한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제20권5호
  • /
  • Pages.267-274
  • /
  • 2019
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

비만관리 교육을 포함한 수중운동 프로그램이 지역사회 비만여성의 신체기능에 미치는 효과

The Effects of an Aquatic Exercise Program with Obesity Management Education on Physical Function of Obese Women in Community

  • 투고 : 2019.02.14
  • 심사 : 2019.05.03
  • 발행 : 2019.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 비만관리 교육을 통해 비만에 대한 지식이 선행된 상태에서, 실천한 수중운동 프로그램이 지역사회 비만여성의 신체기능에 미치는 효과를 알아보는데 목적이 있다. 연구대상자는 D광역시 A보건지소의 건강교실에서 참여를 희망한 자로 51세에서 79세의 비만여성 20명이 8주 동안 프로그램에 참여하였다. 비만관리 교육이 포함된 수중운동 프로그램은 주 2회, 20분 동안 비만관리 교육과 60분의 수중운동 프로그램을 포함하여 총 120분으로 구성되었다. 비만관리 교육은 신체활동 실천과 식이섭취 교육에 중점을 두어 실시되었다. 본 연구결과를 통해 8주간의 비만관리 교육을 포함한 수중운동 프로그램 후 비만여성의 복부둘레, 체중, 체질량 지수가 감소되었고(p<.05, p<.001,p<.001), 악력이 증가되어(p<.05), 비만감소와 근력증진에 효과적인 프로그램임을 알 수 있었다. 후속 연구시 연구 대상자의 수를 늘리고, 대조군을 갖춘 실험설계 연구와 대상자가 직접 참여하고 주도하는 참여형 비만관리 수중운동 프로그램으로 개발 할 필요가 있다. 또한, 지속적인 생활습관 개선을 위한 추가적인 전략이 필요함을 제언한다.

The purpose of this study is to investigate the effect of a practiced aquatic exercise program on the body function of obese women in the community, with knowledge of obesity preceded by obesity management education. The subjects were 20 obese women aged 51 to 79 who participated in the program for 8 weeks among the participants of health program in S healthcare center in D city. The aquatic exercise program, which includes obesity management training, consists of a total of 110 minutes, including twice a week, 20 minutes of obesity management training, and 60 minutes of aquatic exercise program. Obesity management education focuses on physical activity practice and dietary training. The results of this study showed that the aquatic exercise program including the 8 - week obesity management training decreased abdominal circumference, body weight and body mass index (p <.001, p <.001, p <.001),increased grip strength(P <.05), which is an effective program for reducing obesity and improving muscle power. In the follow-up study, it is necessary to increase the number of subjects and to develop the experimental design study with the control group and the participatory obesity management underwater exercise program that the participant directly participates and leads. It also suggests that additional strategies for continuous lifestyle improvement are needed.

키워드

Table 1. Aquatic exercise pogram

SHGSCZ_2019_v20n5_267_t0001.png 이미지

Table 2. Obestiy management teaching program

SHGSCZ_2019_v20n5_267_t0002.png 이미지

Table 3. General characteristics of participants

SHGSCZ_2019_v20n5_267_t0003.png 이미지

Table 4. The effects of aquatic exercise program on physical function of obese women

