대사성 질환과 운동

문정화 ( Jung Wha Moon ) 대한운동사협회 2016 대한운동사협회 운동사대회자료집 Vol.2016 No.-

고지혈증 환자에서 유산소 및 근력운동의 효과 : 증례 보고

문정화(Moon, Jung-Wha) 대한운동학회 2006 아시아 운동학 학술지 Vol.8 No.2

이 연구는 관상동맥질환의 주요 위험인자인 고지혈증의 위험성을 인지하고, 고지혈증 환자에게 유산소운동과 근력운동으로 구성된 운동 프로그램을 실시하여 관상동맥질환의 위험인자를 줄이고 질환 개선을 통해 운동의 중요성을 인식시키는데 목적이 있다. 본 증례의 대상자는 62세의 여성이며, 2006년 1월 고지혈증과 비만 때문에 일산백병원 스포츠건강의학센터에 운동치료를 위해 내원하였다. 환자의 병력은 수 년 전부터 고지혈증 약물을 복용하고 있었고 모친으로부터 고혈압, 고지혈증의 가족력이 있다. 최근 1년 동안 하고 있는 운동이 없는 좌식생활자이고 식생활은 주 2회 이상 외식과 고지방, 단 음식을 선호했다. 2006년 1월 내원 당시, 환자의 신장은 158cm, 체중은 59kg으로 외관상으로는 비만처럼 보이지는 않았으나 복부비만형 이었다. 체질량지수(BMI)가 27%, 체지방률(%fat)이 36.7%, 허리둘레가 92.0cm이었다. 콜레스테롤 수치는 높은 중성지방(Triglyceride)과 LDL-C, 낮은 HDL-C를 가지고 있었다. 환자는 운동을 시작하기 전, 인체계측, 체성분검사, 기초체력검사, 운동부하검사를 마친 후, 12주 동안 유산소운동과 근력운동을 주 3-5회, 단계적으로 실시하였다. 2주마다 환자의 체중을 체크하면서 생활습관 개선에 대한 교육을 하였다. 12주 동안의 환자의 약물 복용량은 동일하였다. 12주간의 운동 후 체중이 4.4kg 감량되었는데, 이 중 체지방량은 6.1kg 감소, 체지방률은 8.2%가 감소하였다. 체질량지수는 3.9kg/m² 감소, 허리둘레는 5.7cm가 감소하였다. 체력은 근력, 근지구력과 심폐지구력이 크게 증가하였고, 유연성, 평형성은 약간 증가하였으나 큰 차이는 없었다. 지질수준은 총 콜레스테롤이 94mg/dL 감소하였고, 중성지방이 122mg/dL 감소, 저밀도 LDL 콜레스테롤은 72mg/dL 크게 감소하였다. HDL 콜레스테롤은 증가하였으나 큰 차이가 없었다. 환자는 12주간의 유산소 및 근력 운동을 통하여 혈청 콜레스테롤 수치의 눈에 띄는 개선으로 고지혈증약물 복용량을 절반으로 줄일 수 있었다. The object of this study is to understand the risk of hyperlipidemia which is the major risk factor of coronary artery disease(CAD) and to reducing the risk factor of CAD and to recognize the importance of physical exercises through disease improvement by conducting physical exercise program consisted of aerobic and resistance exercises to hyperlipidemia patients. The subject of this study is 62 year old female who was hospitalized for physical exercise therapy to treat hyperlipidemia and obesity at Ilsan Paik Hospital SMC(sports medicine center). The medical history of this patient is that she was taking hyperlipidemia medicine for few years and has a family history of hypertension and hyperlipidemia in her maternal side. The subject had a sedentary life style with no particular physical exercises in the recent year and she preferred high fat and sweet food with more than 2 eating outs a week. When she came to the hospital in January 2006, her height was 158cm and weight of 59kg which didn’t seem to be obesity; however, she was a abdomen corpulence type. The body mass index(BMI) was 27%, body fat of 36.7% and waist of 92.0cm. For the cholesterol level, there were high triglyceride and LDL-C and low HDL-C. Before she began her exercise, she was tested on anthropometry, lean body mass, physical fitness and graded exercise test(GXT). After that, the aerobic exercise and resistance exercise was conducted by stages 3-5 times a week. She was educated about improvement of life habits checking the weight every two weeks. The medicine intake of the patient was consistent for 12 weeks. After 12 weeks of exercise, the weight was reduced by 4.4kg in which the body fat was reduced by 6.1kg in the ratio of 8.2%. The body BMI was reduced by 3.93.9kg/m² and waist by 5.7cm. For physical strength, endurance and cardiopulmonary endurance increased a lot; whereas, the flexibility and equilibrium increase a little but no significant difference. For the fat level, total cholesterol was significantly reduced by 94mg/dL, triglyceride by 122 mg/dL and LDL-C by 72 mg/dL. The HDL-C was increased but there were no significant difference. The patient was able to reduce the hyperlipidemia medicine intake in half with the visible improvement of serum cholesterol level through 12 weeks of aerobic and resistance exercise.

