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The Effects of 12-weeks health education and exercise program on body composition, bone density, blood lipid, and health behavior among Middle-aged and Aged Women in rural areas

건강교육과 운동프로그램이 일 농촌지역 중·노년기 여성의 체성분, 혈중 지질, 골밀도 및 건강행태에 미치는 영향

  • Received : 2013.01.18
  • Accepted : 2013.04.11
  • Published : 2013.04.30

Abstract

The Purpose of this study was to conduct the effects of the 12-weeks health education and exercise programs on body compositions, bone density, and blood lipid, and health behavior among middle-aged and aged women in rural areas. The number of participants was 33 women at the age of 40-75 from March 5 to May 31 in 2012. For statistical analysis, descriptive statistics, paired t-test and ANCOVA were used with SPSS WIN 12.0. The results were summarized as followings. First, body weight, BMI and % body fat decreased significantly. Second, serum total cholesterol, triglyceride and LDL-cholesterol level decreased significantly. Third, Bone density increased significantly. Forth, Health behavior and attitude were significant factors in exercise, alcohol and smoking. Therefore, it is necessary to provide individual programs of intensive aerobic and muscle exercise over 3 months and the community will have to provide systematic management.

본 연구는 농촌지역 중 노년기 여성을 대상으로 건강교육과 운동프로그램을 실시하여 체성분과 혈중지질, 골밀도 및 건강행태에 미치는 영향을 확인하기 위하여 시도하였다. 중 노년기 여성 33명을 대상으로 2012년 3월 5일부터 2012년 5월 31일까지 12주간 건강교육과 운동프로그램을 실시하였으며, 체성분과 혈중지질, 골밀도 및 건강행태에 미치는 효과를 확인하기 위해 단일군 전후설계로 paired t-test, ANCOVA를 실시하였다. 프로그램 적용 후, 평균체중과 BMI, 체지방량, 총콜레스테롤, 중성지방, LDL콜레스테롤, 골밀도, 운동과 음주 및 흡연에 대한 건강행태에서 유의한 변화가 있었다. 따라서 3개월 이상의 강도 높은 유산소운동과 개인별 맞춤 근력운동을 적절하게 병행한 운동프로그램의 기획 및 제공이 필요할 것으로 판단되며, 개인별 건강행태변화를 위해서 대상자에게 초점을 맞춘 건강교육을 횟수를 늘려 제공하는 등 기존의 프로그램을 보완한 체계적인 관리가 지역사회에서 실천되도록 해야 할 것이다.

