Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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The Effects of a Combined Exercise Program on Obesity and Metabolic Syndrome Factors for Chronic Psychiatric Inpatients

복합운동 프로그램이 만성정신질환자의 비만 및 대사 증후군 인자에 미치는 효과

  • Son, Mi Ae (Graduate School, Department of Nursing, Kangwon National University) ;
  • Lee, Yong Mi (Department of Nursing, Kangwon National University) ;
  • Jung, Kye A (Graduate School, Department of Nursing, Kangwon National University)
  • 손미애 (강원대학교 간호학과) ;
  • 이용미 (강원대학교 춘천캠퍼스 간호학과) ;
  • 정계아 (강원대학교 간호학과)
  • Received : 2014.03.15
  • Accepted : 2014.05.20
  • Published : 2014.05.31
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Abstract

Purpose: The purpose of this study was to examine the effects of a Combined Exercise Program on Obesity and Metabolic Syndrome Factors for Chronic Psychiatric Inpatients. Methods: Thirty two subjects participated in this program who were admitted into a national mental hospital of C city. All measurements were done at baseline, 4 week, 8 week, and 12 week during the program. The effectiveness of the program was evaluated according to the change of body mass index, body fat, waist circumference, total cholesterol, high density lipoprotein cholesterol, triglyceride, and fasting blood sugar. Collected data was analyzed by frequency, percentage, and repeated measures ANOVA with SPSS WIN 19.0. Results: There were statistically significant differences in the body mass index (p=.002), body fat (p<.001), waist circumference (p<.001), triglyceride (p=.020), and fasting blood sugar (p=.008). However, there were no statistically significant differences in the total cholesterol, or high density lipoprotein cholesterol. Conclusion: The results of this study showed that a combined exercise program has positive effect on obesity and metabolic syndrome factor. Thus, a Combined Exercise program is recommended as an intervention to improve obesity and metabolic syndrome factors for chronic psychiatric inpatients.

