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초등학생의 신체활동 및 심폐체력과 대사증후군 위험인자들의 군집현상과의 연관성 조사

Clustering of metabolic syndrome risk factors are associated with physical activity and cardiorespiratory fitness in elementary school children.

강현식|박진국|홍혜련
한국운동생리학회|2008.11|운동과학 (Exercise Science)|제17권 제4호|pp. 483-494|DOI 10.15857/ksep.2008.17.4.483

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참고문헌

키워드

신체활동physical activity심폐체력metabolic syndrome risk factorscardiorespiratory fitness대사증후군 위험인자들

초록

Hong, H.R., Kang, H.S., Park, J.K. Clustering of metabolic syndrome risk factors are associated with physical activity and cardiorespiratory fitness in elementary school children. Exercise Science. 17(4): 483-494, 2008. The purpose of this study was to investigate the relationship between the clustering of metabolic syndrome risk factors and objectively measured physical activity and whether cardiorespiratory fitness in elementary school children. A total of 213(101 boys, 112 girls) healthy elementary school children aged 12 to 13 years were participated in this study. The participant's physical activity was measured with the accelerometer(life corder EX, 2006, Suzuken, Japan) for seven consecutive days, and CRF with a maximal treadmill exercise test by using the bruce protocol. The outcome variables were statistically normalized and expressed as the number of SDs from the mean(i.e., Z scores). A metabolic syndrome risk (sitting systolic and diastolic blood pressure, waist circ., fasting values of triglyceride, total cholesterol, glucose, and high-density lipoprotein cholesterol) score was computed as the mean of these Z scores. Oneway ANOVA and independent t-test were used to examine statistical significances in the measured variables across physical activity quartiles and between boys and girls. We found significant sex differences in body fatness and physical activity and CRF such that boys had higher values in BMI, percent body fat, waist circumference, WHR, VO2max, and physical activities than girls. In the total subjects, both physical activity and CRF were inversely and significantly related to clustering of metabolic syndrome risk factors even after controlling for age, sex, sexual maturation, and dietary intakes. In conclusion, the findings of the current study suggest that both physical activity and cardiorespiratory fitness were independent predictors of clustering of metabolic risk factors in elementary school children

Abstract

Hong, H.R., Kang, H.S., Park, J.K. Clustering of metabolic syndrome risk factors are associated with physical activity and cardiorespiratory fitness in elementary school children. Exercise Science. 17(4): 483-494, 2008. The purpose of this study was to investigate the relationship between the clustering of metabolic syndrome risk factors and objectively measured physical activity and whether cardiorespiratory fitness in elementary school children. A total of 213(101 boys, 112 girls) healthy elementary school children aged 12 to 13 years were participated in this study. The participant's physical activity was measured with the accelerometer(life corder EX, 2006, Suzuken, Japan) for seven consecutive days, and CRF with a maximal treadmill exercise test by using the bruce protocol. The outcome variables were statistically normalized and expressed as the number of SDs from the mean(i.e., Z scores). A metabolic syndrome risk (sitting systolic and diastolic blood pressure, waist circ., fasting values of triglyceride, total cholesterol, glucose, and high-density lipoprotein cholesterol) score was computed as the mean of these Z scores. Oneway ANOVA and independent t-test were used to examine statistical significances in the measured variables across physical activity quartiles and between boys and girls. We found significant sex differences in body fatness and physical activity and CRF such that boys had higher values in BMI, percent body fat, waist circumference, WHR, VO2max, and physical activities than girls. In the total subjects, both physical activity and CRF were inversely and significantly related to clustering of metabolic syndrome risk factors even after controlling for age, sex, sexual maturation, and dietary intakes. In conclusion, the findings of the current study suggest that both physical activity and cardiorespiratory fitness were independent predictors of clustering of metabolic risk factors in elementary school children

참고문헌 (57)

