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Comparison of Physical Activity and Sedentary Life on Health in Obesity Men and Women

신체활동과 좌식생활에 따른 비만남성과 여성의 건강상태의 차이 비교

  • Received : 2016.10.04
  • Accepted : 2016.11.20
  • Published : 2016.11.28

Abstract

The purpose of this study was to investigate effects of physical activity and sedentary life in metabolically healthy obesity(MHO) and metabolically unhealthy obesity(MUO). A total of 1585 middle-aged obesity men and women participated in this study. The subjects were divided to MHO(n=840) and MUO(n=745) by metabolic syndrome markers(National Cholesterol Education Program-Adult Treatment Panel III). We analyzed measurement data using t-test. As results, physical activity and exercise participant between group had not significant difference in men subjects. But, in women subjects, total physical activity volume and muscle strength exercise participant between group had a significant difference. In conclusion, we suggest that physical activity and exercise participant are important factors affecting health status in the same level of obesity women.

본 연구의 목적은 대사적으로 비만한 건강인과 비건강강인의 신체활동과 좌식생활의 행태를 비교분석하는 것이었다. 본 연구의 대상자는 2014년 국민건강영양조사 중 1585명을 대상으로 하였으며, 대사적으로 건강한 비만인(metabolically healthy obesity; MHO)와 대사적으로 비건강한 비만인(metabolically unhealthy obesity; MUO)의 분류는 NCEP-ATP III(National Cholesterol Education Program-Adult Treatment Panel III)의 기준을 근거로 분류하였다. 연구결과, 남자대상자의 경우 MHO와 MUO 간의 신체활동 수준 및 규칙적인 운동 참여 수준은 차이가 없었다. 여자대상자의 경우 MHO와 MUO 간에 총 신체활동량과 근력운동 참여에서 MHO 집단이 더 많은 신체활동량과 근력운동 참여를 하는 것으로 나타났다. 결론적으로 여성의 경우, 신체활동과 운동참여 수준은 동일한 수준의 비만인에서 건강상태에 영향을 주는 하나의 중요한 요인이라 사료된다.

