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Effects of Walking and Behavior Modification Program on Body Composition, Physical Fitness and Metabolic Syndrome Related Factors in Obese Girls

걷기운동과 행동수정 프로그램이 비만여중생의 체조성, 체력 및 대사증후군 관련인자에 미치는 영향

  • Kim, Jong-Won (Department of Physical Education, Pusan National University) ;
  • Jeon, Jae-Young (Department of Physical Education, Pusan National University) ;
  • Kim, Tae-Un (Department of Physical Education, Pusan National University)
  • Published : 2007.12.30

Abstract

The purpose of this study was to provide obese middle school girls with walking and behavior modification program(WBMP) by investigating effects of the exercise on their body composition(BC), physical fitness(PF) and metabolic syndrome(MS). Analysis result of the difference between before and after the exercise(paired and independent t-test) was acquired by measuring BC, PF and MS for 12 weeks(60min/day, three a week). 24 Volunteers were 14 years over ${\geq}223.64kg/m^2$ and 15 years over ${\geq}24.00kg/m^2$. In the body composition, waist circumference(WC), body fat mass(BFM), %fat, arm muscle circumference(AMC), total body water(TBW), physical score(PS) were significant difference between the exercise group(EG) and the control group(CG), also including all factors in PF. The components of metabolic syndrome were significant difference between EG and CG, but HDL-C, systolic & diastolic blood pressure were no difference. The metabolic syndrome factors by separate of waist girth were no difference between EG and CG, but BMI, diastolic blood pressure were significant difference. The prevalence of metabolic syndrome was 4 of 24(16.7%) before intervention, but it dropped from 2 to 1 after intervention in WBMP. The components of metabolic syndrome was distributed a big WC>low HDL-C>high TG>hypertension. The changes of AMC, We, PS, BW, 50m run and BFM effect the factors on BMI(35%), WHR(waist-hip ratio, 69%), HDL-C(42%), fasting blood glucose(65%), HOMA-IR index(34%) and systolic blood pressure(39%) respectively. There were significantly increased in breakfast frequency, walking steps, and meal eating period, but decreased in snacks and eating out in exercise group.

비만 여중생을 대상으로 하여 12주간 행동수정 프로그램을 포함한 걷기운동을 실시한 결과 비만 여중생의 체조성, 체력, 대사증후군의 유병률 및 대사증후군 위험인자에서 긍정적인 변화를 가져오는 것을 확인하였다. 또한 다중선형회 귀분석 결과 체조성의 상완위팔근육둘레, 허리둘레, 신체발달지수, 체수분, 체지방량의 개선과 체력의 50m달리기 향상이 BMI, WHR, HDL-C, 공복혈당, 수축기혈압, HOMA지수를 개선시킬 수 있는 것으로 나타나 유산소성 걷기운동과 행동수정 프로그램에 의한 식사량조절과 식습관 변화가 비만청소년에 있어서 대사증후군에 의한 심혈관질환과 당뇨병, 심리적 우울증에 효과적인 프로그램이 될 수 있다고 생각된다. 그러나 피험자 수가 적고, 실험기간이 짧아 실험결과를 일반화하기에는 주의가 필요하며, 실험이후에 학생들의 지속적 운동 습관을 유지하기 위한 프로그램의 개발이 필요하다고 생각된다.

