본문 바로가기
KERD
논문KCI 등재

양극성 장애인의 운동과 영양 교육 참여 효과에 대한 체계적 문헌고찰

A systematic literature review on the effects of participation in exercise and nutrition intervention for people with bipolar disorder

김소연|봉예나
한국특수체육학회 (Korean Society Of Adapted Physical Activity)|2022.09|한국특수체육학회지 (Korean Journal of Adapted Physical Activity)|제30권 제3호|pp. 23-37|DOI 10.17006/kjapa.2022.30.3.23

2

조회

0

다운로드

2

인용

0

참고문헌

키워드

양극성 장애Bipolar disorder운동exercise정신 장애영양조울증mental illnessnutritionmood disorder

초록

양극성 장애인을 대상으로 운동과 영양이 복합적으로 어떠한 영향을 미치는지에 대한 연구는 상대적으로 부족하다. 본 연구의 목적은 양극성 장애인에게 운동과 영양 교육의 효과에 대한 체계적 문헌고찰을 수행하는 것이다. 6개의 데이터베이스(RISS, KISS, 국회도서관, PubMed, the Cochrane library, Web of science)를 사용해, 최근 12년간 국내외 발표된 실험 논문들을 검색하였다. 검색어로는 양극성 장애, 기분장애, 정동장애, 운동, 신체활동, 스포츠, 영양, 식이 섭취를 교차검색 하였다. 두 명의 연구자가 독립적으로 검색하여 데이터를 추출하였다. 12개의 논문이 최종 선택되었다. 4개의 논문은 양극성 장애인만을 대상으로 한 논문이었고, 8개의 논문은 양극성 장애인을 포함한 정신장애인을 대상으로 한 논문이었다. 운동과 영양 중재를 하였을 때, 심폐 체력에 긍정적인 영향을 미쳤다. 또한, 운동과 영양 중재 후 건강한 식이를 선택하는 빈도가 향상되었다. 본 연구의 결과는 양극성 장애인에게 운동과 영양 프로그램이 신체적, 정신적인 건강 지표 향상에 효과적이라는 것을 시사한다. 추후 연구에서 양극성 장애인을 위한 운동과 영양 프로그램의 빈도, 강도, 시간, 종류를 결정하는 것이 필요할 것이다.

Abstract

There is limited study on the effects of exercise and nutrition on individuals with bipolar disorder. The purpose of this study was to conduct a systematic review on the effects of exercise and nutrition intervention for people with bipolar disorder. Using 6 data bases(the Research Information Sharing Service, Korean Studies Information Service System, the National Assembly Library, PubMed, the Cochrane library, and Web of science), relevant empirical articles were searched from the last 12 years. The search was conducted by combining terms such as bipolar disorder, mood disorder, affective disorder, exercise, physical activity, sports, nutrition, and/or dietary intake. Two reviewers independently assessed the search yields, extracted the data and assessed trial quality. Twelve- empirical studies were identified. There were 4 studies for adults with bipolar disorder, and 8 studies for adults with serious mental illness including bipolar disorder. Positive effects of exercise and nutrition interventions on cardiorespiratory fitness was reported. Dietary behaviors were significantly improved after exercise and nutrition interventions. Results of this study indicated effectiveness of exercise and nutrition programs on some physical and psychological health indicators among adults with bipolar disorder. Further research is needed to determine the recommended frequency, intensity, time, and type of exercise and nutrition programs for adults with bipolar disorder.