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References

  1. Colquhoun, D., Keech, A., Hunt, D., Marschner, I., Simes, J., Glasziou, P., et al. (2004). Effects of pravastatin on coronary events in 2073 patients with low levels of both LDL-C and HDL-C: Results from the LIPID study. Europian Heart Journal, 25(9), 771-777. https://doi.org/10.1016/j.ehj.2004.03.013
  2. Curkendall, S. M., Mo, J., Glasser, D. B., Rose, S. M., & Jones J. K. (2004). Cardiovascular disease in patients with schizophrenia in Saskatchewan, Canada. Journal of Clinical Psychiatry, 65, 715-720. http://dx.doi.org/10.4088/JCP.v65n0519
  3. Dodd, K., Duffy, S., Stewart, J., Impey, J., & Taylor, N. (2011). A small group aerobic exercise programme that reduces body weight is feasible in adults with severe chronic schizophrenia: A pilot study. Disability and Rehabilitation, 33(13-14), 1222-1229. http://dx.doi.org/10.3109/09638288.2010.526162
  4. Durstine, J. L., Gradjean, P. W., Cow, C. A., & Thompson, P. D. (2002). Lipids, lipoprotein and exercise. Journal of Cardiopulmonary Rehabilitation, 22(6), 385-398. https://doi.org/10.1097/00008483-200211000-00002
  5. Grundy, S. M., Brewer, H. B. Jr., Cleeman, J. I., Smith, S. C. Jr., & Lenfant, C. (2004). Definition of metabolic syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Circulation, 109, 433-438. https://doi.org/10.1161/01.CIR.0000111245.75752.C6
  6. Hyoung, H. K., & Kim, H. S. (2008). The effect of brisk walking exercise program on body composition, blood pressure, blood glucose and blood lipid for middle-aged woman with obesity. Korean Society of Biological Nursing Science, 10(1), 62-68.
  7. Im, H. S., Han, K. S., & Chung, H. K. (2006). Effect of weight control program on weight gain and self-esteem of psychiatric inpatients. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15(1), 5-13.
  8. Kang, C. G., Kim, H. C., & Lee, M. G. (2008). The effect of 12 weeks of combined exercise training on cardiopulmonary function and metabolic syndrome risk factor for rural elderly. Korean Journal of Physical Education, 47(4), 377-387.
  9. Kemmler, W., Lauber, D., Weineck, J., Hensen, J., Kalender, W., & Engelke, K. (2004). Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids. Archives of Internal Medicine, 164(10), 1084-1091. https://doi.org/10.1001/archinte.164.10.1084
  10. Kilbourne, A., Morden, N., Austin, K., Ilgen, M., McCarthy, J., Dalack, G., et al. (2009). Excess heart-disease-related mortality in a national study of patients with mental disorders: Identifying modifiable risk factors. General Hospital Psychiatry, 31(6), 555-563. http://dx.doi.org/10.1016/j.genhosppsych.2009.07.008
  11. Kim, C. G., & Byun, W. T. (2000). Overcome Schizophrenia. Seoul: Hana publisher.
  12. Kim, H. M. (2007). The Effect of combined exercise program on physical fitness, stress coping ability, and social relationship in chronic mentally disabled. Unpublished master's thesis, Dongsin University, Naju.
  13. Kim, M. H. (2001). The comparison of effect to exercise participation on mental health. Journal of Sport and Leisure Studies, 16(1), 239-249.
  14. Kim, S. H. (2009). The effect of 12 weeks of circuit exercise on obesity, physical fitness, and metabolic syndrome index in elderly obesity women. Journal of the Korean Gerontological Society, 29(3), 823-835.
  15. Kim, S. H. (2013). Effect of weight control program on metabolic risk factor, depression, and drug attitude of psychiatric inpatients toward atypical antipsychotics. Unpublished master's thesis, Inha University, Incheon.
  16. Ko, K. H., Chung, M. S., & Kim, J. H. (2010). The effect of a wellness program on nutritional and diet knowledge, exercise and weight control knowledge, and weight control of schizophrenia. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 19(1), 34-43. https://doi.org/10.12934/jkpmhn.2010.19.1.34
  17. Korean Health Statistics. (2013). Korea national health and nutrition examination survey. Ministry of Health & Welfare, Seoul, Korea. http://stat.mw.go.kr
  18. Kwon, Y. H., & Kwag, O. G. (2011). Effects of group Tai Chi exercise program on body mass index, positive and negative psychiatric symptoms in patient with schizophrenia. The Korean Journal of Rehabilitation Nursing, 14(2), 129-135.
  19. Lee, G. H., & Kang, H. M. (2001). Effect of weight control program for psychiatric inpatient on atypical antipsychotics. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 10(4), 548-563.
  20. Lee, S. J. (2000). An application effect of rhythmic management program for the health promotion in the elderly. Unpublished doctoral dissertation, Kyunghee University, Seoul.
  21. Nam, Y. Y., Kim, C. S., Ann, C. W., Park, G. M., Yu, B., & Kim, C. H. (2006). Clinical correlates of metabolic syndrome in patients with chronic schizophrenia. Korea Journal of Psychopharmacology, 17(4), 335-341.
  22. Oh, H. S., Sim, H. J., & Oh, H. E. (2010). The effect of an obesity management program on body composition, abdominal circumference, and lipid metabolism for middle-aged obese women. Korean Society of Biological Nursing Science, 12(2), 89-96.
  23. Pae, S. M., & Lee, J. H. (2007). The effect of brisk walking exercise on body mass index and positive and negative syndrome scale in patients with schizophrenia. The Journal of Korean Athletic Trainer Association, 1(2), 21-27.
  24. Park, J. G., Jang, S. H., & Min, S. (2002). Effects of stretching excise on quality of life, depression, total cholesterol in the elderly. Korean Society of Biological Nursing Science, 4(2), 139-150.
  25. Seo, J. K. (2010). The effect of exercise intervention program on the metabolic syndrome risk factors, insulin resistance, the atherogenic index and the blood vessel inflammation markers of the obese children. Unpublished doctoral dissertation, Chungbuk National University, Cheongju.
  26. Sigal, R. J., Kenny, G. P., Boule, N. G., Wells, G. A., Prud'homme, D., Fortier, M., et al. (2007). Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: A randomized trial. Annals of Internal Medicine, 147(6), 357-369. https://doi.org/10.7326/0003-4819-147-6-200709180-00005
  27. Snowling, N. J., & Hopkins, W. G. (2006). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: A meta-analysis. Diabetes Care, 29(11), 2518-2527. https://doi.org/10.2337/dc06-1317
  28. The Epidemiological Survey of Psychiatric Illnesses in Korea. (2006). Ministry of Health & Welfare, Seoul, Korea.
  29. Twisk, J. W., Kemper, H. C., & Van, M. W. (2000). Tracking of activity and fitness and the relationship with cardiovascular disease risk factors. Medical Science Sports Exercise, 32, 1455-1461. https://doi.org/10.1097/00005768-200008000-00014
  30. Wu, M. K., Wang, C. K., Bai, Y. M., Huang, C. Y., & Lee, S, D. (2007). Outcomes of obese, clozapine-treated inpatients with schizophrenia placed on a six-month diet and physical activity program. Psychiatric Services, 58(4), 544-550. https://doi.org/10.1176/appi.ps.58.4.544

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