Clinical Article : 중학교 축구선수의 포지션별 심폐지구력 비교와 운동 손상

임길병 ( Kil Byung Lim ),문정화 ( Jung Wha Moon ),이지형 ( Ji Heoung Lee ) 대한스포츠의학회 2013 대한스포츠의학회지 Vol.31 No.2

The purpose of this study was to investigate the difference in cardiopulmonary endurance among positions in middle school soccer, and to identify the incidence of sports injuries in association with soccer matches and training. Ninety-six (32 forwards, 27 defenders, 29 midfielders, and eight goalkeeper [GK]) middle school soccer players (12.77±0.53 years) participated in this study. They had no medical problems. Their height, weight and body mass index (BMI) were measured, and they also went through tests for maximal oxygen consumption (VO2max). We interviewed middle school soccer players about their soccer careers and their history of sports-related injuries. Physical fitness was compared among players in different playing positions. VO2max was significantly higher in forward and defender groups than GK group. There was no significant relationship in cardiopulmonary endurance among outfield players. GK were taller and heavier than outfield players. BMI was significantly higher in GK group than midfielder group. They had played soccer for 39.08±20.28 months on average. During matches and training, forwards suffered 13 injuries (36.1%); defenders suffered 10 injuries (27.8%); midfielders suffered 12 injuries (33.3%); and only one GK came down with an injury (2.8%). The most common types of injuries were to knees (36.1%) and ankles (33.3%).

통근 수단 전환을 통한 신체활동 증가가 체력 및 심혈관계에 미치는 영향

임길병 ( Kil Byung Lim ),이홍재 ( Hong Jae Lee ),문정화 ( Jung Wha Moon ),정태호 ( Tae Ho Jung ),성현곤 ( Hyun Gun Sung ),박지형 ( Ji Hyung Park ),김혜자 ( Hae Ja Kim ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.1

This study was aimed to identify the effects of the change of commuting modes for 8 weeks on physical fitness and cardiovascular risk factors. We recruited volunteers who are sedentary, drive his/her own car for commuting, are aged from 30 to 49, but have no known definite medical diseases. They chose one of three groups respectively: walking, cycling and pubic transportation (PB). Sixty male subjects participated to this study: 19 for walking group, 14 for cycling, and 27 for PT group. In graded exercise test, the resting systolic blood pressure (BP) decreased significantly in walking and PT group (p<0.05), and the resting diastolic BP decreased significantly in walking and cycling group. VO2max increased significantly in all three groups. In isokinetic strength test, the knee extensor measured in 60 degree/sec speed increased significantly in walking and cycling group. In the physical fitness, hand grip strength increased in cycling group only, back strength and 30sec sit up increased in PT group, one leg standing with eye-closed increased in cycling group. The cardio-vascular risk factors in blood such as glucose, Triglyceride, cholesterol, hs-CRP were not changed in all three groups. This study suggest that the change of commuting modes from a private car mode to an active movement mode may increase the volume of physical activities with low-density in daily, which may give positive effect on BP, VO2max, muscle strength in knee extensor and back muscle, and standing balance.

여자 청소년 및 성인의 앞십자인대 위험요인 평가

조지훈(Ji-Hoon Cho),임승택(Seung-Taek Lim),임비오(Bee-Oh Lim),문정화(Jung-Wha Moon) 한국발육발달학회 2018 한국발육발달학회지 Vol.26 No.4

The purpose of this study was to assessment anterior cruciate ligament injury (ACL) risk factors between female adolescents and adults during single-leg drop landing using landing error scoring system. Twenty-four (adolescents = 14, adults = 12) people were recruited to participate in this study. Participations were video recording during single-leg drop landing trials were assessed using the Landing Error Scoring System (LESS), which is a valid clinical movement analysis tool. A high LESS score indicates more errors. The adolescents group was significant higher than adults group (p<.05). Negative correlations was found between age and LESS scores. This results suggest that the risk of ACL is higher in women and younger aged. It is necessary to prevent ACL injuries which can be an intervention of exercise training program and changes in behavior.