디지털융복합연구 (Journal of Digital Convergence)

  • 제19권8호
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  • Pages.351-359
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  • 2021
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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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유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계 연구

A Study on Relationship between the Practice of Aerobic Exercise and the Prevalence and Risk of Arthritis with Comorbid Chronic Diseases

  • 윤인상 (한림대학교 융합인재학부) ;
  • 이혜림 (한림대학교 융합인재학부) ;
  • 이종석 (한림대학교 융합인재학부) ;
  • 정득 (한림대학교 융합인재학부)
  • Yoon, In-Sang (School of Multidisciplinary Studies, Halllym University) ;
  • Lee, Hye-Lim (School of Multidisciplinary Studies, Halllym University) ;
  • Lee, Jongseok (School of Multidisciplinary Studies, Halllym University) ;
  • Jung, Deuk (School of Multidisciplinary Studies, Halllym University)
  • 투고 : 2021.05.28
  • 심사 : 2021.08.20
  • 발행 : 2021.08.28
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초록

본 연구는 유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계를 실증적으로 분석하기 위해 수행되었다. 이 연구를 위해 국민건강영양조사 2017-2019년 자료를 활용하였으며, 연구대상으로 17,356명을 선정하였다. 인구사회학적 특성과 만성질환에 따라 유산소운동의 실천과 관절염의 유병률 및 위험도 관계를 카이제곱 독립성 검정과 Breslow-Day 검정으로 분석하였다. 인구사회학적 특성이 여성, 고연령, 저소득층, 저학력층, 지방거주인 경우 유산소운동 실천률이 낮은 반면 관절염의 유병률과 위험도인 오즈비가 상대적으로 높았다. 그리고 만성질환 양성집단에서 유산소운동 실천을 하는 집단이 실천하지 않는 집단보다 관절염의 유병률과 발병할 위험도가 낮았다. 특히 유산소 운동 실천은 고혈압, 당뇨, 이상지질혈증이 있는 사람들에게 관절염의 유병률과 위험도를 낮추는데 효능이 있는 보완재가 된다. 따라서 인구학적 특성에서 관절염의 유병률이 높은 집단과 만성질환이 동반된 관절염이 있는 사람들이 걷기와 천천히 달리기, 에어로빅 댄스와 같은 일상의 유산소운동을 반드시 실천할 수 있도록 예방의학과 보건의료 차원에서 권장되어야 함을 시사한다.

This study was conducted to analyze the relationship between the practice of aerobic exercise and the prevalence and risk of arthritis with comorbid chronic diseases. For this study, the National Health and Nutrition Examination Survey 2017-2019 data were used and 17,356 people were selected as subjects. The relationship between the practice of aerobic exercise and the prevalence and risk of arthritis according to demographic characteristics and chronic diseases was analyzed by the chi-square independence test and Breslow-Day test. While the rate of aerobic exercise was low among women, the elderly, the low-income group, the low-education group, and people living in rural areas, the prevalence and risk of arthritis were relatively high. And in the chronic disease-positive group, those who practiced aerobic exercise had a relatively lower prevalence and risk of arthritis than those who did not. In particular, the practice of aerobic exercise was an effective complement in reducing the prevalence and risk of arthritis in people with high blood pressure, diabetes, and dyslipidemia. Therefore, the practice of aerobic exercise such as walking, slow running, and aerobic dance should be recommended in terms of the preventive medicine and health care to people who are in the group with a high prevalence of arthritis in demographic characteristics and people who have comorbid chronic diseases.

