Journal of Life Science (생명과학회지)

Korean Society of Life Science (한국생명과학회)
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Effects of Regular Walking Exercise on Health-Related Parameters in Persons with Chronic Diseases

규칙적인 걷기운동이 질환별 노인의 건강변인에 미치는 효과

  • Lim, Hwe-Jin (Department of special physical education Seoul Women's, University) ;
  • Kim, Yu-Sik (Department of Physical Education, Yonsei University) ;
  • Cho, Hyeong-Suk (Department of Physical Education, Yonsei University) ;
  • Kim, Chang-Hee (Department of Physical Education, Yonsei University) ;
  • Lim, Hee-Jung (Department of Physical Education, Yonsei University) ;
  • Jeong, Hee-Seong (Department of Physical Education, Yonsei University) ;
  • Im, Jee-Aee (Sports and Medicine Research Center) ;
  • Yoon, Byung-Kon (Department of special physical education, Dong-Eui University) ;
  • Paik, Il-Young (Department of Physical Education, Yonsei University) ;
  • Suh, Sang-Hoon (Department of Physical Education, Yonsei University)
  • Published : 2009.12.30
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Abstract

The purpose of this study was to investigate the effects of regular walking exercise on health-related parameters in the elderly with chronic diseases - apoplexy, overweight, impaired fasting glucose, and overweight + impaired fasting glucose. A total of 85 subjects, 27, 17, 21 and 20 in apoplexy (A), overweight (O), impaired fasting glucose (IFG), overweight + impaired fasting glucose group (O_IFG), respectively, completed a 12-week walking exercise. The health-related parameters were measured before and at the completion of the exercise program including anthropometric measurements, functional physical fitness levels, blood pressure, fasting glucose, blood lipid profiles and chronic inflammatory markers (CRPs). Significant improvements in body weight, BMI, %body fat, blood pressure, all blood lipid measurements and all measured physical fitness items were shown in A; those in %body fat, TC, HDL-C and LDL-C in O; those in body weight, BMI, %body fat, fasting glucose, TC, TG and HDL-C in IFG; and those in body weight, HDL-C and LDL-C in O_IFG (p<0.05). The results of the present study demonstrated that a 12-week walking exercise brought positive effects on body weight, bloody lipid profiles, fasting glucose and functional physical fitness levels in the elderly with chronic diseases. In conclusion, this study suggested that walking regularly is very effective in lowering the risks of developing chronic diseases.

본 연구는 65세 이상 노인으로 뇌졸중 27명(운동군 18명, 일상 생활군 9명), 과체중 17명(운동군 10명, 일상 생활군 7명), 내당능 장애 21명(운동군 11명, 일상 생활군 10명), 과체중+내당능 장애 20명을 대상으로 12주 걷기 운동 프로그램을 실시하여 비만도, 체력, 글루코스 대사지표와 지질대사 지표, 염증지표를 측정하였다. 측정 시기는 12주 걷기 운동 프로그램 시작 전, 종료 후로 총 2회 측정하였으며 다음과 같은 결론을 얻었다. 뇌졸중 집단에서는 운동군이 체중, BMI, 체지방, WHR, 혈압, 혈중지질 및 기능적 체력 검사의 결과가 모두 운동전보다 운동 후 유의하게 증가하였다. 운동군과 일상 생활군 간의 차이에서도 체중, BMI, 체지방, WHR, 혈압, 혈중지질 및 기능적 체력 검사의 결과에서 모두 유의한 차이를 보였다(p<0.05). 과체중 집단에서는 운동군이 BMI, HDL-C에서 운동 후 유의한 차이를 보이고 있으며, 기능적 체력 검사에서 의자에 앉아서 일어나기, 의자에서 일어나 2.4 m걸어 돌아오기, 6분 걷기에서 운동전보다 운동 후 유의하게 증가하였다. 운동군과 일상 생활군 간의 차이에서는 체지방, TC, HDL-C, LDL-C에서 유의한 차이를 보였으며(p<0.05) 기능적 체력 검사의 결과에서 모두 유의한 차이를 보이지 않았다. 내당능 장애 집단에서는 운동군이 체중, BMI, 혈압, 글루코스, 혈중지질 및 기능적 체력 검사에서는 의자에 앉아서 일어나기와 6분 걷기 검사에서 운동전보다 운동후 유의하게 증가하였다(p<0.05). 운동군과 일상 생활군 간의 차이에서는 체중, BMI, 체지방, 글루코스와 혈중지질에서 TC, TG, HDL-C에서 유의한 차이가 있었으며 기능적 체력 검사 결과에서는 의자에 앉아서 일어나기에서 유의한 차이를 보였다(p<0.05). 과체중+내당능 장애 집단에서는 운동군이 체중, BMI, 체지방, 혈압, 글루코스와 혈중지질에서는 TG, HDL-C에서 운동 후 유의한 차이를 보였고 기능적 체력 검사에서는 의자에 앉아서 일어나기검사에서 운동전보다 운동 후 유의하게 증가하였다(p<0.05). 또한 혈중 염증지표인 CRP에서도 유의한 차이를 보였다. 운동군과 일상 생활군 간의 차이에서는 체중과 혈중지질에서 HDL-C, LDL-C에서 유의한 차이가 있었으며 기능적 체력 검사 결과에서는 의자에 앉아서 일어나기, 의자에서 일어나 2.4 m 걸어 돌아오기 검사에서 유의한 차이를 보였다(p<0.05). 이상의 결과들을 종합해보면 12주 걷기운동이 뇌졸중 질환, 과제중, 내당능 장애 질환 및 과제중과 내당능 장애의 복합질환 노인들의 체중, 혈중지질, 글루코스, 기능적 체력 향상에 긍정적인 영향을 주었다고 할 수 있고, 노인에게 발병되는 질환에 있어서 걷기 운동이 질환발병을 낮추는 효과적인 운동방법으로 사료된다. 또한 차 후 운동강도의 조절과 운동기간을 연장하여 남,녀로 구분한 연구와 더 많은 노인성 질환별 걷기 운동에 따른 혈중 지질대사 지표의 변화를 알아볼 필요가 있다고 판단된다.

