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The Effects of Changes In Body Composition Through High Intensity Circuit Training On Spine Curvature And Low Back Pain Among Middle-Aged Men With Abdominal Obesity

고강도서키트트레이닝에 의한 신체조성의 변화가 복부비만 중년남성의 척추만곡도와 요부통증에 미치는 영향

  • Kim, Chae-Won (Graduate School of Sports Science, Dankook University) ;
  • Kim, Jung-Hoon (College of Sports Science, Dankook University)
  • 김채원 (단국대학교 스포츠과학대학원) ;
  • 김정훈 (단국대학교 스포츠과학대학)
  • Received : 2018.02.27
  • Accepted : 2018.05.04
  • Published : 2018.05.31
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Abstract

Overweight and abdominal obesity caused by sedentary lifestyle may induce deconditioned and atrophied extensor musculature of the lumbar spine and be a potential risk factor for low back pain (LBP). Therefore, this study was conducted to evaluate the validity of high intensity circuit training (HICT) on weight loss and subsequent alleviation of spine curvature (SC) and visual analog scale (VAS) among middle aged men with abdominal obesity. The training program (1 exercise session for 30 minutes, three times a week for 12 weeks) consisted of 12 different functional exercises based on core strengthening multiple joint circuit training. Portions of the obesity index related to body composition were positively changed, which improved the angles of thoracic kyposis and lumbar lordosis, which appeared to effectively reduce lower back pain. Taken together, HICT specifically designed for LBP effectively decreased obesity related body composition and was superior to other treatments for decreasing aggravation of the spine curvature and LBP caused by abdominal obesity; however, weight loss should be the primary treatment target for LBP patients.

좌식 생활 및 신체활동의 부족에서 발생하는 과체중 및 복부비만은 요추 신전근의 약화 및 위축으로 인하여 요부통증(Low back Pain, LBP)의 위험요인으로 추정된다. 그러므로 이 연구는 LBP를 소유하고 있는 복부비만 중년남성(n=80)에게 체중감량에 효과가 있는 고강도서키트트레이닝(High Intensity Circuit Training, HICT)을 적용했을 때 신체조성의 변화가 척추만곡도(Spine Curvature, SC) 및 시각적통증척도(Visual Analog Scale, VAS)에 미치는 영향을 관찰하고자 한다. 운동 프로그램으로는 체간 중심의 운동을 포함한 전신의 근육을 동원할 수 있는 다관절 형태의 12가지 종목으로 구성된 HICT(1회 운동 30분, 격일제 주당 3회)를 12주간 적용하였다. 그 결과, 비만관련 신체조성에서 긍정적인 변화가 관찰되었으며, 흉추후만도(Kypotic Angle, KA) 및 요추전만도(Lordotic Angle, LA)가 정상치에 가깝게 이동하였다. 이것은 궁극적으로 요부통증의 척도인 VAS의 지표가 낮아지는 결과를 보여 주었다. 결국, 복부비만에 의한 비정상적인 흉추후만도, 요추전만도 및 요부통증의 개선은 본 연구에서 적용된 고강도의 운동트레이닝에 의한 신체조성의 변화가 척추만곡도와 요부통증의 개선을 유도하는 것으로 생각된다.

