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The Effects of Diet Methods on Blood Lipid Profiles and Metabolic Risk Factors in Obese Female College Students

다이어트 방법이 비만여대생들의 혈중지질성분 및 대사성위험요인에 미치는 영향

  • Woo, Jinhee (Department of Physical Education Dong-A University) ;
  • Park, Sungchul (Department of Rehabilitation Exercise & Health, Busan Institute of Science and Technology)
  • 우진희 (동아대학교 체육학과) ;
  • 박성철 (부산과학기술대학교 재활운동건강과)
  • Received : 2018.11.09
  • Accepted : 2018.12.21
  • Published : 2018.12.31

Abstract

The purpose of this study was to investigate the effect of dietary restriction(DG), aerobic exercise(EG), dietary restriction with aerobic exercise(DEG) on weight, improvement of obesity, blood lipid profiles and metabolic risk factors of obese female college students. Experiments was conducted 5 times a week for 8 weeks. DG spent 300kcal/day, and EG used 300kcal/day to run, DEG each consumed 150kcal/day limits. As s result, in case of body composition, weight(p<.011) and BMI(p<.008) were decreased in DG group, and weight(p<.044, p<.017), body fat(p<.047, p<.018), BMI(p<.03, p<.008), body fat%(p<.036, p<.015) and WHR(p<.049, p<.027) were decreased in EG and DEG groups. In case of blood lipid profiles's change, there are some differences on TC(p<.006), TG(p<.047) according to the time. In DG:HDL-C(p<.028), in EG:TG(p<.038), in DEG:TC(p<.014), LDL-C(p<.007) have decreased. In case of metabolic risk factor's change, there are some differences on FBG(p<.001), insulin(p<.004), HOMA-IR(p<.001), leptin(p<.000), adiponectin(p<.038), resistin(p<.010) according to time. In DG:HOMA-IR(p<.035) and leptin(p<.007), EG:FBG(p<.043) and leptin(p<.003), DEG:FBG(p<.014), insulin(p<.005), HOMA-IR(p<.005), leptin(p<.016), and resistin(p<.040) have decreased. In conclusion, combined treatment of eating restriction with aerobic exercise was the most effective way to improvement of weight, blood lipid profiles and metabolic risk factors in obese female college students rather than respectively alone treatment.

본 연구는 비만여대생을 대상으로 섭식제한(DG), 유산소운동(EG), 섭식제한과 유산소운동(DEG) 그룹으로 나누어 체중, 비만의 개선, 혈중지질성분 및 대사성위험요인에 미치는 영향을 분석하였다. 실험은 8주간 주 5회 실시하였으며, DG는 1일 에너지 섭취열량을 300kcal를 제한하였고, EG는 런닝머신을 이용하여 300kcal를 소비시켰으며, DEG는 각각 150kcal를 제한과 소비시켰다. 결과, 신체조성의 경우 DG에서는 체중(p<.011), BMI(p<.008)가 감소하였고, EG와 DEG에서는 체중(p<.044, p<.017), 체지방량(p<.047, p<.018), BMI(p<.03, p<.008), 체지방률(p<.036, p<.015), WHR(p<.049, p<.027)이 유의하게 감소하였다. 혈중지질성분은 DG에서 HDL-C(p<.028), EG에서 TG(p<.038), DEG에서는 TC(p<.014), LDL-C(p<.007)에서 유의하게 감소하였다. 대사성위험요인은 DG에서 HOMA-IR(p<.035), leptin(p<.007), EG에서 FBG(p<.043), leptin(p<.003), DEG에서 FBG(p<.014), insulin(p<.005), HOMA-IR(p<.005), leptin(p<.016), resistin(p<.040)에서 유의한 차이가 나타났다. 따라서 본 연구의 결과로부터 비만여대생들이 섭식제한, 유산소운동의 단독처치보다 섭식제한과 유산소운동을 병행하는 것이 신체조성, 혈중지질성분, 대사성위험요인의 개선에 가장 효과가 있을 것으로 판단된다.

