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운동 강도 차이에 따른 폐경 후 비만 중년 여성의 혈중지질, 알부민 및 FFA에 미치는 영향

Effect of Different Intensity in Exercise on Blood Lipids, Albumin and FFA in Postmenopausal Middle-aged Obese Women

  • 이동기 (부산대학교 체육교육학과) ;
  • 김태규 (부산대학교 체육교육학과) ;
  • 고수한 (부산대학교 체육교육학과) ;
  • 김민교 (부산대학교 체육교육학과) ;
  • 김도연 (부산대학교 체육교육학과)
  • Dong-Gi Lee (Department of Physical Education, Pusan National University) ;
  • Tae-Kyu Kim (Department of Physical Education, Pusan National University) ;
  • Su-Han Koh (Department of Physical Education, Pusan National University) ;
  • Min-Kyo Kim (Department of Physical Education, Pusan National University) ;
  • Do-Yeon Kim (Department of Physical Education, Pusan National University)
  • 투고 : 2024.07.25
  • 심사 : 2024.08.21
  • 발행 : 2024.08.30

초록

본 연구는 12주간 운동 강도 차이에 따른 복합운동 수행이 55-64세의 폐경 후 5년 이내 비만 중년 여성의 혈중지질, 알부민 및 FFA 수준에 미치는 영향을 분석하였다. 대상자는 중강도 운동군(MIG, n=10), 고강도 운동군(HIG, n=10)으로 구성하여 탄력밴드를 이용한 저항운동 및 트레드밀을 이용한 유산소 걷기 운동을 주 3회, 1회 운동시간 60분간 실시하였다. 자료처리는 측정항목에 대한 평균값(M)과 표준편차(SD)를 산출하였고, 그룹 및 시기 간 상호작용 효과 검증은 two-way repeated measures ANOVA를 실시하였다. 상호작용 효과를 포함하여 필요에 따라 그룹 내 시기 간 차이 검증은 paired t-test를 실시하였고, 그룹 간 차이 검증은 independent t-test, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 혈중지질 중 TG는 상호작용 효과(p<.05)가 나타났고, 알부민은 통계적으로 유의한 차이가 없었으며, FFA는 상호작용 효과(p<.05) 및 그룹 내 MIG, HIG 모두 감소하였지만, MIG에서 더 많은 감소가 나타났다. 이러한 결과는 규칙적인 운동의 수행이 폐경 후 비만 중년 여성의 비만의 개선 및 예방에 효과적이라고 사료되며, 특히 중강도 운동은 고강도 운동보다 TG 및 FFA에 더 많은 효과를 나타낸다는 것을 입증하였다. 따라서, 노년기로 넘어가기 전 꾸준한 운동 수행을 통해 비만을 개선하여 건강한 삶을 영위할 수 있도록 지속적인 운동 수행을 권장한다.

This study examined the effects of a 12-week combined exercise program on blood lipids, albumin, and free fatty acid (FFA) levels in obese, middle-aged women, aged 55-64, who were within five years post-menopause. The participants were divided into two groups: a moderate-intensity exercise group (MIG, n=10) and a high-intensity exercise group (HIG, n=10). Both groups performed resistance exercises using elastic bands and aerobic walking on treadmills three times a week for 60 minutes per session. Data analysis involved calculating the mean (M) and standard deviation (SD) for each measurement item. A two-way repeated measures ANOVA was used to assess interaction effects between groups and periods. Paired t-tests were conducted to evaluate within-group differences over time, and independent t-tests were used to compare between-group differences. The statistical significance level was set at .05 for all analyses. Results showed a significant interaction effect for triglycerides (TG) among the blood lipids (p<.05). No statistically significant difference was found in albumin levels. FFA levels significantly decreased in both groups due to the interaction effect (p<.05), with a more pronounced decrease in the MIG group. These findings indicate that regular exercise is effective in improving and preventing obesity in post-menopausal, obese middle-aged women. Notably, moderate-intensity exercise had a more substantial impact on TG and FFA levels compared to high-intensity exercise. Therefore, continuous moderate-intensity exercise is recommended to improve obesity and promote a healthy lifestyle before transitioning into old age.