Keywords

References

  1. Gutin, B., Yin Z., Humphries, M. C., Hoffman, W. H., Gower, B., and barbeau, P., "Relations of fatness and fitness to fasting insulin in black and white adolescents", The Journal of Pediatrics, Vol. 145, No. 6, pp. 737-743, 2004. https://doi.org/10.1016/j.jpeds.2004.07.016
  2. DeFronzo, R. A., Ferrannini, E., "Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease", Diabetes Care, Vol. 14, No. 3, pp. 173-194, 1991.
  3. Aviva M., Jenniger S., Eugenie H., "The Diease Burden Associated With Overweight and Obesity", JAMA, Vol. 282, pp. 1523-1529, 1999. https://doi.org/10.1001/jama.282.16.1523
  4. Arakwa, K., "Antihypertensive mechanism of exercise, Journal of Hypertension", Vol. 11, pp. 223-229, 1993. https://doi.org/10.1097/00004872-199303000-00001
  5. Morrison, R.F. and Farme,r S.R., "Hormonal signaling and transcriptional control of adipocyte differentitaion", J. Nutr. Vol. 160, pp. 3116-3121, 2000.
  6. Stefan, N., Kantartzis, K., Machann, J., Schick, F., Thamer, C., Rittig, K., Haring, H. U., "Identification and characterization of metabolically benign obesity in humans, Archives of internal medicine", Vol. 168, No. 15, pp. 1609-1616, 2008. https://doi.org/10.1001/archinte.168.15.1609
  7. Wildman, R. P., Muntner, P., Reynolds, K., McGinn, A. P., Rajpathak, S., Wylie-Rosett, J., Sowers, M. R,, "The obese without cardiometabolic risk factor clustering and the normal weight with cardiometabolic risk factor clustering: prevalence and correlates of 2 phenotypes among the US population (NHANES 1999-2004)", Archives of internal medicine, Vol. 168, No. 15, pp. 1617-1624, 2008. https://doi.org/10.1001/archinte.168.15.1617
  8. Lee, K., "Metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) phenotypes in Koreans: characteristics and health behaviors", Asia Pacific journal of clinical nutrition, Vol. 18, No. 2, pp. 280, 2009.
  9. Hamer, M., Stamatakis, E.,. "Metabolically healthy obesity and risk of all-cause and cardiovascular disease mortality", The Journal of Clinical Endocrinology & Metabolism, Vol. 97, No, 7, pp. 2482-2488, 2012. https://doi.org/10.1210/jc.2011-3475
  10. Ekelund, U., Besson, H., Luan, J. A., May, A. M., Sharp, S. J., Brage, S., Jenab, M., "Physical activity and gain in abdominal adiposity and body weight: prospective cohort study in 288,498 men and women", The American journal of clinical nutrition, Vol. 93, No. 4, pp. 826-835, 2011. https://doi.org/10.3945/ajcn.110.006593
  11. Velho, S., Paccaud, F., Waeber, G., Vollenweider, P., Marques-Vidal, P.,. "Metabolically healthy obesity: different prevalences using different criteria", European Journal of Clinical Nutrition, Vol. 64, No. 10, pp. 1043-1051, 2010. https://doi.org/10.1038/ejcn.2010.114
  12. Camhi, S. M., Waring, M. E., Sisson, S. B., Hayman, L. L., Must, A., "Physical activity and screen time in metabolically healthy obese phenotypes in adolescents and adults". Journal of obesity, 2013.
  13. Wilmot, E. G., Edwardson, C. L., Achana, F. A., Davies, M. J., Gorely, T., Gray, L. J., Biddle, S. J., "Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis", Diabetologia, Vol. 55, pp. 2895-2905, 2012. https://doi.org/10.1007/s00125-012-2677-z
  14. Phillips, C. M., Dillon, C., Harrington, J. M., McCarthy, V. J., Kearney, P. M., Fitzgerald, A. P., Perry, I. J., "Defining metabolically healthy obesity: role of dietary and lifestyle factors", PLoS One, Vol. 8, No. 10, pp. e76188, 2013. https://doi.org/10.1371/journal.pone.0076188
  15. Nesto, R. W,. "Obesity: a major component of the metabolic syndrome", Texas Heart Institute Journal, Vol. 32, No. 3, pp. 387, 2005.
  16. Genelhu, V. A., Celoria, B. M., Duarte, S. F. P., Cabello, P. H., & Francischetti, E. A., "Not all obese subjects of multiethnic origin are at similar risk for developing hypertension and type 2 diabetes", European journal of internal medicine, Vol. 20, No. 3, pp. 289-295, 2009. https://doi.org/10.1016/j.ejim.2008.09.009
  17. Hankinson, A. L., Daviglus, M. L., Horn, L. V., Chan, Q., Brown, I., Holmes, E., ... & Stamler, J., "Diet composition and activity level of at risk and metabolically healthy obese American adults", Obesity, Vol. 21, No. 3, pp. 637-643, 2013. https://doi.org/10.1002/oby.20257
  18. Churilla JR, Fitzhugh E.C. "Total physical activity volume, physical activity intensity, and metabolic syndrome: 1999-2004 National Health and Nutrition Examination Survey", Metab Syndr Relat Disord. Vol. 10, pp. 70-76, 2012. https://doi.org/10.1089/met.2011.0057
  19. Camhi, S. M., Crouter, S. E., Hayman, L. L., Must, A., & Lichtenstein, A. H., "Lifestyle Behaviors in Metabolically Healthy and Unhealthy Overweight and Obese Women: A Preliminary Study", PloS one, Vol. 10, No. 9, pp. e0138548, 2015. https://doi.org/10.1371/journal.pone.0138548
  20. Prince SA, Adamo KB, Hamel ME, Hardt J, Gorber SC, Tremblay M. A., "Comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review", International Journal of Behavioral Nutrition and Physical Activity. Vol. 5, No. 1, pp. 56, 2008. https://doi.org/10.1186/1479-5868-5-56
  21. Jae-Chul Byun, "The Converge Effects of Long-term Weight-bearing Exercise on Lumbar, Femur Neck BMD and Body Compositions in Person with Intellectual Disabilities and Normal Men", Journal of the Korea Convergence Society, Vol. 7 No. 2, pp. 101-107, 2016. https://doi.org/10.15207/JKCS.2016.7.2.101
  22. Young-Sook Kwon, "Necessity of the Development of a Web-based Obesity Management Program to Prevent Metabolic Syndrome of the Workers", Journal of the Korea Convergence Society, Vol. 5, No. 4, pp. 121-127, 2014. https://doi.org/10.15207/JKCS.2014.5.4.121