Keywords

References

  1. Ahn, L. 2007a, 20. January. Overweight Girls Are at Risk of Getting Heart Disease. The Kids Times, pp. A6
  2. Ahn, L. 2007b, 16. February. U. S. Kids Getting Surgery to Loss Weight. The Kids Times, pp. A6
  3. Ahn, L. 2007c, 13. July. Eye Sight Linked to Heart Disease. The Kids Times, pp. A6
  4. Baker, A. 1986. Alteration in lipid and protein profile of lipoprotein in middle aged men consequent to an aerobic exercise program. Metabolism 35(11), 1037-1043 https://doi.org/10.1016/0026-0495(86)90040-5
  5. Barbeau, P., B. Gutin, M. Litaker, S. Owens, S. Riggs and T. Okuyama. 1999. Correlates of individual difference in body composition changes resulting from training in obese children. Am. j. Clin. Nutr. 69(4), 705-711 https://doi.org/10.1093/ajcn/69.4.705
  6. Brownell, K. D. Wadden, T. A. 1999. The LEARN program for weight control. Dallas, TX: American Health Publishing Company
  7. Caprio, S., M. Bronson, R. S. Sherwin, F. Rife and W. V. Tamborlane. 1996. Co-existence of severe insulin resistance and hyperinsulinaemia in pre-adolescent obese children. Diabetologia 39(12), 1489-1497 https://doi.org/10.1007/s001250050603
  8. Carantoni, M., G. Zuliani, S. Volpato, E. Palmieri, A. Mezzetti & L. Vergnani et al. 1998. Relationships between fasting plasma insulin, anthropometries, and metabolic parameters in a very old healthy population. Metabolism 47, 535-540 https://doi.org/10.1016/S0026-0495(98)90236-0
  9. Che, B. S. 1998. Fat metabolism. Seoul : Seoul National University Publishing department
  10. Cole, T. J., M. C. Bellizzi, K. M. Flegal and W. H. Dietz. 2000. Establishing standard definition for child overweight and obesity women wide: international survey. B. M. J. 320, 1240-1243 https://doi.org/10.1136/bmj.320.7244.1240
  11. Cook, S., M. Weitzman, P. Auinger, M. Nguyen and W. H. Dietz. 2003. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch. Pediatr. Adolesc. Med. 157(8), 821-827 https://doi.org/10.1001/archpedi.157.8.821
  12. Cruz, M. L., M. J. Weigensberg, T. T. Huang, G. Ball, G. Q. Shaibi and M. I. Goran. 2004. The metabolic syndrome in overweight Hispanic youth and the role of insulin sensitivity. J. Clin. Endocrinol. Metab. 89(1), 108-113 https://doi.org/10.1210/jc.2003-031188
  13. Duncan, G. E., S. M. Li and X. H. Zhou. 2004. Prevalence and trends of a metalbolic syndrome phenotype among U. S. Adulescents, 1999-2000. Diabetes Care 27(10), 2438-2443 https://doi.org/10.2337/diacare.27.10.2438
  14. Eun, Y. S., K. J. Kim and H. S. Park. 2001. Effect of Multidisciplinary Weight Control Program on Weight and Comorbidity in Obese Adolescents. Journal of Korean Society for the Study of Obesity. 10(4), 325-335
  15. Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adult. 2001. Executive Summary of the Third Report of the National Cholesterol Education Program(NCEP) Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults(Adult Treatment Panel III). J. A. M. A. 285, 2486-2497 https://doi.org/10.1001/jama.285.19.2486
  16. Ford, E. S., A. H. Mokdad and W. H. Giles. 2003. Trends in waist circumference among U. S. adults. Obes. Res. 11, 1223-1231 https://doi.org/10.1038/oby.2003.168
  17. Ford, E. S., W. H. Giles and W. H. Dietz. 2002. Prevalence of the metabolic syndrome among U. S. adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 287, 356-359 https://doi.org/10.1001/jama.287.3.356
  18. Franks, P. W., U. Ekelund, S. Brage, M. Y. Wong and N. J. Wareham. 2004. Does the association of habitual physical activity with the metabolic syndrome differ by level of cardiorespiratory fitness?. Diabetes Care 27, 1187-1193 https://doi.org/10.2337/diacare.27.5.1187
  19. Gudat, U., S. Bungert, F. Kemmer and L. Heinemann. 1998. The blood glucose lowering effects of exercise and glibenclamide in patients with type 2 diabetes mellitus. Diabet. Med. 15(3), 194-198 https://doi.org/10.1002/(SICI)1096-9136(199803)15:3<194::AID-DIA546>3.0.CO;2-2
