디지털융복합연구 (Journal of Digital Convergence)

  • 제16권2호
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  • Pages.375-383
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  • 2018
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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12주간 복합트레이닝이 비만과 골다공증 지적장애인의 신체조성, 건강체력, 골밀도에 미치는 영향-사례연구

The Effect of 12 Weeks of Combined Training on Body Composition, Health-Related Physical Fitness, and Bone Mineral Density of Obese and Osteoporotic Intellectual Disabilities-Case study

  • 한동기 (백석대학교 사범학부 특수체육학과) ;
  • 양한나 (백석대학교 사범학부 특수체육학과) ;
  • 서진희 (백석대학교 사범학부 특수체육학과)
  • Han, Dong-Ki (Dept. of Adaptive Physical Education, Baek Seok University) ;
  • Yang, Han-Nah (Dept. of Adaptive Physical Education, Baek Seok University) ;
  • Seo, Jin-Hee (Dept. of Adaptive Physical Education, Baek Seok University)
  • 투고 : 2017.10.20
  • 심사 : 2018.02.20
  • 발행 : 2018.02.28
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초록

본 연구는 유산소와 저항성 운동이 접목된 복합트레이닝을 비만과 골다공증 진단을 받은 지적장애인 성인에게 12주간 적용한 후 운동의 효과를 알아보기 위해 신체구성검사, 건강관련체력 그리고 골다공증의 변화를 검증하였다. 연구대상들의 운동은 12주간 주2회 유산소운동과 근력 운동을 구성된 복합트레이닝 프로그램을 실시하였다. 유산소운동은 저강도에서 시작하여 점증부하원리를 적용하였고, 저항성 운동은 15회를 반복할 수 있는 강도로 설정하였다. 신체조성과 골밀도는 운동전, 6주, 12주 세 차례 측정하였고, 건강체력평가는 운동전과 운동 후 측정하였다. 체중, 체지방은 운동전에 비해 운동 후 감소하였고, 골밀도는 운동전에 비해 운동 후 증가하였다. 체력요인으로 근력과 근지구력, 유연성이 운동전에 비해 운동 후 개선되었다. 본 연구결과로 12주의 복합트레이닝은 하지근력을 증가시켜 걷기, 달리기 등의 기능을 향상시키고, 건강체력의 향상과 골밀도의 증가를 일으키는 운동임을 확인하였다.

The purpose of this study was to investigate the effect of exercise training on health-related physical fitness and osteoporosis after 12 weeks of combined training for adults with intellectual disabilities diagnosed with obesity and osteoporosis. The subjects conducted a combined training program consisting of aerobic exercise and strength training twice a week for 12 weeks. Body composition and bone mineral density were measured before exercise, 6, 12 weeks, and health-related physical fitness was measured before and after exercise. Body weight and body fat decreased after exercise and bone density increased after exercise compared to before exercise. Muscle strength, muscle endurance and flexibility were improved after exercise compared to before exercise. It was confirmed that the 12 week compound training increased the leg strength and improved the functions such as walking and running, and increased the health-related fitness and increased bone mineral density.