참고문헌 (57)

  1. 고경희, "웰리스 프로그램이 정신분열병 환자의 영양과 식이지식, 운동과 체중조절지식 및 체중감소에 미치는 효과", 정신간호학회지, 19(1), pp.34~43 (2010), 한국정신간호학회
  2. 곽경필, "양극성 장애", J Korean Med Assoc, 50(4), pp.348~356 (2007)
  3. 이만균, "12주간의 저항성운동 트레이닝이 비만 남성의 기초대사량과 adipocytokine에 미치는 영향", 운동과학, 20(4), pp.405~416 (2011), 한국운동생리학회[DOI]
  4. 이희승, "영양교육과 운동중재 프로그램이 성인비만여성의 신체성분과 식이섭취, 혈중지질 및 기초체력에 미치는 효과", Journal of Nutrition and Health, 42(8), pp.759~769 (2009), 한국영양학회
  5. 전덕인, "한국형 기분장애 질문지의 타당화 연구", 신경정신의학, 44(5), pp.583~590 (2005), 대한신경정신의학회
  6. "정신의료기관 입원환자의 주요 진단 현황" (2020)[URL]
  7. Alsuwaidan, M. T., "Exercise and bipolar disorder : a review of neurobiological mediators", Neuromolecular Med, 11, pp.328~336 (2009)
  8. Aschbrenner, K. A., "Peer support and mobile health technology targeting obesity-related cardiovascular risk in young adunts with serious mental illness : protocol for a randomized controlled trial", Contemp Clin Trials, 74, pp.97~106 (2018)
  9. Ashdown-Franks, G., "Exercise as medicine for mental and substance use disorders : a meta-review of the benefits for neuropsychiatric and cognitive outcomes", Sports Med, 50, pp.151~170 (2019)
  10. Baldessarini, R. J., "Treatment research in bipolar disorder : issues an recommendations", CNS Drugs, 16, pp.721~729 (2002)
  11. Bartels, S. J., , Am J Psychiatry, 172(4), pp.344~352 (2015)
  12. Brenner, C. J., "Diagnosis and management of bipolar disorder in primary care a DSM-5 update", Med Clin N AM, 98, pp.1025~1048 (2014)
  13. Brown, C., "A pilot study of the nutrition and exercise for wellness and recovery(NEW-R) : A weight loss program for individuals with serious mental illnesses", Psychiatric Rehabilitation Journal, 38, pp.371~373 (2015)
  14. Cairney, J., "Bipolar disorder and leisure-time physical activity: results from a national survey of Canadians", Ment. Health Phys. Act, 2, pp.65~70 (2009)
  15. Centorrino, F., "Weight loss in overweight patients maintained on atypical antipsychotic agents", International Journal of Obesity(London), 30(6), pp.1011~1016 (2006)
  16. Chang, "Foodservice management in institutions for the disabled in Korea", J Korean Soc Fodd Cult, 16(2), pp.187~193 (2001)
  17. Church, T. S., "Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure : a randomized controlled trial", JAMA, 297, pp.2081~2091 (2007)
  18. Cornelissen, V. A., "Effects of endurance training on blood pressure, blood pressure-regulating mechanisms, and cardiovascular risk factors", Hypertension, 46, pp.667~675 (2005)
  19. Crump, C., "Comorbidities and mortality in bipolar disorder : a Swedish national cohort study", JAMA Psychiatry, 70, pp.931~939 (2013)
  20. Daley, A., "Exercise and depression: a review of reviews", J Clin. Psychol. Med. Settings, 15, pp.140~147 (2008)
  21. At Least Five a Week: Start Active, Stay Active: A Reporton Physical Activity from the Four Home Countries’ Chief Medical Officers, "Department of Health", Department of Health, ~ (2001)
  22. Dome, P., "Effects of smoking on health outcomes in bipolar disorder with a special focus on suicidal behavior", Neuropsychiatry, 2, pp.429~441 (2012)
  23. Elmslie, J. L., "Determinants of overweight and obesity in patients with bipolar disorder", J Clin. Psychiatry, 62, pp.486~491 (2001)
  24. Gallagher, P., "Improved slef-exteem and activity levels following a 12-week community activity and healthy lifestyle programme in those with serious mental illness : A feasibility study", Early Intervention in Psychiatry, 15, pp.367~373 (2021)
  25. Jacobsen, K. H, "보건의료 연구방법론" (2015), 군자출판사
  26. Johnson, S. L, "The double-edged sword of goal engagement : consequences of goal persuit in bipolar disorder", Clin Psychol Psychother, 19(4), pp.352~362 (2012)
  27. Kalarchian, M. A., "Behavioral treatment of obesity in patients taking antipsychotic medications", Journal of Clinical Psychiatry, 66(8), pp.1058~1063 (2005)
  28. Katon, W. J., "Clinical and health services relationships between major depression, depressive symptoms and general medical illness", Biol Psychiatry, 54, pp.216~226 (2003)
  29. Kech, P. E., "Compliance with maintenance treatment in bipolar disorder", Bipolar Disorders, 9, pp.443~452 (1997)
  30. Kilbourne, A. M., "Nutrition and exercise behavior among patients with bipolar disorder", Bipolar Disorders, 9, pp.443~452 (2007)
