DOI QR코드

DOI QR Code

Effects of Elastic Band Exercise on Body Composition, Blood lipids and AMPK in the Elderly Women

탄력밴드 운동이 여성노인의 체조성, 혈중지질 및 AMPK에 미치는 영향

  • Choi, Mi-Ri-Na (Department of Physical Education, Pusan National University) ;
  • Ha, Soo-Min (Department of Physical Education, Pusan National University) ;
  • Kim, Do-Yeon (Department of Physical Education, Pusan National University)
  • Received : 2019.08.21
  • Accepted : 2019.09.29
  • Published : 2019.09.30

Abstract

The purpose of this study was to investigate the effects of 12-week elastic band exercise on body composition, blood lipids and AMPK in 24 elderly female volunteers aged 65-75 years, and they were divided into the combined exercise group(n=12) and the control group(n=12). The elastic band exercise method was to do exercise 3 times a week for 60 minutes per session, 1-4 weeks for low intensity of OMNI-RES 3-4, 5-8 weeks for medium intensity of OMNI-RES 5-6, 9-12 weeks for OMNI-RES 7-8 of high intensity. In order to compare the differences in the groups before and after the elastic band exercise, two-way repeated measures ANOVA was used to verify the interaction between group and time. The difference in the groups of the measured data was paired t-test, the difference between the groups was paired independent t-test, and analysis of covariance ANCOVA was performed to minimize the inter-group error. The statistical significance level of each item was set to .05. As a result, body fat percentage of exercise group significantly decreased (p<.05), and skeletal muscle volume was significantly increased (p<.01). TC, TG and LDL-C were not significantly different between the exercise and control groups, and HDL-C was significantly decreased in the control group (p<.05). AMPK was significantly decreased in the exercise group (p<.001), but there was no significant difference in the control group. According to the covariance analysis to minimize the error of difference between the pre-exercise groups (p<.05), there was significant difference in AMPK of groups after exercise. These results suggest that the 12-week elastic band exercise has a positive effect on the body composition and AMPK of the elderly women.

본 연구는 12주간 탄력밴드 운동이 체조성, 혈중지질 및 AMPK에 미치는 영향을 구명하기 위해 만 65세 이상 75세 이하의 여성 노인을 대상으로 운동군 12명, 대조군 12명으로 구분하여 실시하였다. 탄력밴드 운동 방법은 주 3회, 60분으로 1-4주는 OMNI-RES 3-4의 저강도, 5-8주는 OMNI-RES 5-6의 중강도, 9-12주는 OMNI-RES 7-8의 고강도로 실시하였다. 탄력밴드 운동 전 후 그룹 및 시기 간 상호작용을 검증하기 위하여 two way repeated measures ANOVA로 처리하였고, 측정된 자료의 그룹 내 차이는 paired t-test, 그룹 간 차이는 independent t-test, 집단 간 오차를 최소화하기 위해 공변량 분석 analysis of covariance ANCOVA를 실시하였으며, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 체지방률은 운동군이 유의하게 감소하였으며(p<.05), 골격근량이 유의하게 증가하였다(p<.01). 혈중지질 중 TC, TG, LDL-C는 운동군과 대조군 모두 유의한 차이가 나타나지 않았으며, HDL-C는 대조군이 유의하게 감소하였다(p<.05). AMPK는 운동군이 유의하게 감소하였고(p<.001), 대조군은 유의한 차이가 나타나지 않았으나, 공변량분석 결과에 의하면 운동 후 그룹 간 AMPK는 유의한 차이가 나타났다(p<.05). 이상의 결과를 종합해 볼 때 OMNI 저항운동 척도를 이용한 12주간 탄력밴드 운동이 여성노인의 체조성 및 AMPK에 긍정적인 영향을 미친 것으로 사료된다.

