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우울증 예방을 위한 노인 운동프로그램 문헌 고찰

The Analysis of Literature : Prevention of Depression through Exercise Program for the Elderly

  • 김대훈 (숭실대학교 스포츠학부) ;
  • 서동녘 (숭실대학교 일반대학원 생활체육학과)
  • 투고 : 2020.08.09
  • 심사 : 2020.08.25
  • 발행 : 2020.08.31

초록

본 연구는 2010년부터 2020년 상반기까지 지난 10년간 노인들에게 우울증과 관련하여 운동프로그램을 적용한 국내 선행문헌 42편을 연구대상으로 선정하여 선행연구 특성, 운동프로그램 적용기간, 운동프로그램 구성, 노인 우울증에 대한 운동프로그램 효과에 대해 분석하였고 결론은 다음과 같다. 첫째, 선행문헌에서 대부분 여성 노인과 혼성을 대상으로 한 연구가 대부분을 차지하였고 남성 노인을 대상으로 한 연구는 나타나지 않았다. 연령은 65세 이상이 대부분을 차지하였고, 피험자 수는 50명 이하가 가장 많이 차지하였다. 그룹에서는 운동군/통제군이 있는 선행연구가 대부분이었고 참여기관 및 지역은 거주지역/공공기관 및 요양시설이 대부분을 차지하였다. 둘째, 운동프로그램 적용기간은 기간은 12주 이상 적용한 선행연구가 대부분이었고, 주당 운동 빈도는 1-2회와 3-4회가 대부분을 차지하였다. 1회 운동시간에서 60분의 운동프로그램을 적용한 선행문헌이 대부분을 차지하였다. 셋째, 운동프로그램 구성 내용은 유산소 운동과 유·무산소가 복합된 복합운동으로 구성한 선행문헌이 대부분을 차지하였다. 넷째, 운동프로그램 효과에 대해서는 체력요소에 효과가 나타났으며 우울증과 인지기능에서 운동의 효과가 있음을 확인하였다.

This study selected 42 domestic preceded literatures that applied exercise programs to the elderly for the past 10 years from 2010 to the first half of 2020 to analyze the characteristics of preceded research, applied period of exercise programs, configuration of exercise programs, and effectiveness of exercise programs on elderly depression, and the conclusion is as follows. First, the majority of the subjects were female and male/female elderly people in the preceding literature, and it appeared that there were no male subjects alone for any of the studies showed. The majority of the ages were over 65 years old, and the number of subjects was 50 or less. In the group, preceded research with exercise/control groups was mostly predominant, and the participated institutions and regions accounted for the majority of the residential area/public institutions and sanatorium. Second, the period of the exercise program was mostly applied for more than 12 weeks, and the frequency of exercise per week was 1-2 times and 3-4 times. Most of the preceding literature was applied with a 60-minute exercise program during the one-time exercise period. Third, most of the contents of the exercise program consisted of a aerobic exercise alone and combination of aerobic·anaerobic exercise. Fourth, it was confirmed that the effects of exercise programs were effective in physical fitness factors as well as in depression and cognitive function.

