본문 바로가기
KERD
논문KCI 등재

12주간 유산소 운동이 비만 청소년의 비만 지표, 인슐린저항성, 심혈관질환 위험인자 및 운동능력에 미치는 영향

Effect of 12 weeks aerobic exercise on obesity index, insulin resistance, cardiovascular disease risk factors and exercise capacity in obese adolescent

0

조회

0

다운로드

33

인용

0

참고문헌

키워드

초록

본 연구는 12주간 유산소 운동이 비만 청소년의 비만 지표, 인슐린저항성, 심혈관질환 위험인자 및 운동능력에 어떠한 영향을 미치는지 살펴보았다. 연구대상자는 체질량지수 백분위수 85 이상에 해당하는 남자 중학생 중 운동군(n=10)과 통제군(n=10)으로 구분하였다. 유산소 운동은 12주간 여유심박수 50-80%에 해당하는 운동강도에서 걷기와 달리기를 주 5회 40분간 실시하였다. 이에 대한 결과는 다음과 같다. 첫째, 유산소 운동 처치후 체중(p<.05), BMI(p<.05), 체지방률(p<.01) 및 허리둘레(p<.05)는 유의하게 감소하였다. 둘째, 유산소 운동 처치후 공복혈당(p<.05), 인슐린 농도(p<.05) 및 인슐린저항성(p<.01)은 유의하게 감소하였다. 셋째, 유산소 운동 처치후 유리지방산(p<.01), 중성지방(p<.01), 수축기와 이완기 혈압(각각, p<.01) 및 CRP(p<.01)는 유의하게 감소하였으며 HDL-콜레스테롤(p<.01)은 유의하게 증가하였다. 넷째, 유산소 운동 처치후 안정시 심박수(각각, p<.01)는 유의하게 감소하였고 VO2max (p<.01)는 유의하게 증가하였다. 또한 최대 운동 후 심박수 회복기 반응의 1, 2, 3분(각각, p<.01)에서도 유의하게 증가되었다. 결론적으로 유산소 운동은 비만 청소년의 비만 지표, 인슐린저항성, 심혈관질환 위험인자 개선 및 운동능력에 효과적인 것으로 생각된다.

Abstract

The purpose of this study was to investigate of 12 weeks aerobic exercise on obesity index, insulin resistance, cardiovascular disease risk factors, and exercise capacity in obese adolescent. The subjects of this study were middle school overweight, and obese student(n=20, BMI ≥85th percentile). The subjects were divided into following exercise group(n=10), and control group(n=10). Exercise group have performed on treadmill walking and running at HRR 50%-80% of exercise intensity for 40 minutes. Exercise treatment consisted of 5times per week was continued to 12weeks. The results following; 1) Exercise training significantly improved weight(p<.05), BMI(p<.05), %fat(p<.01), waist circumference(p<.05) in exercise group. 2) Exercise training significantly improved fasting glucose(p<.01), insulin(p<.05), insulin resistance index(p<.01) in exercise group. 3) Exercise training significantly improved free fatty acids(p<.01), triglyceride(p<.01), HDL-cholesterol(p<.01), systolic, and diastolic blood pressure(respectively, p<.01), CRP(p<.01) in exercise group. 4) Exercise training significantly improved VO2max(p<.01), resting HR(p<.01), and heart rate recovery response(respectively, p<.01) in exercise group. In conclusion, aerobic exercise program in obese adolescent appears to be effective for improving obesity, insulin resistance, cardiovascular disease factors, and exercise capacity.

참고문헌 (74)