Keywords

References

  1. E. Doria, D. Buonocore, A. Focarelli, F. Marzatico, "Relationship between human aging muscle and oxidative system pathway", Oxid Ative Medicine and Cellular Longevitv, Vol.2012, pp. 1-13, (2012).
  2. T. N. Kim, K. M. Choi, "Sarcopenic Obesity", Journal of Korean Diabetes, Vol.14, No.4 pp. 166-173, (2013). https://doi.org/10.4093/jkd.2013.14.4.166
  3. H. J. Gang, S. B. Kim, B. G. Lee, "Effects of rhythmic exercise and strength - aerobic exercise on physical fitness and subjective pain in elderly women", The official journal of the korean association of certified exercise professionals, Vol.15, No.2 pp. 1-14, (2013).
  4. H. N. Im, R. H. Im, "Effect of Yoga Training on the Body Composition of Elderly Women", Journal of Korean Physical Education Association for Girls and Women, Vol.22, No.2 pp. 57-66, (2008).
  5. R. L. Bechshoft, S. Reitelseder, G. Hojfeldt, J. L. Castro-Mejia, B. Khakimov, H. F. Ahmad, M. Kjaer, S. B. Engelsen, S. M. Johansen, M. A. Rasmussen, A. J. Lassen, T. Jensen, N. Beyer, A. Serena, F. J. Perez-Cueto, D. S. Nielsen, A. P. Jespersen, L. Holm, "Counteracting Age-related Loss of Skeletal Muscle Mass: a clinical and ethnological trial on the role of protein supplementation and training load (CALM Intervention Study): study protocol for a randomized controlled trial", Medline, Vol.17, No.1 pp. 397, (2016).
  6. T. Lang, T. Streeper, P. Cawthon, K. Baldwin, D. R. Taaffe, T. B. Harris, "Sarcopenia: etiology, clinical consequences, intervention, and assessment", Osteoporosis International, Vol.21, No.4 pp. 543-559, (2010). https://doi.org/10.1007/s00198-009-1059-y
  7. A. Sachdeva, K. Kumar, K. S. Anand, "Non pharmacological cognitive enhancers-current Perspectives", Journal of clinical and diagnostic research, Vol.9, No.7 pp. VE01-VE06, (2015).
  8. S. M. Yu, "Women's health and exercise", Korean Journal of Family Practice, Vol.25, No.3 pp. 177-192, (2004).
  9. H. Y. So, S. H. An, R. Y. Song, H. R. Kim, "Relationship between Obesity, Bone Mineral Density and Cardiovascular Risk in Postmenopausal Women", Korean Journal Women Health Nurs, Vol.16, No.3 pp. 224-233, (2010). https://doi.org/10.4069/kjwhn.2010.16.3.224
  10. L. Zhao, X. Fan, L. Zuo, Q. Guo, X. Su, G. Xi, Z. Zhang, J. Zhang, G. Zheng, "Estrogen receptor 1 gene polymorphisms are associated with metabolic syndrome in postmenopausal women in China", BMC endocrine disorders, Vol.18, No.1 pp. 65, (2018). https://doi.org/10.1186/s12902-018-0289-4
  11. Gang, SG. Human Biology. p.418, Academic books, (2004).
  12. C. S .Shaw, J. Clark, A. J. Wagenmakers, "The effect of exercise and nutrition on intramuscular fat metabolism and insulin sensitivity", Annual Review of Nutrition, Vol.30, pp. 13-34, (2010). https://doi.org/10.1146/annurev.nutr.012809.104817
  13. J. Y. Park, H. J. Min, N. J. Kim, "Effects of 26-Week Senior Body Rhythm Exercise Program on Physical Fitness, Blood Lipids and Bone Mineral Density in Postmenopausal Elderly Women", The Korean Journal of Dance, Vol.57, No.12 pp. 85-100, (2008).
  14. American College of Sports Medicine, Acsm's guidelines for exercise testing and prescription 10th ed. Philadelphia: Wolters Kluwer, (2016).