Keywords

References

  1. American College of Sports Medicine. 2006 ACSM's guidelines for exercise testing and prescription (7th eds.) Lippincott Williams & Wilkins. Philadelphia. chapter 10, 246-251
  2. Christiansen, T., B. Richelsen, and J. M. Bruun. 2005. Monocyte chemoattractant protein-1 is produced in isolated adipocytes, associated with adiposity and reduced after weight loss in morbid obese subjects. Int. J. Obes. Relat. Metab. Disord 29, 146-150 https://doi.org/10.1038/sj.ijo.0802839
  3. Christensen, B. K, D. J. Terbizan, and C Deblauw. 2004. No changes in commitment to exercise in adults during a 14 week concurrent exercise training program. Med. Sci. Sports Exerc. 36, 64-68
  4. Coghill, N. and A. R Cooper. 2008. The effect of a home-based walking program on risk factors for coronary heart disease in hypercholesterolaemic men: A randomized controlled trial. Preve. Med. 46, 545-551 https://doi.org/10.1016/j.ypmed.2008.01.002
  5. Magkos, F., Y. Tsekouras, S. A. Kavouras, B. Mittendorfer, and L. S. Sidossis. 2008. Improved insulin sensitivity after a single bout of exercise is curvilinearly related to exercise energy expenditure. Clin. Sci. (Lond) 11, 59-64
  6. Durstine, J. L., P. W. Grandjean, C. A. Cox, and P. D. Thompson. 2002. Lipids, lipoproteins, and exercise. J. Cardiopulm. Rehabil. 22, 385-398 https://doi.org/10.1097/00008483-200211000-00002
  7. Ford, E. S., W. H Giles, and A. H Mokdad. 2004. Increasing prevalence of the metabolic syndrome among U. S. adults. Diabetes 27, 2444-2449 https://doi.org/10.2337/diacare.27.10.2444
  8. Friedewald, W. T., R J. Levy, and D. S. Fredrickson. 1972. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin. Chem. 18, 499-502
  9. Ghosh, A. and A. B. Das Chaudhuri. 2005. Explaining Body Composition by some Covariate Factors among the Elderly Bengalee Hindu Women of Calcutte, India. J. Nutr. Health Aging 9, 403-406
  10. Jang, H. c., S. Lim, and N. H. Cho. 2004. Metabolic syndrome-Korean Ansung and Ansan Cohort (KAAC) Study. The Korean Journal of Medicine 67, S528-S532
  11. Jung, c. H, J. S. Park, W. Y. Lee, and S. W. Kim. 2002. Effects of smoking, alcohoL exercise, level of education, and family history on the metabolic syndrome in korean adullts. The Korean Journal of Medicine 63, 649-659
  12. Kang, H J. 2002. The effect of physical activity level on $\beta$-cell insulin secretory function and sensitivity in impaired glucose tolerance and newly-dagnosed Type II diabetes mellitus. Exercise Science 11, 67-75
  13. Kang W. K, J. T. Kwon, and W. K Kook. 2007. Reconsideration the relationship between the rapid aging of the societies and the older driver's traffic accidents. KSCE 27, 19-26
  14. Kim, E. J. 2005. The effects of the aerobic exercise training with resistance exercise on body composition and inflammation response in the elderly women. The Korean Journal of Physical Education 44, 441-451
  15. Kim, J. U, G D. Park, and S. W. Jung. 2006. Effect of regular exercise on serum LDH isoforms, CPK concentration, and physical fitness levesl in the female elderly. Korea Sport Research 17, 55-64
