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성인 한국인의 고밀도 콜레스테롤 수준에 따른 신체활동량

The Amount of Physical Activity According to the Level of High Density Lipoprotein Cholesterol in Korean Adults

유상호|송종임|류정금
대한임상건강증진학회 (Korean Society For Health Promotion And Disease Prevention)|2011.12|Korean Journal of Health Promotion|제11권 제4호|pp. 197-205

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참고문헌

키워드

국민건강영양조사신체활동Physical activity심혈관질환National health and nutrition examination surveyCardiovascular disease고밀도 지단백 콜레스테롤High-density lipoprotein-cholesterol
주제분류기타자연과학

초록

연구배경: 고밀도 지단백 콜레스테롤(high-density lipoprotein cholesterol, HDL-C)은 여러 생활습관과 관련이 있으며, 특히 신체활동에 의해 큰 영향을 받는 것으로 알려져 있다. 한국 성인에서 신체활동과 HDL-C의 관련성 및 혈중 HDL-C의 수준에 따른 평균 신체활동량을 알아본 연구는 드물다. 방법: 2005년 국민건강영양조사 자료에서 지질저하제를 복용하고 있지 않은 19세 이상부터 70세 미만의 총 22,294명(남 10,553명, 여 11,741명)의 성인 한국인을 연구대상으로 선정하였다. National Cholesterol Education Program의 Adult Treatment Pane III (ATP III)의 HDL-C기준에 따라 연구대상을 세 개의 HDL-C군으로 분류하였다. 신체활동량은 세계보건기구의 한국어판 국제신체활동도 설문을 이용하여 조사하였다. 관련이 있는 여러 변수들을 보정한 상태에서 HDL-C과 신체활동량 간의 관련성을 알아보았으며, 각 HDL-C군에서의 평균 신체활동량을 조사하였다. 결과: 여러 관련변수를 보정한 후에도 신체활동량과 HDL-C은 유의한 관련성을 보여, 신체활동량이 증가함에 따라 HDL-C이 상승하는 결과를 보였다(P<0.001). HDL-C이 낮은 군은 높은 군에 비해 신체활동량이 유의하게 낮았다(1653.08±65.31 MET-min/wk vs. 1916.70±102.86 MET-min/wk, P<0.001). 결론: 한국 성인에서 HDL-C이 낮은 군은 높은 군에 비해 신체활동량이 통계적으로 유의하게 낮다.

Abstract

Background: A low level of high-density lipoprotein-cholesterol (HDL-C) is well known as an important cardiovascular risk factor which is closely associated with physical activity levels. However, there is a very few studies conducted on relationship between physical activity and HDL-C status among Korean adults. Methods: We selected total 22,294 people aged 19 to 69 years old who had not taken lipid lowering agents from the 2005 Korea National Health and Nutrition Examination Survey (NHANES) data. The population was classified into three groups using the criteria for HDL-C of Adult Treatment Panel III. The relationship between the physical activity and HDL-C was investigated and the amount of physical activity levels of the three HDL-C groups were obtained with analysis of covariance with adjustments for various factors influencing the physical activity levels. Results: After adjusted for various factors influencing HDL-C, physical activity is significantly associated with HDL-C. As physical activity is increased, HDL-C is much higher (P<0.001).The physical activity levels were significantly different among the three HDL-C groups. The amount of physical activity in low HDL-C group was significantly low compared to high HDL-C group (1653.08±65.31 MET-min/wk vs. 1916.70±102.86 MET-min/wk, P<0.001). Conclusions: We confirmed that the amount of physical activity level in low HDL-C group was significantly lower compared with that of high HDL-C group in Korean adults.

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