Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Effect of Exercise and Diet Control Program on Nitrogen Balance in Obese Children

단기간의 운동 및 식이 조절이 비만아동의 질소 평형에 미치는 영향

  • 박소앙 (전남대학교 식품영양학과) ;
  • 이성숙 (광주교육대학교 실과교육과) ;
  • 최인선 (전남대학교 식품영양학과) ;
  • 오승호 (전남대학교 식품영양학과)
  • Published : 2001.09.01
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Abstract

The purpose of this study was to examine the effect of exercise and diet control program on nitrogen balance in obese children. The subjects of this study were five obese boys aged from 8 to 12 participating in the control period(C) for 3 days, exercise without energy deficit period(EEN) for one week, and exercise with energy deficit period(EED) far another one week, consecutively. The intensity of the exercise was 60-70% of HRmax and the energy was restricted at 493 kcal/day. Daily mean total energy intake was 2,152 $\pm$ 138kca1, 1,861 $\pm$ 138kca1, and 1,368 $\pm$ 87kca1 for the period C, EEN and EED, respectively. The body weight for EEN and EED decreased compared with the period C by average 1.2 $\pm$ 0.2kg and 1.8 $\pm$ 0.3kg, respectively. Of the body weight loss, the fat mass decreased bur 1.0 $\pm$ 0.3kg and 1.5 $\pm$ 0.5kg and the lean body mass by 0.2 $\pm$ 0.4kg and 0.3 $\pm$ 0.4kg, respectively. Of the daily mean nitrogen consumption was 9.1 $\pm$ 0.7g, 9.1 $\pm$ 0.8g and 7.1 $\pm$ 0.5g, the daily mean nitrogen excretion from feces was 1.3 $\pm$ 0.2g, 0.9 $\pm$ 0.1g and 0.7 $\pm$ 0.1g, and from urine was 6.7 $\pm$ 0.6g, 6.6 $\pm$ 0.5g and 6.7 $\pm$ 0.6g, for the period C, EEN and EED, respectively. Daily mean nitrogen balance excluding nitrogen excretion firm feces and urine indicated + 1.1 $\pm$ 1.0, +1.6 $\pm$ 0.6 and - 0.3 $\pm$ 0.9 for the period C, EEN and EED, respectively. Despite the negative indication during EED, there was no statistical signifiranre. The daily mean creatinine excretion was 0.5 $\pm$ 0.0g, 0.7 $\pm$ 0.1g and 0.6 $\pm$ 0.0g and the creatinine-height index(CHl) was 85.1 $\pm$ 6.7%, 83.8 $\pm$ 6.6% and 81.0 $\pm$ 6.5%, for the period C, EEN and EED, respectively, indicating little significant difference among the periods. Taking above results into consideration, it seems the exercise program conducted for this study did not substantially affect the nitrogen balance of the obese children, and may be used far the body weight control. Howeever, the adequacy of the energy restriction and amount of exercise applied to this study need to be further investigated as the nitrogen balance indicated negative and increasing tendency of the creatinine excretion showed during the EED compared with period C, despite the statistical insignificance.

본 연구는 운동 및 식이 조절이 비만 아동의 질소 평형에 미치는 영향을 조사하기 위하여 8~12세의 비만한 초등학교 남자 아동을 대상으로 3일간은 대조기간 1주일간은 운동을 부하하되 에너지는 제한하지 않는 운동기간 및 그 후 1주일간은 운동부하와 동시에 에너지를 제한하는 에너지 제한 운동기간으로 나누어 대상자의 체중 및 체성분을 측정하고, 또한 에너지 섭취량, 질소 평형 및 CHI를 측정하여 상호 비교하였다. 1일 평균 총 에너지 섭취량은 대조기간, 운동기간 및 에너지 제한 운동기간별로 각각 평균 2,152 $\pm$ 138kca1, 1,861 $\pm$ 138kca1 및 1,368 $\pm$ 87kca1이었다. 체중은 대조기간에 비하여 운동기간 및 에너지 제한 운동기간 별로 각각 평균 1.2 $\pm$ 0.2kg 및 1.8 $\pm$ 0.3 kg 감소되었데, 이 중 지방 조직은 각각 평균 1.0 : 0.3kg 및 1.5 $\pm$ 0.5kg 감소되었고 무지방 조직은 각각 평균 0.2 $\pm$ 0.4kg 및 0.3 $\pm$ 0.4kg 감소되었다. 1일 질소 섭취량은 대조기간, 운동기간 및 에너지 제한 운동기간별로 각각 평균 9.1 $\pm$ 0.7g, 9.1 $\pm$ 0.8g 및 7.1 $\pm$ 0.5g 이었는데 대변으로의 질소 배설량은 기간별로 각각 평균 1.3 $\pm$ 0.2g, 0.9 $\pm$ 0.1g 0.7 $\pm$ 0.1 이었으며 소변으로의 질소 배설량은 기간별로 각각 평균 6.7 $\pm$ 0.6g, 6.6 $\pm$ 0.5g 및 6.7 $\pm$ 0.6g 이었다.

