디지털융복합연구 (Journal of Digital Convergence)

  • 제18권11호
  • /
  • Pages.433-441
  • /
  • 2020
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

혈액투석환자에서 걷기가 체성분 및 혈액학적 지수에 미치는 영향

The effect of walking on body composition and hematological index in hemodialysis patients

  • 투고 : 2020.10.23
  • 심사 : 2020.11.20
  • 발행 : 2020.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

연구목적은 혈액투석환자의 활동과 건강정도의 관계를 확인하기 위하여, 걷기가 혈액투석 환자의 체성분 및 혈액학적 지수에 미치는 영향을 파악하는 것이다. 연구방법은 혈액투석환자를 대상으로 이루어진 횡단적 서술적 조사연구이다. 연구대상은 B 광역시에서 혈액투석 치료를 받고 있는 66명의 혈액투석환자였다. 연구결과, 혈액투석환자의 걷기는 감소되어 있었고, 걷기에 따른 혈액학적 지수는 차이가 있었으나 체성분은 차이가 없었다. 대상자의 체중이 증가하면 골격량, 체지방량, 체질량지수, 복부지방률, 기초대사량과 단백질이 증가하는 것으로 나타났으나 총콜레스테롤과 고밀도 콜레스테롤은 감소하는 것으로 나타났다. 본 연구는 혈액투석환자의 대상자 수를 확대하여 걷기, 체성분 및 혈액학적 지수 외에 영양섭취를 추가하여 조사해 볼 것을 제언한다.

The specific purpose was to determine the effect of walking on the body composition and hematological index of hemodialysis patients in order to confirm the relationship between activity and health level of hemodialysis patients. The research method is a cross-sectional descriptive survey conducted in hemodialysis patients.The subjects were 66 hemodialysis patients undergoing hemodialysis treatment in B city. As a result of the study, walking was decreased in hemodialysis patients, and there was a difference in hematological index according to walking, but there was no difference in body composition. As body weight increased, skeletal mass, body fat mass, body mass index, abdominal fat percentage, basal metabolism, and protein increased, but total cholesterol and high-density cholesterol decreased. This study proposes to expand the number of subjects of hemodialysis patients to investigate by adding nutritional intake in addition to walking, body composition and hematological index.