SHGSCZ_2019_v20n5_267_t0004.png 이미지

참고문헌

  1. Ministry of Health and Welfare & Korea Health Promotion Instrument, (2019, January). The 4th Public Health Promotion Plan. Retrieved January 31, 2019, from https://www.khealth.or.kr/board/view?page .khealth.or.kr/board/
  2. WHO, Health topic: Obesity [Internet]. Geneva: World Health Organization; c2015 [cited 2018 Dec 19]. Retrieved from: http://www.who.int/topics/ obesity/en/.
  3. Korean Society for the Study of Obesity, (2019, January). Obesity Treatment Guidelines. Retrieved January 31, 2019, from http://general.kosso.or.kr/html/
  4. National Health Insurance Service, (2019, January). Obesity Report . Retrieved January 31, 2019, from http://hi.nhis.or.kr/bb/ggpbb004/
  5. Korea Health Promotion, (2019, January). 2017 Health Promotion Statistics Year Book. Retrieved January 31, 2019, from https://www.khealth.or.kr/kps/publish/view
  6. M. S. Han, "Metabolic Syndrome Emerging from Me nopause", Department of Obsterice and Gynecology, Vol.17, No. 3, pp.127-135, 2011.
  7. K. Y. Kwon, "Clinical Significance of Visceral Adipose Tissue", Korean Journal of Familiy Medicine, Vol. 28, No. 10, pp. 739-747, 2007.
  8. G. K. Kim, H. W. Han, "Effects of converging exercise intervention program on heart rate, blood pressure, health-related physical fitness among obese middle aged female", The Korean Journal of Growth and Development, Vol. 26, No. 1, pp. 23-30, 2018. https://doi.org/10.34284/KJGD.2018.02.26.1.23
  9. M. H. Chang, S. J. Jung, "Effects of nutrition education and exercise program on obesity index and behavioral modification in moderate obese women", Journal of Korean Society of Community Nutrition, Vol. 23, No. 4, pp. 318-332, 2018. DOI: https://doi.org/10.5720/kjcn.2018.23.4.318
  10. H. Kim, "Effects of community based participatory obesity intervention program in middle-aged women", Journal of Korean Public Health Nursing, Vol. 29, No.1, pp. 79-89, 2015. DOI:https://doi.org/10.5932/JKPHN.2015.29.1.79
  11. B. J. Jeon, J. S. Lee, O. J. Lee, M. S. Sim, S. J. Han, Y. S. Jang, "A Study on the Factors Affecting Falls of the Elderly in Rural Areas", The Journal of Korean Society of Occupation Therapy, Vol. 17, No. 4, pp. 99-112, 2009.
  12. J. I. Kim, "An effect of aquatic exercise program with self-help group activities and strategies for promoting self-efficacy on pain, physiological parameter and quality of life in patients having rheumatoid arthritis", Journal of Muscle and Joint Health, Vol. 1, No. 1, pp. 1-30, 1994.
  13. J. I. Kim, H. M. Son, S. A. Kim, Y. S. Song, S. K. Kim, "Qualitative Content Analysis for Participation in a Community-based Aquatic Exercise Program with Osteoarthritis", Journal of Muscle and Joint Health, Vol. 24, No.1, pp 1-13, 2017. https://doi.org/10.5953/JMJH.2017.24.1.1
  14. J. I. Kim, K. S. Cho, H. S. Sim, E. N. Lee, I. O, Lee, Y. Eun, D. S. Lee, H. S. Kang, W. S. Bak, J. H. Lee. "Analysis of studies on the effect of aquatic exercise program", Journal of Muscle Joint Health, vol. 18, no. 2, pp. 257-269, 2011. DOI: https://doi.org/10.5953/JMJH.2011.18.2.257
  15. J. I. Kim, T. S. Kim, "The effect of aquatic exercise program on body weight, muscle strength and flexibility in healthy middle-aged women", Journal of the Korean Academy of Fundamentals of Nursing, Vol.9, No. 2, pp. 257-267. 2002.
  16. J. J. Park, S. H. Lee, "Changes in body composition and health status of obese elderly by underwater exercise", Journal of the Korea Entertainment Industry Association, Vol. 10, No. 6, pp. 331-341, 2016. DOI: https://doi.org/10.21184/jkeia.2016.12.10.6.331
  17. J. Y. Kim, J. I. Kim. "The effects of aquatic exercise program on risk factors of metabolic syndrome and stress in women", The Journal of Muscle and Joint Health, vol. 25, no. 2, pp. 75-83, 2018. DOI: https://doi.org/10.5953/JMJH.2018.25.2.75
