건강한 성인의 체력과 심혈관계질환 위험도와의 관련성
Association between Fitness and Coronary Heart Disease Risks among Healthy Adults
1
조회
0
다운로드
24
인용
0
참고문헌
키워드
초록
이 연구의 목적은 국민체력인증제 시범사업에 참여한 건강한 성인남녀를 대상으로 건강체력 뿐 아니라 기능체력을 포함한 총체력과 심혈관계질환 위험도와의 관련성을 분석하고, 근력과 심폐지구력이 독립적으로 심혈관계질환에 미치는 영향을 조사하는데 있다. 국민체력인증제에 참여한 건강성인(n=150; 여자 49.3%)을 대상으로 혈액검사와 신체조성, 건강체력(악력, 윗몸일으키기, 20m 왕복오래달리기, 앉아윗몸앞으로굽히기) 및 기능체력(10m×4회 왕복달리기, 제자리멀리뛰기)을 측정한 후, 근력지수와 총체력 지수는 해당항목 점수를 표준점수화(z-score)하여 산출하였다. 심혈관계질환 위험도는 성별에 따라 혈압, 총콜레스테롤, 고밀도지단백콜레스테롤, 당뇨 및 흡연여부, 나이 등을 고려한 프래밍함 위험점수를 사용하여 추정하였다. 그 결과, 남자는 심폐지구력만이 프래밍함 위험점수의 독립적 위험요인(ß=-0.297, p＜0.05)으로 나타났으나, 여자는 심폐지구력(ß=-0.314, p＜0.05)과 근력(ß=-0.366, p＜0.05) 모두 독립적 위험요인으로 나타났다. 남자는 심폐지구력(p＜0.05) 및 총체력(p＜0.01) 수준에 따라 프래밍함 위험점수에 차이가 나타났으며, 심폐지구력과 총체력 최저수준그룹에서 프래밍함 위험점수가 높았다. 반면, 여자는 심폐지구력(p＜0.001)과 총체력(p＜0.001)은 물론 근력(0.001)까지 각각의 수준에 따라 프래밍함 위험점수의 차이를 보였으며, 근력, 심폐지구력 및 총체력 최저수준그룹에서 프래밍함 위험점수가 높았다. 이상의 결과를 종합해 보면 여자는 심폐지구력 뿐만 아니라 근력 또한 심혈관계질환의 독립적 위험요인임을 알 수 있었다. 또한, 성별에 관계없이 건강한 성인에게 건강체력과 기능체력을 포괄한 총체력이 심혈관계질환 위험도와 관련이 있었으며, 이는 심혈관계질환 예방에 있어 총체력의 향상노력이 중요함을 시사한다.
Abstract
The purpose of this study was to examine the relationship between coronary heart disease (CHD) risk and fitness including both health-related and skill-related physical fitness in healthy adults. National Fitness Award participants performed a total physical fitness (TF) testing (hand-grip strength, sit-ups, 20m shuttle run, sit and reach, shuttle run and long jump). Among the National Fitness Award participants the ones (n=150; 49.3% women) were able to be identified CHD risks included in this study. The indexes of MF (sum of the z scores for relative grip strength and sit ups) and TF (sum of the z-scores for all fitness factors) was calculated. The CHD risk was assessed by the 10-year Framingham CHD risk score (FRS) for CHD. The results were following∶In men CRF was an independent risk factors for CHD (ß=-0.297, p<0.05). In women, however, both CRF (ß=-0.314, p<0.05) and MF (ß=-0.366, p<0.01) were all independent factors for the CHD risk. Furthermore, significant differences were found in the CHD risks among the levels of CRF (p<0.05) and TF (p<0.01), respectively, but in MF in men. The lowest levels of CRF and TF presented higher CHD risk in men. In women, however, there were significant differences in the CHD not only among the levels of CRF (p<0.001) and TF (p<0.001) but also MF (p<0.001). The lowest levels of MF, CRF and TF presented higher CHD risk in women. In conclusion, muscle fitness as well as cardiorespiratory fitness was independently associated with the CHD risk in healthy women. total fitness which was including both health-and skill-related was associated with risks of CHD in men and women. These results support current physical activity for adults which include muscle strengthening exercise in addition to aerobic activities.