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참고문헌

  1. World Health Organization. (2000). The Asia-Pacific perspective: Redefining obesity and its treatment. IOTF. Feb. Retrieved from.. http://www.wpro.who.int/entity/nutrition/documents/docs/Redefiningobesity.
  2. Leone, N., Courbon. D., Berr, C., Barberger-Gateau, P., Tzourio, C., Alperovitch, A., & Zureik, M. (2012). Abdominal obesity and late-onset asthma: cross-sectional and longitudinal results: the 3C Study. Obesity (Silver Spring) 20(3), 628-635. DOI : 10.1038/oby.2011.308.
  3. Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: a crisis in public health, Obesity reviews, 5(1), 4-104. DOI : 10.1111/j.1467-789X.2004.00133.x
  4. Mercer, K. C. & Ekvall, S. W. (1992). Comparing the diets of adults with mental retardation who live in intermediate care facilities and in group homes, Journal of American Diet Association, 92(3), 356-358.
  5. C. S. Min. (2003). The study on characteristic of mental retardation definition in historical change process, Journal of Mental Retardation, 5, 173-187.
  6. K. Y. Park. (2003). Pulmonary respiration function and bone density of mentally handicapped students people with obesity and with no obesity, Journal of Adapted Physical Activity & Exercise, 11(2), 119-131.
  7. B. I. Min & D. C. Kim. (2009). The effect of aerobic exercise on cardiovascular risk factors in mental retarded obese women, Journal of Adapted Physical Activity, 17(2), 47-62. https://doi.org/10.17006/kjapa.2009.17.2.47
  8. American Dietetic Association. (2004). Position of the american dietetic association: Providing nutrition services for infants, children, and adults with developmental disabilities and special health care needs, Journal of the American Dietetic Association, 104(1), 97-107. DOI : 10.1016/j.jada.2003.11.002
  9. Michael, L. W., Ivan, B., Maire, P., Karrie, A, S. & Wai, L, A, F. (2007). A comprehensive guide to intellectual and developmental disabilities. Second Edition, Baltimore, London. Sydney : Paul H. Brookes Publishing Co. 607-615.
  10. Fernhall, B., Pitetti, K. H., Rimmer, J. H., McGubbin, J. W., Rintala, P., Millar, A. L, Kittredge, J., & Burkett, L. N. (1993). Cardiorespiratory capacity of individuals with mental retardation including Down syndrome, Medicine and Science in Sports and Exercise, 28(3), 366-371. https://doi.org/10.1097/00005768-199603000-00012
  11. Jobling, A. M. A. & Mon-Williams, M. (2000). Motor development in Down syndrome: A longitudinal perspective. In D. J. Weeks, R. Chua and D. Elliott (Ed.), Perceptual-Motor Behavior in Down Syndrome (pp. 225-248) Champaign, IL: Human Kinetics.
  12. Sherrill, W. W. (2004). MD/MBA Students: An Analysis of Medical Student Career Choice, Medical Education Online, 9(1), 4353. DOI : 10.3402/meo.v9i.4353.
  13. Draheim, C. C., Wiliams, D. P., & McCubbin, J. A. (2002). Prevalence of physical inactivity and recommended physical activity in community based adults with mental retardation, Mental Retardation. 40(6), 436-444. DOI : 10.1352/0047-6765(2002)040<0436:POPIAR >2.0.CO;2
  14. R. Y. Song., E. O. Lee., & I. O. Lee. (2002). Pre-post comparisons on physical symptoms, balance, muscle strength, physical functioning and depression in women with osteoarthritis after 12 weeks Tai-Chi exercise, Journal of Muscle and Joint Health, 9(1), 28-39.
  15. H. M. Kim. (2015). The effect of psychomotor by the emotional behavior disorder(ADHD) children on the improvement of Self-esteem, Depression or Hyperactivity in terms of convergence. Journal of Digital Convergence. 13(11), 571-578. DOI : 10.14400/JDC.2015.13.11.571
  16. Pollock, N. K., Bernard, P. J., Gutin, B., Davis, C. L., Zhu, H., & Dong, Y. (2011). Adolescent obesity, bone mass, and cardiometabolic risk factors, Journal of Pediatrics, 158(5), 727-734. DOI : 10.1016/j.jpeds.2010.11.052
  17. NIH Consensus Development Panel on Osteoporosis Prevention Diagnosis and Therapy. (2001). Osteoporosis prevention, diagnosis, and therapy, Journal of American Medical Association, 285(6), 785-795 DOI : 10.1001/jama.285.6.785
  18. N. H. Yeo., & I. B. Park. (2004). Development of remodeling exercise prescription program for treatment of obesity and osteoporosis in older women, Exercise Science, 13(3), 351-366.
  19. Ormsbee, M. J., Prado, C. M., Ilich, J. Z., Purcel, S., Siervo, M., Folsom, A., & Panton, L. (2014). Osteosarcopenic obesity: the role of bone, muscle and fat in health, Journal of Cachexia, Sarcopenia and Muscle, 5(3), 183-192. DOI : 10.1007/s13539-014-0146-x.
  20. Binkley, N., & Buehring, B. (2009). Beyond FRAX: It's time to consider "sarco-osteopenia", Journal of Clinical Densitometry, 12(4), 413-416. DOI : 10.1016/j.jocd.2009.06.004
  21. Ilich, J. Z., Kelly, O. J., Inglis, J. I., Panton, L. B., Duque, G., & Ormsbee, M. J. (2014). Interrelationship among muscle, fat, and bone: connecting the dots on cellular, hormonal, and whole body levels, Ageing Research Reviews, 15, 51-60. DOI : 10.1016/j.arr.2014.02.007
  22. Vainionpaa, A., Korpelainen, R., Vihriala, E., Rinta-Paavola, A., Leppaluoto, J., & Jamsa, T. (2006). Intensity of exercise is associated with bone density change in premenopausal women, Osteoporosis International, 17(3), 455-463. DOI : 10.1007/s00198-005-0005-x