Keywords

Table 1. Physical characteristics of subjects

HGOHBI_2018_v35n4_1145_t0001.png 이미지

Table 2. Change of body composition

HGOHBI_2018_v35n4_1145_t0002.png 이미지

Table 3. Change of blood lipid profiles

HGOHBI_2018_v35n4_1145_t0003.png 이미지

Table 4. Change of metabolic risk factors

HGOHBI_2018_v35n4_1145_t0004.png 이미지

References

  1. K. S. Lee, I. C. Hwang, S. S. Kim and K. K. Kim, "Original Articles : Perception of Obesity and Its Related Factors", The Korean journal of obesity, Vol.18, No.3 pp. 116-122, (2009).
  2. H. J. Jung and J. S. Lee, "A Study on the Eating Attitude, Depression and Anxiety of Female College Students", Keimyung University Student Life Studies, Vol.27, pp. 37-45, (2011).
  3. Z. John, K. H. O. Pronyuk, O. V. Kuliesh and C. Shi, "Adiponectin, Resistin and Leptin:Possible Markers of Metabolic Syndrome", Endocrinol Metab Syndr, Vol.4, No.4 pp. 212-216, (2015).
  4. S. K. Jacobi, N. K. Gabler, K. M. Ajuwon, J. E. Davis and M. E. Spurlock, "Adipocytes, Myofibers, and Cytokine Biology: New Horizons in the Regulation of Growth and Body Composition", J Anim Sci, Vol.13, pp. 140-149, (2006).
  5. B. Zahorska-Markiewicz, "Metabolic effects Associated with Adipose Tissue Distribution", Adv Med Sci, Vol.51, pp. 111-114, (2006).
  6. R. Kumar, S. Prakash, S. Chhabra, V. Singla, K. Madan, S. D. Gupta, S. K. Panda, S. Khanal and S. K. Acharya, "Association of Pro-inflammatory Cytokines, Adipokines & Oxidative Stress with Insulin Resistance & Non-alcoholic Fatty Liver Disease", Indian J Med Res, Vol.136, No.2 pp. 229-236, (2012).
  7. R. S. Ahima, D. Prabakaran, C. Mantzoros, D. Qu, B. Lowell, E. Maratos-Flier and J. S. Flier, "Role of Leptin in the Neuroendocrine Response to Fasting", Nature, Vol.18, pp. 250-252, (1996).
  8. J. F. Davis, M. Loos, A. R. Sebastiano, J. L Brown, M. N. Lehman and L. M. Coolen, "Lesions of the Medial Prefrontal Cortex cause Maladaptive Sexual behavior in Male Rats", Biol Psychiatry, Vol.67, No.12 pp. 1199-1204, (2010). https://doi.org/10.1016/j.biopsych.2009.12.029
  9. A. Weltman, C. Pritzlaff, L. Wideman, R. V. Considene, D. Friburg, M. Gutgesell, M. Hartman and J. D. Veldhuis, "Intensity of Acute Exercise does not after Serum Leptin Concentrations in Young Man", Med Sci Sports Exerc, Vol.32, No.9 pp. 1556-1561, (2000).
  10. D. A. Essig, N. A. Alderson, M. A. Ferguson, W. P. Bartoli and J. L. Durstine, "Delayed effects of Exercise on Plasma Leptin Concentration", Metabolism, Vol.49, No.3 pp. 395-399, (2000). https://doi.org/10.1016/S0026-0495(00)90396-2
  11. J. J. Diez and P. Iglesias, "The Role of the Novel Adipocyte-derived Hormone Adiponectin in Human Disease", Eur J Endocrinol, Vol.148, No.3 pp. 293-300, (2003). https://doi.org/10.1530/eje.0.1480293
  12. M. Ding, E. Rzucidlo and J. Davey, "Adiponectin in the Heart and Vascular System",. Vitam Horm, Vol.90, pp. 289-319, (2012).
  13. S. H. Han, M. Quon and J. A. Kim, "Adiponectin and Cardiovascular Disease:Response to Therapeutic Interventions", J Am Coll Cardiol, Vol.49, No.5 pp. 531-538, (2007). https://doi.org/10.1016/j.jacc.2006.08.061
  14. J. Frystyk, C. Berne, L. Berglund, K. Jensevik, A. Flyvibierg and B. Zethelius, "Serum Adiponectin is a Predictor of Coronary Heart Disease:a Population-based 10year Follow-up Study in Elderly Men", J Clin Endocrinol Metab, Vol.92, No.2 pp. 571-576, (2006). https://doi.org/10.1210/jc.2006-1067
  15. J. M. Fernandez, A. Lopez, R. Casamitjana and W. Ricart, "Novel Interactions of Adiponectin with the Endocrine System and Inflammatory Parameters", J Clin Endocrinol Metab, Vol.88, No.6 pp. 2714-2718, (2003). https://doi.org/10.1210/jc.2002-021583
  16. M. A. Ferguson, L. J. White, S. McCoy, H. W. Kim, T. Petty and J. Wilsey, "Plasma Adiponectin Response to Acute in Healthy Subjects". Eur J Appl Physiol, Vol.91, No.3 pp. 324-329, (2004). https://doi.org/10.1007/s00421-003-0985-1