  15. W. J. Chodzko-Zajko, D. N. Proctor, M. A. Fiatarone Singh, C. T. Minson, C. R.. Nigg, G. J. Salem, J. S. Skinner, "American college of sports medicine position stand, exercise and physical activity for older adults", Medicine & Science in Sports Exercise, Vol.41, No.7 pp. 1510-1530, (2009). https://doi.org/10.1249/MSS.0b013e3181a0c95c
  16. R. M. Petterson, J. C. Stegink, H. A. Hogan, M. D. Nassif, "Material properties of thera-band tubing", Physical Therapy, Vol.81, No.8 pp. 1437-1445, (2001). https://doi.org/10.1093/ptj/81.8.1437
  17. S. Y. Park, U. S. Seon, "Effects of 10-week elastic band exercise on blood pressure, blood lipid levels and daily fitness in elderly female hypertensive patients", Korean Association of School Physical Education, Vol.13, No.2 pp. 115-127, (2003).
  18. Y. S. Jo, "Effects of combined exercise on diabetic factor and AMPK in type 2 diabetic patients", The Korean Society of Sports Science, Vol.26, No.4 pp. 1113-1126, (2017).
  19. D. G. Hardie, D. Carling, "The AMP-activated protein kinase - fuel gauge of the mammalian cell?", European Journal of Biochemistry, Vol.246, No.2 pp. 259-273, (1997). https://doi.org/10.1111/j.1432-1033.1997.00259.x
  20. A. Woods, D. Azzout-Marniche, M. Foretz, S. C. Stein, P. Lemarchand, P. Ferre, F. Foufelle, D. Carling, "Characterization of the role of AMP-activated protein kinase in the regulation of glucose-activated gene expression using constitutively active and dominant negative forms of the kinase", Molecular And Cellular Biology, Vol.20, No.18 pp. 6704-6715, (2000). https://doi.org/10.1128/MCB.20.18.6704-6711.2000
  21. N. Jessen, E. I. Sundelin, A. B. Moller, "AMP kinase in exercise adaptation of skeletal muscle", Drug Discovery Today, Vol.19, No.7 pp. 999-1002, (2014). https://doi.org/10.1016/j.drudis.2014.03.009
  22. D. G. Hardie, "AMP-activated/SNF1 protein kinases: conserved guardians of cellular energy", Nature reviews Molecular cell biology, Vol.8, No.10 pp. 774-785, (2007). https://doi.org/10.1038/nrm2249
  23. N. Fujii, N. Jessen, L. J. Goodyear, "AMP-activated protein kinase and the regulation of glucose transport",. American Journal of Physiology, Vol.291, No.5 pp. 867-877, (2006).
  24. R. Kjobsted, J. R. Hingst, J. Fentz, M. Foretz, M. N. Sanz, C. Pehmoller, M. Shum, A. Marette, R. Mounier, J. T. Treebak, J. F. P. Wojtaszewski, B. Viollet, L. Lantier, "AMPK in skeletal muscle function and metabolism", The FASEB Journal: official publication of the Federation of American Societies for Experimental Biology, Vol.32, No.4, pp. 1741-1777, (2018). https://doi.org/10.1096/fj.201700442R
  25. J. C. Colado, F. M. Pedrosa, A. Juesas, P. Gargallo, J. J. Carrasco, J. Flandez, M. U. Chupel, A. M.Teixeira, F. Naclerio, "Concurrent validation of the OMNI-Resistance Exercise Scale of perceived exertion with elastic bands in the elderly", Experimental Gerontology, Vol.103, pp. 11-16, (2018). https://doi.org/10.1016/j.exger.2017.12.009
  26. K. M. Lagally, R. J. Robertson, "Construct validity of the OMNI resistance exercise scale", Medline, Vol.20, No.2 pp. 252-258, (2006).
  27. K. S. Nair, "Aging muscle", The American Journal of Clinical Nutrition, Vol.81, No.5 pp. 953-963, (2005). https://doi.org/10.1093/ajcn/81.5.953
  28. R. Gary, P. John, M. Marcas, "Effects of resistance training on older adults", Sports Medicine, Vol.34, No.5 pp. 329-348, (2004). https://doi.org/10.2165/00007256-200434050-00005