  1. 권정현, "비만 청소년에서 Insulin, Insulin-like Growth Factor-I, Insulin-like Growth Factor Binding Protein-3에 대한 연구", Korean Journal of Pediatrics, 48(11), pp.1172~1178 (2005), 대한소아과학회
  2. 김정규, "복합운동 수행이 비만청소년의 혈중 C-reactive protein, Interleukin-6, 혈중 지질 및 인슐린 저항성에 미치는 영향", 체육과학연구, 18(2), pp.1~9 (2007), 국민체육진흥공단 체육과학연구원
  3. 김병로, "최대 운동 후 비만 청소년의 심폐기능과 심박수 회복 반응", 운동과학, 19(1), pp.89~96 (2010), 한국운동생리학회
  4. 김영일, "12주 규칙적인 유산소 트레이닝이 중년의 제 2형 당뇨 환자의 회복기심박수(HRR)와 심혈관계 요인에 미치는 영", 운동과학, 17(4), pp.423~432 (2008), 한국운동생리학회
  5. 김태운, "12주 체중감량프로그램이 비만여중생의 호모시스테인과 C-반응성단백질에 미치는 효과", 운동과학, 15(4), pp.309~318 (2006), 한국운동생리학회
  6. 대한소아과학회, "소아·청소년 표준 성장도표", 대한소아과학회, ~ (2007)
  7. 박수현, "12주 걷기 운동 프로그램의 운동강도가 비만여성의 신체조성, 복부지방, 심폐체력에 미치는 영향", 운동과학, 16(1), pp.1~10 (2007), 한국운동생리학회
  8. 백설향, "신체활동이 소아비만에 미치는 영향", 대한비만학회지, 17(2), pp.55~64 (2008), 대한비만학회
  9. 성은주, "한국 청소년비만이 심혈관질환 위험인자에 미치는 영향", 가정의학회지, 24(11), pp.8~1025 (2003), 대한가정의학회
  10. 안근영, "C 반응성 단백과 소아비만과의 관계", 대한비만학회지, 18(4), pp.131~137 (2009), 대한비만학회
  11. 여남회, "소아비만환자의 24주 훈련지속과 훈련중지가 심장자율신경계 활성과 항산화효소 유전자 발현에 미치는 영향", Journal of Exercise Nutrition & Biochemistry, 13(4), pp.243~249 (2009), 한국운동영양학회
  12. 오수일, "유산소 운동이 비만 청소년의 인슐린 저항성과 β-세포 기능 및 adipokines에 미치는 영향", 한국체육학회지, 46(6), pp.473~485 (2007), 한국체육학회
  13. 이규진, "여자 청소년의 대사증후군, 인슐린 저항성, 아디포사이토카인 및 심폐체력의 관련성 비교", 운동과학, 16(3), pp.201~212 (2007), 한국운동생리학회
  14. ACSM, "ACSM Guidelines for exercise testing and prescription, 6th edition. Philadepia" (2010), Lipponcott Williams and Wilkins
  15. Arner, P, "Insulin resistance in type 2 diabetes: role of fatty acids", Diabetes Metabolism Research Review, 18, pp.5~9 (2002)
  16. Artz, E, "Hormonal and metabolic consequences of childhood obesity", Endocrinology Metabolism Clinical North American, 34, pp.643~658 (2005)
  17. Baker, J. L, "Childhood body-mass index and the risk of coronary heart disease in adulthood", The New England Journal of Medicine, 357(23), pp.2329~2337 (2007)
  18. Birch, L, L, "Development of eating behaviors among children and adolescents", Pediatrics, 101, pp.539~549 (1998)
  19. Bloomgarden, Z. T, "Obesity, hypertension, and insulin resistance", Diabetes Care, 25(11), pp.2088~2097 (2002)
  20. Bruce, R. A, "Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease", Journal of American Herat, 85, pp.546~552 (1973)
  21. Chrysohoou, C, "Association between prehypertension status and inflammatory markers related to atherosclerotic disease. The ATTICA Study", American Journal of Hypertension, 17(7), pp.568~573 (2004)
  22. Cole, C. R, "Heart-rate recovery immediately after exercise as a predictor of mortality", New England Journal of Medicine, 341, pp.1351~1357 (1999)
  23. Cook, S, "Resting heart rate and cardiovascular events: time for a new crusade?", European Heart Journal, 31(5), pp.517~519 (2009)
  24. Das, U. N, "Obesity, metabolic syndrome X, and inflammation", Nutrition, 18(5), pp.430~432 (2002)
  25. Deniz, F, "Association of metabolic syndrome with impaired heart rate recovery and low exercise capacity in young male adults", Clinical Endocrinology, 66(2), pp.218~223 (2007)
  26. Epstein, L. H, "Exercise in the treatment of children obesity", International Journal of Obesity and Related Metabolic Disorder, 19(4), pp.117~121 (1995)
  27. Dimkpa, U, "Association of heart rate recovery after exercise with indices of obesity in healthy, non-obese adults", European Journal of Applied Physiology, 108, pp.695~699 (2010)
  28. Dohm, G. L, "Invited review: Regulation of skeletal muscle GLUT-4 expression by exercise", Journal of Applied Physiology, 93(2), pp.782~787 (2002)
  29. DuBose, K. D, "Aerobic fitness attenuate the metabolic syndrome score in normal-weight, at-risk-for- overweight, and overweight children", Pediatrics, 120, pp.1262~1268 (2007)
  30. Egan, B. M, "Insulin resistance and sympathetic nervous system", Current Hypertension Reports, 5, pp.247~254 (2003)