  20. Horowitz, J. F. 2003. Fatty acid mobilization from adipose tissue during exercise. Trends Endocrinol. Metab. 24(5), 321-336
  21. Jeon, J. Y. 2007. The Effects of Combined Exercise on Cardiovascular Disease Risk Factor, CRP, Adiponectin, TNF-$\alpha$ in Obese Middle School Girls. Unpublished Doctor Dissertation, Pusan National University, Pusan
  22. Journal of Korean Society for the Study of Obesity. 2000. The Asia-Pacific perspective : redefining obesity and its treatment. Seoul : Hanyeehak Publishing Co
  23. Journal of Korean Society for the Study of Obesity. 2006. Infant.Young Obesity Control Manual. Seoul : Journal of Korean Society for the Study of Obesity
  24. Kang, M. R., J. D. Sung, B. C. Yoo, Y. H. Choi, S. Y. Je and J. H. Jung et al. 2005. Maximal Oxygen Uptake ($VO_2$max) and Metabolic Syndrome. Korean Diabetes Association 29(1), 65-71
  25. Katzmarzyk, P. T., A. A. Leon, J. H. Wilmore, J. S. Skinner, D. C. Rao, T. Rankinen and C. Bouchard. 2003. Targeting the metabolic syndrome with exercise: evidence from the HERITAGE Family Study. Med. Sci. Sports Exer. 35(10), 1703-1709 https://doi.org/10.1249/01.MSS.0000089337.73244.9B
  26. Kim, H. J. 2001. Effects of behavioral modification therapy on body composition and serum lipid in obese children. Unpublished Thesis, Pusan National University, Pusan
  27. Kim, H. M., J. Park, H. S. Kim and D. H. Kim. 2006. Prevalence of the metabolic syndrome in Korean adolescents aged 12-19 years from the Korean National Health and Nutrition Examination Survey 1998 and 2001. Diabetes Res. Clin. Pract. in press
  28. Kim, K. B., J. H. Shin and J. A. Lee. 2003. The Effects of Aerobic Exercise on Abdominal Obesity, Cardiopulmonary Function and Serum Insulin in Obese Middle School Girls. Korea Sport Research 14(6), 1675-1684
  29. Kim, S. H. 1991. development and evaluation of a program for obesity prevention. Unpublished Thesis, Seoul National University, Seoul
  30. Kim, S. M., K. M. Kim and D. J. Lee. 1997. Relationship of Uric Acid Concentration to Free Fat Acid, Cardiovascular Risk Factors and Intraperitoneal. Journal of Korean Society for the Study of Obesity 6(1), 51-58
  31. Kim, Y. H. 2000. Cause and solution of youngs obese. KACEP 2, 143-147
  32. Korean Journal Pediatrics. 1998. Standard test of physical growth in Korean infant. Seoul : Kwangmoon Publishing Co
  33. Kullo, I. J., D. D. Hensrud and T. G. Allison. 2002. Relation of low cardiorespiratory fitness to the metabolic syndrome in middle-aged men. Am. J. Cardiol. 90, 795-797 https://doi.org/10.1016/S0002-9149(02)02617-6
  34. Kwon, Y. I., T. K. Park, K. H. Park, C. H. Park, J. Y. Jeon and M. K. Choi et al. 2006. Effects of combined exercise training on physical fitness and metabolic syndrome in obese middle school. The Korean Journal of Physical Education 45(6), 611-621
  35. Laaksonen, D. E., H. M. Lakka, J. T. Salonen, L. K. Niskanen, R. Rauramaa and T. A. Lakka. 2002. Low levels of leisure-time physical activity and cardiorespiratory fitness predict development fo the metalbolic syndrome. Diabetes Care 25, 1612-1618 https://doi.org/10.2337/diacare.25.9.1612
  36. Lee, H. J., H. S. Kwon, Y. M. Park, H. N. Joen, Y. H. Choi and S. H. Ko. 2005. Waist Circumference as a Risk Factor for Metabolic Syndrome in Korean Adult. Korean Diabetes Association 29(1), 48-56
  37. Lee, M. J., Y. S. Kim, D. H. Kim, S. H. Kim, H. Y. Lee and Y. B. Yun. 1999. The Effect of Rope-Jumping Exercise on Body % fat , Serum Lipid and Serum Enzyme Level in Obese Children. International Sport Science Congress 620-631
  38. Lee, N. H. 1999. The Effect of Hulahoop Exercise on Health Related Physical Fitness and Plasma Lipid Components in Obese Male Middle School Students. Unpublished Thesis, Korean Physical Education National University, Seoul
