보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제27권4호
  • /
  • Pages.105-112
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  • 2010
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

고혈압 환자에서 생활습관 개선 프로그램의 혈압개선효과

Effect of Lifestyle Modification Program on Blood Pressure Improvement in Patients with Hypertension

  • 이상욱 (경희대학교 의학전문대학원 예방의학교실) ;
  • 오창모 (경희대학교 의학전문대학원 예방의학교실) ;
  • 오인환 (경희대학교 의학전문대학원 예방의학교실) ;
  • 윤태영 (경희대학교 의학전문대학원 예방의학교실) ;
  • 최중명 (경희대학교 의학전문대학원 예방의학교실)
  • Lee, Sang-Uk (Department of Preventive Medicine, Kyung Hee University School of Medicine) ;
  • Oh, Chang-Mo (Department of Preventive Medicine, Kyung Hee University School of Medicine) ;
  • Oh, In-Hwan (Department of Preventive Medicine, Kyung Hee University School of Medicine) ;
  • Yoon, Tai-Young (Department of Preventive Medicine, Kyung Hee University School of Medicine) ;
  • Choi, Joong-Myung (Department of Preventive Medicine, Kyung Hee University School of Medicine)
  • 투고 : 2010.11.22
  • 심사 : 2010.12.11
  • 발행 : 2010.12.30
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초록

Objectives: The purpose of this study was to know different effect with uncontrolled hypertension patients after providing health promotion program which consisted with medicine, exercise, nutrition. Methods: The subjects of this study was comprised by uncontrolled hypertension patients in spite of medication and didn't care the pressure by medication. The health promotion program was progressed by group exercise three times a week, nutrition education once a week and medical consultation once a month for 12 weeks. Subjects were measured for body composition(weight, fat mass, % body fat and body mass index), hemo-dynamics(systolic blood pressure(SBP), diastolic blood pressure(DBP), and resting heart rate), and physical fitness (cardiopulmonary endurance, muscular strength, muscular endurance, balance, and flexibility). Results: Groups showed significant improvement in every measure except resting heart rate. SBP is decreased both taking drug group about 18.4mmHg and without taking drug group about 19.4mmHg.(p<0.001) DBP is decreased both taking drug group about 8.7mmHg and without taking drug group about 9.0 mmHg.(p<0.001) Conclusion: There are no statistical significant differences of SBP and DBP decreasing effects by medication, Since effects of decreasing pressure are not different by medication, I think the health promotion program is effective to uncontrolled hypertension patients to decrease pressure.