  23. Templeton, D. L., Kelly, A. S., Steinberger, J., & Dengel D. R. (2010). Lower relative bone mineral content in obese adolescents: role of non-weight bearing exercise, Pediatric Exercise Science, 22(4), 557-568. https://doi.org/10.1123/pes.22.4.557
  24. H. Y. Jang., & S. G. Choi. (2016). The effect of exercise intensity in complex training on leptin, growth hormone, IGF-1, body composition in middle school with intellectual disability through convergence. Journal of Digital Convergence. 14(10), 483-497. DOI : 10.14400/JDC.2016.14.10.483
  25. Tolomio, S., Ermolao, A., Lalli, A., & Zaccaria, M. (2010). The effect of a multicomponent dual-modality exercise program targeting osteoporosis on bone health status and physical function capacity of postmenopausal women, Journal of Women Aging, 22(4), 241-254. DOI : 10.1080/08952841.2010.518866
  26. S. O. Lim. (2015). A Study on the Improvement of Personal Assistance Service for the Disabled in Korea: Focusing on the Grade Evaluation System, Social Welfare Policy, 42(4), 181-202. https://doi.org/10.15855/swp.2015.42.4.181
  27. Robinson, M. L., Winters-Stone, K., Gabel, K., & Dolny, D. (2007). Modifiable lifestyle factors affecting bone health using calcaneus quantitative ultrasound in adolescent girls, Osteoporosis International. 18(8), 1101-1107. DOI : 10.1007/s00198-007-0359-3
  28. Arlot, M. E., Sornay-Rendu, E., Garnero, P., Vey-Marty, B., & Delmas, P. D. (1997). Apparent pre-and postmenopausal bone loss evaluated by DXA at different skeletal sites in woman: the OFELY cohort, Journal of Bone and Mineral Research, 12(4), 683-690. DOI: 10.1359/jbmr.1997.12.4.683
  29. I. C. Jeung., et al. (2007). Comparision and standardization of dual energy X-ray densitometry systems, Journal of Korean Socal Menopause, 13(3), 192-199.
  30. M. J. Lim., & B. J. Joeung. (2010). Norm-standard of health-related physical fitness test for students with intellectual disability, Korean Journal of Adapted Physical Activity, 18(4), 31-41. https://doi.org/10.17006/kjapa.2010.18.4.31
  31. Y. S. Kang. (2013). Study on physical activity level, health-related fitness, body composition, blood pressure, and blood glucose in adults with intellectual disability, Korean Journal of Adapted Physical Activity, 21(4), 13-26. https://doi.org/10.17006/kjapa.2013.21.4.13
  32. Y. S. Kang., & D. K. Han. (2010). Comparison of school time physical activity levels in students with and without intellectual disability, Korean Journal of Adapted Physical Activity, 18(4), 79-90.
  33. Y. C. Lee. (2014). The effects of dance and APE program on health-related physical fitness of students with intellectual disability, Journal of Korean Physical Education Association for Girls and Women, 28(2), 105-112.
  34. Ilich-Ernst, J., Brownbill, R. A., Ludemann, M. A., & Fu, R. (2002). Critical factors for bone health in women across the age span: how important is muscle mass?, Medscape women's health, 7(3), 2.
  35. Rosen, C. J., & Bouxsein, M. L. (2006). Mechanisms of disease: is osteoporosis the obesity of bone?, Nature Clinical Practice Rheumatology, 2(1), pp.35-43. DOI : 10.1038/ncprheum0070
  36. Kim, S., Jung, J., Jung, J. H., Kim, S. K., Kim, R. B., & Hahm, J. R. (2015). Risk factors of bone mass loss at the lumbar spine: a longitudinal study in healthy Korean pre-and perimenopausal women older than 40 years, PLoS One, 10(8), e0136283. DOI : 10.1371/journal.pone.0136283
  37. Lanyon, L. E. (1992). Control of bone architecture by functional load bearing, Journal of Bone and Mineral Research, 7(2), S369-S375. DOI : 10.1002/jbmr.5650071403
  38. Byeon, J. K., Jeong, S. J., Byeong, J. M., & Park, S. H. (2010). Effects of 12 weeks the combined exercise program on the bone mineral density and isokinetic function of knee joint in the elderly women, The Korean Journal of Physical Education, 49(2), 431-444.
  39. Snow, C. M., Shaw, J. M., Winter, K. M., & Witzke, K. A. (2000). Long-term exercise using weighted vests prevents hip bone loss in post-menopausal women, The journals of gerontology. Series A, Biological sciences and medical sciences., 55(9), M489-491. https://doi.org/10.1093/gerona/55.9.M489
  40. Vincent, K. R., & Braith, R. W. (2002). Resistance exercise and bone turnover in elderly men and women, Medicine and Science in Sports and Exercise, 34(1), 17-23. https://doi.org/10.1097/00005768-200201000-00004
  41. Jeon K. T., & Han, M. K. (2011). Development of assessment standards for health-related physical fitness in persons with intellectual disability, Journal of Intellectual Disabilities. 13(4), 271-286.
  42. Lahtinen, U., Rintala, P., & Malin, A. (2007). Physical performance of individuls with intellectual disability: A 30-year follow-up, Adapted Physical Activity Quarterly, 24(2), 125-143. https://doi.org/10.1123/apaq.24.2.125
  43. Park, M. S., Kim, M. W., Jeong, J. H., & Cha, N. H. (2017). Effects of a Physical Activity Program on Physical Fitness of Intellectually Disabled Persons, Journal of Korean Academy Community Health Nursing, 28(1), 88-97. DOI : 10.12799/jkachn.2017.28.1.88