Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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The Association between Regular Physical Activity Types And Metabolic Syndrome in Fertile Women

가임기 여성의 규칙적 운동 및 운동종류에 따른 대사증후군 간의 관련성

  • Lee, Guna (Department of Nursing, Cheongju University)
  • Received : 2020.11.30
  • Accepted : 2021.01.08
  • Published : 2021.01.31
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Abstract

The purpose of this study was to identify the association between regular physical activity (PA) types and metabolic syndrome (MetS) in fertile women. Data were obtained from the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-3, 2018). The sample consisted of 4,172 fertile women over 19 years of age. The data were analyzed using an independent t-test, χ2 test, and multiple logistic regression analysis for examining the association of regular PA and MetS. The prevalence of MetS in fertile women was 3.1% (n =128), and 1,972 fertile women (47.2%) practiced regular PA. Compared to the non-regular PA group, regular PA resulted in a significantly lower systolic blood pressure (p =.002), lower waist circumference (p <.001), lower fasting blood sugar (p =.007), and higher high-density lipoprotein cholesterol (p <.001). After controlling the confounding variables, multiple logistic regression showed that the regular PA group (odds ratio 0.59, 95% confidence interval 0.35-0.98, p =.040) and the regular muscle-strengthen PA group (odds ratio 0.34, 95% confidence interval 0.14-0.80, p =.013) were associated with a decreased risk of MetS. Therefore, regular PA, including muscle-strengthen PA should be considered to develop effective MetS intervention in fertile women.

본 연구의 목적은 가임기 여성의 규칙적 운동 및 운동의 종류에 따른 대사증후군 간의 관련성을 파악하여 효과적인 대사증후군 예방 및 관리 중재 개발을 위한 기초자료를 제공하고자 한다. 본 연구는 제7기 3차년도 국민건강영양조사 원시자료(KNHANES VII-3, 2018년)를 이용하여 만 19세 이상 가임기 여성 4172명을 대상으로 시행하였으며, 규칙적 운동의 종류에 따른 대사증후군 구성요소의 차이는 복합표본 t검정으로, 규칙적 운동의 종류가 영향을 미치는 대사증후군의 유병 위험은 복합표본 다중 로지스틱 회귀분석으로 분석하였다. 가임기 여성의 대사증후군 유병률은 3.1%(128명)이었으며 가임기 여성 중 규칙적 운동 실천군은 1979명(46.5%)이었다. 가임기 여성의 규칙적 운동 실천군은 미실천군과 비교하여 다섯 가지 대사증후군 구성요소 중 수축기 혈압(p =.002), 허리둘레(p <.001)와 공복혈당(p =.007)가 상대적으로 낮았으며 고밀도콜레스테롤(p <.001)는 상대적으로 높았다. 규칙적 운동 중 규칙적 근력운동 실천군은 규칙적 근력운동 미실천군과 비교하여 수축기 혈압(p <.001), 이완기 혈압(p =.005), 허리둘레(p <.001), 공복혈당(p <.001)과 중성지방(p =.015) 모두 상대적으로 낮았고 고밀도콜레스테롤(p <.001)은 상대적으로 높았다. 대사증후군에 영향을 미치는 혼란 변수들을 통제한 후, 규칙적 운동 실천군(유병교차비 0.59, 95% 신뢰구간 0.35-0.98, p =.040)과 규칙적 근력운동 실천군(유병교차비 0.34, 95% 신뢰구간 0.14-0.80, p =.013)은 각각 미실천군과 비교하여 대사증후군 유병위험이 낮게 나타났다. 그러므로 규칙적 운동은 가임기 여성의 대사증후군 유병 위험을 낮추는 중요한 변수임을 알 수 있으며, 가임기 여성의 대사증후군 예방 및 관리를 위한 운동 중재 개발 시 근력운동을 포함할 필요가 있음을 제언한다.

Keywords

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