Keywords

References

  1. van Middelkoop, M., et al. "Exercise therapy for chronic nonspecific low-back pain." Best Practice & Research Clinical Rheumatology 24(2): 193-204, 2010. DOI: https://doi.org/10.1016/j.berh.2010.01.002
  2. Sumchai, A. P. "Chronic Low Back Pain - The Exercise Prescription." Novel Physiotherapies 5(1), 2014.
  3. Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: Elimination of the leading preventable causes of premature death and disability in the USA. Lancet 384:45-52. 2014. DOI: https://doi.org/10.1016/S0140-6736(14)60648-6
  4. Airaksinen O, Brox J, Cedraschi C, Hildebrandt J, Klaber-Moffett J, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 15 Suppl 2: S192-300, 2006. DOI: https://doi.org/10.1007/s00586-006-1072-1
  5. Andersson GB Epidemiological features of chronic low-back pain. Lancet 354: 581-585, 1999. DOI: https://doi.org/10.1016/S0140-6736(99)01312-4
  6. Farina D, Gazzoni M, Merletti R Assessment of low back muscle fatigue by surface EMG signal analysis: methodological aspects. J Electromyogr Kinesiol 13: 319-332, 2003. DOI: https://doi.org/10.1016/S1050-6411(03)00040-3
  7. Marshall PW, Murphy BA Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: a pilot study. J Manipulative Physiol Ther 29: 550-560, 2006. DOI: https://doi.org/10.1016/j.jmpt.2006.06.025
  8. Sumchai AP Back Strengthening for Operational Fitness. Proposal submitted with Back to Sports to San Francisco Municipal Transportation Agency (SFMTA) RFP for Back Strength Wellness Program Services, 2009.
  9. Cox H, Tilbrook H, Aplin J, et al. A randomised controlled trial of yoga for the treatment of chronic low back pain: Results of a pilot study, Complement Ther Clin Pract 16:187-193, 2010. DOI: https://doi.org/10.1016/j.ctcp.2010.05.007
  10. Marshall PW, Kennedy S, Brooks C, Lonsdale C. Pilates exercise or stationary cycling for chronic nonspecific low back pain: Does it matter? A randomized controlled trial with 6-month follow-up. Spine (Phila Pa 1976) 38:E952-E959, 2013. DOI: https://doi.org/10.1097/BRS.0b013e318297c1e5
  11. Baena-Beato PA, Arroyo-Morales M, Delgado-Fernandez M, Gatto-Cardia MC, Artero EG. Effects of different frequencies (2-3 days/week) of aquatic therapy program in adults with chronic low back pain. A non-randomized comparison trial. Pain Med 14: 145-158, 2013. DOI: https://doi.org/10.1111/pme.12002
  12. Vincent HK, Vincent KR, Seay AN, Conrad BP, Hurley RW, George SZ. Back strength predicts walking improvement in obese, older adults with chronic low back pain. PMR 6:418-426, 2014. DOI: https://doi.org/10.1016/j.pmrj.2013.11.002
  13. Becker, M.H., Patient adherence to prescribed therapies. Med. Care 23, 539e555, 1985. https://doi.org/10.1097/00005650-198505000-00014
  14. Burke, J.W., Mcneill, M.D.J., Charles, D.K., et al., Optimising engagement strategies for stroke rehabilitation using serious games. Vis. Comput. 25, 1085e1099, 2009. https://doi.org/10.1007/s00371-009-0387-4
  15. Duncan, P.W., Horner, R.D., Reker, D.M., et al., Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke 33, 167e177, 2002. https://doi.org/10.1161/hs0102.101014
  16. Meichenbaum, D., Turk, D., Facilitating Treatment Adherence: a Practitioner's Guidebook. Plenum Press, New York, 1987. DOI: https://doi.org/10.1007/978-1-4684-5359-1
  17. Escolar-Reina, P., Medina-Mirapeix, F., Gascon-Canovas, J.J., et al., How do care-provider and home exercise program characteristics affect patient adherence in chronic neck and back pain: a qualitative study. BioMed Central Health Serv. Res. 10, 60, 2010. DOI: https://doi.org/10.1186/1472-6963-10-60
  18. Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epide-miology of low back pain in adults. Neuromodulation 17(Suppl 2):3-10, 2014. DOI: https://doi.org/10.1111/ner.12018
  19. Heuch I, Heuch I, Hagen K, Zwart JA. A comparison of anthropo- metric measures for assessing the association between body size and risk of chronic low back pain: The HUNT Study. PLoS One 10:e0141268, 2015. DOI: https://doi.org/10.1371/journal.pone.0141268
