여성노인 당뇨병 환자의 심폐체력 평가를 위한 Tecumseh Step Test의 타당성
Validity of the Tecumseh Step Test for Evaluation of Cardiorespiratory Fitness in Elderly Women Patients with Didabetes mellitus
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
본 연구는 제2형 당뇨병을 가지고 있는 노인여성 환자를 대상으로 최대산소섭취량을 평가하기 위한 Tecumseh Step Test(TST)의 타당도 유용성을 알아보는데 그 목적이 있다. 제2형 당뇨병으로 진단받은 60대~70대의 노인 64명을 대상으로 신체구성성분, 혈액검사, 운동부하검사를 위해 cycle ergometer, 6-min walking test(6-MWT), TST를 실시하였다. 에르고미터를 이용한 최대산소섭취량과 TST의 회복시 심박수, 6-MWT의 이동거리의 상관관계를 알아보고자 피어슨 상관게수와 회귀분석을 통해 다음과 같은 결과를 얻었다. VO2max와 회복기 심박수는 유의한 음의 상관관계(r=-.490, p<.001), 6-MWT 이동거리와는 양의 상관관계(r=.533, p<.001)를 나타내었다. 다중회귀분석 결과 6-MWT와 TST는 각각 40%, 39%의 설명력을 가지는 것으로 나타났으나, TST검사가 6-MWT보다 다소 높은 타당도를 나타내었다. 이러한 결과를 통해 볼때, TST검사는 제2형 당뇨병을 가진 노인여성을 위해 최대산소섭취량을 설명하는 예측인자로 유용성이 있는 것으로 고려된다.
Abstract
The purpose of this study was to investigate validity of the Tecumseh Step Test(TST) for evaluation of cardiorespiratory fitness in elderly women patients with diabetes mellitus. Sixty four elderly women patients with type 2 diabetes mellitus aged 60-79 years vlunteered for this study. All the subjects underwent incremental exercise test using a cycle-ergometer to estimate the rate of oxygen consumption(VO2), 6-min walking test(6-MWT), and TST. Data were analyzed using correlation coefficients and regress analysis. The results of this study were as follows. The significant negative correlation(r=-.490, p<.001) between VO2max and the recovery heart rate of TST was observed, whereas VO2max was significantly positively correlated to the distance of 6-MWT(r=.533, p<.001). In regression analysis, both 6-MWT and TST were an important redict variation to VO2max. The recovery of TST rather than the distance of 6-MWT showed a higher test's validity for evaluation of cardiorespiratory fitness. These results suggest that TST may be useful to test cardiorespiratory fitness in elderly women patients with type 2 diabetes mellitus.
참고문헌 (37)
- 김신우, "인슐린비의존성 당뇨병환자에서 최대운동부하검사에의한 심페적성 및 에너지대사능의 평가", 대한내과학회지, 49(1), pp.81~87 (1995)
- 김용환, "남녀 관상동맥 질환자들의 6분 걷기를 이용한 VO2peak 추정 회귀공식에 관한 연구", 대한스포츠의학회지, 26(2), pp.111~116 (2008), 대한스포츠의학회
- 김지영, "심폐체력 측정을 위한 Tecumseh 스텝테스트의 준거타당도 검증", 한국여성체육학회지, 29(3), pp.99~110 (2015), 한국여성체육학회
- 김현수, "질문지법을 이용한 성인의 최대산소섭취량 추정", 대한스포츠의학회지, 13(2), pp.144~152 (1995)
- 안재웅, "지적장애학생의 신체활동수준이 비만도 및 심폐지구력에 미치는 영향", 한국특수체육학회지, 19(1), pp.57~67 (2011), 한국특수체육학회
- 예현수, "인슐린 비의존성 당뇨성 환자의 식이 및 운동요법에 대한 지식, 실천조사", 가정의학회지, 17(3), pp.223~230 (1996)
- 이덕철, "스텝 테스트를 이용한 제II형 당뇨환자의심폐능력과 당화혈색소, 혈압, 혈중지질의 상관관계", 체육과학연구, 17(4), pp.28~36 (2006), 국민체육진흥공단 부설 한국스포츠개발원
- 이용희, "만성 편부전마비 장애인의 심폐체력과 보행능력과의 관련성", 한국특수체육학회지, 23(1), pp.91~103 (2015), 한국특수체육학회
- 김상아, "우리나라 당뇨병의 유병률과 관리 상태", 대한내과학회지, 68(1), pp.10~17 (2005), 대한내과학회
- American College of Sports Medicine, "ACSM's guidelines for exercise testing and prescription" (2014), Williams & Wilkins
- American Thoracic Society, "ATS Statement : Guidelines for the six-minute walk test. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories", Am J Respir Crit Care Med, 166, pp.111~117 (2002)
- Burke, E. J., "Validity of selected laboratory and field tests of physical working capacity", Research Quartery, 47, pp.95~104 (1976)
- Cahalin L., "The relationship of the 6-min walk test to maximal oxygen consumption in transplant candidates with end-stage lung disease", Chest, 108, pp.452~459 (1995)
