Eating habits, obesity related behaviors, and effects of Danhak exercise in elderly Koreans
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The aims of this study were to evaluate obesity-related dietary behaviors and to determine long-term exercise effects on obesity and blood lipid profiles in elderly Korean subjects. A total of 120 subjects, aged 60-75 yr, were recruited, and obesity-related dietary behaviors were determined. An exercise intervention was conducted with 35 qualified elderly females for 6 months, and body composition and blood lipids were measured 6 times at 4 week intervals. At baseline, mean BMI (kg/m2) was 24.8 for males and 23.1 for females. The females had better eating habits than the males and were more concerned with reading nutrition labels on food products (P < 0.001); they also preferred convenience foods less than the male subjects (P < 0.05). Obese individuals were more likely than overweight or normal weight individuals to misperceive their weight (P <0.001). Those with a high BMI responded feeling more depressed (P < 0.01), lacking self-confidence (P < 0.01), and feeling isolated (P < 0.01),as well as having more difficulty doing outdoor activities (P < 0.01). After exercise, body fat (%) and WHR were significantly reduced (P < 0.05),while body weight and BMI were also decreased without statistical significance. Total cholesterol and blood HDL were significantly improved (207.1mg/dl vs. 182.6 mg/dl, HDL: 45.6 mg/dl vs. 50.6 mg/dl, P < 0.05). Other benefits obtained from exercise were improvements in self-confidence (26.4%), movement (22.6%), stress-relief (18.9%), and depression (13.2%). In conclusion, elderly females had better eating habits and were more concerned with nutrition information and healthy diets compared to elderly males. However, misperceptions of weight and obesity-related stress tended to be very high in females who were overweight and obese, which can be a barrier to maintain normal weight. Long-term Danhak practice,a traditional Korean exercise, was effective at reducing body fat (%) and abdominal obesity, and improved lipid profiles, self-confidence, and stress.
Abstract
The aims of this study were to evaluate obesity-related dietary behaviors and to determine long-term exercise effects on obesity and blood lipid profiles in elderly Korean subjects. A total of 120 subjects, aged 60-75 yr, were recruited, and obesity-related dietary behaviors were determined. An exercise intervention was conducted with 35 qualified elderly females for 6 months, and body composition and blood lipids were measured 6 times at 4 week intervals. At baseline, mean BMI (kg/m2) was 24.8 for males and 23.1 for females. The females had better eating habits than the males and were more concerned with reading nutrition labels on food products (P < 0.001); they also preferred convenience foods less than the male subjects (P < 0.05). Obese individuals were more likely than overweight or normal weight individuals to misperceive their weight (P <0.001). Those with a high BMI responded feeling more depressed (P < 0.01), lacking self-confidence (P < 0.01), and feeling isolated (P < 0.01),as well as having more difficulty doing outdoor activities (P < 0.01). After exercise, body fat (%) and WHR were significantly reduced (P < 0.05),while body weight and BMI were also decreased without statistical significance. Total cholesterol and blood HDL were significantly improved (207.1mg/dl vs. 182.6 mg/dl, HDL: 45.6 mg/dl vs. 50.6 mg/dl, P < 0.05). Other benefits obtained from exercise were improvements in self-confidence (26.4%), movement (22.6%), stress-relief (18.9%), and depression (13.2%). In conclusion, elderly females had better eating habits and were more concerned with nutrition information and healthy diets compared to elderly males. However, misperceptions of weight and obesity-related stress tended to be very high in females who were overweight and obese, which can be a barrier to maintain normal weight. Long-term Danhak practice,a traditional Korean exercise, was effective at reducing body fat (%) and abdominal obesity, and improved lipid profiles, self-confidence, and stress.
참고문헌 (45)
- The Third Korea National Health and Nutrition Examination Survey (KNHANES III), "Ministry of Health and Welfare", Ministry of Health and Welfare, 55~60 (2006)
- Defay R, "Relationships between physical activity, obesity and diabetes mellitus in a French elderly population: the POLA study. Pathologies Oculaires lieés á l' Age", Int J Obes Relat Metab Disord, 25, pp.512~518 (2001)
- Villareal DT, "Obesity in older adults: Technical review and position statement of the American society for nutrition and NAASO", Am J Clin Nutr, 82, pp.923~934 (2005), The Obesity Society
- Inelmen EM, "Health status, quality of life and mortality in a randomized Italian elderly people", J Nutr Health Aging, 6, pp.24~26 (2002)
- Heikkinen RL, "Depressed mood: changes during a five-year follow-up in 75-year-old men and women in three Nordic localities", Aging Clin Exp Res, 14, pp.16~28 (2002)
- Blazer DG, "Depression in diabetes and obesity: racial", ethnic, J Psychosom Res, pp.2002, 53[DOI]
- Atlantis E, "Weight status and perception barriers to healthy physical activity and diet behavior", Int J Obes (Lond), 32, pp.343~352 (2008)
- Fiatarone MA, "Exercise training and nutritional supplementation for physical frailty in very elderly people", N Engl J Med, 330, pp.1769~1775 (1994)
- 심준영, "뇌호흡 수련이 여성 노인의 뇌파와 우울상태에 미치는 효과", 한국스포츠심리학회지, 17(4), pp.117~134 (2006), 한국스포츠심리학회
- 이광호, "국선도 단전호흡 수련의 운동효과에 관한 연구(60세 이상 성인병이 있는 고령자를 대상으로)？", 한국체육학회지, 43(5), pp.635~646 (2004), 한국체육학회
- 표내숙, "심리치료를 위한 운동 요법의 개발", 한국스포츠심리학회지, 13(1), pp.129~151 (2002), 한국스포츠심리학회
- Hyun KS, "The effect of the Dan-jeon breathing exercise program on % body fat and levels of serum lipid of women in midlife", The Journal of the Korean Public Health Association, 29, pp.118~126 (2003)
- Report on the Asia -Pacific perspective: redefining obesity and its treatment, "International Obesity Task Force", International Obesity Task Force, 12~25 (2000)
- 하애화, "서울 근교 지역에 거주하는 비만 여성의 비만 관련 요인, 체형 인지도 및 심리적 섭식 행동", 동아시아식생활학회지, 19(3), pp.327~338 (2009), 동아시아식생활학회
- 하애화, "어머니의 비만 스트레스와 어머니 및 유아 자녀의 비만도, 식품 섭취 및 활동량에 대한 연구", 동아시아식생활학회지, 18(5), pp.651~661 (2008), 동아시아식생활학회
- Jung MS, "The comparison of obesity-related stress, diet habit, level of nutrition knowledge and level of quality of life on environment of life for middle aged women", 석사, pp.2005
- Lee SH, "Do-In Gymnastics by Symptom for Disease Treatment II", pp.10~33 (1999), Hanmunhwa Multimedia Co.