  20. Smuck M, Kao MC, Brar N, Martinez-Ith A, Choi J, Tomkins-Lane CC. Does physical activity influence the relationship between low back pain and obesity? Spine J 14:209-216, 2014. DOI: https://doi.org/10.1016/j.spinee.2013.11.010
  21. Durstire L, Moore GE ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities. (2nd edn), Human Kinetics, New York, United States, 2003.
  22. Bigaard, J., Frederiksen, K., Tjonneland, A., Thomsen, B. L., Overvad, K., Heitmann, B. L., & Sorensen, ,T.I.A. Waist and hip circumferences and all-cause mortality: Usefulness of the waist-to-hip ratio? International Journal of Obesity and Related Disorders, 28(6), 741-747, 2004. DOI: https://doi.org/10.1038/sj.ijo.0802635
  23. Hajar, N., Brar, S., Chowdhury, N., & Ali, S. Waist HIP Ratio (WHR) vs Body Mass Index (BMI) to Assess Relationship Between Obesity and GERD. Gastroenterology (New York, N.Y. 1943), 140(5), S-S-249, 2011.
  24. Canadian Physical Activity, Fitness & LifeStyle Approach (CPAFLA): CSEP-Health & Fitness Program's Health-Related Appraisal and Counselling Strategy, Canadian Society for Exer- cise Physiology and Health Canada, Ottawa, Canada, 3rd edition, 2003.
  25. Cho, M. Effects of running in place accompanied by abdominal drawing-in on the posture of healthy adults. Journal of physical therapy science, 27(5), 1613-1616, 2015. DOI: https://doi.org/10.1589/jpts.27.1613
  26. Drerup, B., & Hierholzer, E. Back shape measurement using video rasterstereography and three-dimensional reconstruction of spinal shape. Clinical biomechanics (Bristol, Avon), 9(1), 28, 1994. DOI: https://doi.org/10.1016/0268-0033(94)90055-8
  27. Williams, K., Abildso, C., Steinberg, L., & Doyle, E. Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine (Philadelphia, Pa. 1976), 34(19), 2066-2076, 2009. DOI: https://doi.org/10.1097/BRS.0b013e3181b315cc
  28. Wagner, D. R., Tatsugawa, K., Parker, D., & Young, T. A. Reliability And Utility of A Visual Analog Scale for The Assessment of Acute Mountain Sickness. High Altitude Medicine & Biology, 8(1), 27-31, 2007. DOI: https://doi.org/10.1089/ham.2006.0814
  29. G. A. V. Borg, "Psychophysical bases of perceived exertion," Medicine and Science in Sports and Exercise, vol. 14, no. 5, pp. 377-381, 1982. DOI: https://doi.org/10.1249/00005768-198205000-00012
  30. T. Baechle and R. Earle, Essentials of Strength Training and Conditioning, National Strength and Conditioning Association, Champaign, Ill, USA, 2000.
  31. Miller, M. B., et al. "The Effect of a Short-Term High-Intensity Circuit Training Program on Work Capacity, Body Composition, and Blood Profiles in Sedentary Obese Men: A Pilot Study." BioMed Research International 2014: 10, 2014. DOI: https://doi.org/10.1155/2014/191797
  32. Wasser, J. G., Vasilopoulos, T., Zdziarski, L. A., & Vincent, H. K. Exercise Benefits for Chronic Low Back Pain in Overweight and Obese Individuals. PM&R, 9(2), 181-192, 2017. DOI: https://doi.org/10.1016/j.pmrj.2016.06.019
  33. Henchoz, Y., & Kai-Lik So, A. Exercise and nonspecific low back pain: A literature review. Joint Bone Spine, 75(5), 533-539, 2008. DOI: https://doi.org/10.1016/j.jbspin.2008.03.003
  34. Palazzo, C., Klinger, E., Dorner, V., Kadri, A., Thierry, O., Boumenir, Y., ... Ville, I. Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies. Annals of Physical and Rehabilitation Medicine, 59(2), 107-113, 2016. DOI: https://doi.org/10.1016/j.rehab.2016.01.009
  35. Urquhart DM, Berry P, Wluka AE, et al. Young Investigator Award winner: Increased fat mass is associated with high levels of low back pain intensity and disability. Spine (Phila Pa 1976) 2011; 36:1320-1325, 2011. DOI: https://doi.org/10.1097/BRS.0b013e3181f9fb66
  36. Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res 4:143-149, 1991. DOI: https://doi.org/10.1002/art.1790040403