  1. 대한비만학회 소아비만위원회, "소아·청소년 비만관리 지침서", 6~11 (2006)
  2. 대한소아과학회 보건통계위원회, "1998년 한국 소아 및 청소년 신체 발육 표준치", 대한소아과학회, ~ (1998)
  3. 조옥현, "소아비만 예방을 위한 튼튼이 캠프 운영 사례", 대한비만학회, 15(1), pp.116~123 (2006)
  4. 서민정, "한국 소아와 청소년에서 대사증후군 유병율", 가정의학 (2006)
  5. 이재현, "대사증후군 요인 유무에 따른 비만 아동의 신체 활동 양상", 한국체육학회지, 45(3), pp.599~608 (2006), 한국체육학회
  6. 이헌욱, "아동기 비만의 예방과 치료", 한국아동교육학회, 7(1), pp.253~269 (1998)
  7. 이혜정, 윤건호, 이광우, 손호영, 전한나, 이원철, 안명숙, 강진모, 김동석, 차봉연, 강성구, 권혁상, 박용문, 고승현, 최윤희, 이정민, "한국인 40세 이상의 성인에서 대사증후군의 위험인자로서의 허리둘레; 5가지 진단기준으로부터의 고찰", 당뇨병, 29(1), pp.48~56 (2005), 대한당뇨병학회
  8. American College of Sports Medicine, "ACSM's Guidelines for Exercise Testing and Prescription (7th)", pp.216~ (2006), Lippincott Williams & Wilkins
  9. Bao, W, "Persistence of multiple cardiovascular risk clustering related to syndrome X from childhood to young adulthood. The Bogalusa Heart Study", Archives of internal medicine, 154(16), pp.1842~1847 (1994)
  10. Baranowski, T, "Reliability and Validity of Self Report of Aerobic Activity: Family Health Project", Research Quarterly for Exercise and Sport, 55(4), pp.309~317 (1984)
  11. Bavenholm, P. N, "Insulin resistance in type 2 diabetes: Association with truncal obesity, impaired fitness, and atypical malonyl coenzyme A regulation", Journal of Clinical Endocrinology and Metabolism, 88(1), pp.82~87 (2003)
  12. Bertoli, A, "Lipid profile, BMI, body fat distribution, and aerobic fitness in men with metabolic syndrome", Acta diabetologica, 40, pp.130~133 (2003)
  13. Brage, S, "Features of the metabolic syndrome are associated with objectively measured physical activity and fitness in Danish children: the European Youth Heart Study (EYHS)", Diabetes Care, 27(9), pp.2141~2148 (2004)
  14. Bruce,R.A, "Letter: Value of the Balke protocol", American heart journal, 88(4), pp.533~534 (1974)
  15. Butte, N. F, "Physical activity in nonoverweight and overweight Hispanic children and adolescents", Medicine and science in sports and exercise, 39(8), pp.1257~1266 (2007)
  16. Callahan, S. T, "Type 2 diabetes mellitus in adolescents", Current opinion in pediatrics, 12, pp.310~315 (2000)
  17. Carnethon, M. R, "Cardiorespiratory fitness in young adulthood and the development of cardiovascular disease risk factors", The journal of the American Medical Association, 290(23), pp.3092~3100 (2003)
  18. Dencke,r M, "Daily physical activity related to body fat in children aged 8-11 years", Jornal de pediatria, 149(1), pp.38~42 (2006)
  19. DuBose, K. D, "Aerobic fitness attenuates the metabolic syndrome score in normal-weight, at-risk-for-overweight, and overweight children.:", Pediatrics, 120(5), pp.1262~1268 (2007)
  20. Dwyer, T, "The Australian Schools Health and Fitness Survey. Physical fitness related to blood pressure but not lipoproteins", Circulation, 89(4), pp.1539~1544 (1994)
  21. Erikssen, G, "Changes in physical fitness and changes in mortality", Lancet, 352, pp.759~762 (1998)
  22. Farrell, S. W, "Prevalence of the metabolic syndrome across cardiorespiratory fitness levels in women", Obesity research, 12(5), pp.824~830 (2004)
  23. Franks, P. W, "Does the association of habitual physical activity with the metabolic syndrome differ by level of cardiorespiratory fitness?", Diabetes Care, 27(5), pp.1187~1193 (2004)
  24. Harold, W, "Assessment of Physical Activity among Children and Adolescents: A Review and Synthesis", pp.54~76 (2000), Preventive Medicine
  25. Janssen, I, "Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns", The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 35(5), pp.360~367 (2004)
  26. Jebb, S. A, "Contribution of a sedentary lifestyle and inactivity to the etiology of overweight and obesity : current evidence and research issues", Medicine and science in sports and exercise, 31, pp.534~ (1999)
  27. Jurca, R, "Associations of muscle strength and fitness with metabolic syndrome in men", Medicine and science in sports and exercise, 36(8), pp.1301~1307 (2004)
  28. Kumahara, H, "The use of uniaxial accelerometry for the assessment of physical-activity-related energy expenditure: a validation study against whole-body indirect calorimetry", The British journal of nutrition, 91(2), pp.235~243 (2004)
  29. Laaksonen, D. E, "Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome", Diabetes care, 25(9), pp.1612~1618 (2002)
  30. Lee, I. M, "Preventing coronary heart disease: The role of physical activity", Physician and Sportsmedicine, 29(2), pp.37~52 (2001)
  31. Manson, J. E, "A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women", The New England journal of medicine, 341(9), pp.650~658 (1999)
  32. McMurray, R. G, "Childhood obesity elevates blood pressure and total cholesterol independent of physical activity", International journal of obesity and related metabolic disorders, 19(12), pp.881~886 (1995)
