DOI QR코드

DOI QR Code

Effects of Line Dance Exercise on HOMA-IR and Energy Metabolic Factors in Postmenopausal Obese Women

라인댄스 운동이 폐경 후 비만여성의 인슐린저항성지수와 에너지대사조절인자에 미치는 영향

  • 이정아 (경성대학교 체육학과) ;
  • 김도연 (청주대학교 스포츠의학과)
  • Received : 2012.07.26
  • Accepted : 2012.10.11
  • Published : 2012.10.31

Abstract

The purpose of this study was to analyze the effects of line dance exercise on HOMA-IR and energy metabolic factors in postmenopausal obese women. The subjects were 24 obese women composed of the line dance group(n=12) trained for 12-week and the control group(n=12). The variables of body composition, HOMA-IR and energy metabolic factors were measured in all the subjects before and after the 12-week line dance exercise. The results of the study in the line dance group were as follows; The body weight, %fat, BMI, WHR and VFA had significantly decreased, but LBM had increased. The ghrelin, HDL-C had significantly increased, but leptin, insulin, glucose, HOMA-IR, TC, TG, LDL-C, SBP and DBP had decreased. And ghrelin, leptin, insulin, and glucose were the energy metabolic factors affecting the HOMA-IR in the line dance group. Therefore, regular and continuous line dance exercise will be effective for preventing the life-style diseases with improvement of the energy metabolic factors and insulin resistance by decreasing the body fat.

본 연구는 체지방률이 30% 이상인 폐경 후 비만여성 24명을 대상으로 라인댄스운동이 인슐린저항성지수와 에너지대사조절인자에 미치는 영향을 구명하기 위하여 라인댄스운동을 12주간 실시한 후 운동전과 후의 체조성 및 에너지대사조절인자를 측정하여 비교분석하였다. 본 연구의 결과 운동 후에 라인댄스집단에서 체중, 체지방률, 체질량지수, 허리엉덩이둘레비 및 내장지방면적이 유의하게 감소하였고, 제지방량은 증가하였다. 그렐린 및 고밀도지단백 콜레스테롤(HDL-C)은 유의하게 증가하였고, 렙틴, 인슐린, 글루코스, 인슐린저항성지수(HOMA-IR), 총콜레스테롤(TC), 중성지방(TG), 저밀도지단백 콜레스테롤(LDL-C), 수축기혈압(SBP) 및 이완기혈압(DBP)은 유의하게 감소하였으며, 라인댄스집단의 HOMA-IR에 영향을 미치는 에너지대사조절인자의 회귀분석결과에서 주요요인으로 그렐린, 렙틴, 인슐린 및 글루코스로 나타났다. 이상의 결과에서 지속적이고 규칙적인 라인댄스운동이 폐경 후 비만여성의 체지방 감량으로 인한 에너지대사조절인자의 균형적인 대사를 가져오며 이를 통해 인슐린저항성을 개선시켜 폐경 후 나타날 수 있는 여러 가지 생활습관병을 예방하고 개선하는 데 효과가 있을 것으로 사료된다.