  31. Ekelund, U, "Physical activity but not energy expenditure is reduced in obese adolescents: a case control study 1-3", American Journal of Clinical Nutrition, 76, pp.935~941 (2002)
  32. Eisenmann, C. J, "Fatness, fitness, and cardiovascular disease risk factors in children and adolescents", Medicine and Science in Sports and Exercise, 39(8), pp.1251~1256 (2007)
  33. Farpour-Lambert, N. J, "Physical activity reduces systemic blood pressure and improves early markets of atherosclerosis in pre-pubertal obese children", Journal of the American College Cardiology, 54, pp.2396~2405 (2009)
  34. Ferguson, M. A, "Effects of exercise training and its cessation on components of the insulin resistance syndrome in obese children", International Journal of Obesity Related Metabolic Disorder, 23(8), pp.889~895 (1999)
  35. Flynn, M. G, "The anti-inflammatory actions of exercise training", Journal of Lifestyle Medicine, 1, pp.220~235 (2007)
  36. Ford, E. S, "National Health and Nutrition Examination Survey. C-reactive protein concentration and cardiovascular disease risk factors in children: findings from the National Health and Nutrition Examination Survey 1999-2000", Circulation, 108, pp.1053~1058 (2003)
  37. Fox, K, "Resting heart rate in cardiovascular disease", Journal of American College of Cardiology, 50(9), pp.823~830 (2007)
  38. Gielen, S, "Exercise training in coronary artery disease and coronary vasomotion", Circulation, 103, pp.1~6 (2001)
  39. Gill, J. M, "Physical activity, fitness and cardiovascular disease risk in adults: interactions with insulin resistance and obesity", Clinical Science, 110, pp.409~424 (2006)
  40. Grundy, S. M, "Hypertriglyceridemia, insulin resistance, and the metabolic syndrome", American Journal of Cardiology, 83, pp.25~29 (1999)
  41. Gutin, B, "Effect of physical training on heart-period variability in obese children", Pediatrics, 130(6), pp.938~943 (1997)
  42. Heijden, G. J, "Aerobic exercise increases peripheral and hepatic insulin sensitivity in sedentary adolescents", Journal of Clinical Endocrinology & Metabolism, 94(11), pp.4292~4299 (2009)
  43. Henriksen, E. J, "Effects of acute exercise and exercise training on insulin resistance", Journal of Applied Physiology, 93, pp.788~796 (2002)
  44. Jiang, X, "Relation of obsoty to insulin secretion and clearance in adolescents: the Bogalusa Heart Study", International Journal of Obesity Related Metabolic Syndrome, 20, pp.951~966 (1996)
  45. Kelishdai, R, "Relationship between C-reactive protein and atherosclerotic risk factors and oxidative stress markets among young persons 10-18 years old", Clinical Chemistry, 53(3), pp.456~464 (2007)
  46. Kelly, A, "Inflammation, insulin, and endothelial function in overweight children and adolescents: The role of exercise", The Journal of Pediatrics, 145(6), pp.731~736 (2004)
  47. Kim, M. K, "Exercise training-induces changes in heart rate recovery in obese men with metabolic syndrome", Metabolic Syndrome and Related Disorders, 7(5), pp.469~476 (2008)
  48. Kondo, T, "Effect of exercise on circulating adipokine levels in obese young women", Journal of Endocrinology, 53(2), pp.189~195 (2006)
  49. Kortelainen, M. L, "Adiposity, cardiac size and precursors of coronary atherosclerosis in 5- to 15tear-old children: a retrospective study of 210 violent deaths", International Journal of Obesity, 21, pp.691~697 (1997)
  50. Laaksonen, D. E, "Role of physical exercise, fitness and aerobic training type 1 diabetic and healthy men in relation to the lipid profile peroxidation and metabolic syndrome", Journal of Sports Science and Medicine, 2, pp.1~65 (2003)
  51. Liao, D, "Multiple metabolic syndrome is associated low heart rate variability", Diabetes Care, 21, pp.2116~2122 (1998)