Keywords

References

  1. Korean J Nutrition v.25 no.5 The prevalence of obesity in children and adolescents Moon,H.N.;Hong,S.J.;Suh,S.J.
  2. Am J Epidemiol v.125 no.3 Relation of obesity to clustering of cardiovascular disease risk factors in children and young adults.The Bogalusa Heart Study Smoak,C.G.;Burke,G.L.;Webber,L.S.;Harsha,D.W.;Srinevasan,S.R.;Berenson,G.S.
  3. Am J Clin Nutr v.59 no.5 Critical period in childhood for the development of obesity Dietz,W.H.
  4. Korean J Pediatrics v.28 no.7 Obesity in school-age children Yoon,H.S.;Ra,C.S.
  5. Contemporary nutrition(second ed.) Wardlaw,G.M.;Insel,P.M.;Seyler,M.F.
  6. Nutrition during the life cycle Alford,B.B.;Bogle,M.L.
  7. Am J Clin Nutr v.56 no.4 Body composition,nitrogen metabolism,and energy utilization with feeding of mildly restricted(4.2MJ/d)and severely restricted(2.1MJ/d)isonitrogenous diets Stanko,R.T.;Tietze,D.L.;Arch,J.E.
  8. Sports Medicine v.3 no.2 Exercise and obesity Pacy,P.J.;Webster,J.;Garrow,J.S.
  9. International Journal of Obesity v.14 no.1 Long-term exercise training with constant energy intake 1:Effect on body composition and selected metabolic variables Bouchard,C.;Tremblay,A.;Nadeau,A.;Dussault,J.;Depres,J.P.;Theriault,G.;Lupien,P.J.;Serresse,O.;Boulay,M.R.;Fournier,G.
  10. Am J Clin Nutr v.47 no.1 Resistance weight training during caloric restriction enhances lean body weight maintenance Ballor,D.L.;Katch,V.L.;Becque,M.D.;Marks,C.R.
  11. Am J Clin Nutr v.61 no.6 Effects of energy restriction and exercise on skeletal muscle and adipose tissue in women as measured by magnetic resonance imaging Ross,R.;Pedwell,H.;Rissanen,J.
  12. Am J Clin Nutr v.49 no.5 suppl Physical activity as a supplement to a weight-loss dietary regimen Pavlou,K.N.;Whatley,J.E.;Jannace,P.W.;DiBartolomeo,J.J.;Burrows,B.A.;Duthie,E.A.;Lerman,R.H.
  13. Am J Clin Nutr v.46 no.4 Effects of exercise and food restriction on body composition and metabolic rate in obese women Hill,J.O.;Sparling,P.B.;Shields,T.W.;Heller,P.A.
  14. Am J Clin Nutr v.47 no.1 Resistance weight training during caloric restriction enhances lean body weight maintenance Ballor,D.L.;Katch,V.L.;Becque,M.D.;Marks,C.R.
  15. Am J Clin Nutr v.54 no.1 Effects of a very-low-calorie diet and physical-training regimens on body composition and resting metabolic rate in obese females Donnelly,J.E.;Pronk,N.P.;Jacobsen,D.J.;Pronk,S.J.;Jakicic,J.M.
  16. Metabolism: Clinical&Experimental v.38 no.3 Rate of weight loss during underfeeding: relation to level of physical activity Heymsfield,S.B.;Casper,K.;Hearn,J.;Guy,D.
  17. Int J Obesity v.5 no.1 The effect of addition of exercise to a regime of dietary restriction on weight loss, nitrogen balance, resting metabolic rate and spontaneous physical activity in three obese women in a metabolic ward Warwick,P.M.;Garrow,J.S.
  18. Metabolism: Clinical & Experimental v.37 no.8 Effects of aerobic exercise on energy expenditure and nitrogen balance during very low calorie dieting Phinney,S.D.;LaGrange,B.M.;O'Connell,M.;Danforth,E.Jr.