키워드

참고문헌

  1. 권정현, 최철순. 12주간의 복합운동프로그램이 고령여성 고혈압환자의 혈압 및 심혈관질환 위험 요소에 미치는 영향. 한국체육과학회지 2008;17(1):589-597.
  2. 권호준. 12주간의 복합운동 프로그램이 노인여성의 혈중지질과 심혈관질환 위험인자에 미치는 영향. 한국여성체육학회지 2009;23(4):1-12.
  3. 김시영, 김효중, 이용수. 복합트레이닝 시 유산소성 운동과 저항성 운동의 순서 차이가 신체구성, 혈중 지질 및 스트레스 호르몬에 미치는 영향. 한국체육학회지 2009;48(2):421-432.
  4. 김종식, 조현철, 강희성. 12주간 걷기운동과 영양교육이 비만청소년의 아디포넥틴 및 염증성 사이토카인의 농도에 미치는 영향. 운동과학 2009;18(3):36-41.
  5. 신호수, 이광식. 항고혈압제 복용 유․무에 따른 12주간 유산소운동이 고혈압 중년 여성의 혈압, 혈관탄성 및 혈중지질에 미치는 영향. 한국체육과학회지 2008;17(4):1109-1117.
  6. 신현호. 지방조직과 고혈압, 동맥경화증. 대한비만학회지 2001; 10:71-73.
  7. 윤은기. 고령화와 사회복지지출: 건강보험과 국민연금 중장기 재정소요분석을 중심으로. 노인복지연구 2007;38:185-208.
  8. 이상영. 만성질환 관리를 위한 지속적 건강관리체계 구축. 보건복지포럼 2004.
  9. 이채산. 12주간 복합운동이 비만중년여성의 신체구성, 혈관탄성도 및 총경동맥 혈류변인에 미치는 영향. 한국체육과학회지 2010;19:861-873.
  10. 임민영, 이광식, 신호수. 10주간 유산소 운동이 항고혈압제를 복용하는 고혈압 중년 여성의 혈압, 혈관탄성 및 심근산소섭취량에 미치는 영향. 한국체육과학회지 2009;18(1): 901-909.
  11. 전상미, 김기식, 김성미. 고혈압환자의 영양교육 효과에 관한연구. 동아시아식생활학회지 2005;15(6):717-727.
  12. 전채린, 강서정. 복합운동과 유산소 운동이 고령여성 고혈압환자의 혈류역학과 신체조성지표에 미치는 영향. 한국체육과학회지 2009;18(3):925-935.
  13. 정서림, 이상호, 허만동. 유산소운동과 유산소, 근력 복합운동이 중년비만 여성의 부위별 체지방 분포에 미치는 영향. 한국사회체육학회지 2009;35:881-888.
  14. 통계청. 장래인구 특별 추계 결과. 2005.
  15. 통계청. 사망원인 통계 연보. 2006.
  16. 홍용. 유산소 운동이 비만자들과 비만고혈압환자들의 심혈관질환 위험인자에 미치는 영향. 한국체육과학회지 2009;18(1):805-817.
  17. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 6th ed. Philadelphia: Lippincott Williams & Wilkins. 2000.
  18. Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bary GA, Vogt TM, Lin PH, Karanja N. Aclinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med 1997;336(16):1117-1124. https://doi.org/10.1056/NEJM199704173361601
  19. Burt VL, Cutler JA, Higgins M, Horan MJ Trends in the prevalence, awareness, treatment, and control of hypertension in the adult population: Data from the Health Examination Surveys. Hypertension 1995;26(1): 60-69. https://doi.org/10.1161/01.HYP.26.1.60
  20. Choi MS, Kim MS. The Effect of Nutritional Education and Exercise Intervention on Reducing Weight of Obese Women. The Korean Journal of Community Living Science 2006;17(4):57-66.
  21. Fagard RH. Physical exercise and coronary artery disease. Acta Cardiol. 2002;57:91-100. https://doi.org/10.2143/AC.57.2.2005379
  22. FitzGerald SJ, Barlow CE, Kampert JB, Morrow JR, Jackson AW, Blair SN. Muscular fitness and all-cause mortality: prospective observations. J Phys Act Health 2004;1:7-18.
  23. Hajjar IM, Grim CE, George V, Kotchen TA, Impact of diet on blood pressure an age-related changes in blood pressure in the US population : analysis of NHANES III. Arch Intern Med 2001;161(4):589-593. https://doi.org/10.1001/archinte.161.4.589
  24. Park HD, Kim EJ, Hwang MO, Paek YM, Choi TI and Park YK Effects of Workplace Nutrition Education Program Tailored for the Individual Chronic Disease Risks. Korean J Nutr. 2010;43(3):246-259. https://doi.org/10.4163/kjn.2010.43.3.246
  25. Hole JW. Human anatomy physiology. Wm. C. Brown Publishers. 1993.
  26. Nelson MR, Sackner-Bernstein J, Caspi O, Brotman DJ, Murthy GD, Majernick TG, Madden N, Phillips B. The JNC 7 Hypertension Guidelines. JAMA, 2003;290(10):1312-1314. https://doi.org/10.1001/jama.290.10.1312-a
  27. Howard DS, Buring JE, Chown MJ, Ridker PM, Gaziano JM. A Prospective Study of Plasma Lipid Levels and Hypertension in Women. Archives of Internal Medicine. Chicago 2005;165(20):2420-2428.
  28. Jurca R, LaMonte MJ, Church TS, Earnest CP, FitzGerald SJ, Barlow CE, Jordan AN, Kampert JB, Blair SN. Associations of muscle strength and aerobic fitness with metabolic syndrome in men. Med Sci Sports Exerc. 2004;36:1301– 1307. https://doi.org/10.1249/01.MSS.0000135780.88930.A9
  29. Kaufman JS, James SA, Rotimi CN, Cooper RS. Determinants of hypertension in west Africa: contribution of anthropometric and dietary factors to urban-rural and socieconomic gradients. Am J Epidemiology 1996;143:1203-1218. https://doi.org/10.1093/oxfordjournals.aje.a008708
  30. Kelley GA, Kelley KS. Progressive resistance exercise and resting blood pressure: a meta-analysis of randomized controlled trials. Hypertension, 2000;35(3): 838-843. https://doi.org/10.1161/01.HYP.35.3.838
  31. Kokkinos PF, Narayan P, Papademetriou V. Exercise as hypertension therapy. Cardiol. Clin. 2001;19(3):507-516. https://doi.org/10.1016/S0733-8651(05)70232-0
  32. Park JA, Yoon JS The relationship of renin activity, hormonal Na, Ca and habitual Na, Ca intake in hypertension. Korean J Nutr 1999;32(6):671-680.
  33. Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA. American College of Sports Medicine, position stand: exercise and hypertension. Med Sci Sports Exerc 2004;36:533-553. https://doi.org/10.1249/01.MSS.0000115224.88514.3A
  34. Stamler J, Caggiula A, Grandits GA, Kjelsberg M, Cutler J. Relationship to blood pressure of combinations of dietary macronutrients. Circulation 1996;94:2417-2423. https://doi.org/10.1161/01.CIR.94.10.2417
  35. Wareham NJ, Wong MY, Hennings S, Mitchell J. Quantifying the association between habitual energy expenditure and blood. Int. J. Epidemiol 2000;29(4):655-660. https://doi.org/10.1093/ije/29.4.655
  36. World Health Organization. Statistical Information System (WHOSIS) 2008.