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청소년 여자 운동선수의 철분영양상태가 정신건강에 미치는 영향

Effects of the Iron Status on the Mental Health in Adolescent Female Athletes

조미혜|김광회|장경자|김순기|김태형
한국운동생리학회|2004.08|운동과학 (Exercise Science)|제13권 제3호|pp. 381-394

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참고문헌

키워드

mental health정신건강빈혈헤모글로빈anemia페리틴ferritin철결핍성 빈혈Iron-deficient anemiatransferrin hemoglobin

초록

청소년 여자 운동선수의 철분영양상태가 정신건강에 미치는 영향. 운동과학, 제13권 제3호, 381-394, 2004. 본 연구는 청소년기 필드하키, 배드민턴, 핸드볼 및 육상 여자선수 79명을 대상으로 혈액검사를 통해 빈혈 실태를 알아보고 간이정신진단검사(symptom Checklist-90-Revision; SCL- 90-R)를 이용하여 청소년기 여자선수들의 빈혈이 정신건강에 미치는 영향을 규명하는데 목적이 있다. 연구결과 다음과 같은 결과를 얻었다. 첫째. 육상선수들에서 빈혈 및 철결핍성 빈혈이 가장 높게 나타났고 다음은 핸드볼 선수들이 높게 나타났다. 배드민턴 선수들이 빈혈 및 철결핍성 빈혈 유병율이 가장 낮았다. 둘째, 빈혈집단과 정상 집단간의 정신건강 증상들을 비교한 결과 모든 운동종목에서 빈혈 집단과 정상 집단간에 차이가 없는 것으로 나타났다. 그러나, 육상선수는 빈혈 집단에서 정상 집단보다 모든 증상들이 약간 낮은 점수를 나타냈고 핸드볼 선수들은 빈혈 집단에서 약간 높은 점수를 나타냈다. 따라서 달리기 선수들의 경우, 발의 충격에 의한 적혈구 파괴와 위장관 출혈로 철결핍성 빈혈 유병율이 높지만 운동선수에서 빈혈은 정신건강을 저해하지 않는다는 것을 결론내릴 수 있다.

Abstract

Effects of the Iron Status on the Mental Health in Adolescent Female Athletes. Exercise Science, 13(3): 381-394. 2004. This study was investigated the effects of the iron status on the mental health in adolescent female athletes. The subjects were 79 adolescent female athletes aged from 12 to 18 years and were composed of field hockey players, badminton players, handball players and runners. Anemia was defined as blood hemoglobin concentration < 12g/㎗. Iron deficiency was defined as serum ferritin concentration <10 ng/ml or transferrin saturation(TS) < 10%. The diagnosis of Iron-deficiency anemia was established when low Hb level (Hb<12g/㎗) was associated with serum ferritin concentration <10ng/ml and/or TS <10%. The symptom Checklist-90-Revision(SCL-90-R) was used for the assessment of mental health. The prevalence of anemia was 29.4% in runners and 23.5% in hockey players and 22.2% in handball players and 20.0% in badminton players and was the highest in the runners. The prevalence of Iron-deficient anemia(IDA) was 29.4% in runners and 17.6% in hockey players and 22.2% in handball players and 10% in badminton players, and was the highest in the runners. The symptoms of mental health were not significantly different between anemia group and normal group in all sports. But All symptoms of mental health in anemic runners was lower than normal group but it was not significant. From the result, we concluded that the adolescent female runners were higher the prevalence of anemia and IDA because of the hemolysis due to footstrike and the gastrointestinal(GI) bleeding, but the anemia didn't impair the mental health in the adolescent female athletes.

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