DOI QR코드

DOI QR Code

대사적 건강 및 비만상태에 따른 신체활동과 좌식생활의 차이 비교

Comparisons of Physical Activity and Sedentary Life according to Health and Obesity Level

  • 사석은 (강릉원주대학교 체육학과) ;
  • 김원현 (대덕대학교 생활체육과) ;
  • 조규권 (강릉원주대학교 체육학과) ;
  • 이지영 (강릉원주대학교 체육학과)
  • 투고 : 2017.02.28
  • 심사 : 2017.04.20
  • 발행 : 2017.04.28

초록

본 연구는 국민건강영양조사를 기반으로 대사적 건강상태와 비만 표현 형태에 따라 인구학적 특성 및 신체활동과 좌식생활을 비롯한 생활습관형태를 분석하여, 건강상태에 따른 대사적 건강에 있어 신체활동과 좌식생활의 역할을 규명하는 것이었다. 연구대상자는 국민건강영양조사 제 6기 조사대상자 중 본 연구내용에 적합한 4,783명(남 2,075명, 여 2,708명)을 대상으로 하였고, 대사증후군 지표 및 비만도에 근거하여 네 집단(Metabolically Healthy Normal Weight; MHNW, Metabolically Unhealthy Normal Weight; MUNW, Metabolically Healthy Obesity; MHO, Metabolically Unhealthy Obesity; MUO) 으로 분류하였다. 집단 분류 후, 집단 간 임상적 특성, 신체활동 및 좌식시간 등을 분석하였다. 연구결과, MHO는 MUNW에 비해 체중과 허리둘레는 높았지만, 혈압, 혈당, 당화혈색소, 인슐린저항성 지표가 낮았으며, 고밀도지단백 콜레스테롤은 높았다. 그리고 MHO는 MHNW 및 MUNW와 비교하여 신체활동량과 좌식시간에서 차이가 없었다. 결론적으로 대사적으로 건강한 비만은 정상체중 집단과 비교하여 신체활동수준에서 차이가 없었다. 이는 건강한 비만인의 경우 상대적으로 신체활동 수준이 높았다는 것으로 의미하는 것으로 볼 수 있을 것이다.

The purpose of this study was to investigate difference of Physical Activity and Sedentary Life according to Health and Obesity status. A total of 4,783 adults participated in this study. The subjects were divided to four group(metabolically healthy normal weight; MHNW, metabolically unhealthy normal weight; MUNW, metabolically healthy obesity; MHO, metabolically unhealthy obesity; MUO) and analyzed clinical character, physical activity, and sedentary life time. As results, Compared with MHNW, MHO was higher physical activity and sedentary time but there was no notable differences. Compared with MHNW, MUNW was higher physical activity and lower sedentary time but there was no notable differences. Compared with MUNW, MHO was lower physical activity and sedentary time but there was no notable differences. In conclusion, we suggest that MHO has high physical activity comparing nomal weight group relatively.