키워드

참고문헌

  1. J. H. Kim. (2018). Population Policy and Prospects for Low Fertility and Aging Countermeasures. Health and Welfare Forum, 2018(1), 61-74.
  2. Ministry of Health and Welfare. (2019). Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3). http://knhanes.cdc.go.kr/
  3. S. M. Kim. (2017). 6th hemodialysis adequacy evaluation result: Most indicators such as hemodialysis experts have improved effects... Seoul: Health Insurance Review & Assessment Service. http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=10097&pageIndex=1#none
  4. I. M. Lee & D. M. Buchner. (2008). The importance of walking to public health. Medicine & Science in Sports & Exercise. 40(7), S512-S8.
  5. W. L. Haskell, I. M. Lee, R. R. Pate, K. E. Powell, S. N. Blair, B. A. Franklin, et al. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081. https://doi.org/10.1161/CIRCULATIONAHA.107.185649
  6. A. Loukaitou-Sideris, (2020). Special issue on walking. Taylor & Francis Group, 40(2), 131-134 2020. DOI: https://doi.org/10.1080/01441647.2020.1712044
  7. A. M. Fanous, K. L. Kier, M. J. Rush & S. Terrell. (2014). Impact of a 12-week, pharmacist-directed walking program in an established employee preventive care clinic. American journal of health-system pharmacy, 71(14), 1219-25. DOI : https://doi.org/10.2146/ajhp130484
  8. D. M. Bravata, C. Smith-Spangler, V. Sundaram, A. L. Gienger, N. Lin, RLewis, et al. (2007). Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 298(19), 2296-304. DOI : https://doi.org/10.1001/jama.298.19.2296
  9. D. Bassett & C. Tudor-Locke. (2004). How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 34, 1-8. DOI : https://doi.org/10.2165/00007256-200434010-00001
  10. H. Kim. (2014). Effects of social support based walking program on community. Journal of Digital Convergence. 12(7), 357-64. DOI : https://doi.org/10.14400/jdc.2014.12.7.357
  11. M. Ma, S. Park, H. Yoo, C. Kim, C. Lee & K. Kim. (2005). Physical science: The effects of a walking exercises on blood lipids and stress hormones. Journal of Korea Sports Research, 16(5), 11-9.
  12. Y. J. Park & H. J. Lee. (2015) The Levels of Physical Activity and Its Relationships with Depression, Health-related Quality of Life, Sleep Disturbance, and Physiological Indicators in Hemodialysis Patients. Korean Journal of Adult Nursing, 27(6), 718-27. DOI : https://doi.org/10.7475/kjan.2015.27.6.718
  13. A. Jackson & M. Pollock. (1985). Practical assessment of body composition. The Physician and Sportsmedicine. 13(5), 76-90. DOI: https://doi.org/10.1080/00913847.1985.11708790
  14. A. H. Mokdad, E. S. Ford, B. A. Bowman, W. H. Dietz, F. Vinicor, V. S. Bales, et al. (2003). Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA, 289(1), 76-9. DOI : https://doi.org/10.1001/jama.289.1.76
  15. R. N. Baumgartner, K. M. Koehler, D. Gallagher, L. Romero, S. B. Heymsfield, R. R. Ross, et al. (1998). Epidemiology of sarcopenia among the elderly in New Mexico. American journal of epidemiology, 147(8), 755-63. DOI : https://doi.org/10.1093/oxfordjournals.aje.a009520
  16. I. Janssen, P. T. Katzmarzyk & R. Ross. (2004). Waist circumference and not body mass index explains obesity-related health risk. The American journal of clinical nutrition, 79(3), 379-84. DOI : https://doi.org/10.1093/ajcn/79.3.379
  17. P. P. Lai, A. K. Leung, A. N. Li & M. Zhang. (2008). Three-dimensional gait analysis of obese adults. Clinical biomechanics, 23, S2-S6. DOI : https://doi.org/10.1016/j.clinbiomech.2008.02.004
  18. S. Shin, R. J. Valentine, E. M. Evans & J. J. Sosnoff. (2012). Lower extremity muscle quality and gait variability in older adults. Age and ageing, 41(5), 595-9. DOI : https://doi.org/10.1093/ageing/afs032
  19. K. M. Beavers, D. P. Beavers, D. K. Houston, T. B. Harris, T. F. Hue, A. Koster, et al. (2013). Associations between body composition and gait-speed decline: results from the Health, Aging, and Body Composition study. The American journal of clinical nutrition, 97(3), 552-60. DOI : https://doi.org/10.3945/ajcn.112.047860
  20. A. E. Horigan. (2012). Fatigue in hemodialysis patients: a review of current knowledge. Journal of pain and symptom management, 44(5), 715-24. DOI : https://doi.org/10.1016/j.jpainsymman.2011.10.015
  21. D. R. Ryu, J. H. Kim, H. J. Kim, M. S. Kyung & J. T. Park. (2017). Comparison between semi-quantitative frequency methods and 7-day dietary records methods in food and nutrition intake status for hemodialysis patients. Korean Journal of Community Nutrition, 22(5), 426-40. DOI : https://doi.org/10.5720/kjcn.2017.22.5.426
  22. T. Shimoda, R. Matsuzawa, K. Yoneki, M. Harada, T. Watanabe, M. Matsumoto, et al. (2017). Changes in physical activity and risk of all-cause mortality in patients on maintence hemodialysis: a retrospective cohort study. BMC nephrology, 18(1), 154. DOI : https://doi.org/10.1186/s12882-017-0569-7
  23. A. Sheshadri, P. Kittiskulnam, K. L. Johansen. (2019). Higher physical activity is associated with less fatigue and insomnia among patients on hemodialysis. Kidney international reports, 4(2), 285-92. DOI : https://doi.org/10.1016/j.ekir.2018.10.014
  24. C. Garagarza, A. Valente, C. Caetano, T. Oliveira, P. Ponce & A. P. Silva. (2017). Hypophosphatemia: nutritional status, body composition, and mortality in hemodialysis patients. International Urology and Nephrology, 49(7), 1243-50. DOI : https://doi.org/10.1007/s11255-017-1558-2
  25. E. S. Wan, A. Kantorowski, D. Homsy, M. Teylan, R. Kadri, C. R. (2017). Richardson, et al. Promoting physical activity in COPD: insights from a randomized trial of a web-based intervention and pedometer use. Respiratory medicine, 130, 102-10. DOI : https://doi.org/10.1016/j.rmed.2017.07.057
  26. Jr D. R. Bassett, H. R. Wyatt, H. Thompson, J. C. Peters & J. O. Hill. (2010). Pedometer-measured physical activity and health behaviors in United States adults. Medicine and science in sports and exercise, 42(10), 1819. DOI : https://doi.org/10.1249/mss.0b013e3181dc2e54
  27. Y. G. Lee & S. H. Shin. (2018). Effect of body composition on gait performance and variability of 20 year young adults: A preliminary study. Journal of Korean Society for Phsical Education, 23(3), 143-57. DOI : https://doi.org/10.15831/jksspe.2018.23.3.143
  28. M. C. Medeiros, N. Rocha, E. Bandeira, I. Dantas, C. Chaves, M. Oliveira, et al. (2020). Serum Sclerostin, Body Composition, and Sarcopenia in Hemodialysis Patients with Diabetes. International Journal of Nephrology. 2020, 1-6. DOI : https://doi.org/10.1155/2020/4596920
  29. A. S. Heo, J. C. Lee & Y. H. Byun. (2016). The Effect of the Walking Exercise on the Senior Fitness Test and EQ-5D of the Rural Eldery. Korean Society of Growth and Development, 24(3), 333-8.
  30. I. W. Kang & W. J. Cho. (2016). The Influence on Mental Health Status and Health-Related Quality of Life in Middle-Aged Women by The Regular Walking Exercise by Based on the Korea National Health and Nutrition Examination Survey - KNHANES -. Journal of the Korean society for Wellness, 11(1), 207-15. DOI : https://doi.org/10.21097/ksw.2016.02.11.1.207