  18. S. A. Kim, J. I. Kim, H. J. Kim, Y. H. Jeong, K. O. Hwang, H. Y. Song, "The effects of an aquatic exercise program on physical fitness, body composition and gait characteristics in women", Journal of Muscle Joint Health, vol. 21, no. 2, pp. 97-105, 2014. DOI: https://doi.org/10.5953/JMJH.2014.21.2.97
  19. J. I. Kim & H. K. Choi, Muscle joint exercise program, pp 108, Chungnam National University, 2012.
  20. E. O. Lee, J. I. Kim, H. J. Choi, Extension and aquatic exercise for arthritis patients, pp 281, Shin Kwang Publishing Co, 1998.
  21. Ministry of Health and Welfare, (2019, January), Comprehensive measures for national obesity management, Retrieved January 31, 2019, from http://www.mohw.go.kr/react/al/sal0301vw.jsp
  22. Y. W. Kim, S. H. Oh, "A Meta-analytic Approach to the Effects of Exercise Intervention on Cognitive Function in Elderly Women", Journal of Korean Association of Physical Education and Sport for Girls and Women, Vol32, No.1, pp131-147, 2018. DOI:http://dx.doi.org/10.16915/jkapesgw.2018.03.32.1.131
  23. Pouliot, M. C., Desprees, J. P., Lemieux, S., Moorjani, S., Bouchard, C., Tremblay, A., Nadeau, A., & Lupien, P. J. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol, 73(7), 460-468, 1994. https://doi.org/10.1016/0002-9149(94)90676-9
  24. P. T. Katzmarzyk, A. S. Leon, J. H. Wilmore, JS. Sinner, D. C. Rao, T. Rankinen, C. Bouchard. "Targeting the metabolic syndrome with exercise: evidence from the HERITAGE family study", Medicine & Science in Sports & Exercise, Vol.35, No. 10, pp. 1703-1709. DOI: 10.1249/01.MSS.0000089337.73244.9B
  25. B. S. Oh. "Relationships of aquatic exercise with abdominal obesity and indicators of metabolic syndrome in Korean postmenopausal women", Journal of Sport and Leisure Studies, Vol. 56, No. 2, pp. 1041-1052, 2014. https://doi.org/10.51979/KSSLS.2014.05.56.1041
  26. Y. R. Lee, "Effects of aquarobics for 48weeks on body composition, health related fitness and metabolic syndrome risk factors in elderly obese woman", Korean Journal of Sports Science, Vol. 23, No. 4, pp. 1191-1200, 2014.
  27. H. K. Choi, K. S. Cho, J. I. Kim. "Comparative study of the effects of stretching exercise and aquatic exercise program", Journal of Muscle and Joint Health, vol. 17, no. 1, pp. 5-13, 2010. DOI: https://doi.org/10.5953/JMJH.2010.17.1.005
  28. N. H. Kim, K. H. Kim, M. S. Ko. "The effects of an aquatic exercise program on body composition and heart rate variability(HRV) in elderly women with obesity", Korean Journal of Sports Science, Vol. 26, No. 1, pp. 1131-1139, 2017. https://doi.org/10.35159/kjss.2017.02.26.1.1131
  29. J. G. Jeon, W. R. Lee, H. G. Park, A. R. Yoon, S. H. Jeong, Y. R. Lee, "Effects of Water Exercise Program for 24 weeks on The Body Composition, Health Related Fitness, and Quality of Life in Elders", Kinetics Journal, Vol. 12, No. 3, pp. 25-33, 2010.
  30. Y. I. Im, S. J. Kim, S. H. Hur, K. J. An, J. S. Lee, "The effect of regular aquatic exercise on balance capacity, physical fitness and performance level and muscular activity in elderly women arthritis patients", Korean Association of Physical Education and Sport of Girls and Women, Vol. 28, No. 1, pp. 37-54, 2014.
  31. J. Y. Kim, J. I. Kim. "The effects of aquatic exercise program on risk factors of metabolic syndrome and stress in women", The Journal of Muscle and Joint Health, vol. 25, no. 2, pp. 75-83, 2018. DOI: https://doi.org/10.5953/JMJH.2018.25.2.75
  32. J. J. Park, S. H. Lee, "Changes in Body Composition and Health Status of Obese Elderly by Underwater Exercise", The Korean Entertainment Industry Association, Vol. 10, No. 6, pp 331-341, 2016.