  17. K. I. Lim, Y. A. Shin and M. H. Suk, "The Effects of A Combined Exercise Training on Insulin Secretory Capacity, Insulin Resistance, and Adipocytokines in Obese and Diabetic Obese Women", Exercise science, Vol.15, No.3 pp. 225-235, (2006).
  18. M. W. Hulver, D. Zheng, C. Tanner, J. A. Houmard, W. E., Kraus, C. A. Slentz, M. K. Shiha, W. J. Pories, K. G. McDonald and G. L. Dohm, "Adiponectin is not Altered with Exercise Training Despite Enhanced Insulin Action", Am J Physiol Endocrinol Metab, Vol.283, No.4 pp. 861-865, (2003). https://doi.org/10.1152/ajpendo.00150.2002
  19. H. K. Yoon. Effects of Exercise and Restricted Diet to Reduce Overweight Body Fat by Cytokines Response, Changwon University Master's thesis, (2012).
  20. M. W. Rajala, Y. Qi, H. R. Patel, N. Takahashi, R. Banerjee, U. B. Pajvani, U. B. Sinha, M. K. Sinha, R. L. Gingerich, P. E. Scherer and R. S. Ahima, "Regulation of Resistin Expression and Circulating Levels in Obesity", diabetes and fasting. Diabetes, Vol.53, No.7 pp. 1671-1679, (2004). https://doi.org/10.2337/diabetes.53.7.1671
  21. C. M. Steppan, S. T. Bailey, S. Bhat, E. J. Brown, R. R. Banerjee, C. M. Wright, H. R. Pater, R. S. Ahima and M. A. Lazar, "The Hormone Resistin Links Obesity to Diabetes", Nature, Vol.409, pp. 307-312, (2001). https://doi.org/10.1038/35053000
  22. Ministry of Health and Welfare. Dietary Reference Intakes for Koreans, The Korean Nutrition Society, (2015).
  23. ACSM. "American College of Sports Medicine Position Stand. Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal and Neuromotor Fitness in Apparently Healthy Adults: Guidance for Prescribing Exercise", Med Sci Sports Exerc, Vol.43, No.7 pp. 1334-1359, (2011). https://doi.org/10.1249/MSS.0b013e318213fefb
  24. A. K. Dudleston and M. Bennion, "Effect of Diet/or Exercise on Obese College Women", J AM Diet Assoc, Vol.56, No.2 pp. 126-129, (1970).
  25. J. M. Jakicic, K. Clark and E. Cleman, "American College of Sports Medicine Position Stand:Appropriate Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults". Med Sci Sports Exercise, Vol.32, No.12 pp. 2145-2156, (2001).
  26. S. J. Lee, Impact of Restricted Diet and Walking or Running at 6km/hr on Body Composition, Aerobic Exercise Performance and Blood Constituents of Obese Women in their 20s, Kookmin University Master's thesis, (2006).
  27. N. K. Kim, Effect of Complex Circuit Training on Middle-Aged Overweight Women's Body Composition and Metabolic Syndrome Factors, Chonnam National University Master's thesis, (2012).
  28. J. Niederdeppe, S. Roh, M. A. Shapiro, H. K. Kim, "Effects of Messages Emphasizing Environmental Determinants of Obesity on Intentions to Engage in Diet and Exercise Behaviors", Prev Chronic Dis, Vol.10, pp.1125-1135, (2013).
  29. T. Mitsui, K. Shimaoka, S. Tsuzuku, T. Kajioka, H. Sakakibara, "Gentle Exercise of 40 Minutes with Dietary Counseling is Effective in Treating Metabolic Syndrome", Tohoku J Exp Med, Vol.215, No.4 pp. 355-361, (2008). https://doi.org/10.1620/tjem.215.355
  30. H. R. O, The Effect of Regular Aerobic Exercise on Blood Lipids and Serum Enzyme, Chonnam National University Master's thesis, (2003).
  31. J. H. Kim, "Effects of Ten Weeks of Aerobic Dance on Plasma Cholesterol Levels", Korean journal of physical education, Vol.28, No.2 pp. 329-339, (1989).
  32. J. H. Park. "The Effects of Twelve Week Aerobic Exercise on the Body Composition and Blood Lipid Profiles in Middle Aged Women", Chosun University Research of sports science, Vol.4, pp. 169-181, (1991).
  33. Y. K. Kim, N. S. Kim, J. K, Song. "Effect of Long Term Aerobic Exercise on Blood Pressure, Blood Lipids and Hematological Parameters in Elderly Women over 65 Years Old", Journal of exercise nutrition & biochemistry, Vol.7, No.3 pp. 235-240, (2003).