키워드

참고문헌

  1. S. J. Kim, Y. R. Kim, O. S. Lee, S. Y. Choi, "The Relationship Between Menopausal Symptoms, Perceived Awareness of Menopausal Symptom, Menopausal Attitude and Menopausal Management in Middle Age Women", Journal of the Korea Convergence Society, Vol.12, No.2 pp. 347-356, (2021).
  2. Journal of Obesity and Metabolic Syndrome "Obesity Prevalence Report". Journal of Obesity and Metabolic Syndrome, (2021).
  3. N. S. Kim, S. H. Kim, "Effects of a 10 week Aerobic Exercise on Body Composition, Blood Lipid, Oxidative Stress and hs-CRP of Adult Obese Women", The Korean Society of Sports Science, Vol.26, No.2 pp. 1007-1017, (2017).
  4. M. R. N. Choi, S. M. Ha, D. Y. KIM, "Effects of Elastic Band Exercise on Body Composition, Blood lipids and AMPK in the Elderly Women" Journal of the Korean Oil Chemists' Society, Vol.36, No.3 pp. 995-1007, (2019). https://dx.doi.org/10.12925/jkocs.2019.36.3.995
  5. I. Y. Park, D. J. Oh, "Effect of Combine Exercise on Body Composition, Blood Lipid Profiles and IL-6, TNF-α, VEGF in Obese Elderly Women", Korean Journal of Sports Science, Vol.28, No.3 pp. 897-908, (2019). http://dx.doi.org/10.35159/kjss.2019.06.28.3.897
  6. M. S. Hyun, H. S Jung, "Effect of Half-body Bath Recovery Following Aerobic Exercise on Body Temperature Growth Hormone Levels and Lipid Components", The Korea Journal of Sport, Vol.17, No.2 pp. 741-750, (2019).
  7. D. B. Horvathy, M. Simon, C. M. Schwarz, M. Masteling, G. Vacz, I. Hornyak, Z. Lacza, "Serum Albumin as a Local Therapeutic Agent in Cell Therapy and Tissue Engineering", Biofactors, Vol.43, No.3 pp. 315-330, (2017). http://dx.doi.org/10.1002/biof.1337
  8. S. Arques. "Human Serum Albumin in Cardiovascular Diseases", European Journal of Internal Medicine, Vol.52 pp. 8-12, (2018). http://dx.doi.org/10.1016/j.ejim.2018.04.014
  9. O. Kayapinar, C. Ozde, A. Kaya, "Relationship Between the Reciprocal Change in Inflammation-related Biomarkers(Fibrinogen-to-Albumin and hsCRP-to-Albumin ratios) and the Presence and Severity of Coronary Slow Flow", Clinical and Applied Thrombosis/Hemostasis, Vol.25 pp. 1-10, (2019). http://dx.doi.org/10.1177/1076029619835383
  10. G. C. Henderson, "Plasma Free Fatty Acid Concentration as a Modifiable Risk Factor for Metabolic Disease", Nutrients, Vol.13, No.8 pp. 2590, (2021). http://dx.doi.org/10.3390/nu13082590
  11. J. S. Shin. "The Effects of 12-week Combined Exercise on Obesity Index, Energy Substrates, Insulin Resistance and CRP in Obese Youth." Korean Journal of Sports Science. The Korean Society of Sports Science. Vol.28, No.5 pp. 789-797. (2019). http://dx.doi.org/10.35159/kjss.2019.10.28.5.789
  12. J. S. Ye, J. H. Park, J. H. Kim, "Effects of Exercise Intensity on Lipid Metabolism, Substrate Use and Oxygen Uptake on Resistance Exercise", Korean Journal of Sports Science, Vol.21, No.2 pp. 1019-1031, (2012).
  13. J. I. Park, S. H. Kim, "Effects of Aerobic Exercise Training on Body Composition, Cardiovascular Function, Insulin resistance and Leptin in Middle-age Obese Women", The Korea Journal of Sport, Vol.15, No.4 pp. 413-424, (2017).
  14. M. Yang, Y. Jekal, "The Effects of 8 Weeks Resistance Training among Chinese Middle-Aged Women with Metabolic Syndrome." Journal of Korean Association of Physical Education and Sport for Girls and Women", Korean Physical Education Association for Women. Vol.32, No.3 pp. 167-180, (2018). http://dx.doi.org/10.16915/jkapesgw.2018.09.32.3.167
  15. B. H. Kim, "Effects of Combined Exercise Using Outdoor Exercise Equipment on Body Fat Related Factors and Metabolic Syndrome Factors in Obese Middle Aged Women", The Korea Journal of Sport, Vol.18, No.1 pp. 429-435, (2020).