Keywords

References

  1. Korea Centers for Disease Control and Prevention. National health and nutrition examination survey; The 5th results report. Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention, 2011
  2. H. S. Kang, J. I. Kim, W. S. Bak, R. U.Song, Y. H. Ahn, O. I. Lee, N. Y. Lim, K. S. Cho, S. H. Choi, S. S. Han, ″Relationship of obesity and bone mineral density in women dwelling in the community″, Journal of Muscle Joint Health, Vol.14, No.2, pp.181-187, 2007.
  3. Innes, K. E., Selfe, T. K., Taylor, A. G, ″Menopause, the metabolic syndrome, and mind-body therapies″, Menopause, Vol.15, No.5, pp.1005-1013, 2008. DOI: http://dx.doi.org/10.1097/01.gme.0b013e318166904e
  4. H. Y. So, S. H. Ahn, R. Y. Song, H. L. Kim, ″Relationships among obesity, bone mineral density, and cardiovascular risks in post-menopausal women″, Korean Journal of Women Health Nursing, Vol.16, No.3, pp.224-233, 2010. https://doi.org/10.4069/kjwhn.2010.16.3.224
  5. C. J. Kim, T. H. Kim, W. S. Rhu, U. H. Ryoo, ″Influence of menopause on high density lipoproteincholesterol and lipids″, Journal of Korean Medical Science, Vol.15, No.4, pp.380-386, 2000. https://doi.org/10.3346/jkms.2000.15.4.380
  6. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Korean Society for the study of obesity, 2003.
  7. J. H. Kang, N. S. Kim, ″Secular trend of obesity for the study of obesity″, Journal of Korean Society for the Study of Obesity, Vol.11, No.4, pp.329-336, 2002.
  8. H. J. Kwon, K. A. Kim, J. H. Kang, ″The development of a web-bases weight reduction program for public health care, Journal of Korean Society for the Study of Obesity, Vol.14, No.4, pp.242-267, 2005.
  9. Y. H. Heo, E. J. Kim, H. S. Seo, S. M. Kim, K. M. Choi, T. G. Hwang, G. J. Cho, Y. S. Park, ″The effects of 16week exercise program on abdominal fat, serum lipid, blood pressure and in obese women″, The Korean Journal of Obesity, Vol.19, No.1, pp.16-23, 2010.
  10. Y. J. Nam, 'Effects of 12 weeks' regular exercise program on physical fitness, lipid profile and liver function in obese elderly women', Unpublished master's thesis, Donduk womens university, Seoul, 2008.
  11. H. K. Hyoung, M. I. Oh, Y. S. Jeong, ″The effect of an exercise program on middle-aged and aged women in rural areas″, Journal of Korean Academy of Community Health Nursing, Vol.19, No.4, 2008.
  12. J. S. Yoo, S. J. Lee, "A meta-analysis of the effects of exercise programs on glucose and lipid metabolism and cardiac function in patients with type II diabetes mellitus", Journal of korean Academy of Nursing, Vol.35, No.3, pp.546-554, 2005. https://doi.org/10.4040/jkan.2005.35.3.546
  13. K. W. Kim, "Obesity prevalence and weight control programs for middle-aged women", Journal of Women's Studies, Vol.25, pp.153-166, 2010.
  14. K. S. Choi, "The Effects of the Walking Exercise program on body composition, Basal Metabolic Rate and Life Satisfaction of Elderly Women in Rural Areas", Unpublished master's thesis, Chung Nam National University, 2011
  15. I. W. Oh, "The Effect of 12week Aquatic Exercise on Body Compsition, Blood Lipid and Inflammatory Markers in the Obese Elderly Women", Unpublished doctoral dissertation, Gyeongsang National University, Jin Ju, 2011.
  16. H. K. Kim, M. J. Kim, "Effects of weight control program on dietary habits and blood composition in obese middle-aged women", The Korean Journal Nutrition, Vol.43, No.3, pp.273-284, 2010. DOI: http://dx.doi.org/10.4163/kjn.2010.43.3.273
  17. M. S. Choi, "Effects of nutrition education and exercise intervention on health and diet quality of middle-aged women", The Korean Journal Nutrition, Vol.42, No.1, pp.48-58, 2009.
  18. S. K. Ko, ″The effect of BMI and %Fat as an obesity index on the diagnosis of hyperlipidemia in adult men″, Exercise Science, Vol.14, No.1, pp.21-30, 2005.
  19. M. Y. Kim, C. H, Lim, ″Effect of the BMI and %Fat on the diagnosis of hyperlipidemia in adult women″, The Korean Journal of Contents, Vol.10. No.8, pp.301-307, 2010. DOI: http://dx.doi.org/10.5392/JKCA.2010.10.8.301
  20. H. S. Lee, J. W. Lee, N. S. Chang, J. M. Kim, ″The effect of nutrition education and exercise program on body composition and dietary intakes, blood lipid and physical fitness in obese women″, The Korean Journal Nutrition, Vol.42, No.8, pp.759-769, 2009. DOI: http://dx.doi.org/10.4163/kjn.2009.42.8.759
  21. J. H. Nam, ″Effects of weight control program on obesity degree and blood lipid levels among middle-aged obese women″, The Korean Society of food and Nutrition, Vol.19, No.1, pp.70-78, 2006.
  22. E. R. Jeon, ″Effect of nutrition education and aerobic exercise program of weight control program of middle aged abdominal obese women″, Korean Journal of Human Ecology, Vol.9, No.2, pp.65-73, 2006.
  23. J. K. Ha, ″The effects of 8 weeks aerobic exercise on the body composition of overweight taeumin women″, Unpublished master's thesis, Kookmin University, seoul, 2005.
  24. Y. S. Park, K. R. Lee, Y. K. Chang, ″Effects of weight management program on obesity, the blood lipids and leptin levels in the obese premenopausal women″, The Korean Journal of Obesity, Vol.9, No.2, pp.128-135, 2000.
  25. Rossner S, Bjotvell H, ″Early and late effects of weight loss on lipoprotein metabolism in severe obesity″ Atherosclerosis, Vol.64, No.2-3, pp.125-130, 1987. https://doi.org/10.1016/0021-9150(87)90237-1
  26. I. H. Kim, ″The effect of exercise combined with behavior modification therapy on the degree of obesity, blood lipid level and self-esteem in obese middle-aged women″, The Korean Journal of Fundamentals of Nursing, Vol.8, No.2, pp.234-243, 2001.
  27. C. M. Kim, ″The effects of walking on the physical health residents in rural areas″, Journal of Korean Academy of Community Health Nursing, Vol.19, No.3, pp.349-357, 2008.
  28. World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Technical Report series 843. Geneva: World Health Organization, 1994.
  29. D, H, Lim, "Risk factors of fall-related injuries and the interaction of bone mineral density and health behaviours", Unpublished master's thesis Ajou university, suwon, 2012.

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