  37. Steele J, Bruce-Low S, Smith D. A reappraisal of the deconditioning hypothesis in low back pain: Review of evidence from a triumvi- rate of research methods on specific lumbar extensor deconditioning. Curr Med Res Opin 30:865-911, 2014. DOI: https://doi.org/10.1185/03007995.2013.875465
  38. Simmonds MJ, Lee CE, Etnyre BR, Morris GS. The influence of pain distribution on walking velocity and horizontal ground reaction forces in patients with low back pain. Pain Res Treat 2012: 214980, 2012. DOI: https://doi.org/10.1155/2012/214980
  39. Brox JI, Storheim K, Holm I, Friis A, Reikeras O. Disability, pain, psychological factors and physical performance in healthy controls, patients with sub-acute and chronic low back pain: A case control study. J Rehabil Med 37:95-99, 2005. DOI: https://doi.org/10.1080/16501970410017738
  40. Hurley DA, Tully MA, Lonsdale C, et al. Supervised Walking in Comparison with Fitness Training for Chronic Back Pain in Physiotherapy: Results of the SWIFT single-blinded randomized controlled trial (ISRCTN17592092). Pain 156:131-147, 2015. DOI: https://doi.org/10.1016/j.pain.0000000000000013
  41. Shnayderman I, Katz-Leurer M. An aerobic walking programme versus muscle strengthening programme for chronic low back pain: A randomized controlled trial. Clin Rehabil 27: 207-214, 2013. DOI: https://doi.org/10.1177/0269215512453353
  42. Kell RT, Asmundson GJ. A comparison of two forms of periodized exercise rehabilitation programs in the management of chronic nonspecific low-back pain. J Strength Cond Res 23:513-523. DOI: https://doi.org/10.1519/JSC.0b013e3181918a6e
  43. Vincent HK, George SZ, Seay AN, Vincent KR, Hurley RW. Resistance exercise, disability, and pain catastrophizing in obese adults with back pain. Med Sci Sports Exerc 46:1693-1701, 2014. DOI: https://doi.org/10.1249/MSS.0000000000000294
  44. Herman E, May S Ellie Herman's Pilates Reformer. (2nd edn), Ellie Herman Books, San Francisco, United States, 2007.
  45. Williams K, Abildso C, Steinberg L, et al. Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine (Phila Pa 1976) 34:2066-2076, 2009. DOI: https://doi.org/10.1097/BRS.0b013e3181b315cc
  46. Bocalini, D. S., Lima, L. S., de Andrade, S., Madureira, A., Rica, R. L., dos Santos, R. N., Pontes, F. L. Effects of circuit-based exercise programs on the body composition of elderly obese women. Clinical Interventions in Aging, 7, 551-556, 2012. DOI: https://doi.org/10.2147/CIA.S33893
  47. Jackson, J. K., Shepherd, T. R., & Kell, R. T. The Influence of Periodized Resistance Training on Recreationally Active Males with Chronic Nonspecific Low Back Pain. The Journal of Strength & Conditioning Research, 25(1), 242-251, 2011. DOI: https://doi.org/10.1519/JSC.0b013e3181b2c83d
  48. Lehnert, M., Stastny, P., Sigmund, M., Xaverova, Z., Hubnerova, B., & Kostrzewa, M.. The effect of combined machine and body weight circuit training for women on muscle strength and body composition. Journal of Physical Education and Sport, 15(3), 561-568, 2015.
  49. Jackson, J. K., Shepherd, T. R., & Kell, R. T. The Influence of Periodized Resistance Training on Recreationally Active Males with Chronic Nonspecific Low Back Pain. The Journal of Strength & Conditioning Research, 25(1), 242-251, 2011. DOI: https://doi.org/10.1519/JSC.0b013e3181b2c83d
  50. Garcia JMS, Sanchez EDLC, Garcia ADS, Gonzalez YE, Piles ST. Influence of a circuit-training programme on health-related fitness and quality of life in sedentary women above 70 years old. Fit Perf. 2007;6(1):14-19. DOI: https://doi.org/10.3900/fpj.6.1.14.e
  51. van Tulder, M., Malmivaara, A., Esmail, R., & Koes, B. Exercise Therapy for Low Back Pain. Spine (Philadelphia, Pa. 1976), 25(21), 2784-2796, 2000. DOI: https://doi.org/10.1097/00007632-200011010-00011
  52. Weiner, S. S., & Nordin, M. Prevention and management of chronic back pain. Best Practice & Research Clinical Rheumatology, 24(2), 267-27, 2010. DOI: https://doi.org/10.1016/j.berh.2009.12.001