  16. American College of Sports Medicine "ACSM's Guidelines for Exercise Testing and Prescription 10th", Lippincott Williams & Wilkins, (2018).
  17. J. M. Ko, "The Effects of Difference in Aerobic Exercise Intensity on Body Composition and Resting Metabolic Rate(RMR), Blood Lipid Profile in Obese Man", Korean Journal of Convergence Science, Vol.10, No.5 pp. 417-432, (2021).
  18. D. H. Kwak, S. H. Koh, S. M. Ha, D. W. Kang, D. Y. Kim, "Effects of Combined Exercise on Insulin Resistance, Leptin, GLP-1 in Postmenopause Obesity Women", Journal of Korean Association of Physical Education and Sport for Girls and Women, Vol.36, No.3 pp. 207-225, (2022).
  19. S. H. Eun, M. Gu, "The Effect of Obese Male Jumping Exercise Activity on Blood Lipid and Obesity Index Improvement", The Korean Journal of Growth and Development, Vol.28, No.3 pp. 357-361, (2020). http://dx.doi.org/10.34284/KJGD.2020.08.28.3.357
  20. M. C. Kim, S. M. Ha, S. H. Koh, J. W. Kim, D. Y. Kim, "Effect of 10 Weeks Smart Machine Circulation Exercise on Body Composition, Lung Function, Blood Lipids and Insulin Resistance in Obesity Middle-aged Women, Jounal of the Korean Oil Chemists' Society, Vol.38, No.4 pp. 951-962, (2021). http://dx.doi.org/10.12925/jkocs.2021.38.4.951
  21. S. M. Yoon, E. S. Han, and J. R. Oh, "Effects of Difference in Intensity of Complex Exercise on Changes in Blood Lipids and Blood Pressure in Obese Men with Hypertension", Korean Society of Growth and Development, Vol.32, No.2 pp. 201-205, (2022). http://dx.doi.org/10.34284/KJGD.2022.05.30.2.201
  22. C. Xin, M. Ye, Q. Zhang, H. He, "Effect of Exercise on Vascular Function and Blood Lipids in Postmenopausal Women: A systematic review and network meta-analysis", International Journal of Environmental Research and Public Health, Vol.19, No.19 p. 12074, (2022). http://dx.doi.org/10.3390/ijerph191912074
  23. K. S. Song, "The Effect of Full Spectrum and Low Intensity Aerobic Exercise on Plasma Lipid in Rats", Exercise Science, Vol.25, No.2 pp. 85-91, (2016).
  24. E. S. Lee, S. C. Kyung, "Effects of a 12 Week-walking Program on Cardiorespiratory Fitness, Serum Lipids, Vaspin, and Obesity-related Markers in Middle-aged Women", Journal of The Korean Data Analysis Society, Vol.15, No.2 pp. 919-935, (2013).
  25. M. H. Seok, Y. A. Shin, "The Effect of 16 Weeks Combined Exercise Training on Lipid Metabolism and DNA Damage in Middle-aged Diabetic Women", Official Journal of the Korea Exercise Science Academy, Vol.21, No.2 pp. 201-212, (2012). http://dx.doi.org/10.15857/ksep.2012.21.2.201
  26. S. C. Chien, C. Y. Chen, C. F. Lin, H. I. Yeh, "Critical Appraisal of The Role of Serum Albumin in Cardiovascular Disease", Biomarker Research, Vol.5, No.1 pp. 31, (2017). http://dx.doi.org/10.1186/s40364-017-0111-x
  27. D. R. Bakaloudi, A. Siargkas, K. A. Poulia, E. Dounousi, M. Chourdakis, "The Effect of Exercise on Nutritional Status and Body Composition in Hemodialysis: A systematic review", Nutrients, Vol.12, No.10 pp. 3071, (2020). http://dx.doi.org/10.3390/nu12103071
  28. J. W. Jeon, "The Effect of Creatine Supplementation with High Intensity Endurance Exercise on Energy Substrates and Fatigue Factors", Korean Journal of Sports Science, Vol.20, No.1 pp. 881-889, (2011).
  29. C. H. Kim, A. R. Soon, "The Effects of Exercise Types on Metabolic Syndrome Risk Factors, FFA, HOMA-IR and hs CRP in Menopausal Middle-aged Women", Journal of Korean Association of Physical Education and Sport for Girls and Women, Vol.30, No.2 pp. 271-293, (2016). http://dx.doi.org/10.16915/jkapesgw.2016.06.30.2.271