복부 비만남성의 인슐린저항성에 따른 심폐체력 및 혈중 지질과 글루코스 농도 변화
Cardiorespiratory fitness, blood lipid profile and glucose according to insulin resistance in abdominal obesity men
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본 연구의 목적은 20~30대 복부비만 남성의 인슐린저항성과 심폐체력 수준과의 상관성을 조사하고 운동 중 혈중 지질과 글루코스 농도 변화를 조사하여 복부비만자의 비만치료 및 인슐린저항성 개선을 위한 운동처방 프로그램에 기초자료를 제공하는 것이었다. 본 연구의 참여대상자는 20~30대 복부비만 남성(25.1±3.01; range: 21~32세) 82명으로, 호마지수에 따라 4집단으로 분류한 후, 심폐체력 및 비만도, 총콜레스테롤, 고밀도지단백 콜레스테롤, 인슐린과 비교하고, 운동 중 및 회복기 60분에 혈중 중성지방, 유리지방산, 그리고 글루코스 농도의 변화를 비교분석하였다. 분석결과, 인슐린저항성은 심폐체력 수준을 비롯한 비만지표, 고밀도지단백 콜레스테롤 등과 유의한 상관을 보이는 것으로 나타났고, 운동 중 혈중 지질과 글루코스 농도의 변화에 있어서도 유의한 상호작용 효과가 있는 것으로 나타났다. 따라서 20~30대 복부비만 남성의 인슐린저항성 개선 및 체지방감량을 위한 운동처방 시 심폐체력 및 인슐린저항성이 추가적으로 고려되어져야 할 것이다.
Abstract
The purpose of the current study was to investigate correlation between insulin resistance and cardiorespiratory fitness, and change of blood lipid profile and glucose during exercise in order to improve obesity and insulin resistance of abdominal obesity men. A total of 82 abdominal obesity men(25.1±3.01; range: 21~32years) were recruited in this study. Based on the HOMA-IR(homeostasis model assessment of insulin resistance) level, the participants were divided into 4groups (quartile 1, 2, 3, and 4). We found that the insulin resistance, as expected, had significant correlation with cardiorespiratory fitness, obesity indices, HDLC(high density lipoprotein cholesterol), and insulin. Also, interaction effects between group and blood collecting time on TG(triglyceride), FFA(free fat acid), glucose concentration during exercise and recovery were significant. In conclusion, the current findings suggest that cardiorespiratory fitness and insulin resistance should be need to be considered in exercise prescription for 20~30years abdominal obesity men individually.
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