  34. B. Gutin, L. Ramsey, P. Barbeau, W. Cannady, M. Ferguson, M. Litaker and S. Owens, "Plasma Leptin Concentration in Obese Children:Change During 4month Periods with and without Physical Training", Am J Clin Nutr, Vol.69, pp. 388-394, (1999). https://doi.org/10.1093/ajcn/69.3.388
  35. K. D. Brownell, P. S. Banhorik and R. S. Ayerle, "Changes in Plasma Lipid and Lipoprotein Levels in Men and Women after a Program of Moderate Exercise". Circulation, Vol.65, No.3 pp. 477-484, (1982). https://doi.org/10.1161/01.CIR.65.3.477
  36. H. K. Ahn, "The Effects of Exercise Type on Body Composition, Cardiovascular Fitness, Physical Performance and Biochemical Variables in Type 2 Diabetic Patients", Korean journal of physical education, Vol.44, No.5 pp. 451-463, (2005).
  37. T. M. Asikainen, S. Millunpalo, K. Kukkonen-Harjula, A. Nenonen, M. Pasanen, M. Rinne, K. Uusi-Rasi, P. Oja and I. Vuori," Walking Trials in Postmenopausal Women:Effect of Low doses of Exercise and Exercise Fractionzation on Coronary Risk Factor". Scand J Med Sci Sports, Vol.13, No.5 pp. 284-292, (2004). https://doi.org/10.1034/j.1600-0838.2003.00331.x
  38. G. T. KO, C. S. Cockram, J. C. Chan, "How to Minimize Missing those Subjects with High 2HR Plasma Glucose but 'normal' Fasting Plasma Glucose Levels?", J. Med, Vol.32, No.1 pp. 53-65, (2001).
  39. B. D. Heqarty, N. Tumer, G. J. Coone, E. W. Kraeqen, "Insulin Resistance and Fuel Homeostasis: the Role of AMP-Activated Protein Kinase", Acta Pysiol, Vol.196, No.1 pp. 129-145, (2009).
  40. S. H. Kim, "Effects of Exercise on Glucose Metabolism", J Korean Diabetes, Vol.12, pp. 21-24, (2011). https://doi.org/10.4093/jkd.2011.12.1.21
  41. S. J. Kang, Effects of Aerobic Exercise Intensity on Cardiovascular Risk Factors in Patients with Metabolic Syndrome, Changwon National University Master's thesis, (2008).
  42. Y. S. Kim, K, D, Park, H. J. Kang, D. C. Lee, J. H. Lee, H. S. Kwen, K. H. Yoon, W. C. Lee and H. Y. Son, "The Effects of Exercise and Nutrition Education on Insulin Resistance, Cardiopulmonary Function and Body Composition in Metabolic Syndrome", Korean Journal of Sport Science, Vol.16, No.2 pp. 54-63, (2005).
  43. S. W. Choi, The Effect of Body Composition, Blood Lipids and Hormone Response on Complex Circuit Exercise and Diet, Seonam University Master's thesis, (2004).
  44. H. K. No, Effects of Combined exercise Program on Body Composition and Adipocytokine in Obese Middle Aged Women, Mokpo National University Master's thesis, (2011).
  45. S. B. Kim, The Effects of 8 Week Combined Exercise of Aerobics & Circuit Weight Training on Serum Leptin, Blood Lipid Level, Heart Rate and Body Composition in Obese Women, Daejeon University Master's thesis, (2004).
  46. T. Hara, H. Fujiwara, H. Nakao, T. Miura, T. Yoshikawa and S. Fujimoto, "Body Composition is Related to Increase in Plasma Adiponectin Levels Rather than Training in Young Obese Men", Eur J Appl Physiol, Vol.94, pp. 520-526, (2005). https://doi.org/10.1007/s00421-005-1374-8
  47. E. A, Hwang, S. H. Kim, H. S. Kang and J. S. Kim. "Effect of Combined Exercise on Cytokine in Relation to Cardiovascular Disease in Obese Adolescents", Exercise science, Vol.21, No.1 pp. 31-40, (2012). https://doi.org/10.15857/ksep.2012.21.1.31
  48. J. K. Park, "The Effect of Obesity Middle-age Woman's Adiponectin, Resistin, and Leptin in Blood, by Differences in Intensity of Treadmill Walking after Weight Training", Korean journal of physical education, Vol.19, No.1 pp. 967-977, (2010).
  49. G. Ifigenia, F. Bo, C. Robert, S. H. Ruth, B. Tracy, F. Arturo and A. K. Jill, "Effect of Diet and/or Exercise on the Adipocytokine and Inflammatory Cytokine Levels of Postmenopausal Women with Type II Diabetes", Metabolism, Vol.54, No.7 pp. 866-875, (2005). https://doi.org/10.1016/j.metabol.2005.01.033