40세 이상 중년 남성의 규칙적인 운동습관과 Framingham Risk Score 및 대사증후군 결정요인간의 관계
The relationship between regular exercise and both Framingham Risk Score and determinant of Metabolic Syndrome in middle-aged men
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주기찬, 이한준. 40세 이상 중년 남성의 규칙적인 운동습관과 Framingham Risk Score 및 대사증후군 결정요인간의 관계. 운동과학, 제15권 제3호. 181-192, 2006. 본 연구의 목적은 40세 이상 중년 남성의 규칙적인 운동이 관상동맥질환의 유병율을 예측할 수 있는 Framingham Risk Score와 대사증후군 요인에 미치는 영향을 알아보는 것이다. 대상은 청주지역의 사무직에 근무하는 40세에서 59세까지의 중년남성 69명을 대상으로 하였다. 운동집단은 적어도 3개월 이상, 주당 3회이상 규칙적인 운동을 한 사람으로 선정하였다. 분석한 자료는 집단간의 차이를 알아보기 위해 독립 t-test를 실시하였고, 대사증후군 및 Framingham Risk Score 요인들의 기준치를 초과하는 비율이 두 집단간에 차이가 나는지 알아보기 위해 χ2-test를 실시하였다. 마지막으로 대사증후군과 Framingham Risk Score의 위험간의 관계와 각각 유산소 능력과의 관계를 알아보기 위해 pearson 상관분석을 실시하였다. 대사증후군 결정은 ATP-III 기준(2001)을 따랐으며, 총콜레스테롤, 중성지방, 공복시 혈당, 체지방율, 요위, WHR, BMI 등에서 집단간 차이가 났다(p<01). Framingham Risk Score는 Wilson 등(1998)의 방법을 사용하였으며, 측정항목은 나이, 흡연, 혈당, 혈압, 총콜레스테롤, 저밀도콜레스테롤, 고밀도콜레스테롤 등이었다. 두 집단간에서 대사증후군을 가진 사람은 운동집단은 2.9%인데 반해, 통제집단에서는 47.1%를 보였다(p<.01). Framingham Risk Score에서 절대적인 위험(AR)은 운동집단이 5.4±3.9%인데 반해 통제집단은 9.6±5.8%로 통계적 유의한 차이를 보였고(p<.001), 상대적인 위험(RR)에서도 운동집단은 1.1±0.8인데 반해, 통제집단은 1.8±0.9로 유이한 차이를 보였다(p<.001). 대사증후군 결정요인수와 O2peak와는 음의 상관(r=-.505, p<.001)을 보였고, Framingham Risk Score와 O2peak와도 음의 상관(r=-.568, p<.001)을 나타내었다. 대사증후군 결정요인수와 Framingham Risk Score간에는 양의 상관(r=.568, p<.001)을 나타내었다. 본 연구결과에 의해 O2peak가 낮을수록 대사증후군 및 심혈과질환의 위험이 높다는 것을 보이고, 대사증후군 결정요인수가 많을수록 심혈관질환의 위험도가 높다는 것을 보여준다.
Abstract
Joo, K.C., Lee, H.J. The relationship between regular exercise and both Framingham Risk Score and determinant of Metabolic Syndrome in middle-aged men. Exercise Science. 15(3): 181-192, 2006. This study was to investigate how regular exercise would contribute to the middle-aged men's health, in the context of cardiovascular and metabolic risk reduction. Sixty-nine resident in Cheongju, aged from 40 to 59 years, were recruited and tested. Thirty-five person fulfilled the criteria, that was exercising 3 times a week more than 3 months, were classified as regular exercise(RE) group. Comparing the mean value, RE group demonstrated to be superior than their counterpart group(NE) in body composition(BMI, %BF, WC, WHR), blood profile(TC, HDL-C, LDL-C, TG, FBS), functional capacity(O2peak, HRrest), and Framingham Risk Score(AR; 5.4% vs 9.6%, RR; 1.1 vs 1.8). χ2-test revealed with statistical significance(p<.05) that number of person(or %) who demonstrated higher values than borderline in both CAD risk factor and determinant of metabolic syndrome were much more in NE group. While number of person determined as metabolic syndrome were 16 of 34(47.1%) in NE group, there were only 1 of 35(2.9%) in RE group. The result of this study also showed inverse relationship between O2peak and both Framingham score(r=-.568, p<.001) and number of determinant for syndrome-X(r=-.505, p<.001). Metabolic Syndrome was positively associated with Framingham Risk Score(r=.568, p<.001). It suggests that regular exercise or physical activity is beneficial for cardiovascular and metabolic risk reduction.
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