72±11.72에서 84.99±10.83cm(p<.01)로, 수축기 혈압은 141.7±8.1에서 135.6±15 mmHg(p<.01)로, 이완기 혈압은 73.3±7.0에서 70.4±7.3mmHg(p<.01)로 유의하게 감소하였으나, 다른 위험 요인은 유의한 감소 효과를 나타내지 않았다. 심폐능력 변인에서 O2max는 20.81±2.29에서 28.39±6.12ml/kg/min(p<.001)으로, 운동지속시간은 670.26±152.25에서 882.54±177.56sec(p<.001)로 유의하게 증가하였다. 본 연구 결과 장기간의 운동은 대사성 증후군 위험 요인을 가지고 있는 여성 고령자에게 효과적인 치료 방법이며, 만성질환의 진행에 있어 중요한 역할을 할 것으로 여겨지지만, 보다 효과적인 향상을 위하여 전형적으로 처방된 운동프로그램보다는 운동 강도, 지속시간, 빈도, 종류 등 개인의 특성을 고려한 개별화된 운동을 수행해야 할 것으로 사료된다.

Abstract

Metabolic syndrome risk factors are increased risk for developing type 2 diabetes and cardiovascular disease as well as increased mortality from cardiovascular disease and all causes. Exercise has a favorable effect on most of the positive risk factors for most of disease. The purpose of the study was to effects of long-term exercise training on metabolic syndrome risk factors in elderly women. The sample included 27 elderly women with metabolic syndrome risk factors. The metabolic syndrome risk factors were based on the guidelines of the National Cholesterol Education Program, including elevated waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP), triglycerides (TG), blood glucose (BG) and low HDL-cholesterol (HDL-C). The diagnosis of the metabolic syndrome risk factors was made when two or more of the risk determinants. Exercise training was offered = 30 min/day, = 3 times/week for 6 months. The metabolic syndrome risk factors improve with exercise training a paired t-test was conducted. After 6 months of exercise training, WC decreased significantly from 87.72+/-11.72 to 84.99+/-10.83 cm (p＜.01), SBP decreased significantly from 141.7+/-8.1 to 135.6+/-15 mmHg (P<.01), and DBP decreased significantly from 73.3+/-7.0 to 70.4+/-7.3 mmHg (p＜.01). These results suggest that exercise training in elderly women with the metabolic risk factors can be useful as a treatment strategy and this study supports the concept that exercise training may play a important role in the progression of chronic disease

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