바른체형운동 지도가 정신장애인의 우울감 및 폐활량에 미치는 효과

우경희(Kyung-Hee Woo),양정옥(Jeong-Ok Yang),이중숙(Joong-Sook Lee),이범진(Bom-Jin Lee),김의숙(Eui-Suk Kim),정숙희(Sook-Hee Jung),곽이섭(Yi-Sub Kwak) 한국생명과학회 2016 생명과학회지 Vol.26 No.10

본 연구는 바른체형운동 프로그램이 정신장애인의 폐활량 및 우울감에 미치는 영향을 알아보고자 경북 P시에 거주하고 정신장애 판정을 받았으며 정신재활프로그램에 참여하는 정신장애인을 대상으로 실시하였다. 참여한 피험자에게 연구목적과 내용을 설명하였고, 연구 참가동의서를 받은 19명을 최종 선정하여 10명은 운동군, 9명은 통제군으로 분류하여 12주간 바른체형운동 프로그램을 실시하였고, 연구결과는 다음과 같다. 우선 폐활량의 변화를 살펴본 결과 PEF (최대호기속도)와 FEV1/FVC (1초간 노력성 호기량의 노력성 폐활량에 대한 비)가 바른체형운동 적용 후에 증가하여 호기기능이 유의하게 향상됨을 확인하였다. 또한, 바른체형운동 프로그램 참여에 따른 운동군의 우울감의 변화는 통계적으로 유의한 차이는 나타나지 않았으나 우울정도의 감소폭이 통제군보다 운동군에서 훨씬 크게 나타나 바른체형운동이 정신장애인의 우울감 정도의 감소에 긍정적인 변화를 나타냈다고 할 수 있다. 그리고 본 연구에서는 프로그램 참가자들의 특수성으로 인한 표본 수의 한계로 인해 통계적 검증의 한계가 명확히 존재함을 고려하여 참여자들의 주관적 경험을 심층적으로 이해하는 것을 목적으로 한 질적분석(qualitative research)을 병행하여 실시하였다. 프로그램 참가자 중 동의하는 사람에 한해 심층적 면담을 실시하였으며 이를 통해 참여자들이 표현하는 내용의 의미단위를 검토하여 분류하고 세분화하는 작업을 통해 주제분석(thematic analysis)을 실시한 결과, 전반적으로 바른체형운동 프로그램에 참여한 정신장애인들의 우울감 정도가 줄어든 것을 알 수 있었다. 우울감의 변화과정은 ‘변화의 시작’, ‘프로그램에 대한 흥미’, ‘신체적 건강의 필요성에 대한 인식’, ’신체적 건강증진’, ’신체적 기능의 회복’, ’부정적인 습관(자세)의 변화’, ’우울감의 감소’, ’할 수 있다는 자신감’, ’미래에 대한 희망’과 같은 3개의 주제와 6개의 하위 주제로 나타났다. 따라서 바른체형운동이 정신장애인들의 신체적 건강증진을 위해 심폐지구력을 높여 신체적 건강증진을 도모할 뿐 아니라 더 나아가 정신적 우울감의 감소에도 효과성을 높여 정신적 건강증진에도 도움을 줄 수 있는 프로그램으로 정신장애인의 삶의 질 증진을 위해서는 보급이 반드시 필요할 것으로 사료된다. The purpose of this study was to investigate the effects of the regular Upright Body Type Excercise on posture, muscle strength of leg, lung capacity and depression of people with mental illness. The subjects of this study were recruited from B mental health center (5 years and more mental illness patients, n=19) located in P city. For the exercise group, They were carried out the Upright Body Type Excercise Program during 8 weeks (60 min/time, 3 times/week). They were randomly divided into two groups. Exercise group (n=10) and Control group (n=9). And also, they were agreed with consent forms before the experiments. Research results were as follows. Through the upper body type exercise, there was significantly difference in PEF and FEV1/FVC in the trained group. And also, there was much improved in depression level in the trained group. The change of melancholy feeling before and after the program was not statistically significant. However, because of limitations of sampling size due to the peculiarities of the program participants, in consideration of the limit of statistical validation exists clearly, intended to better understand the subjective experience of attendees, qualitative analyzing(qualitative research) was carried out in parallel. It was conducted a deep interview only person accepted among program participants, thematic analysis, subject analysis tasks to be subdivided by classifying by considering the semantic units of what participants expressed, was thus carried out. It found that the degree of melancholy feeling of mental disorders who participated in the Upright Body Typed Exercise Program was reduced. The course of the experience of change in depression appered the three subjects and six sub-themes such as “the start of the change”, “interest of the program”, “recognition of the need of the body`s health”, “physical health promotion”, “recovery of physical function”, “negative change of habits (attitude)”, “reduction of sense of depression”, “confidence that it is possible to”, “hope for the future”. Therefore, upper body type exercise is much helpful in lung capacity and mental health of people with mental illness. So, this type of exercise mostly needed in the people with mental illness group than the other group for the quality of life.