  52. Lipinski, M. J, "Importance of the first two minutes of heart rate recovery after exercise treadmill testing in predicting mortality and the presence of coronary arterial disease in man", American Journal of Cardiology, 93, pp.445~449 (2004)
  53. Matthewa, D. R, "Homeostasis model assessment insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man", Diabetology, 28, pp.412~419 (1985)
  54. Mattsson, E, "Is walking for exercise too exhausting for obese women?", International Journal of Obese Related Metabolic Disorder, 21, pp.380~386 (1997)
  55. Moyna, N. M, "The effect of physical activity on endothelial function in nan", Acta Physiology Scand, 180, pp.113~123 (2004)
  56. Myers, J, "Exercise cpacity and mortality among men referred for exercise testing", The New England Journal of Medicine, 14, pp.793~801 (2002)
  57. Owen, S, "Effect of physical training on total and visceral fat in obese children", Medicine and Science in Sports and Exercise, 31, pp.143~148 (1999)
  58. Pescatello, L. S, "American College of Sports Medicine position stand. Exercise and hypertension", Medicine Science Sports Exercise, 36(3), pp.533~553 (2004)
  59. Plaisance, E. P, "Physical activity and high sensitivity C-reactive protein", Sports Medicine, 36, pp.443~458 (2006)
  60. Ren, J. M, "Exercise induces rapid increase in GLUT4 expression, glucose transport capacity, and insulin-stimulated glycogen storoge in muscle", Journal of Biology Chemistry, 269(20), pp.14396~14401 (1994)
  61. Ridker, P. M, "C-reactive protein and coronary heart disease", New England Journal Medicine, 134, pp.295~298 (2004)
  62. Rizvi, A. A, "Cytokine biomarkers, endothelial inflammation, and atherosclerosis in the metabolic syndrome: emerging concepts", American Journal of Medicine Science, 338, pp.310~318 (2009)
  63. Rosenwinkle, E. T, "Exercise and autonomic function in health and cardiovascular disease", Cardiology Clinics, 19, pp.369~387 (2001)
  64. Sasaki, J, "A long-term aerobic exercise program decrease the obesity index and increased high density lipoprotein cholesterol concentration in obese children", International Journal of Obesity, 11, pp.339~345 (1987)
  65. Seip, R. L, "Skeletal muscle lipoprotein lipase: molecular regulation and physiological effects in relation to exercise", Exercise Sports Science Review, 26, pp.191~218 (1998)
  66. Southern, M. S, "Prevention of obesity in young children", 42(2), pp.101~111 (2003)
  67. Spies, C, "Association of metabolic syndrome with exercise capacity and heart rate recovery in patients with coronary heart disease in the heart and soul study", American Journal of Cardiology, 95(10), pp.1175~1179 (2005)
  68. Sun, S. S, "Systolic blood pressure in childhood predicts hypertension and metabolic syndrome late in life", Pediatrics, 119, pp.237~246 (2007)
  69. Torko, K, "Low physical performance in obese adolescent boys with metabolic syndrome", International Journal Obesity, 25(7), pp.966~970 (2001)
  70. Valle, M, "Metabolic cardiovascular syndrome in obese perpubertal children the role of high fasting insulin level", Metabolism, 51, pp.423~428 (2002)
  71. Wessel, T. R, "Relationship of physical fitness vs body mass index with coronary artery disease and cardiovascular events in women", Journal of American Medicine Association, 292(10), pp.1179~1187 (2004)
  72. Wong, C. Y, "Myocardial and vascular dysfunction and exercise capacity in the metabolic syndrome", American Journal Cardiology, 96(12), pp.1686~1691 (2005)
  73. Wong, P, "Effects of 12-week exercise training programme on aerobic fitness, body composition, blood lipids and C-reactive protein in adolescents with obesity", Annual Academy of Medicine, 37, pp.286~293 (2008)
  74. Yu, C., M, "Mechanism by which fatty acids inhibit insulin activation of insulin receptor substrate-1(IRS-1)-associated phosphatidylinositol 3-kinase activity in muscle", Journal of Biology Chemistry, 277, pp.1531~1537 (2002)

관련 논문AI추천

이 간행물의 다른 논문 (11건)