  29. G. R. Hunter, C. J. Wetzstein, D. A. Fields, A. Brown, M. M. Bamman, "Resistance training increases total energy expenditure and free-living physical activity in older adults", Journal of Applied Physiology, Vol.89, No.3 pp. 977-984, (2000). https://doi.org/10.1152/jappl.2000.89.3.977
  30. C. S. Lee, C J. Lee, D. S. Shin, H. J. Han, S. G. Yang, J. H. Lee, H. S. Chae, P. S. Go, "Effects of Elastic Band Exercise on Body Composition of Elderly Women", International Journal of Human Movement Science, Vol.20, No.3 pp. 185-192, (2010).
  31. W. Y. So, M. S. Song, B. R. Jo, Y. H. Park, Y. S. Kim, J. Y. Iim, U. Song, "Effects of Beauty Dumbbell Exercise on Body Composition, Physical Fitness and Blood Lipids to Prevent Muscle Reduction in the Elderly", Journal of the Korea Gerontological Society, Vol.29, No.3 pp. 837-850, (2015).
  32. J. S. Lee, S. G. An, J. Y. An, S. G. Lee, H. C. Park, S. J. Yun, "Effects of Exercise Type on Body Composition, Aging and Metabolic Blood Variables and HOMA-IR in Obese Elderly Women", Journal of Sport and Leisure Studies, Vol.59, No. 2 pp. 745-756, (2015). https://doi.org/10.51979/KSSLS.2015.02.59.745
  33. I. G. Park, "Physiology 10th Edition", p.640, Life Science Publishing, (2008).
  34. J. H. An, "Effects of 12-week resistance exercise on blood lipids and bone mineral density in elderly women.", Journal of Sport and Leisure Studies, Vol.18, No.4 pp. 27-40, (2004).
  35. A. S. Leon, O. A. Sanchez, "Response of blood lipids to exercise training alone or combined with dietary intervention", Medicine & Science in Sports & Exercise, Vol.33, No.6 pp. S502-S515, (2001). https://doi.org/10.1097/00005768-200106001-00021
  36. Y. G. Lee, "Effects of aerobic and muscular resistance training on C-reactive protein (CRP) concentration and cardiovascular risk factors in the elderly in their 60s", International Journal of Human Movement Science, Vol.14, No.3 pp. 26-35, (2003).
  37. D. V. Sheikholeslami, S. Ahmadi, K. D. Ahmadi, F. Gharibi, "Changes in cardiovascular risk factors and inflammatory markers of young, healthy, men after six weeks of moderate or high intensity resistance training", The Journal of sports medicine and physical fitness, Vol.51, No.4 pp. 695-700, (2011).
  38. F. S. Lira, A. S. Yamashita, M. C. Uchida, N. E. Zanchi, B. Gualano, E. Martins, E. C. Caperuto, M. Seelaender, "Low and moderate, rather than high intensity strength exercise induces benefit regarding plasma lipid profile", Diabetology & metabolic syndrome, Vol.2, No.1 pp. 31, (2010). https://doi.org/10.1186/1758-5996-2-31
  39. S. H. Kim, H. S. Ryu, C. G. Hong, "Effect of 12-week pilates mat exercise and elastic band exercise on blood lipids and body performance of elderly women", The official journal of the korean association of certified exercise professionals, Vol.13, No.1 pp. 103-112, (2011).
  40. G. T. Kim, J. H. Jo, "Effects of Combined Exercise Program with Elastic Band and Aerobic Exercise on Physical Fitness, Blood Lipids and Vascular Inflammation Indices in the Elderly Women", The official journal of the korean association of certified exercise professionals, Vol.15, No.2 pp. 129-138, (2013).