키워드

참고문헌

  1. H. J. Park & S. K. Lee. (2012). The association between osteoarthritis and health related quality of life in women aged 50 years and over: using Korea National Health and Nutrition Examination Survey (KNHANES) Data. Korean Journal of Health Education and Promotion, 29(2), 23-32.
  2. Health Insurance Review & Assessment Service. (2020) 2019 National Health Insurance Statistical yearbook, Wonju : HIRA.
  3. J. Y. No, S. Y. Kim, I. S. Kweon, & H. S. Nam. (2014). Effect of arthritis and comorbid chronic conditions on health-related quality of life in Korean elderly. Journal of the Korea Academia - Industrial cooperation Society, 15(6), 3751-3758. DOI : https://doi.org/10.5762/KAIS.2014.15.6.3751
  4. S. Y. Kim & H. S. Nam. (2012). Prevalence of arthritis and related factors among Korean adults. Journal of the Korea Academia-Industrial cooperation Society, 13(9), 4073-4081. https://doi.org/10.5762/KAIS.2012.13.9.4073
  5. P. E. Muckelt et al. (2020). Comorbidities and their link with individual health status: A cross-sectional analysis of 23,892 people with knee and hip osteoarthritis from primary care. Journal of Comorbidity, 10, 1-11. DOI : https://doi.org/10.1177/2235042X20920456
  6. C. H. Kim, M. R. Lee, & W. S. Yoo. (2014). Common combinations of chronic diseases in multi-comorbidity and their effect on healthcare cost in Korea. Korean Health Economic Review, 20(4), 81-102.
  7. Health Insurance Review & Assessment Service. (2018). 100 Disease Statistics in Daily Life. Wonju : HIRA.
  8. Christopher Mecoli (2012). Osteoarthritis. American College of Rheumatology(Online). http://www.rheumatology.org
  9. K. H. Jung. (2017). Diagnosis and treatment of arthritis. Journal of Korean Neurological Association 35(suppl), 25-30. https://doi.org/10.17340/jkna.2017.4.28
  10. E. Roddy, W. Zhang, & M. Doherty. (2005) Aerobic walking or strengthening exercise for osteoarthritis of the knee? a systematic review. Annals of the Rheumatic Diseases, 64(4), 544-548. https://doi.org/10.1136/ard.2004.028746
  11. W. J. Rejeski, B. C. Focht, & S. P. Messier. (2002). Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life. Health Psychology, 20(5), 419-426. DOI : https://doi.org/10.1037/0278-6133.21.5.419
  12. E. N. Lee. (2001). Effects of brisk walking & muscle strengthening exercise using thera-band on pain, fatigue, physical function, and disease activity in patients with rheumatoid arthritis. The Korean Journal of Rehabilitation Nursing, 4(1), 84-93.
  13. World Health Organization. (2020) Guidelines on Physical Activity and Sedentary Behaviour, Geneva: WHO.
  14. D. H. Park, C. S. Kim, & K. J. Kim. (2015). Consideration about physical activity guideline and exercise intensity for adult. Exercise Science, 24(2), 99-107 https://doi.org/10.15857/ksep.2015.24.2.99
  15. H. J. Chae. (2020). Relations between obesity and physical activities and prevalence of osteoarthritis in menopause women. Journal of Digital Convergence, 18(3), 217-225. https://doi.org/10.14400/JDC.2020.18.3.217
  16. L. F. Callahan & K. R. Ambrose. (2014). Physical activity and osteoarthritis - considerations at the population and clinical level. Osteoarthritis and Cartilage. 23(1), 31-33. DOI : https://doi.org/10.1016/j.joca.2014.09.027
  17. G. M. Peeters, M. F. Pisters, G. D. Mishra, & W. J. Brown. (2014). The influence of long-term exposure and timing of physical activity on new joint pain and stiffness in mid-age women. Osteoarthritis and Cartilage, 23(1), 34-40. DOI : https://doi.org/10.1016/j.joca.2014.06.040
  18. Korea Disease Control and Prevention Agency. (2019). Guidelines for the use of raw data of the 8th Korea National Health and Nutrition Examination Survey. Cheongju : KDCA
  19. H. R. Kim & E. J. Kim. (2013). Prevalence of osteoarthritis and its affecting factors among a Korean population aged 50 and over. Journal of Korean Public Health Nursing, 27(1), 27-39. https://doi.org/10.5932/JKPHN.2013.27.1.27
  20. E. S. Kim. (2021). Factors affecting health-related quality of life in adults with osteoarthritis after middle age in Korea. Journal of The Korean Data Analysis Society, 23(1), 287-302. https://doi.org/10.37727/jkdas.2021.23.1.287
  21. J. Y. An & Y. R. Tak. (2009). Depressive symptoms and related risk factors in old and oldest-old elderly people with arthritis. Journal of Korean Academy of Nursing, 39(1), 72-83. https://doi.org/10.4040/jkan.2009.39.1.72