  31. Kilbourne, A. M., "Excess heart-disease-related mortality in a national study of patients with mental disorders: identifying modifiable risk factors", Gen. Hosp. Psychiatry, 31, pp.555~563 (2009)
  32. Kilbourne, A. M., "Improving physical health in patients with chronic mental disorders : 12-month results from randomized controlled collaborative care trial", J Clin Psychiatry, 78(1), pp.129~137 (2017)
  33. 김은경, "장애아동과 비장애 아동의 식습관 및 섭식 행동 비교", 대한지역사회영양학회지, 8(6), pp.840~855 (2003), 대한지역사회영양학회
  34. McElroy, S. L., "Are mood disorders and obesity related? A review for the mental health professional", J Clin Psychiatry, 65, pp.634~651 (2004)
  35. Morriss, R., "Metabolism lifestyle and bipolar affective disorder", J. psychophamacol, 19, pp.94~101 (2005)
  36. Moylan, S., "Exercising the worry away: how inflammation, oxidative and nitrogen stress mediates the beneficial effect of physical activity on anxiety disorder symptoms and behaviours", Neurosci. Biobehav. Rev, 37, pp.573~584 (2013)
  37. Naslund, J. A., "Association between cardiovascular risk and depressive symptoms among people with serious mental illness", J Nerv Ment Dis, 205(8), pp.634~640 (2017)
  38. Naslund, J. A., "Health promotion for young adults with serious mental illness", Psychiatr Serv, 68(2), pp.137~143 (2017)
  39. Park, E. J., "A study on the food habit and nutritional status of developmentally disabled children", Korean J Nutr, 34(2), pp.188~197 (2001)
  40. 박영숙, "장애등급별 정신지체 아동의 식행동과 식품 기호도 비교", 대한지역사회영양학회지, 7(5), pp.628~638 (2002), 대한지역사회영양학회
  41. Perry, W., "From mice to men : a reverse translational study of dysfunctional exploration in psychiatric disorders", Archives of General Psychiatry, 66(10), pp.1072~1080 (2009)
  42. Rethorst, C. D., "Evidence-based recommendations for the prescription of exercise for major depressive disorder", J. Psychiatr. Pract, 19, pp.204~202 (2013)
  43. Rethorst, C. D., "The antidepressive effects of exercise", Sports Medicine, 39, pp.491~511 (2009)
  44. Roshanaei-Moghaddam, B., "Premature mortality from general medical illnesses among person with bipolar disorder: a review", Psychiatr. Serv, 60, pp.147~156 (2009)
  45. Schmutte, T., "Improved sleep, diet, and exercise in adults with serious mental illness : rusult from a pilot self-management intervention", Psychiatr Q, 89, pp.61~71 (2018)
  46. Strassing, M., "Self-reported body weight perception and dieting practices in community-dwelling patients with schizophrenia", Schizophr Res, 75, pp.425~432 (2005)
  47. Subramaniapillai, M., "Charcterizing exercise-induced feelings after one bout of exercise among adolescents with and without bipolar disorder", Journal of Affective disorders, 190, pp.467~473 (2016)
  48. Sylvia, L. G., "Feasibility and acceptability of a lifestyle intervention for individuals with bipolar disorder", J Psychiatr Pract, 25(6), pp.451~460 (2019)
  49. Sylvia, L. G., "Development of an integrated psychosocial treatment to address the medical burden associated with bipolar disorder", J Psychiatr Pract, 17(3), pp.224~232 (2011)
  50. Sylvia, L. G., "Pilot study of a lifestyle intervention for bipolar disorder: nutrition exercise wellness treatment(NEW Tx)", J Affect Disord, 250, pp.278~283 (2019)
  51. Sylvia, L. G., "Nutrition, exercise, and wellness treatment in bipolar disorder : proof of concept for a consolidated intervention", International Journal of bipolar disorders, 1, pp.24~ (2013)
  52. Thomson, D., "A brief review of exercise, bipolar disorder, and mechanistic pathways", Frontiers in psychology, 6 (2015)
  53. Van citters, A. D., "A pilot evaluation of the in SHAPE individualized health promotion intervention for adults with mental illness", Community Ment Health J, 46(6), pp.540~552 (2010)
  54. Wehr, T. A., "48-hour sleep-wake cycles in manic-depressive illness : naturalistic obsevations and sleep deprivation experiments", Archives of General Psychiatry, 39(5), pp.559~565 (1982)
  55. Wipfli, B. M., "The anxiolytic effects of exercise: a meta-analysis of randomized trial and dose-response analysis", J. Sport Exerc. Phychol, 30, pp.392~410 (2008)
  56. Yang, "Dietary behaviors, food preferences and physical activity of the mentally disabled residents in welfare institutes", master, pp.2011
  57. Yeom, M. J., "The comparision of fatness between mentally retarded students and mentally normal students", master, pp.2004

