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12주간의 산림걷기 운동이 중년여성의 기능적 체력, 자기효능감, 스트레스에 미치는 영향
최종환(Choi, Jong-Hwan),김현주(Kim, Hyeon-Ju),신창섭(Shin, Chnag-Seob),연평식(Yeon, Pyeong-Sik),이재순(Lee, Jae-Soon) 한국산림휴양복지학회 2016 한국산림휴양학회지 Vol.20 No.3
본 연구의 목적은 산림 걷기 운동이 중년여성의 일상생활관련 기능적 체력과 심리적 변인에 미치는 영향을 알아보기 위한 것이다. 산림 걷기 운동집단(FWG, n=11, 53.9±2.69)과 운동장 걷기 운동집단(GWG, n=9, 55.5±1.84)으로 구분하여 12주간 주 3회, 1회 80분간 걷기 운동을 실시하여 기능적 체력과 심리적 변인(자기효능감과 스트레스)의 변화를 측정한 결과는 다음과 같다. 첫째, 12주 운동 프로그램 후 FWG이 GWG보다 하체근력, 상체와 하체 유연성, 민첩성/평형성, 그리고 심폐지구력이 더 많이 향상되었으나 상체 근력과 BMI는 차이가 없었다. 둘째, 12주 운동 프로그램 후 FWG이 GWG보다 자기효능감이 더 향상되었다. 셋째, 12주 운동프로그램 후 FWG이 GWG보다 스트레스 하위영역인 긴장, 우울, 스트레스 총점수가 낮았으나 공격성, 신체화, 분노, 피로, 좌절은 집단 간에 차이가 없었다. 따라서 본 연구는 산림 걷기 운동이 중년여성의 기능적 체력과 심리적인 변인(자기효능감과 스트레스)을 긍정적으로 변화시키고, 나아가서 질적인 삶을 증진시키는 효과적인 운동방법이라고 제안한다. This study aims to investigate the effect of 12-week forest walking on functional fitness, self-efficacy, and stress in the middle-aged women. There were two groups: forest walking group(FWG, n=11, 53.9±2.69) and ground walking group(GWG, n=9, 55.5±1.84). The subjects were asked to participate in forest walking program or ground walking program(3 times/week, 80min/day) for 12 weeks. The subjects were tested on functional fitness(strength, endurance, agility/balance, BMI) and psychological variables(self-efficacy and stress) at the beginning and the end of the 12-week program. The result of this study were as follow. First, FWG was significantly more improved than GWG on functional fitness(lower-body muscular strength, lower-body flexibility, Agility/Balance, cardiovascular endurance) after 12-week exercise program. But both group did not show any difference on upper-body muscular strength and BMI after 12-week exercise program. Second, FWG was significantly more improved than GWG on self-efficacy and the tension, depression, and total score of stress after 12-week exercise program. However, they did not show any difference on anger, aggression and frustration of stress after 12-week walking program. Therefore, this study may suggest that forest walking exercise improves efficiently on functional fitness and psychological variables(self-efficacy and tension, depression, and total score of stress) in the middle-aged women, and further becomes an effective exercise method that improves quality of life for them.
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Clinical Characteristics of Microscopic Colitis in Korea: Prospective Multicenter Study by KASID
( Young Sook Park ),( Dae Hyun Baek ),( Won Ho Kim ),( Joo Sung Kim ),( Suk Kyun Yang ),( Sung Ae Jung ),( Byung Ik Jang ),( Chnag Hwan Choi ),( Dong Soo Han ),( Young Ho Kim ),( Yong Woo Chung ),( Sa 대한소화기기능성질환·운동학회 2011 Gut and Liver Vol.5 No.2
Background/Aims: Microscopic colitis (MC) encompasses collagenous and lymphocytic colitis and is characterized by chronic diarrhea. In cases of MC, colonic mucosae are macroscopically normal, and diagnostic histopathological features are observed only upon microscopic examination. We designed a prospective multicenter study to determine the clinical features, pathological distribution in the colon and prevalence of MC in Korea. Methods: We prospectively enrolled patients having watery diarrhea no more than 3 times a day between March 2008 and February 2009. We obtained patient histories and performed colonoscopies with random biopsies at each colon segment. Results: A total of 100 patients with chronic diarrhea were enrolled for a normal colonoscopy and stool exam. MC was observed in 22 patients (22%) (M:F 1.2:1; mean age, 47.5 years). Of those 22 patients, 18 had lymphocytic colitis and 4 had collagenous colitis. The entire colon was affected in only 3 cases (13.6%), the ascending colon in 6 cases (27.2%), the transverse colon in 3 cases (13.6%), and the left colon in 3 cases (13.6%). More than 2 segments were affected in 7 cases (31.8%). Nonsteroidal anti-inflammatory drug-associated MCs were observed in 4 cases (18.2%), 3 of which showed improved diarrhea symptoms following discontinuation of the medication. Frequently associated symptoms were abdominal pain and weight loss. Autoimmune diseases were observed in 4 cases (18.2%). Half of the 22 patients with MC improved with conservative care by loperamide or probiotics. Conclusions: In a prospective multicenter study of Korean patients with chronic diarrhea, the frequency of MC was found to be approximately 20%, similar to the percentage observed in Western countries. Therefore, the identification of MC is important for the adequate management of Korean patients with chronic diarrhea. (Gut Liver 2011;5:181-186)
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