- National Institutes of Health (NIH), "Executive summary of the clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults", Arch Intern Med, 158, pp.1855~1867 (1998)
- Friedewald WT, "Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge", Clin Chem, 18, pp.499~502 (1972)
- 장경자, "대학생의 체형인식과 비만도에 따른 체중조절 태도, 건강관련 생활습관 및 식행동", 한국식품영양과학회지, 34(10), pp.1559~1565 (2005), 한국식품영양과학회
- Johnson F, "Changing perceptions of weight in Great Britain: comparison of two population surveys", BMJ, 337, pp.a494~ (2008)
- Brener ND, "The association between weight perception and BMI among high school students", Obes Res, 12, pp.1866~1874 (2004)
- Jung IK, "A study on perceptions on body image and weight control method in Korean women", Korean Society of Community Nutrition Conference Proceeding, pp.4~8 (2003)
- G Turrell, "Determinants of gender differences in dietary behavior", Nutr Res, 17, pp.1105~1120 (1997)
- Rurik I, "Nutritional differences between elderly men and women", Ann Nutr Metab, 50, pp.45~50 (2006)
- Woo J, "Influence of educational level and marital status on dietary intake, obesity and other cardiovascular risk factors in a Hong Kong Chinese population", Eur J Clin Nutr, 53, pp.461~467 (1999)
- 우경자, "인천지역 노인들의 식품군별 식품섭취 및 관련인자 비교연구", 동아시아식생활학회지, 13(5), pp.379~390 (2003), 동아시아식생활학회
- Blanck HM, "Trends in fruit and vegetable consumption among US men and women, 1994-2005", Prev Chronic Dis, 5, pp.A35~ (2008)
- Salehi L, "Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran", Nutrition Journal, 9, pp.2~ (2010)
- Thierney LM, "Current medical diagnosis and treatment", pp.2~6 (1999), McGraw-Hill Co
- Ahn SJ, "A study on the food habits and dietary behaviors among the Korean elderly", The Korean Society of Food Science, 15, pp.81~94 (1999)
- Hallfrisch J, "Continuing diet trends in men: the Baltimore Longitudinal Study of Aging (1961-1987)", J Gerontol, 45, pp.M186~M191 (1990)
- Garry PJ, "Longitudinal study of dietary intakes and plasma lipids in healthy elderly men and women", Am J Clin Nutr, 55, pp.682~688 (1992)
- 심준영, "뇌호흡 수련이 여성 노인의 뇌파와 우울상태에 미치는 효과", 한국스포츠심리학회지, 17(4), pp.117~134 (2006), 한국스포츠심리학회
- 김범수, "규칙적인 운동이 남성노인의 신체구성 및 건강관체력에 미치는 영향", 한국 스포츠 리서치, 18(2), pp.51~56 (2007), 한국스포츠리서치
- Sorkin JD, "Longitudinal change in height of men and women: implications for interpretation of the body mass index: the Baltimore Longitudinal Study of Aging", Am J Epidemiol, 150, pp.969~977 (1999)
- Beaufrère B, "Fat and protein redistribution with aging: metabolic considerations", Eur J Clin Nutr, 54, pp.S48~S53 (2000)
- Johanna TD, "Nutritional concerns and problems of the aged. In: The clinical care of the aged person, an interdisciplinary perspective", pp.200~203 (1994), Oxford University Press
- Lee JS, "The study of the change in the blood when acupuncture points are stimulated or when Do-Ing aerobic exercise", Korea Academy of Psychological Type, 7, pp.629~639 (2000)
- Kim HJ, "Effect of aerobic exercise according to the presence of exercise experience on body composition and blood lipids in middle-aged obese women", 석사, pp.2004
- Yoon JH, "A comparison of pulmonary function between smoker and non - smoker focusing on the body surface area", Korean Society of Sport and Leisure Studies, 14, pp.659~666 (2000)
- Kim HS, "Functional fitness and cardio respiratory response to exercise training with dumbbell in the elderly", Korean Alliance for Health, Physical Education, Recreation and Dance, 39, pp.432~442 (2000)
- 김범수, "규칙적인 운동이 남성노인의 신체구성 및 건강관체력에 미치는 영향", 한국 스포츠 리서치, 18(2), pp.51~56 (2007), 한국스포츠리서치
- 정성림, "12주간 유산소 및 근력 복합훈련이 중년비만 여성의 체력, 신체구성 및 혈중지질성분에 미치는 영향", 한국체육학회지, 42(3), pp.649~660 (2003), 한국체육학회
- Willett WC, "Guidelines for healthy weight", N Engl J Med, 341, pp.427~434 (1999)