  41. J. Y. Kim, Y. Y. Kim, M. G. Lee, "Effects of Resistance Exercise on Physique, Body Composition, Insulin Resistance and Blood Lipids in 20-year-old Obese Women", Korean Journal of Sport Science, Vol.27, No.2 pp. 220-233, (2016). https://doi.org/10.24985/kjss.2016.27.2.220
  42. Y. E. Tsekouras, F. Magkos, Y. Kellas, K. N. Basioukas, S. A. Kavouras, L. S. Sidossis, "High-intensity interval aerobic training reduces hepatic very low-density lipoprotein-triglyceride secretion rate in men", American Journal of Physiology Endocrinology and Metabolism, Vol.295, No.4 pp. E851-858, (2008). https://doi.org/10.1152/ajpendo.90545.2008
  43. J. H. Mun, "Effects of Aerobic and Muscle Exercise in Hyperlipidemic Patients-A case report.", The official journal of the korean association of certified exercise professionals, Vol.8, No.2 pp. 137-143, (2006).
  44. A. Hubert, A. Husson, A. Chedeville, A. Lavoinne, "AMP-activated protein kinase counteracted the inhibitory effect of glucose on the phosphoenolpyruvate carboxykinase gene expression in rathepatocytes", Federation of European Biochemical Societies, Vol.481, No.3 pp. 209-212, (2000). https://doi.org/10.1016/S0014-5793(00)02006-8
  45. S. E. Gordon, J. A. Lake, C. M. Westerkamp, D. M. Thomson, "Does AMP-activated protein kinase negatively mediate aged fast-twitch skeletal muscle mass?" Exercise and Sport Sciences Reviews, Vol.36, No.4 pp. 179-186, (2008). https://doi.org/10.1097/JES.0b013e3181877e13
  46. S. L. McGee, K. F. Howlett, R. L. Starkie, D. Cameron-Smith, B. E. Kemp, M. Hargreaves, "Exercise increases nuclear AMPK ${\alpha}2$ in human skeletal muscle", Diabetes, Vol.52, No.4 pp. 926-928, (2003). https://doi.org/10.2337/diabetes.52.4.926
  47. J. F. Wojtaszewski, P. Nielsen, B. F. Hansen, E. A. Richter, B. Kiens, "Isoform-specific and exercise intensity-dependent activation of 5'-AMP-activated protein kinase in human skeletal muscle", The Journal of physiology, Vol.528, No.1 pp. 221-226, (2000). https://doi.org/10.1111/j.1469-7793.2000.t01-1-00221.x
  48. K. Kido, S. Ato, T. Yokokawa, Y. Makanae, K. Sato, S. Fujita, "Acute resistance exercise-induced IGF 1 expression and subsequent GLUT 4 translocation", Physiological reports, Vol.4, No.16 pp. e12907, (2016). https://doi.org/10.14814/phy2.12907
  49. A. C. McPherron, A. M. Lawler, S. Lee, "Regulation of skeletal muscle mass in mice by a new TGF beta superfamily member", Nature, Vol.387, No.6628 pp. 83-90, (1997). https://doi.org/10.1038/387083a0
  50. Z. Deng, P. Luo, W. Lai, T. Song, J. Peng, H. K. Wei, "Myostatin inhibits eEF2K-eEF2 by regulating AMPK to suppress protein synthesis", Biochemical and Biophysical Research Communications, Vol.494, No.1-2 pp. 278-284, (2017). https://doi.org/10.1016/j.bbrc.2017.10.040
  51. M. Miyake, H. Takahashi, E. Kitagawa, H. Watanabe, T. Sakurada, H. Aso, T. Yamaguchi, "AMPK activation by AICAR inhibits myogenic differentiation and myostatin expression in Cattle", Cell and Tissue Research. Vol.349, No.2 pp. 615-623, (2012). https://doi.org/10.1007/s00441-012-1422-8
  52. A. K. Das, Q. Y. Yang, X. Fu, J. F. Liang, M. S. Duarte, M. J. Zhu, G. D. Trobridge, M. Du, "AMP-activated protein kinase stimulates myostatin expression in C2C12 cells", Biochemical and biophysical research communications, Vol.427, No.1 pp. 36-40, (2012). https://doi.org/10.1016/j.bbrc.2012.08.138