Keywords

References

  1. Ravussin, E., and B. A. Swinburn. Pathophysiology of obesity. Lancet, 340(8816), pp. 404-408, 1992. https://doi.org/10.1016/0140-6736(92)91480-V
  2. Prins, J. B. Adipose tissue as an endocrine organ. Best Pract Res. Clin. Endocrinol. Metab. 16, pp. 639-51, 2002. https://doi.org/10.1053/beem.2002.0222
  3. Zigman, J. M., and J. K. Elmquist. Minireview: From anorexia to obesity-the yin and yang of body weight control. Endocrinology, 144(9), pp. 3749-3756, 2003. https://doi.org/10.1210/en.2003-0241
  4. Jequier, E., and L. Tappy. Regulation of body weight in humans. Physiological Reviews, 79(2), pp. 451-480, 1999. https://doi.org/10.1152/physrev.1999.79.2.451
  5. Kojima, M., H. Hosoda, Y. Data, M. Nakazato, H. Matsuo, and K. Kangawa. Ghrelin is a growthhormone-releasing acylated peptide from stomach. Nature, 402(6762), pp. 656-660, 1999. https://doi.org/10.1038/45230
  6. Cummings, D. E., J. Q. Purnell, R. S. Frayo, K. Schmidova, B. E. Wisse, and D. S. Weigle. A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes. 50(8), pp. 1714-1719, 2001. https://doi.org/10.2337/diabetes.50.8.1714
  7. Webber, J. Energy balance in obesity. Proc. Nutr. Soc. 62(2), pp. 539-543, 2003. https://doi.org/10.1079/PNS2003256
  8. Speakman, J. R., R. J. Stubbs, and J. G. Mercer. Does body mass play a role in the regulation of food intake? Proc. Nutr. Soc. 61(4), pp. 473-487, 2002. https://doi.org/10.1079/PNS2002194
  9. Meier, U., and A. M. Gressner. Endocrine regulation of energy metabolism: review of pathobiochemical and clinical chemical aspects of leptin, ghrelin, adiponectin, and resistin. Clinical Chemistry, 50(9), pp. 1511-1525, 2004. https://doi.org/10.1373/clinchem.2004.032482
  10. Ludvik, B., J. J. Nolan, J. Baloga, D. Sacks, and J. Olefsky. Effect of obesity on insulin resistance in normal subjects and patients with NIDDM. Diabetes, 44(9), pp. 1121-1125, 1995. https://doi.org/10.2337/diabetes.44.9.1121
  11. Kim, Y.H., C. W. Lee, Y. J. Jeon, M. J. Yong, and J. Y. Kim. Line Dance. Daehanmedia, Seoul, Korea. 2008.
  12. Seoul Broadcasting System. SBS 9' News reports. 2010.3.8.
  13. Kuczmarski, R. J., K. M. Flegal, S. M. Campbell, and C. L. Johnson. Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. JAMA 20, pp. 205-11, 1994.
  14. Poehlman, E. T., M .J. Toth, and A. W. Gardner. Changes in energy balance and body composition at menopause: a controlled longitudinal study. Ann. Intern. Med. 123, pp. 673-5, 1995. https://doi.org/10.7326/0003-4819-123-9-199511010-00005
  15. Bjöorkelund, C., L. Lissner, S. Andersson, L. Lapidus, and C. Bengtsson. Reproductive history in relation to relative weight and fat distribution. Int.J. Obes. Related Metab. Disord. 20, pp. 213-9, 1996.
  16. Korea Institute of Health and Society. 2001 National health and nutrition survey. Seoul, Ministry of Health and Welfare. 2003.
  17. Matthews, D. R., J. P. Hosker, A. S. Rudenski, B. A. Naylor, D. F. Treacher, and R. C. Turner. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia, 28(7), pp. 412-419, 1985. https://doi.org/10.1007/BF00280883
  18. ACSM. ACSM's Guidelines for exercise testing and prescription. 3rd Ed. Baltimore, MA:Williams& Wilkins. 1998.
  19. Shimokata, H., R. Andres, P. J. Coon, D. Elahi, D. C. Muller, and J. D. Tobin. Studies in the distribution of body fat. II. Longitudinal effects of change in weight. Intern. J. Obes. 13(4), pp. 455-464, 1989.
  20. Shimomura, I., K. Tokunaga, K. Kotani, M. Keno, F. Yanase, J. S. Kanosuek, T. Funahashi, T. Kobatake, T. Yamamoto, and Y. Matsuzawa. Marked reduction of acyl-CoA synthetase activity and mRNA in intra-abdominal visceral fat by physical exercise. Am.J. Physiol. 265, pp. E44-50, 1993.
  21. Despres, J. P., M. C. Pouliot, S. Moorjani, A. Nadeau, A. Tremblay, P. J. Lupien, G. Theriault, and C. Bouchard. Loss of abdominal fat and metabolic response to exercise training in obese women. Am. J. Physiol. 261, pp. E159-167, 1991.
