본문 바로가기
KERD
논문KCI 등재

우리나라 성인남자 당뇨 환자의 신체 활동이 심혈관위험인자에 미치는 영향

Effects of Physical Activity on Cardiovascular Risk Factors in Korean Diabetic Adult Males

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

The purpose of this study is to investigate the effect of aerobic physical activity and muscle strengthening physical activity on cardiovascular disease in diabetic adult males. In the 2016-2019 National Health and Nutrition Examination Survey (KNHANES), 685 adults were selected as final subjects, excluding those with activity restrictions, cancer patients, unmeasured blood-related indicators, and non-responders among diabetic adult males. All statistical analysis was performed using SAS 9.4, and complex sample analysis was performed using weights according to the KNHANES raw data usage guidelines. First, the subjects were divided into aerobic and muscle-strengthening physical activities, and general characteristics were analyzed by cross-analysis. Next, general linear model analysis (GLM) was performed to examine the differences in blood indices between each group. In the case of aerobic physical activity, HDL cholesterol was higher and the CVD score was lower than in the case of not doing aerobic physical activity. In the case of muscle-strengthening physical activity, HDL cholesterol was higher, and triglyceride and fasting blood glucose were lower than in the case of not doing physical activity. The results of this study are expected to be used as basic data for a program for the continuous management of diabetes and prevention of complications, and furthermore, it is expected to be applied to the management of the public health system by developing an intervention program for diabetic patients.

Abstract

The purpose of this study is to investigate the effect of aerobic physical activity and muscle strengthening physical activity on cardiovascular disease in diabetic adult males. In the 2016-2019 National Health and Nutrition Examination Survey (KNHANES), 685 adults were selected as final subjects, excluding those with activity restrictions, cancer patients, unmeasured blood-related indicators, and non-responders among diabetic adult males. All statistical analysis was performed using SAS 9.4, and complex sample analysis was performed using weights according to the KNHANES raw data usage guidelines. First, the subjects were divided into aerobic and muscle-strengthening physical activities, and general characteristics were analyzed by cross-analysis. Next, general linear model analysis (GLM) was performed to examine the differences in blood indices between each group. In the case of aerobic physical activity, HDL cholesterol was higher and the CVD score was lower than in the case of not doing aerobic physical activity. In the case of muscle-strengthening physical activity, HDL cholesterol was higher, and triglyceride and fasting blood glucose were lower than in the case of not doing physical activity. The results of this study are expected to be used as basic data for a program for the continuous management of diabetes and prevention of complications, and furthermore, it is expected to be applied to the management of the public health system by developing an intervention program for diabetic patients.

참고문헌 (38)