키워드

참고문헌

  1. Van Gaal, L. F., Mertens, I. L., & Christophe, E., "Mechanisms linking obesity with cardiovascular disease. Nature", 444(7121), 875-880, 2006. https://doi.org/10.1038/nature05487
  2. Ekelund, U., Besson, H., Luan, J., May, A.M., Sharp, S.J., Brage, S., Travier, N., Agudo, A., Slimani, N., "Physical activity and gain in abdominal adiposity and body weight: prospective cohort study in 288,498 men and women", Am. J. Clin. Nutr., 93(4):826-35, 2011. https://doi.org/10.3945/ajcn.110.006593
  3. Stefan, N., Kantartzis, K., Machann, J., Schick, F., Thamer, C., Rittig, K., Häring, H. U., "Identification and characterization of metabolically benign obesity in humans. Archives of internal medicine", 168(15), 1609-1616, 2008. https://doi.org/10.1001/archinte.168.15.1609
  4. Wildman, R. P., Muntner, P., Reynolds, K., McGinn, A. P., Rajpathak, S., Wylie-Rosett, J., Sowers, M. R., "The obese without cardiometabolic risk factor clustering and the normal weight with cardiometabolic risk factor clustering: prevalence and correlates of 2 phenotypes among the US population(NHANES 1999-2004)", Archives of internal medicine, 168(15), 1617-1624, 2008. https://doi.org/10.1001/archinte.168.15.1617
  5. Lee, K., "Metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) phenotypes in Koreans: characteristics and health behaviors", Asia Pacific journal of clinical nutrition, 18(2), 280, 2009.
  6. Hamer, M., Stamatakis, E., "Metabolically healthy obesity and risk of all-cause and cardiovascular disease mortality", The Journal of Clinical Endocrinology & Metabolism, 97(7), 2482-2488, 2012. https://doi.org/10.1210/jc.2011-3475
  7. Hinnouho, G. M., Czernichow, S., Dugravot, A., Batty, G. D., Kivimaki, M., Singh-Manoux, A., "Metabolically Healthy Obesity and Risk of Mortality Does the definition of metabolic health matter?", Diabetes care, 36(8), 2294-2300, 2013. https://doi.org/10.2337/dc12-1654
  8. Soriguer, F., Gutierrez-Repiso, C., Rubio-Martin, E., Garcia-Fuentes, E., Almaraz, M. C., Colomo, N., Valdes, S., "Metabolically healthy but obese, a matter of time? Findings from the prospective Pizarra study", The Journal of Clinical Endocrinology & Metabolism, 98(6), 2318-2325, 2013. https://doi.org/10.1210/jc.2012-4253
  9. Meigs, J. B., Wilson, P. W., Fox, C. S., Vasan, R. S., Nathan, D. M., Sullivan, L. M., D'Agostino, R. B., "Body mass index, metabolic syndrome, and risk of type 2 diabetes or cardiovascular disease", The Journal of Clinical Endocrinology & Metabolism, 91(8), 2906-2912, 2006. https://doi.org/10.1210/jc.2006-0594
  10. Pajunen, P., Kotronen, A., Korpi-Hyovalti, E., Keinanen-Kiukaanniemi, S., Oksa, H., Niskanen, L., Uusitupa, M., "Metabolically healthy and unhealthy obesity phenotypes in the general population: the FIN-D2D Survey", BMC public health, 11(1), 1, 2011. https://doi.org/10.1186/1471-2458-11-1
  11. Velho, S., Paccaud, F., Waeber, G., Vollenweider, P., Marques-Vidal, P., "Metabolically healthy obesity: different prevalences using different criteria", European Journal of Clinical Nutrition, 64(10), 1043-1051. 2010. https://doi.org/10.1038/ejcn.2010.114
  12. Camhi, S. M., Waring, M. E., Sisson, S. B., Hayman, L. L., Must, A., "Physical activity and screen time in metabolically healthy obese phenotypes in adolescents and adults", Journal of obesity, 2013.
  13. Bopp, M., Kaczynski, A. T., & Campbell, M. E., "Health-related factors associated with mode of travel to work. Journal of environmental and public health", 2013.
  14. Ostergaard, L., Grontved, A., Borrestad, L. A., Froberg, K., Gravesen, M., Andersen, L. B., "Cycling to school is associated with lower BMI and lower odds of being overweight or obese in a large population-based study of Danish adolescents", J. Phys. Act. Health, 9(5), 617-625, 2012. https://doi.org/10.1123/jpah.9.5.617
  15. Furie, G. L., Desai, M. M., "Active transportation and cardiovascular disease risk factors in US adults", American journal of preventive medicine, 43(6), 621-628, 2012. https://doi.org/10.1016/j.amepre.2012.06.034
  16. Phillips, C. M., Dillon, C., Harrington, J. M., McCarthy, V. J., Kearney, P. M., Fitzgerald, A. P., Perry, I. J., "Defining metabolically healthy obesity: role of dietary and lifestyle factors", PLoS One, 8(10), e76188, 2013. https://doi.org/10.1371/journal.pone.0076188
  17. Wilmot, E. G., Edwardson, C. L., Achana, F. A., Davies, M. J., Gorely, T., Gray, L. J., ... & Biddle, S. J., "Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis", Diabetologia, 55, 2895-2905, 2012. https://doi.org/10.1007/s00125-012-2677-z
  18. Nesto, R. W., "Obesity: a major component of the metabolic syndrome", Texas Heart Institute Journal, 32(3), 387., 2005.
  19. Messier, V., Karelis, A. D., Prud'homme, D., Primeau, V., Brochu, M., & Rabasa‐Lhoret, R. "Identifying metabolically healthy but obese individuals in sedentary postmenopausal women", Obesity, 18(5), 911-917, 2010. https://doi.org/10.1038/oby.2009.364
  20. Gill, J.M., Al-Mamari, A., Ferrell, W.R., Cleland, S.J., Perry, C.G., Sattar, N., Packard, C.J., Caslake, M.J., Petrie, J.R., "Effect of prior moderate exercise on postprandial metabolism in men with type 2 diabetes: heterogeneity of responses" Atherosclerosis, 194(1):134-43, 2007. https://doi.org/10.1016/j.atherosclerosis.2006.10.007
  21. Hankinson, A. L., Daviglus, M. L., Horn, L. V., Chan, Q., Brown, I., Holmes, E., Stamler, J. "Diet composition and activity level of at risk and metabolically healthy obese American adults", Obesity, 21(3), 637-643, 2013. https://doi.org/10.1002/oby.20257
  22. Sea-hyun Bae, "Convergence analysis of Body Composition and Balance after 6 Week Combined Exercise in 20's Obese Women", Journal of the Korea Convergence Society, Vol. 8. No. 1, pp. 231-238, 2017. https://doi.org/10.15207/JKCS.2017.8.1.231
  23. Prince, S.A., Adamo, K.B., Hamel, M.E., Hardt, J., Gorber, S.C., Tremblay, M., "A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review", International Journal of Behavioral Nutrition and Physical Activity, 5(1), 56, 2008. https://doi.org/10.1186/1479-5868-5-56
  24. Bell, J. A., Hamer, M., van Hees, V. T., Singh-Manoux, A., Kivimäki, M., Sabia, S., "Healthy obesity and objective physical activity", The American journal of clinical nutrition, 102(2), 268-275, 2015. https://doi.org/10.3945/ajcn.115.110924
  25. Ortega, F. B., Lee, D. C., Katzmarzyk, P. T., Ruiz, J. R., Sui, X., Church, T. S., Blair, S. N., "The intriguing metabolically healthy but obese phenotype: cardiovascular prognosis and role of fitness", European Heart Journal, 34(5), 389-397, 2013. https://doi.org/10.1093/eurheartj/ehs174
  26. Yong-Soo Lee, "The Effect of Public Health Center Program participation on Metabolic Syndrome and Risk of Disease in Middle-aged and Elderly Women", Journal of the Korea Convergence Society, Vol. 7. No. 6, pp. 317-325, 2016. https://doi.org/10.15207/JKCS.2016.7.6.317