  39. Liese, A. D., E. J. Mayer-Davis and S. M. Haffner. 1998. Development of the multiple metabolic syndrome: an epidemiologic perspective. Epidemiol. Rev. 20(2), 157-172 https://doi.org/10.1093/oxfordjournals.epirev.a017978
  40. Lim, S., E. J. Lee, B. K. Ku, S. I. Jo, K. S. Park, H. C. Jang, S. Y. Kim and H. K. Lee. 2005. Increasing Trends of Metabolic Syndrome in Korea -Based on Korean National Health and Nutrition Examination Surveys. Korean Diabetes Association 29(5), 432-439
  41. Mattews, D. R., J. P. Hosker, A. S. Rudenski, B. A. Naylor, D. F. Treacher and R. C. Turner. 1985. Homeostasis model assessment: insulin resistance and beta cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28, 412-419 https://doi.org/10.1007/BF00280883
  42. Melin, I. and S. Rossner. 2003. Practical clinical behavioral treatment of obesity. Patient Educ. Couns. 49(1), 75-83 https://doi.org/10.1016/S0738-3991(02)00049-6
  43. Park, H. S., H. C. Shin, B. S. Kim, K. Y. Lee, H. S. Choi and J. A. Shin et al. 2003. Prevalence and Associated Factors of Metabolic Syndrome among Adults in Primary Care. Journal of Korean Society for the Study of Obesity 12, 108-123
  44. Park, H. S., S. J. Sim and J. Y. Park. 2004. Effects of weight reduction on metabolic syndrome in Korean obese patients. J. Korean Med. Sci. 19(2), 202-208 https://doi.org/10.3346/jkms.2004.19.2.202
  45. Park, T. K. 2005. Effects of 12 Weeks Walking Exercise on Metabolic Syndrome Makers in Obese Middle School Girls. The Korean Journal of Physical Education 44(6), 507-516
  46. Pollock, M. L., B. A. Franklin, G. J. Balady, B. L. Chaitman, J. L. Fleg and B. Fletcher et al. 2000. SHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety and prescription. Circulation 101(7), 828-883 https://doi.org/10.1161/01.CIR.101.7.828
  47. Region, W. W. P. 2000. The Asia-Pacific perspective: refining obedity and its treatment. J. Intern. Med. 250, 105-120
  48. Sinaiko, A. R., D. R. J. Jacobs, J. Steinberger, A. Moran. R. Luepker, A. P. Rocchini and R. J. Prineas. 2001. Insulin resistance syndrome in childhood: associations of the euglycemic insulin clamp and fasting insulin with fatness and other risk factors. J. Pediatr. 139(5), 700-707 https://doi.org/10.1067/mpd.2001.118535
  49. Srinivasan, S. R., L. Myers and G. S. Berenson. 2002. Distribution and correlates of nonhighdensity lipoprotein cholesterol in children: the Bogalusa Heart Study. Pediatrics 110(3), 29 https://doi.org/10.1542/peds.110.3.e29
  50. Sung, E. J. and T. S. Shin. 2003. The Effect of Overweight to Cardiovascular Risk Factors among Korean Adolescents. The Korean Academy of Family Medicine 24, 1017-1025
  51. Tan, C. E., S. C. Emmanuel, B. Y. Tan and E. Jacob. 1999. Prevalence of diabetes and ethnic differences in cardiovascular risk factors. The 1992 Singapore National Health Survey. Diabetes Care 22, 241-247 https://doi.org/10.2337/diacare.22.2.241
  52. Tokmakidis, S. P., C. E. Zois, K. A. Volaklis, K. Kotsa and A. M. Touvra. 2004. The effects of a combined strength and aerobic exercise program on glucose control and insulin action in women with type 2 diabetes. Eur. J. Appl. Physiol. 92(4), 437-442
  53. Torok, K., Z. Szelenyi, J. Porszasz and D. Molnar. 2001. Low physical performance in obese adolescent boys with metabolic syndrome. Int. J. Obes. Relat. Metab. Disord. 25(7), 966-970 https://doi.org/10.1038/sj.ijo.0801646
  54. Valoski, A. M. 1995. Do children lose and maintain weight easier than adults. a comparison of acid and pareat weight changes from six months to ten years. Obes. Res. 3(5), 411-417 https://doi.org/10.1002/j.1550-8528.1995.tb00170.x
  55. Ye, A. S. T. 2002. Menopause, Aging and Obesity. Journal of Korean Society for the Study of Obesity 11(3), 289-298

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