남자 고등학생들의 심폐체력 수준과 비만지표, 대사증후군 위험인자와 HOMA-IR 및 hsCRP의 상관성에 관한 연구
The Correlations between Cardiorespiratory Fitness Levels and Body Mass Index, Metabolic Syndrome Risk Factors, Homeostatic Model Assessment-Insulin Resistance, and High Sensitivity C-Reactive Protein in Male High School Students
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연구배경: 본 연구는 남자고등학생들의 심폐체력 수준과 비만지표, 대사증후군 위험인자와 homeostasis model assessment-insulin resistance (HOMA-IR) 및 high sensitivity C-reactive protein (hsCRP)와의 상관관계를 분석하고 나아가 심폐체력 수준이 비만지표, 대사증후군 위험인자와 HOMA-IR 및 hsCRP에 미치는 영향을 분석하고자 수행하였다. 방법: 남자고등학생 227명을 대상으로 심폐체력과 비만지표인 body mass index (BMI), 체지방률, 대사증후군 위험인자인 waist circumference (WC), systolic blood pressure, glucose, triglycerides (TG), high density lipoprotein- cholesterol (HDL-C), 그리고 HOMA-IR과 hsCRP를 분석하였다. 얻어진 자료를 이용해 다중상관분석과 단순회귀분석을 실시하였다. 결과: 심폐체력은 BMI, 체지방률과 부적 상관관계를 나타났으며, 대사증후군 위험인자 중 WC, TG와 HDL-C에서 부적인 상관성이 있는 것으로 나타났다. 또한 심폐체력은 HOMA-IR, hsCRP에서 부적 상관성이 있는 것으로 나타났으며, BMI, 체지방률, WC, TG, HDL-C, HOMA-IR, hsCRP에 높은 영향력이 있는 것으로 나타났다. 또한 연구대상자들을 심폐체력 수준에 따라 세 집단(하위 25%, 중위 50%, 상위 25%)으로 분류한 뒤 집단에 따른 비만지표, 대사증후군 위험인자, HOMA-IR, hsCRP를 비교 분석한 결과, 높은 심폐체력일수록 비만지표, 대사증후군 위험인자, HOMA-IR, hsCRP 수준에 긍정적인 결과를 나타내고 있다. 결론: 이러한 결과는 심폐체력은 비만지표 및 대사증후군 위험인자와 HOMA-IR 및 hsCRP와 밀접한 상관성이 있으며, 낮은 수준의 심폐체력에 비해 심폐체력의 수준이 높을 수록 비만 지표, 대사증후군 그리고 당뇨병과 심혈관계 질환의 위험인자에 긍정적인 영향을 미치는 것으로 확인되었다.
Abstract
Background: The purpose of this study was to analyze the relationships between cardiorespiratory fitness and body mass index (BMI), metabolic syndrome risk factors, homeostasis model assessment-insulin resistance (HOMA-IR), and high sensitivity C-reactive protein (hsCRP) in male high school students in Korea. Furthermore, the effects of the cardiorespiratory fitness levels on these four factors were examined. Methods: The level of cardiorespiratory fitness, BMI, percent body fat, waist circumference (WC), systolic blood pressure, glucose, triglycerides (TG), high-density lipoprotein-cholesterol (HDL-C), HOMA-IR, and hsCRP of 227 male high school students were measured. Analyses of multiple correlation and simple regression were applied. Results: The results showed that the level of cardiorespiratory fitness correlated negatively with BMI, percent body fat, WC, TG, and HDL-C, in addition to HOMA-IR and hsCRP, and strongly influenced BMI, percent body fat, WC, TG, HDL-C, HOMA-IR, and hsCRP. Comparative analysis of our subjects showed that higher cardiorespiratory fitness levels had positive effects on BMI, metabolic syndrome risk factors, HOMA-IR, and hsCRP. Conclusions: This study found that there are close correlations between cardiorespiratory fitness and BMI, metabolic syndrome risk factors, HOMA-IR, and hsCRP. It also showed that, compared to lower levels of cardiorespiratory fitness, higher levels had beneficial effects on BMI, metabolic syndrome risk factors, diabetes, and cardiovascular disease risk factors.
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