관련 논문AI추천

복합 운동이 정신분열증 환자의 기초체력 및 우울 증상에 미치는 영향권현진, 김연수, 류승호, 송봉길한국특수체육학회 · 한국특수체육학회지2015 · 제23권 제1호조현병을 가진 성인의 정기적 신체활동 참여 경험 탐색김소연, 김예지, 봉예나한국특수체육학회 · 한국특수체육학회지2024 · 제32권 제4호양극성 조증 입원 환자에서 과체중, 비만과 연관 인자：예비 연구박원명, 서호준, 송후림, 왕희령, 전태연, 정영은대한불안의학회 · 대한불안의학회지2010 · 제6권 제2호국내 장애인 운동프로그램의 특징 및 효과에 대한 체계적 문헌고찰김지영, 민지희한국장애인개발원 · 장애인복지연구2018 · 제9권 제2호Exercise and Physical Activity in Mental Disorders: Clinical and Experimental EvidenceAndreas Ströhle, Elisabeth Zschucke, Katharina Gaudlitz대한예방의학회 · 예방의학회지2013 · 제46권 제1호대만성 조현병 환자에서 12주 체중관리 프로그램이 삶의 질에 미치는 영향김재진, 박숙현, 이대수, 제영묘, 최진혁대한조현병학회 · 대한조현병학회지2012 · 제15권 제1호

이 간행물의 다른 논문 (15건)

특수체육교사의 역도선수 양성과정에 관한 내러티브임효경pp. 1-21장애인스포츠지도사의 직무환경과 직무스트레스 및 프리젠티즘의 인과관계김영준, 김지태, 황기선pp. 39-49장애인 은퇴선수 실태조사 및 지원 방안이동철, 김경진pp. 51-61장애인체육 변화 및 활성화 방안 연구 : 문재인 정부 장애인체육 사업을 중심으로장정현pp. 63-75주간보호시설과 주간활동서비스를 이용하는 성인 발달장애인의 신체활동량과 삶의 질의 관계에서 자기효능감의 매개효과진주연, 김윤수pp. 77-89
원문 보기