  33. Molnar, D, "Physical activity in relation to overweight and obesity in children and adolescents", European journal of pediatrics, 159(1), pp.45~55 (2000)
  34. Moran, A., "Insulin resistance during puberty", results from clamp studies in 357 children. Diabetes, 48(10), pp.2039~2044 (1999)
  35. National Cholesterol Education Program(NCEP), "Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III)", The journal of the American Medical Association, 285(19), pp.2486~2497 (2001)
  36. Ouyang, P, "Relationships of insulin sensitivity with fatness and fitness in older men and women", Women's Health, 13(2), pp.177~185 (2004)
  37. Ozcelik, O, "Effects of eight weeks of exercise training and orlistat therapy on body composition and maximal exercise capacity in obese females", Public Health, 120, pp.76~82 (2006)
  38. Palaniappan, L, "Insulin Resistance Atherosclerosis Study(2004). Predictors of the incident metabolic syndrome in adults: the Insulin Resistance Atherosclerosis Study", Diabetes care, 27(3), pp.788~793 (2004)
  39. Pereira, M. A, "A randomized walking trial in postmenopausal women : effects on physical activity and health 10 years later", Archives of internal medicine, 158(15), pp.1695~1701 (1998)
  40. Pescatello, L. S, "Physical activity mediates a healthier body weight in the presence of obesity", British journal of Sports and Medicine, 34, pp.86~93 (2000)
  41. Potts, N. L, "Pediatric Nursing -Caring for children and their families. 2nd edition" (2007), Thomson Delmar learning
  42. Reybrouck, T, "Assessment of cardiorespiratory exercise function in obese children and adolescents by body mass-independent parameters", European Journal of applied physiology, 75, pp.475~483 (1997)
  43. Rowlands, A. V, "Relationship between activity levels, aerobic fitness, and body fat in 8-to-10-yr-old children", Journal of applied physiology, 86, pp.1428~1435 (1999)
  44. Sallis, J. F, "Bias in estimating caloric expenditure from physical activity in children. Implications for epidemiological studies", Sports medicin, 11(4), pp.203~209 (1991)
  45. Salvadori, A, "Oxygen uptake and cardiac performance in obese and normal subjects during exercise", Respiration, 66, pp.25~33 (1999)
  46. Saris,W.H, "The assessment and evaluation of daily physical activity in children. A review. Acta paediatrica Scandinavica", Supplement, 318, pp.37~48 (1985)
  47. Schmitz, K. H, "Association of physical activity with insulin sensitivity in children", International journal of obesity and related metabolic disorders, 26(10), pp.1310~1316 (2002)
  48. Schwartz, M. S, "Type 2 diabetes mellitus in childhood: obesity and insulin resistance", The Journal of the American Osteopathic Association, 108(9), pp.518~524 (2008)
  49. Seo, S. J, "The prevalence of the metabolic syndrome in Korean children and adolescents: comparisons of the criteria of Cook et al., Cruz and Goran, and ferranti et al", Yonsei medical journal, 49(4), pp.563~572 (2008)
  50. Sinaiko, A. R, "Relation of insulin resistance to blood pressure in childhood", Journal of hypertension, 20(3), pp.509~517 (2002)
  51. Søren, B, "Features of the Metabolic Syndrome Are Associated With Objectively Measured Physical Activity and Fitness in Danish Children", Diabetes Care, 27(9), pp.2141~2148 (2004)
  52. Steinbeck, K. S, "The importance of physical activity in the prevention of overweight and obesity in childhood: a review and an opinion", Obesity reviews, 2(2), pp.117~130 (2001)
  53. Steinberger,J, "Insulin resistance and cardiovascular risk in the pediatric patient. Insulin resistance and cardiovascular risk in the pediatric patient", Progress in pediatric cardiology, 12(2), pp.169~175 (2001)
  54. Stewart, K. J, "Physical fitness, physical activity, and fatness in relation to blood pressure and lipids in preadolescent children. Results from the FRESH Study", Journal of cardiopulmonary rehabilitation, 15(2), pp.122~129 (1995)
  55. Swinburn, B. A, "Estimating the effects of energy imbalance on changes in body weight in children", The American journal of clinical nutrition, 83(4), pp.859~863 (2006)
  56. Trost, S. G, "Physical activity and determinants of physical activity in obese and non-obese children. International journal of obesity and related metabolic disorders", journal of the International Association for the Study of Obesity, 25(6), pp.822~829 (2001)
  57. Wessel, T. R, "Relationship of physical fitness vs body mass index with coronary artery disease and cardiovascular events in women", The journal of the American Medical Association, 292(10), pp.1179~1187 (2004)

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