본문 바로가기
KERD
논문KCI 등재

한국인 체력 백분위 제시: 국민체력 100 사업 데이터를 중심으로 (2017-2019)

Normative Reference Values of Physical Fitness Levels in Koreans: Results from the National Fitness Award Project (2017-2019)

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

초록

PURPOSE: This study aimed to develop age- and sex-specific smoothed percentile curves for fitness items using LMS methods in Koreans aged 13–85 years or older. METHODS: A total of 559,430 individuals aged 13-85 years or older (adolescents: 13-18 years, adults: 19-64 years; older adults: >65 years) participated in the National Fitness Award (NFA) project in 2017, 2018, and 2019 in Korea. In this study, the results of body composition (body fat percent), muscle strength (absolute handgrip strength and relative handgrip strength), and flexibility (sit and reach) tests performed by adolescents, adults, and older adults, were analyzed. Cardiorespiratory fitness (20-m PACER, VO2max) was performed only by adolescents and adults. Percentile curves of fitness items smoothed by age- and sex-specific variables were calculated for fit using the LMS method. RESULTS: Percentile curves for each age- and sex-specific group were presented for each physical fitness component. Percent body fat in men and women increased from the age of 25 and 30 years, respectively. Flexibility showed a tendency to decrease sharply after the age of 65 and 70 years in men and women, respectively. Muscle strength decreased gradually after 40 years, and sharply after 60 years. Cardiorespiratory fitness tended to decrease from the age of 25 years in men and from 19 years in women. CONCLUSIONS: The NFA project dataset provided the opportunity to establish normative values for fitness items in Korean men and women aged 13-85 years or older. The use of the LMS method enabled factoring age in the analysis. Normative reference values of fitness items can be used to interpret individuals’ fitness levels during the everyday practice of fitness and/or in clinical settings.

Abstract

PURPOSE: This study aimed to develop age- and sex-specific smoothed percentile curves for fitness items using LMS methods in Koreans aged 13–85 years or older. METHODS: A total of 559,430 individuals aged 13-85 years or older (adolescents: 13-18 years, adults: 19-64 years; older adults: >65 years) participated in the National Fitness Award (NFA) project in 2017, 2018, and 2019 in Korea. In this study, the results of body composition (body fat percent), muscle strength (absolute handgrip strength and relative handgrip strength), and flexibility (sit and reach) tests performed by adolescents, adults, and older adults, were analyzed. Cardiorespiratory fitness (20-m PACER, VO2max) was performed only by adolescents and adults. Percentile curves of fitness items smoothed by age- and sex-specific variables were calculated for fit using the LMS method. RESULTS: Percentile curves for each age- and sex-specific group were presented for each physical fitness component. Percent body fat in men and women increased from the age of 25 and 30 years, respectively. Flexibility showed a tendency to decrease sharply after the age of 65 and 70 years in men and women, respectively. Muscle strength decreased gradually after 40 years, and sharply after 60 years. Cardiorespiratory fitness tended to decrease from the age of 25 years in men and from 19 years in women. CONCLUSIONS: The NFA project dataset provided the opportunity to establish normative values for fitness items in Korean men and women aged 13-85 years or older. The use of the LMS method enabled factoring age in the analysis. Normative reference values of fitness items can be used to interpret individuals’ fitness levels during the everyday practice of fitness and/or in clinical settings.

참고문헌 (38)