  1. 강설중, "저항성 운동이 제2형 당뇨병 중년여성의 골격근 지수, 근체력, 당화혈색소 및 심혈관질환 위험인자에 미치는 영향", 한국발육발달학회지, 23(4), pp.253~260 (2015), 한국발육발달학회
  2. 고성경, "40대 이후 고혈압, 비만 및 당뇨병 여성의 혈중 지질 개선을 위한 유산소성 운동량", 운동과학, 11(1), pp.247~257 (2002), 한국운동생리학회
  3. 고영지, "일 지역 노인의 운동이행 영향요인 분석", 근관절건강학회지, 19(2), pp.223~232 (2012), 대한근관절건강학회[DOI]
  4. 김재구, "24주간 유산소 운동이 제2형 노인 당뇨병 환자들의 혈관염증에 미치는 영향", 코칭능력개발지, 20(2), pp.69~75 (2018), 한국코칭능력개발원[DOI]
  5. 김정숙, "비만을 동반한 제2형 당뇨 여성노인의 밴드 저항운동이 C-peptide, 인슐린 분비능 및 인슐린 저항성에 미치는 영향", 한국여성체육학회지, 33(4), pp.177~195 (2019), 한국여성체육학회[DOI]
  6. 김찬회, "12주간 유산소 운동이 당뇨병 노인여성의 염증지표에 미치는 영향", 한국체육과학회지, 19(4), pp.1337~1349 (2010), 한국체육과학회
  7. Diabetes fact sheet in korea 2020, "대한당뇨병학회", ~ (2020)
  8. "당뇨병과 운동", 대한당뇨병학회[URL]
  9. 백현희, "골관절염 노인의 신체활동이 스트레스 및 건강관련 삶의 질(EQ-5D)에 미치는 영향 : 2018 국민건강영양조사 자료 이용", 한국엔터테인먼트산업학회논문지, 14(5), pp.267~276 (2020), 한국엔터테인먼트산업학회[DOI]
  10. 신원태, "운동 유형이 당뇨병 여성노인의 혈중 염증지표에 미치는 영향", 한국웰니스학회지, 7(1), pp.201~211 (2012), 한국웰니스학회
  11. 이선우, "저항운동 프로그램이 제 2형 당뇨병 노인의 자가간호, 스트레스및 당화혈색소에 미치는 효과", 성인간호학회지, 20(3), pp.431~442 (2008), 한국성인간호학회
  12. 이영휘, "관상동맥질환자의 건강행위이행에 영향을 미치는 요인: 건강신념 변수를 중심으로", Journal of Korean Academy of Nursing, 32(1), pp.40~49 (2002), 한국간호과학회
  13. 이윤수, "성인 비만의 성별에 따른 운동습관, 주관적 건강상태 및 영양섭취상태 비교- 2017년 국민건강영양조사 자료를 이용하여 -", 한국웰니스학회지, 15(1), pp.379~387 (2020), 한국웰니스학회[DOI]
  14. 진혜경, "관상동맥질환자의 규칙적 운동이행 영향요인의 성별 비교:국민건강영양조사 자료(2013~2015년) 활용", 기본간호학회지, 25(2), pp.134~145 (2018), 기본간호학회[DOI]
  15. ADVANCE Collaborative Group., "Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes", New England journal of medicine, 358(24), pp.2560~2572 (2008)
  16. Atlas, D., "International diabetes federation" (2015), International Diabetes Federation
  17. Bertoli A., "Lipid profile, BMI, body fat distribution, and aerobic fitness in men with metabolic syndrome", Acta Diabetol, 40(Suppl 1), pp.S130~S133 (2003)
  18. "Get Active!"[URL]
  19. Chen C. N., "Clinical measures of physical fitness predict insulin resistance in people at risk for diabetes", Phys Ther, 88, pp.1355~1364 (2008)
  20. Cho, J. H., "β‐cell mass in people with type 2 diabetes", Journal of diabetes investigation, 2(1), pp.6~17 (2011)
  21. Codella, R., "May the force be with you:why resistance training is essential forsubjects with type 2 diabetes mellitus without complications", Endocrine, 62(1), pp.14~25 (2018)
  22. Colberg, S. R., "Exercise and type 2 diabetes:the American College of Sports Medicine and the American Diabetes Association:joint position statement", Diabetes care, 33(12), pp.e147~e167 (2010)
  23. Cuff, D. J., "Effective exercise modality to reduce insulin resistance in women with type 2 diabetes", Diabetes care, 26(11), pp.2977~2982 (2003)
  24. D’Agostino Sr, R. B., "General cardiovascular risk profile for use in primary care: the Framingham Heart Study", Circulation, 117(6), pp.743~753 (2008)
  25. Grøntved A., "A Prospective Study of Weight Training and Risk of Type 2 Diabetes Mellitus in Men", Arch Intern Med, 172(17), pp.1306~1312 (2012)[DOI]
  26. Hallal, P. C., "Global physical activity levels: surveillance progress, pitfalls, and prospects", Lancet, 380(9838), pp.247~257 (2012)
  27. Joslin EP., "The Treatment of Diabetes Mellitus", pp.243~300 (1959), Lea & Febiger
  28. Diabetes fact sheet 2020, "Korean Diabetes Association", Korean Diabetes Association, ~ (2021)
  29. Kumar, N., "Diabetic eye screening in multi ethnic population of Malaysia: epidemiological risk factors for development of diabetic retinopathy", International Journal of Research in Medical Sciences, 2(3), pp.1045~1049 (2014)
  30. Loimaala, A., "Exercise training improves baroreflex sensitivity in type 2 diabetes", Diabetes, 52(7), pp.1837~1842 (2003)
  31. Mavros, Y., "Changes in insulin resistance and HbA1c are related to exercise-mediated changes in body composition in older adults with type 2 diabetes: interim outcomes from the GREAT2DO trial", Diabetes care, 36(8), pp.2372~2379 (2013)
  32. Reaven, G. M., "Role of insulin resistnace in human disease", diabetes, 37, pp.1595~1607 (1988)
  33. Ritzel, R. A., "Relationship between β-cell mass and fasting blood glucose concentration in humans", Diabetes care, 29(3), pp.717~718 (2006)
  34. Saisho, Y., "Postprandial C-peptide to glucose ratio as a marker of β cell function:implication for the management of type 2diabetes", International journal of molecular sciences, 17(5), pp.744~ (2016)
  35. Thomas, D., "Exercise for type 2 diabetes mellitus", Cochrane database of systematic reviews, (3), ~ (2006)
  36. Wallberg-Henriksson H., "Exercise in the management of non-insulin-dependent diabetes mellitus", Sports Medicine, 25(1), pp.25~35 (1998)
  37. Wessel T. R., "Relationship of physical fitness vs body mass index with coronary artery disease and cardiovascular events in women", JAMA, 292, pp.1179~1187 (2004)
  38. World Health Organization., "WHO guidelines on physical activity and sedentary behaviour: at a glance", ~ (2020)

관련 논문AI추천

가속도계를 이용한 한국인들의 신체활동수준과 심혈관 대사 질환 요인 및 대사증후군과의 관계 : 2014-2016 국민건강영양조사를 활용하여김준영, 서명원, 송종국, 이정민, 정현철국민체육진흥공단 한국스포츠과학원 · 체육과학연구2022 · 제33권 제4호중장년층의 근력운동 실천유무가 대사증후군에 미치는 영향: 제8기 1차 년도 국민건강영양조사(2019년) 자료를 이용하여김연하, 민들레, 유명환, 이인영대한근관절건강학회 · 근관절건강학회지2022 · 제29권 제1호이상지질혈증 진단기준별 일반적 특성 및 건강행태, 신체활동 실천율 분석신지은, 이윤미대한체육학회 · 대한체육학회지2022 · 제20권 제2호Effects of Walking and Combined Exercise Programs on Body Composition and Blood Lipids in Middle-aged Women with Diabetes안완식대한산업경영학회 · 산업융합연구2025 · 제23권 제2호가속도계로 측정된 중⋅고강도 신체활동 수준이 한국 노인들의 심혈관 대사 및 골 관련 질환에 미치는 영향: 2017 국민건강영양조사를 이용하여서명원, 송종국, 이정민, 정현철한국체육측정평가학회 · 한국체육측정평가학회지2022 · 제24권 제4호High Level Physical Activity and Prevalence of Cardiovascular Disease Using the Korea National Health and Nutrition Examination Survey Data, 2007-2013박경훈, 박병주대한예방의학회 · 예방의학회지2017 · 제50권 제5호

이 간행물의 다른 논문 (13건)