참고문헌 (31)
- 성인기 국민체력 인증기준 개발, "고병구", 문화체육관광부, ~ (2010)
- 국민체력실태조사, "문화체육관광부", ~ (2011)
- 김명보, "관상동맥 CT 혈관조영술을 이용한 심혈관질환 위험도 평가도구 비교", Annals of Occupational and Environmental Medicine, 22(2), pp.102~113 (2010), 대한직업환경의학회
- 국민체력인증사업 운영 방안 연구, "김양례", ~ (2008)
- 이미경, "과체중, 비만아동의 체질량지수, 근지구력과 심혈관질환 위험요인의 관계", 한국체육학회지, 48(4), pp.535~543 (2009), 한국체육학회
- 조현철, "근력과 심혈관질환 위험요인과의 관련성", 한국체육학회지, 49(4), pp.397~406 (2010), 한국체육학회
- 통계청, "사망원인 통계", ~ (2010)
- American College of Sports Medicine(ACSM), "ACSMʼs guidelines for exercise testing and prescription" (2010), Lippincott Williams and Wilkins
- Andersen, L. B., "Biological cardiovascular risk factors cluster in Danish children and adolescents : The European Youth Heart Study", Prev Med, 37(4), pp.363~367 (2003)
- Aoyama, T., "Association between Muscular strength and Metabolic Risk in Japanese Women, but Not in Men", J Physiol Anthropol, 30, pp.133~139 (2011)
- Artero, E. G., "Muscular and cardiorespiratory fitness are independently associated with metabolic risk in adolescents : The HELENA study", Pediatr Diabetes, 12(8), pp.704~712 (2011)
- Atlantis, E., "Inverse associations between muscle mass, strength, and the metabolic syndrome", Metabolism, 58(7), pp.1013~1022 (2009)
- Benson, A. C., "Muscular strength and cardiorespiratory fitness is associated with higher insulin sensitivity in children and adolescents", Int J Pediatr Obes, 1(4), pp.222~231 (2006)
- Friedewald, W. T., "Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge", Clin Chem, 18(6), pp.499~502 (1972)
- Hurley, B. F., "Resistive training can reduce coronary risk factors without altering VO2max or percent body fat", Med Sci Sports Exerc, 20(2), pp.150~154 (1988)
- Ishii, T., "Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake", Diabetes Care, 21(8), pp.1353~1355 (1998)
- Jackson, A. S., "Generalized equations for predicting body density of men", Br J Nutr, 40(3), pp.497~504 (1978)
- Jackson, A. S., "Generalized equations for predicting body density of women", Med Sci Sports Exerc, 12(3), pp.175~181 (1980)
- Jurca, R., "Association of muscular strength with incidence of metabolic syndrome in men", Med Sci Sports Exerc, 37(11), pp.1849~1855 (2005)
- Katzmarzyk, P. T., "Cardiorespiratory fitness attenuates the effects of the metabolic syndrome on all-cause and cardiovascular disease mortality in men", Arch Intern Med, 164(10), pp.1092~1097 (2004)
- Katzmarzyk, P. T., "Musculoskeletal fitness and risk of mortality", Med Sci Sports Exerc, 34(5), pp.740~744 (2002)
- Kelley, G. A., "Progressive resistance exercise and resting blood pressure : A meta-analysis of randomized controlled trials", Hypertension, 35(3), pp.838~843 (2000)
- Kohl, H. W., "Musculoskeletal strength and serum lipid levels in men and women", Med Sci Sports Exerc, 24(10), pp.1080~1087 (1992)
- Murray, C., "Effectiveness and costs of intervention to lower systolic blood pressure and cholesterol : A global and regional analysis on reduction of cardiovascular disease risk", Lancet, 361, pp.717~725 (2003)
- Steene-Johannessen, J., "Low Muscle Fitness Is Associated with Metabolic Risk in Youth", Med Sci Sports Exerc, 41(7), pp.1361~1367 (2009)
- Treuth, M. S., "Effects of strength training on total and regional body composition in older men", J Appl Physiol, 77(2), pp.614~620 (1994)
- U.S Department of Health and Human Service, "2008 Physical activity Guidelines for Americans", ~ (2008)
- Wei, M., "Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men", JAMA, 282(16), pp.1547~1553 (1999)
- Wijndaele, K., "Muscular strength, aerobic fitness, and metabolic syndrome risk in Flemish", Mde Sci Sports Exerc, 39(2), pp.233~240 (2007)
- Wilson, P. W. F., "Prediction of coronary heart disease using risk factor categories", Circulation, 97, pp.1837~1847 (1998)
- World Health Organization(WHO), "Interventions on diet and physical activity: WHAT WORKS", ~ (2009)