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중년 성인의 대사증후군 유무에 따른 운동 관련요인 차이분석

AnalysisoftheDifferencesinExercise-relatedFactorsaccording to Metabolic Syndrome Status in Middle-Aged Adults

  • 정대인 (광주보건대학교 물리치료학과) ;
  • 고대식 (호남대학교 응급구조학과)
  • Dae-In Jung (Department of Physical Therapy, Gwangju Health University) ;
  • Sik-Dae Ko (Department of Emergency Medical Service, Honam University)
  • 투고 : 2023.10.15
  • 심사 : 2023.11.17
  • 발행 : 2023.12.31

초록

본 연구는 중년 성인의 대사증후군 유무에 따른 운동 관련요인의 차이를 분석하고자 하였다. 국민건강영양조사 제7기(2016-2018) 원시자료 중 중년 성인 5,421명 중 응답이 불충분한 903명을 제외한 4,518명을 최종 분석대상자로 선정하였다. 연구결과 여성, 교육수준이 낮을수록, 주관적 건강상태가 낮을수록, 신체활동은 적을수록 대사증후군과 매우 유의한 관련성이 있었다. 본 연구결과로부터 중년 성인의 대사증후군 예방 및 관리를 위해서는 적극적인 신체활동이 필요하다고 판단되며, 향후 더 다양한 요인분석과 다면적인 연구가 필요하다고 사료된다.

This study attempted to analyze the difference in exercise-related factors according to the presence or absence of metabolic syndrome in middle-aged adults. Among the raw data of the 7th National Health and Nutrition Survey (2016-2018), 4,518 out of 5,421 middle-aged adults, excluding 903 who had insufficient responses, were selected as the final analysis targets. As a result of the study, the lower the level of education, the lower the subjective health status, and the less physical activity, the more significantly related to metabolic syndrome. According to the results of this study, active physical activity is necessary to prevent and manage metabolic syndrome in middle-aged adults, and more diverse factor analysis and multi-faceted research are needed in the future.

키워드

과제정보

본 논문은 2023년도 광주보건대학교 교내연구비의 지원을 받아 수행된 연구임(No.2023005)

