대학생의 심폐체력과 비만지표 및 대사증후군 간의 연관성에 관한 연구
A study on the association between cardiorespiratory fitness and body fatness and metabolic risk factors in young adults
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초록
본 연구에서는 20대 외견상 건강한 남녀 대학생을 대상으로 측정한 신체활동과 심폐체력 수준에 따라 세분화한 집단별 비만 및 대사증후군지표 그리고 대사증후군지표들의 군집현상 정도를 비교하였다. 신체활동수준별의 경우 남녀 모두에서 신체활동수준이 높으면 높을수록 심폐체력이 상대적으로 더 우수한 것으로 나타났고, 남학생의 경우 추가적으로 신체활동수준은 이완기혈압 및 고밀도지단백과도 연관성이 있는 것으로 나타났다. 심폐체력수준별에 따라 집단을 세분화한 경우 남녀 대학생 모두에서 심폐체력이 높으면 높을수록 비만지표와 안정시 혈압이 더 낮은 것으로 나타났으며, 남학생의 경우 심폐체력은 추가적으로 혈중지질 및 혈당과도 연관성이 있는 것으로 나타났다. 끝으로 각각의 대사증후군 지표에 대한 표준점수와 그 합을 산출하여 대사증후군 위험인자의 군집현상에 대한 독립예측변인을 산출한 결과, 남학생의 경우 비만지표, 신체활동, 심폐체력 모두가 대사증후군에 대한 독립예측인자로서 그리고 여학생의 경우 비만지표가 대사증후군의 군집현상에 대한 독립예측변인으로 작용할 수 있는 것으로 밝혀졌다. 이러한 연구결과는 외견상 건강한 20대 성인의 경우에서도 신체활동과 심폐체력 증진은 대사성질환의 위험을 예방하는데 중요한 역할을 할 수 있다는 의미로 해석된다.
Abstract
Little information is available regarding the relationships of daily physical activity(PA) and cardiorespiratory fitness(CRF) with metabolic risk factors in South Korea. The purpose of this study was to investigate the relationships between PA and CRF and metabolic syndrome(MS) in young Korean men. In a cross-sectional study, we examined 1020 young Korean men (696 men, mean age 23.9±2.4 years old and 324 women, mean age 21.5±1.9 years old) who were healthy and not taking any medications affecting blood pressure, glucose, or lipids concentrations. PA was measured using the international physical activity questionnaire (IPAQ). CRF was measured during a graded treadmill test. Group analyses showed significant and inverse dose-response trends between the metabolic syndrome markers and PA and CRF levels such that men with high and moderate PA and CRF levels had more favorable profiles in body fatness, resting blood pressures, mean values in fasting lipids, glucose, and insulin, and homeostasis model of assessment-insulin resistance than men with low PA and CRF level. Multivariate linear regression analyses showed that body fatness, PA, and CRF were independent predictors for clustering of metabolic risk factors in men, while body fatness was an independent predictor for clustering of metabolic risk factors in women. In conclusion, the findings of the current study suggest that behavioral and modifiable factors including body fatness, PA, and CRF play critical roles for clustering of metabolic risk factors and its related metabolic diseases in apparently healthy and young adults.
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