  16. Ko, S. K 2002. The quantity of aerobic exercise to improve the blood woman with hypertension. obesity and diabetes mmellitus. Exercise Science 11, 247-257
  17. Leon, A. S. and O. Sanchez. 2001. Meta-analysis of the effects of aerobic exercise training on blood lipids. Circulation 104, 414-II-415
  18. Lim, S., E. J. Lee, B. K Koo, S. I. Cho, K S. Park, H. C. Jang, and S. Y. Kim. 2005. Increasing Trends of Metabolic Syndrome in Korea -Based on Korean National Health and Nutrition Examination Surveys. Diabetes 29, 432-439
  19. Losonczy, K G, T. B. Harris, J. Cornoni-Huntley, E. M. Simonsick, R B. Wallace, N. R Cook, A. M. Ostfeld, and D. G Blazer. 1995. Does weght loss from middle age to old age explain the inverse weight mortality relation in old age? Am. J. Epidemiology 141, 312-321 https://doi.org/10.1093/aje/141.4.312
  20. Mills, E. M. 1994. The effect of low-intensity aerobic exercise on muscle strength, flexibility, and balance among sedentary elderly person. Nursing Research 43, 207-211 https://doi.org/10.1016/S0003-9993(96)90064-7
  21. Niinikoski, H., H Lapinleimu, J. Viikari, T. Ronnemaa, E. Jokinen, R Seppanen, P. Terho, J. Tuominen, I. Valimaki, and O. Simell. 1997. Growth until 3 years of age in a prospective, randomized trial of a diet with reduced saturated fat and cholesterol. Pediatrics 99, 687-694 https://doi.org/10.1542/peds.99.5.687
  22. Oh, D. J. 2003. Life style and Coronary Artery Disease. The Korean Journal of Medicine 65, 130-135
  23. Park Y. W., C. H Kim, and H C. Shin. 2002. Is the cut-off value of body mass index (BMI) appropriate for identifying obesity in Korea? Korean J. Health Promot. Dis. Prevo 2, 10-15
  24. Shephard, R. J. and G. L. Balady. 1999. Exercise as cardiovascular therapy. Circulation 99, 963-967 https://doi.org/10.1161/01.CIR.99.7.963
  25. Skelton, D. A. and S. M. Dinan. 1999. Exercise for falls management: Rational for an exercise programme aimed at reducing postural instability. Phys. Theo. Prac 15, 105-120 https://doi.org/10.1080/095939899307801
  26. Yiannis, T. E., Y. E. Amalia, B. Dimitrios, K A. Stavros, and S. S. Labros. 2007. A single bout of brisk walking increases basal very low-density lipoprotein triacylglycerol clearance in young men. Metabolism 56, 1037-1043 https://doi.org/10.1016/j.metabol.2007.03.012
  27. The National Statistical Office. 2003. Anual report on causes for deaths.
  28. Trappe, S. W., D. L. Costill, and M. D. Vukovich. 1996. Aging among elite distance runners: a 22-year longitudinal study. J. Appl. Physiol 80, 285-290
  29. World Health Organization. 2006
  30. Wing, R R, B. A. Polley, E. Venditti, W. Lang, and J. M. icikaJ. 1998. Lifestyle intervention in overweight individuals with a family history of diabetes. Diabetes Care 21, 350-359 https://doi.org/10.2337/diacare.21.3.350
  31. Yang, M. R, M. Kim, and H. S. Kim. 1996. A Study of Health - Related Fitness in the Elderly Women. Physical Growth and Motor Development 4, 43-54
  32. Yang, J. H. 1993. The Effects of the Elderly's Physical Activity on Fitness. Korea Sport Research 32, 2491-2511

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