키워드

참고문헌

  1. Statistics Korea. 2018 The Elderly Statistics [Internet]. Seoul: Statistics Korea, c2018 [cited 2018 Sep27], Available From: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=370779 (accessed Aug., 04, 2020)
  2. World Health Organization. 2017 World Health Day [Internet]. Seoul: World Health Organization, c2017[cited 2017 Apr 11], Available From: http://www.queen.co.kr/news/articleView.html?idxno=204011 (accessed Aug., 04, 2020)
  3. M. K. Kim, D. J. Oh, 2018 "The Effect of Ballet Exercise Program on Physical Fitness, Depression Scale and Cognitive Function of Elderly Women", The Korean Journal of Dance, Vol.77, No.3 pp. 23-38, (2019).
  4. Korea Ministry of Health and Welfare. Health Statistics: Survey of the State of the Elderly [Internet]. Seoul: Korea Ministry of Welfare, c2015[cited 2015 Mar 31] AvailableFrom:http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=318359(accessed Aug., 04, 2020)
  5. C. S. Kim, H. T. Kim, "Effects of Combined Exercise on Functional Physical Fitness, Cognitive Function, and Depression of Elderly Women", Sport Science, Vol.38, No.1 pp. 169-179, (2020). https://doi.org/10.46394/ISS.38.1.16
  6. J. Y. Bae, W. H. Kim, K. A. Yoon, "Depression, suicidal thoughts and the buffering effect of social support among the elderly", Journal of the Korean Gerontological Society, Vol.25, No.3 pp. 59-73, (2005).
  7. J. S. Won, K. H. Kim, "Evaluation of Cognitive Functions, Depression, Life Satisfaction among the Elderly Receiving Visiting Nursing Services", Journal of Korean Academy of Nursing, Vol.38, No.1 pp. 1-10, (2008). https://doi.org/10.4040/jkan.2008.38.1.1
  8. K. R. Fox, "The influence of physical activity on mental well-being", Public Health and Nutrition, Vol.2, Supplement.3a pp. 411-418, (1999). https://doi.org/10.1017/S1368980099000567
  9. B. W. J. H. Penninx, W. J. Rejeski, J. Pandya, M. E. Miller, M. D. Bari, W. B. Applegate, M. Pahor, "Exercise and depressive symptoms: A comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology", The Journals of Gerontology: Series B, Vol.57, No.2 pp. 124-132, (2002). https://doi.org/10.1093/geronb/57.2.P124
  10. J. A. Blumenthal, M. A. Babyak, K. A. Moore, E. Craighead, S. Herman, P. Khatri, R. Waugh, M. A. Napolitano, L. M. Forman, M. Appelbaum, M. Doraiswamy, K. R. Krishnan, "Effect of exercise training on older patients with major depression", Archives of Internal Medicine, Vol.159, No.19 pp. 2349-2356, (1999). https://doi.org/10.1001/archinte.159.19.2349
  11. S. W. Jeong, T. K. Han, "Effects of 10 Weeks Complex Exercise Program by Obesity Index on Elderly Women Health, Cognitive Function, Fall-effect and Depression", The Korean Journal of Sport, Vol.17, No.1 pp. 475-485, (2019).
  12. J. J. Bae, H. C. Park, "The Effect of Exercise on Senior' Depression in Local Area", The Korean Journal of Physical Education, Vol.53, No.3 pp. 549-557, (2014).
  13. Korea Ministry of Health and Welfare. 2010 White Paper of Health and Welfare [Internet]. Seoul: Korea Ministry of Welfare, c2011[cited 2011 Oct 28], Available From:http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=336908 (accessed Aug., 07, 2020)
  14. A. G. Society, B. G. Society, & A. A. O. S. P. F. Prevention, "Guideline for prevention of falls in older person", Journal of the American Geriatrics Society, Vol.49, No.5 pp. 664-672, (2001). https://doi.org/10.1046/j.1532-5415.2001.49115.x
  15. ACSM. ACSM's resource manual for guidelines for exercise testing and prescription. 4th ed, Lippincott Williams & Wilkins. (2006).
  16. S. Colcombe, A. F. Kramer, "Fitness effects on the cognitive function of older adults", Psychological Science, Vol.14, No.2 pp. 125-130, (2003). https://doi.org/10.1111/1467-9280.t01-1-01430
  17. Y. S. Ko, Effects of 12 weeks of Combined Exercise Training on physical function, Depression index and Serotonin in Elderly women, Unpublished Master's Dissertation, Chonnam National University Graduate School of Education, (2017).
  18. J. W. Kim, The effect of constructed exercise program on quality of life and depression for elderly in a care facility, Unpublished Master's Dissertation, Hanseo University, (2010).