참고문헌

  1. B. Isomaa, P. Almgren, T. Tuomi, B. Forsen, K. Laht., M. Nissen, M-R. Tas kinen and L. Groop, 'Cardiovascular Morbidity and Mortality Associated With the Metabolic Syndrome', Diabetes Care, Vol.24, no.4, pp.683-689, 2001. 
  2. National Health Insurance Service. National Health Screening Statistical Yearbook 2020. National Health Insurance Service; 2021
  3. S-M. Grundy, J-J. Cleeman, S-R. Daniels, K-A. Donato, R-H. Eckel, B-A. Franklin & F. Costa, 'Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement', Circulation, Vol.112, no.17, pp.2735-2752, 2005. 
  4. S-M. Grundy, 'Metabolic syndrome: a multiplex cardiovascular risk factor', Clin Endocrinol Metab, Vol.92, no.2, pp.399-404, 2007. 
  5. A. Engin, 'The Definition and Prevalence of Obesity and Metabolic Syndrome', Adv Exp Med Biol, Vol.960, no.1-17, 2017. 
  6. J-M. Dekker, C. Girman, T. Rhodes, G. Nijpels, C-D. Stehouwer, L-M. Bouter and R-J. Heine, 'Metabolic syndrome and 10-year cardiovascular disease risk in the Hoorn Study', Circulation, Vol.112, no.5, pp.666-673, 2005. 
  7. E-S. Ford, C. Li and N. Sattar, 'Metabolic syndrome and incident diabetes: Current state of the evidence', Diabetes Care, Vol.31, no.9, pp.1898-1904, 2008. 
  8. R. Kahn, J. Buse, E. Ferrannini and M. Stern, 'The Metabolic Syndrome: Time for a Critical Appraisal: Joint statement from the American Diabetes Association and the European Association for the Study of Diabetes', Diabetes Care, Vol.28, no.9, pp.2289-2304, 2005. 
  9. M-H. Kim, S-H. Lee, K-S. Shin and H-S, Shin, 'The Change of Metabolic Syndrome Prevalence and Its Risk Factors in Korean Adults for Decade: Korea National Health and Nutrition Examination Survey for 2008-2017', Korean Journal of Family Practice, Vol.10, no. 1, pp.44-52, 2020.
  10. J-Y. Lee, S-K. Choi and J-S. Seo, 'Evaluation of the Nutrition Status and Metabolic Syndrome Prevalence of the Members according to the Number of Household Members based on the Korea National Health and Nutrition Examination Survey (2013-2014)', Korean J Community Nutr, Vol.24, no.3, pp.232-244, 2019. 
  11. L. Azadbakht, P. Mirmiran, A. Esmaillzadeh and F. Azizi, 'Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults', Am J Clin Nutr, Vol.82, no.3, pp.523-530, 2005. 
  12. H-J. Yang and W-J. Moon, 'A Study on Relationship among Metabolic Syndrome, Stress and Nutrient Intake of Middle-aged Women : Using 7th National Nutrition Survey of 3th Year(2018)', Journal of The Health Care and Life Science, Vol.9, no.2, pp.363-372, 2021. 
  13. H-W. Kohl III, T-D. Murray and D. Salvo, Foundations of physical activity and public health, Human Kinetics Publishers, 2019. 
  14. D-Y. Cho and J-W. Koo, 'Differences in metabolic syndrome prevalence by employment type and sex', Int J Environ Res Public Health, Vol.15, no.9, pp.1798-1808, 2018. 
  15. S-K. Lee, 'Effects of Walking Exercise on Obesity', Journal of The Health Care and Life Science, Vol.8, no.1, pp.49-52, 2020.
  16. The Korean Society of Hypertension (2022). Korea Hypertension Fact Sheet 2022 Retrieved from https://www.index.go.kr/unity/potal/indicator/IndexInfo.do?cdNo=2&clasCd=10&idxCd=F0062. 
  17. The 5th National Health Plan(Health Plan 2030, Ministry of Health and Welfare. 
  18. J-F. Sallis, J-J. Prochaska and W-C. Taylor, 'A review of correlates of physical activity of children and adolescents', Medicine and Science in Sports and Exercise, Vol.32, no.5, pp.963-75, 2000. 
  19. Y. Jeon and Y-S. Jeckal, 'Environmental Correlates of Leisure Time Physical Activity Participation', Korean Society for Wellness, Vol.10, no.1, pp.233-246, 2015. 
  20. B-G. Lee, J-Y. Lee, S-A. Kim, D-M. Son and O-K. Ham, 'Factors as-sociated with self-rated health in metabolic syndrome and relationship between sleep duration and metabolic syndrome risk factors', Journal of Korean Academy of Nursing, Vol.45, no.3, pp.420-428, 2015. 
  21. M-A. Cornier, D. Dabelea, T-L. Hernandez, R-C. Lindstrom, A-J, Steig, N-R, Stob and R-H. Eckel, 'The metabolic syndrome', Endocr Rev, Vol.29, no.7, pp.777-822, 2008. 
  22. M. Gambacciani, M. Ciaponi, B. Cappagli, L. De Simone, R. Orlandi and A-R. Genazzani, 'Prospective evaluation of body weight and body fat distribution in early postmenopausal women with and without hormonal replacement therapy', Maturitas, Vol.39, no.2, pp.125-132, 2001. 
  23. S-D. Kafonek, 'Postmenopausal hormone replacement therapy and cardiovascular risk reduction', Drugs, Vol.27, pp.16-24, 1994. 
  24. M-F. Kalin and B. Zumoff, 'Sex hormone and coronary disease: a review of the clinical studies', Steroids, Vol.55, no.8, pp.330-352, 1990. 
  25. H-K. Moon and J-E. Kong, 'Assessment of nutrient intake for middle aged with and without metabolic syndrome using 2005 and 2007 Korean National Health and Nutrition Survey', Korean J Nutr, Vol.43, no.1, pp.69-78, 2010. 
  26. National Health Interview Survey(2022). 2021 National Health Interview Survey (NHIS) Survey Description, Available from https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2021/srvydesc-508.pdf 
  27. Y-M. Lee and S-J. Kwak, 'The Effect of Subjective Health Perception and Physical Activity on the Risk of Metabolic Syndrome according to Obesity', jcses, Vol.20, no.2, pp.275-286, 2022. 
  28. S-J. Kwak, Y-M. Lee, S-H. Baek and J-E. Shin, 'Effects of Subjective Health Perception on Health Behavior and Cardiovascular Disease Risk Factors in Patients with Prediabetes and Diabetes', Int J Environ Res Public Health, Vol.19, no.13, 2022. 
  29. K-L. Shin and J-S. Kim, 'A Study on Health Concern, Self-rated Health, Health Status, and Health Promotion Behavior of Elderly Women in Urban Area', J Korean Acad Nurs, Vol.34, no.5, pp.869-880, 2004. 
  30. D-R. Wagner, ACSM's Resource Manual for Guidelines for Exercise Testing and Prescriptio, 5th Edition, Medicine and Science in Sports and Exercise, 2005 
  31. S. Brage, N. Wedderkopp, U. Ekelund, P-W. Franks, N-J. Wareham, L-B. Andersen and K. Froberg, 'Features of the Metabolic Syndrome Are Associated With Objectively Measured Physical Activity and Fitness in Danish Children: The European Youth Heart Study(EYHS)', Diabetes Care, Vol.27, no.9, pp.2141-2148, 2004. 
  32. I-E. Schauer and J-E. Regensteiner, 'Exercise in Metabolic Syndrome and Diabetes: A central Role for Insulin Sensitivity', Contemporary Endocrinology, pp.293-323, 2020. 
  33. S-A. Burchett and T-P. Hicks, 'The mysterious trace amines: protean neuromodulators of synaptic transmission in mammalian brain', Progress in neurobiology, Vol.79, no.5-6, pp.223-246, 2006. 
  34. H-B. Lee, T-S. Kim and K-M. Lim, 'Correlation between BMI, Physical Activity and Indicators of Metabolic Syndrome in Middle-Aged Adult', Korea Society for Wellness, Vol.16, no.3, pp.387-394, 2021 
  35. M-T. Hamilton, D-G. Hamilton and T-W. Zderic, 'Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease', Diabetes, Vol.56, no.11, pp.2655-2667, 2007.