  1. Blair SN, "Is physical activity or physical fitness more important in defining health benefits?", Med Sci Sports Exerc, 33(6 SUPPL), pp.S379~S399 (2001)
  2. 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)
  3. Myers J, "Fitness versus physical activity patterns in predicting mortality in men", Am J Med, 117(12), pp.912~918 (2004)
  4. Williams PT, "Physical fitness and activity as separate heart disease risk factors : a meta-analysis", Med Sci Sports Exerc, 33(5), pp.754~761 (2001)
  5. Bachmann JM, "Cardiorespiratory fitness in middle age and health care costs in later life", J Am Coll Cardiol, 66(17), pp.1876~1885 (2015)
  6. Katzmarzyk PT, "Adiposity, physical fitness and incident diabetes : the physical activity longitudinal study", Diabetologia, 50(3), pp.538~544 (2007)
  7. Bigaard J, "Body fat and fat-free mass and all-cause mortality", Obes Res, 12(7), pp.1042~1049 (2004)
  8. Lee L, "Screening for frailty in primary care : accuracy of gait speed and hand-grip strength", Can Fam Physician, 63(1), pp.e51~e57 (2017)
  9. Jae SY, "Cardiorespiratory fitness and incident metabolic syndrome in middle-aged Korean men", Ann Hum Biol, 41(5), pp.477~480 (2014)
  10. Bahat G, "Cut-offpoints to identify sarcopenia according to european working group on sarcopenia in older people(EWGSOP)definition", Clin Nutr, 35(6), pp.1557~1563 (2016)
  11. Speer KP, "Injury prevention and rehabilitation for active older adults" (2005), Human Kinetics
  12. World Health Organization, "Global health risks: mortality and burden of disease attributable to selected major risks" (2009), WHO
  13. Wilder RP, "Physical fitness assessment : an update", J Long Term EffMed Implants, 16(2), pp.193~204 (2006)
  14. Blair SN, "Objectively measured physical activity and mortality in older adults", JAMA, 296(2), pp.216~218 (2006)
  15. 이미현, "Effect of participating in physical fitness assessment on healthcare costs in Korean adults", IJASS(International Journal of Applied Sports Sciences), 33(1), pp.98~107 (2021), 국민체육진흥공단 한국스포츠정책과학원[DOI]
  16. 이승희, "한국 성인의 심폐체력과 의료이용행태 및 의료비의 관련성: 국민체력100 사업 건강체력 기준을 바탕으로", 운동과학, 30(4), pp.501~509 (2021), 한국운동생리학회
  17. Bachmann JM, "Cardiorespiratory fitness in middle age and health care costs in later life", J Am Coll Cardiol, 66(17), pp.1876~1885 (2015)
  18. Purath J, "Physical fitness assessment of older adults in the primary care setting", J Am Acad Nurse Pract, 21(2), pp.101~107 (2009)
  19. 박세정, "한국 성인의 질병예방을 위한 건강체력 기준개발: The Korea Institute of Sport Science Fitness Standards Study (KISS FitS)", 한국체육학회지, 57(6), pp.235~247 (2018), 한국체육학회
  20. 박세정, "한국 노인의 자립생활을 위한 기능체력 기준 개발", 한국체육학회지, 57(5), pp.385~396 (2018), 한국체육학회
  21. 이승희, "Physical Fitness Levels in Korean Adolescents: The National Fitness Award Project", Journal of Obesity & Metabolic Syndrome, 26(1), pp.61~70 (2017), 대한비만학회[DOI]
  22. Landi F, "Normative values of muscle strength across ages in a ‘real world’ population : results from the longevity check-up 7+ project", J Cachexia Sarcopenia Muscle, 11(6), pp.1562~1569 (2020)
  23. McGrath R, "Absolute and body mass index normalized handgrip strength percentiles by gender, ethnicity, and hand dominance in Americans", Adv Geriatr Med Res, 2(1), pp.e200005~ (2020)
  24. Development of alternative items for the national fitness award project, "Jung J", Ministry of Culture, Sports and Tourism, ~ (2015)
  25. Model development of fitness certification center, "Jung J", Ministry of Culture, Sports and Tourism, ~ (2014)
  26. Imboden MT, "Cardiorespiratory fitness and mortality in healthy men and women", J Am Coll Cardiol, 72(19), pp.2283~2292 (2018)
  27. Lu Y, "Associations of handgrip strength with morbidity and all-cause mortality of cardiometabolic multimorbidity", BMC Med, 20(1), pp.1~11 (2022)
  28. Sayer AA, "Grip strength and the metabolic syndrome : findings from the Hertfordshire cohort study", QJM, 100(11), pp.707~713 (2007)
  29. He X, "Age-and sex-related differences in body composition in healthy subjects aged 18 to 82 years", Med, 97(25), pp.e11152~ (2018)
  30. Zeng Q, "Percent body fat is a better predictor of cardiovascular risk factors than body mass index", Braz J Med Biol Res, 45(7), pp.591~600 (2012)
  31. Okabe T, "Sex differences in age-related physical changes among community-dwelling adults", J Clin. Med, 10(20), pp.4800~ (2021)
  32. Lawman HG, "Associations of relative handgrip strength and cardiovascular disease biomarkers in US adults, 2011–2012", Am J Prev Med, 50(6), pp.677~683 (2016)
  33. Wu Y, "Association of grip strength with risk of all-cause mortality, cardiovascular diseases, and cancer in community-dwelling populations : a meta-analysis of prospective cohort studies", J Am Med Dir Assoc, 18(6), pp.551~ (2017)
  34. Ruiz JR, "Association between muscular strength and mortality in men : prospective cohort study", BMJ, 337, pp.a439~ (2008)
  35. Wang CY, "Cardiorespiratory fitness levels among US adults 20–49 years of age : findings from the 1999–2004 national health and nutrition examination survey", Am J Epidemiol, 171(4), pp.426~435 (2010)
  36. Kaminsky LA, "Updated reference standards for cardiorespiratory fitness measured with cardiopulmonary exercise testing : data from the fitness registry and the importance of exercise national database(FRIEND)", Mayo Clin Proc, 97(2), pp.285~293 (2022)
  37. Okunrintemi V, "Trends and costs associated with suboptimal physical activity among US women with cardiovascular disease", JAMA network open, 2(4), pp.e191977~ (2019)
  38. Carlson SA, "Inadequate physical activity and health care expenditures in the united states", Prog cardiovasc dis, 57(4), pp.315~323 (2015)

관련 논문AI추천

이 간행물의 다른 논문 (14건)