  19. S. A. Sung, The effects of exercise program on health related fitness and depression of low-income elderly women, Unpublished Master's Dissertation, Ewha Womans University, (2003).
  20. S. C. Lee, "The Effects of a Regular Walking Program on Body Composition, Functional Fitness, and Anxiety and Depression in Elderly Women", Journal of The Korean Society of Integrative Medicine, Vol.4, No.2 pp. 67-76, (2016). https://doi.org/10.15268/ksim.2016.4.2.067
  21. Y. H. Son, A. Y. Jeon, J. S. Roh, Y. H. Seo, "Impact on Basic Strength and Blood Composition of the Elderly in the Circuit Training Program", Korean Journal of Sports Science, Vol.25, No.5 pp. 1041-1049, (2016).
  22. S. W. Jeong, T. K. Han, "Effects of 10 Weeks Complex Exercise Program by obesity Index on Elderly Women Health, Cognitive Function, Fall-effect and Depression", The Korean Journal of Sport, Vol.17, No.1 pp. 475-485, (2019).
  23. A. S. Mather, C. Rodriquez, M. F. Guthrie, A. M. McHarg, I. C. Reid, M. E. T. McMurdo, "Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder: Randomized controlled trial", British Journal of Psychology, Vol.180, No.5 pp. 411-415, (2002). https://doi.org/10.1192/bjp.180.5.411
  24. S. C. Kim, H. K. Kim, "Cognitive Deficits in Depressed Patients: Evidence from a Paired-task Analysis", Journal of Rehabilitation Psychology, Vo.21, No.2 pp. 151-169, (2014).
  25. R. I. Hwang, J. Y. Lim, Y. W. Lee, "A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level", Journal of Korean Academy of Nursing, Vol.39, No.5 pp. 622-631, (2009). https://doi.org/10.4040/jkan.2009.39.5.622
  26. S. Holmquist, S. Mattsson, I. Schele, P. Nordstrom, A. Nordstrom, "Low physical activity as a key differentiating factor in the potential high-risk profile for depressive symptoms in older adults", Depression and Anxiety, Vol.34, No.9 pp. 817-825, (2017). https://doi.org/10.1002/da.22638
  27. C. S. Kim, The correlation analysis of functional fitness and depression, life-satisfaction and self-esteem of elderly woman, Unpublished Master's Dissertation, Kyung Hee University Graduate School of Education, (2013).
  28. R. C. Cassilhas, H. K. M. Antunes, S. Tufik, M. T. Mello, "Mood, Anxiety, and Serum IGF-1 in Elderly Men Given 24 Weeks of High Resistance Exercise", Perceptual and Motor Skills, Vol.110, No.1 pp. 265-276, (2010). https://doi.org/10.2466/pms.110.1.265-276
  29. D. Amir, D. Ali, M. M. Reza, M. Rasoul, "Effect of Anaquatic Exercise on Depression Level in Male Elderly", Journal of Research in Rehabilitation Sciences, Vol.8, No.6 pp. 1095-1102, (2013).
  30. Y. H. Chang, M. E. Liu, C. C. Huang, Y. C. Ku, S. Y. Lee, S. L. Chen, W. C. Liu, R. B. Lu, "Cognitive performance in older elderly men with late-life depression and cardiovascular comorbidities: symptomatological correlation", Annals of General Psychiatry, Vol.12, No.1 pp. 36-43, (2013). https://doi.org/10.1186/1744-859X-12-36
  31. I. Salehi, S. M. Hosseini, M. Haghighi, L. Jahangard, H. Bajoghil, M. Gerber, U. Puhse, E. H. Trachsler, S. Brand, "Electroconvulsive therapy (ECT) and aerobic exercise training (AET) increased plasma BDNF and ameliorated depressive symptoms in patients suffering from major depressive disorder", Journal of Psychiatric Research, Vol.76, pp. 1-8, (2016). https://doi.org/10.1016/j.jpsychires.2016.01.012
  32. A. O'rourke, B. Lewin, S. Whitecross, W. Pacey, "The effects of physical exercise training and cardiac education on levels of anxiety and depression in the rehabilitation of coronary artery bypass graft patients", International Disability Studies, Vol.12, No.3 pp. 104-106, (2009).
  33. P. Tekur, R. Nagarathna, S. Chametcha, A. Hankey, H. R. Nagendra, "A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise: An RCT", Complementary Therapies in Medicine, Vol.20, No.3 pp. 107-118, (2012). https://doi.org/10.1016/j.ctim.2011.12.009

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  1. 복합운동에 혈류제한 적용과 비적용이 여성노인들의 운동수행능력과 평형성에 미치는 영향 vol.22, pp.1, 2020, https://doi.org/10.5762/kais.2021.22.1.363