  19. Am J Clin Nutr v.46 no.6 Effects of exercise training on resting energy expenditure during caloric restriction Henson,L.C.;Poole,D.C.;Donahoe,C.P.;Heber,D.
  20. Am J Clin Nutr v.49 no.5 Metabolic response to low-and very-low-calorie diets Davies,H.J.;Baird,I.M.;Fowler,J.;Mills,I.H.;Baillie,J.E.;Rattan,S.;Howard,A.N.
  21. Laboratory methods in clinical pathology Lee,S.Y.;Chong,Y.S.
  22. Nutrition An integrated approach(3rd.) Pike,L.;Brown,M.L.;John,W. ;Sons(ed.)
  23. Br J Nutr v.37 A Ballistic Bomb Calorimeter Miller,D.S.;Payne,P.R.
  24. Nutrition Assessment. A Comprehension Guide for planning Intervention Simko,M.D.;Gilbride,J.A.;Cowell,C.
  25. Clinical assessment of nutritional status.A working manual(second edition) Pressman,A.H.;Adams,A.H.
  26. Recommended dietary allowances for Koreans(7th revision) The Korean Nutrition Society
  27. J Korean Soc Nutr v.22 no.5 A study on energy expenditure in Korean children Oh,S.H.
  28. Med Sci Sports v.17 Effects of dieting and exercise on lean body mass, oxygen uptake and strength Konstantin,N.P.;Pavlou William,P.S.;Robert,H.L.;Belton,A.B.
  29. Metabolism: Clinical & Experimental v.39 no.6 Energy expenditure and physical performance in overweight women: response to training with and without caloric restriction Keim,N.L.;Barbieri,T.F.;Van Loan,M.D.;Anderson,B.L.
  30. J Korean Soc Nutr v.25 no.2 Protein digestibility and nitrogen balance in korean children Oh,S.H.;Lee,S.S.;Lee,K.W.
  31. exercise and sports science review 1 The role exercise in weight control Oscai,L.B.;Wilmore,J.H.(ed.)
  32. Journal of Nutrition v.113 no.12 Nitrogen balance studies in young men to assess the protein quality of an isolated soy protein in relation to meat proteins Wayler,A.;Queiroz,E.;Scrimshaw,N.S.;Steinke,F.H.;Rand,W.M.;Young,V.R.
  33. Am J Clin Nutr v.61 no.1 Effect of variable protein intake on whole-body protein turnover in young men and women Pannemans,D.L.;Halliday,D.;Westerterp,K.R.;Kester,A.D.
  34. Journal of Nutrition v.105 no.7 Nitrogen balance of men with marginal intakes of protein and energy Calloway,D.H.
  35. Korean Journal Nutrition v.21 no.1 The Effect of Dietary Protein Levels on Nitrogen Metabolism in Young Korean Women Koo,J.O.;Choi,H.M.
  36. J Nutr v.79 Urinary creatinine as an index of body composition Van Niekerk,B.D.H.;Reid,J.T.;Bensadoun,A.;Paladines,O.L.
  37. J Lab Clin Med v.59 Creatinine excretion variability and relationships to diet and body size Bleller,R.E.;Schedl,H.P.
  38. Am J Clin Nutr v.26 no.7 Variability of creatinine excretion in preadolescent girls consuming a wide range of dietary nitrogen Ritchey,S.J.;Derise,N.L.;Abernathy,R.P.;Korslund,M.K.
  39. Am J Clin Nutr v.37 no.3 Measurement of muscle mass in humans: validity of the 24-hour urinary creatinine method Heymsfield,S.B.;Arteaga,C.;McManus,C.;Smith,J.;Moffitt,S.
  40. The Korean Journal of Nutrition v.20 no.2 A Study on Nitrogen Intake and Excretion in Young Korean Adult Women on Normal Diet Ki, J.Y.;Paik,Y.H.
  41. Am J Clin Nutr v.25 no.5 Urinary urea nitrogen-creatinine ratio as indicator of recent protein intake in field studies Simmons,W.K.