- Crews RT, "A growing troubling triad:diabetes, aging, and falls", Aging Res, 2013, pp.342650~ (2013)
- Cooper, K. H., "A means of assessing maximal oxygen intake. Correlation between field and treadmill testing", Journal of the American Medical Association, 203, pp.135~138 (1986)
- Doolittle, T. L., "The twelve-minute run-walk : a test of cardiorespiratory fitness of adolescent boys", Research Quartery, 39, pp.491~495 (1968)
- Fox, E. L., "Interval training for life time fitness" (1980), The Dial Press, NY
- Gene, M. A., "Exercise physiology laboratory manual", pp.1990, WCB
- Hammar M, "Healthy aging and age-adjusted nutrition and physical fitness", Best Pract Res Clin Obstet Gynaecol, 27(5), pp.741~752 (2013)
- Hwang H. J, "The association among three aspects of physical fitness and metabolic syndrome in a Korean elderly population", Diabetol Metab Syndr, 12(7), pp.112~ (2015)
- Jackson, A., "An analysis of the validity of the three-mile run as a field test of aerobic capacity in college males", Research Quarterly, 61, pp.233~237 (1990)
- Knight E, "Validation of the step test and exercise prescription tool for adults", Can J Diabetes, 38(3), pp.164~171 (2014)
- Kodama S, "Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis", JAMA, 301(19), pp.2024~2035 (2009)
- Kuitoni M, "Re-evaluation of exercise prescription for Japanese type 2diabetic patioents by ventilatory threshold", Diabetes Research and Clinical Practice, 50, pp.109~115 (2000)
- Laukkanen, R. M. T., "Criterion validity of two-kilometer walking test for predicting the maximal oxygen uptake of moderately to highly active middle-aged adults", Scandinavian. Journal of Medicine and Science in Sports, 3, pp.267~272 (1993)
- Motoye, H. J., "Tecumseh Community Health Study : An investigation of health and disease in an entire community", Journal of sports medicine and physical fitness, 5, pp.127~131 (1965)
- Montoy, H. J., "physical activity and health: An epidemiology study of an entire community" (1975), Prentice Halls
- Oja, P., "A 2-km walking test for assessing the cardiorespiratory fitness of healthy adults", International Journal of Sports Medicine, 12, pp.356~362 (1991)
- Pate CA, "Compliance of insulin-dependent diabetics with low-fat diet", J Am Diet Assoc, 88(6), pp.796~798 (1986)
- Petrella R. J., "A self-paced step test to predict aerobic fitness in older adults in the primary care clinic", Jounal of American Geriatric Society, 49, pp.632~638 (2001)
- Rosenstock IM., "Understanding and enhancing patient compliance with diabetic regimens", Diabetes Care, 8(6), pp.610~616 (1985)
- Santo A. A., "Predicting maximaum oxygen uptake from a modified 3-minute step test", Research Quarterly for Exercise and Sport, 74(1), pp.110~115 (2003)
- Schatz PE., "An evaluation of the components of compliance in patients with diabetes", L Am Diet Assoc, 88(6), pp.708~712 (1998)
- Sykes K., "The chester step test-a simple yet effective tool for the prediction of aerobic capacity", Physiotherapy, 90, pp.183~188 (2004)
- Werfalli M, "The prevalence of type 2 diabetes among older people in Africa : a systematic review", Lancet Diabetes Endocrinol, 4(1), pp.72~84 (2016)
- Wyndlham, C. H., "Estimating the maximum aerobic capacity for exercise", South Africa Medicine Journal, 45, pp.53~57 (1971)
- Zugck C, "Is the 6-minute walk test a reliable substitute for peak oxygen uptake in patients with dilated cardiomyopathy", Eur Heart J, 21, pp.540~549 (2000)