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가속도계로 측정된 중⋅고강도 신체활동 수준이 한국 노인들의 심혈관 대사 및 골 관련 질환에 미치는 영향: 2017 국민건강영양조사를 이용하여

The Effects of Accelerometer-measured Physical Activity Status on Cardiometabolic and Bone Disease in Old Adults: Results from 2017 KNHANES DATA

이정민|정현철|송종국|서명원
한국체육측정평가학회 (Korean Society For Measurement And Evaluation In Physical Education And Sports Science)|2022.12|한국체육측정평가학회지 (The Korean Journal of Measurement and Evaluation in Physical Education and Sports Science)|제24권 제4호|pp. 189-200|DOI 10.21797/ksme.2022.24.4.016

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참고문헌

키워드

aging노화당뇨병대사증후군고혈압metabolic syndrome골관절염diabetesosteoarthritishypertensionMVPA중⋅고강도 신체활동

초록

본 연구의 목적은 2017 국민건강영양조사 가속도계 신체활동 자료를 이용하여, 한국 노인들의 신체활동 수준과 심혈관 대사 및 골 관련 질환의 관계를 규명하는 것이다. 본 연구의 대상자는 65세 이상이고, 가속도계 최소 착용 기준을 만족한 398명(남자:188명, 여자:210명)을 대상으로 분석하였으며, 중⋅고강도 신체활동(moderate to vigorous physical activity; MVPA) 2분위 수 기준으로 그룹을 구분하였다. MVPA 수준에 따른 종속 변인들의 차이를 분석하기 위해서 독립 t-test 검정을 적용하였고, 신체적 특성을 공변량으로 제어한 후 Bonferroni correction 사후검정을 추가로 실시하였다. 또한, 다항 로지스틱 회귀분석을 이용하여 MVPA 수준과 심혈관 대사 및 골 관련 질환의 관계를 분석하였다. 연구 결과 HDL-C, 중성지방(TG), 공복혈당, 당화혈색소, TG/HDL-C 및 악력에서 그룹 간 유의한 차이가 나타났다(p˂.05). 또한, MVPA가 낮은 하위 그룹은 상위 그룹과 비교하여, 고혈압 2.75배, 당뇨병 1.69배, 대사증후군 2.29배, 그리고 골관절염은 1.87배 이상 위험성이 높은 것으로 나타났다. 가속도계로 측정된 한국 노인들의 신체활동 수준은 심혈관 대사 및 골 관련 질환과 밀접한 관련성이 있는 것으로 나타났다. 추후 연구에서는 한국 노인들의 신체활동 변화를 지속적으로 관찰하여 심혈관 대사 및 골 관련 질환의 진행 과정을 살펴보기 위한 종단연구가 필요할 것으로 생각된다.

Abstract

The purpose of this study was to examine the associations between accelerometer-measured physical activity and both cardiometabolic disease and osteoarthritis in Korean older adults. We analyzed data from 2017 Korea National and Nutrition Examination Survey (KHANES), a nationally representative, cross-sectional survey in South Korean older adults (n=398). The participants were categorized into two groups based on accelerometer-measured moderate-to-vigorous physical activity (higher MVPA group, ≧ 20 min/day, lower MVPA group < 20 min/day). Demographic and physical characteristics, physical activity levels, blood pressure, lipid profiles, TG/HDL, and grip strength were observed. The associations between MVPA with cardiometabolic disease and osteoarthritis were assessed using multiple logistic regression with adjustments for potential covariates. The present study determined that individual with higher MVPA had lower waist circumference, visceral adipocity index, tryglycerides, fasting glucose, HbA1C, and TG/HDL (p<.05). In addition, individual with lower MVPA showed significantly worse outcomes such as HDL-C and grip strength. Odds ratios for cardiometabolic risk factors (hypertension; 2.75, diabetes; 1.69, metabolic syndrome; 2.29) and bone disease (osteoarthritis; 1.87) increased with individual with lower MVPA. Lower MVPA older adults were strongly associated with cardiometabolic disease and osteoarthritis. The findings of this study provide insight into possible strategies to improve in cariometabolic and bone health by participating MVPA during the elderly stage of life.

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