  22. Foster-Schubert, K. E., A. McTiernan, R. S. Frayo, SR. S. Chwartz, K. B. Rajan, Y. Yasui, S. S. Tworoger, and D. E. Cummings. Human plasma ghrelin levels increase during a one-year exercise program. J. Clin. Endocrinol. Metab. 90(2), pp. 820-825, 2005. https://doi.org/10.1210/jc.2004-2081
  23. Kang, H. Y., S. L. Jeong, and H. L. Jeong, The effect of 12week walking exercise on blood pressure of postmenopausal women. The Korean J. Phys. Edu. 43(2), pp. 435-442, 2004.
  24. Lim, C. K. The combined effects of elastic band exercise and line dance on health-related fitness. estrogen.bone metabolism indicators.immune functions in menopause women. Ph.D. Dissertation, Busan National University. Busan, Korea. 2010.
  25. Kim ,J. Y., H. W. Shin, I. K. Jeong, S. J. Lee, C. Y. Park, K. W. Oh, E. G. Hong, H. K. Kim, and D. M. Kim. The relationship of adiponectin, leptin and ghrelin to insulin resistance and cardiovascular risk factors in human obesity. The Korean J. Obes. 23, pp. 197-198, 2005.
  26. Tschop, M., C. Weyer, P. A. Tataranni, V. Devanarayan, E. Ravussin, and M. L. Heiman. Circulating ghrelin levels are decreased in human obesity. Diabetes, 50(4), pp. 707-709, 2001. https://doi.org/10.2337/diabetes.50.4.707
  27. Gokcel, A., Y. Gumurdulu, F. Kayaselcuk, E. Serin, B. Ozer, A. K. Ozsahin, and N. Guvener. Helicobacter pylori has no effect on plasma ghrelin levels. Eur. J. Endocrinol. 148(4), pp. 423-426, 2003. https://doi.org/10.1530/eje.0.1480423
  28. Choi, K. M., J. Lee, K. W. Lee, J. A. Seo, J. H. Oh, S. G. Kim, N. H. Kim, D.S. Choi, and S. H. Baik. The associations between plasma adiponectin, ghrelin levels and cardiovascular risk factors. Eur. J. Endocrinol. 150(5), pp. 715-718, 2004. https://doi.org/10.1530/eje.0.1500715
  29. Kim, D., S. Nam, C. Ahn, K. Kim, S. Yoon, J. Kim. B. Cha, S. Lim, K. Kim, H. Lee, and K. Huh. Correlation between midthigh low-density muscle and insulin resistance in obese nondiabetic patients in Korea. Diabetes Care, 26(6), pp. 1825-1830, 2003. https://doi.org/10.2337/diacare.26.6.1825
  30. Hong, S. C., J. Y. Lee, and J. W. Yeom. The Effect of long term swimming training on body composition and leptin hormone in obese middle-aged women. The Korean J. Exer. Nutri. 6(2), pp. 157-161, 2002.
  31. Shin, C. H. The effects of different weight loss program on metabolism regulatory hormone and body composition. The Korean J. Phys. Edu. 41(4), pp. 421-433, 2002.
  32. Daly, P. A., and L. Landsberg. Hypertension in obesity and NIDDM. Role of insulin and sympathetic nervous system. Diabetes Care, 14(3), pp. 240-248, 1991. https://doi.org/10.2337/diacare.14.3.240
  33. Vague, J. The exact location of diabetogenic and atherogenic fat. Anales de la Real Academia Nacional de Medicina, Spec, pp. 43-51, 1990.
  34. Fletcher, G. F., V. F. Froelicher, L. H. Hartley, W. L. Haskell, and M. L. Pollock. Exercise standards. A statement for health professionals from the American Heart Association. Circulation, 82(6), pp. 2286-2322, 1990. https://doi.org/10.1161/01.CIR.82.6.2286
  35. Evans, W. J. Vitamin E, Vitamin C, and exercise. Am. J. Clin. Nutri. 72(2), pp. 647s-652s, 2000. https://doi.org/10.1093/ajcn/72.2.647S
  36. Broglio, F., E. Arvat, A. Benso, C. Gottero, G. Muccioli, M. Papotti, A. J. Lely, R. Deghenghi, and E. Ghigo. Ghrelin, a natural GH secretagogue produced by the stomach, induces hyperglycemia and reduces insulin secretion in humans. J. Clini. Endocrinol. Metab. 86(10), pp. 5083-5086, 2001. https://doi.org/10.1210/jc.86.10.5083
  37. Poykko, S. M., E. Kellokoski, S. Horkko, H. Kauma, Y. A. Kesaniemi, and O. Ukkola. Low plasma ghrelin is associated with insulin resistance, hypertension, and the prevalence of type 2 diabetes. Diabetes, 52(10), pp. 2546-2553, 2003. https://doi.org/10.2337/diabetes.52.10.2546
  38. Yang, J. W., J. I. Park, S. Y. Kim, J. C. Kim, K. J. Kim, and D. Y. Lee. Plasma ghrelin levels in obese adults: The relationship to obesity indices. The Korean J. Obes. 14(1), pp. 47-54, 2005.