복식호흡 운동이 비만 대학생의 체중, 체지방률, BMI, 복부 비만률에 미치는 영향

Yi-Sub Kwak(곽이섭),Young-Il Kim(김영일) 한국생명과학회 2010 생명과학회지 Vol.20 No.12

본 연구는 건강한 성인을 20명을 대상으로 AB spur를 착용하고 12주 복식호흡 운동을 함에 따라 신체적 특성 및 체지방률(% body fat), 체질량지수(BMI), 복부 비만율(Waist/Hip ratio)의 변화를 검증하여 비만과 관련되어 복식호흡의 중요성 강조 및 비만관련 인자 감소에 있어 기초자료로 제공하려는데 목적이 있다. 본 연구의 대상자는 모두 D 대학교에 재학중인 대상자(총 20명; 남: 3 명, 여: 17명)들로 문진을 통하여 사전과 현재 병력을 조사하여 의학적으로 질환이 없는 대상자로 구성하였다. 본 연구를 수행하기 위해 복식호흡기기를 이용한 복식호흡훈련을 충분히 숙지 시킨 후에 하루 6시간, 12주간 매일 착용하게 하였다. 복식호흡 방법은 크게 들이쉬기(2~3초), 숨정지(1~2초), 내쉬기(약 4~5초) 순서로 하였으며, 정확한 호흡을 유도하기 위하여 AB spur를 착용하고, 숨을 들어 마시며 복부를 최대한 내밀어준다. 본 연구결과 12주 복식호흡 훈련은 체중 및 체지방률, BMI, 복부 비만도를 유의하게(p<0.05) 감소시켰고 이는 비만과 관련하여 의미 있는 결과라 사료된다. 추후 운동과 더불어 비만자에 있어 이러한 복식호흡의 중요성을 강조하면 비만에 따른 체중 및 체지방 감소에 보다 효과적인 방법을 제시할 수 있을 것으로 사료된다. The purpose of this study was to investigate the effects of 12 weeks of abdominal breathing exercises, through AB spur, on weight and BMI, % body fat, and waist-hip ratio in healthy college students. The subjects consisted of 20 obese young college students, and all of whom had no other health complications. The subjects were shown in detail the proper way to utilize the equipment and practice abdominal breathing in a laboratory setting. They were told to wear the AB spur for at least six hours a day in order to induce abdominal breathing exercise. Because the subjects were students, most of the abdominal breathing exercises took place while they were sitting in lectures at school, and they wore the equipment for 12 weeks. At 4, 8, and 12 weeks after the subjects started using the AB spur, there were significant decreases in weight, % body fat, BMI, and waist-hip ratio (p<0.05). In conclusion, the results of the stud suggest that abdominal breathing exercise may be a good weight loss method, as well as a beneficial way to decrease obesity factors, in obese college students.

Physical stress on lymphocyte proliferation and reactive oxygen species

Yi-Sub Kwak,Il-Young Paik,Yeong-Ho Baek,Young-Wan Jin,Woo-Young Ku,Chul-Woo Kim,Youn-Hee Lim 한국생명과학회 2006 한국생명과학회 심포지움 Vol.47 No.-

The effects of physical program on cognitive function & exercise capacity in patients with dementia

Yi-Sub Kwak,Sang-Yong Um,Il-Young Paik 한국생명과학회 2005 한국생명과학회 심포지움 Vol.44 No.-

Exercise Training on Congnitive Function and Exercise Capacity of Senile Dementia Patients

Yi-Sub Kwak,Young-Wan Jin,Chul-Young Kim,Byung-kon Yoon,Kyung-Suk Choi 한국생명과학회 2008 한국생명과학회 심포지움 Vol.49 No.-

The rationales of brain function development by ketone body

Yi-Sub Kwak 한국운동재활학회 2018 한국운동재활학회 학술대회 Vol.2018 No.10

Brain development is a complex process, and stimuli during this development period may modulate the functional maturation of the brain. It has been shown that environmental stimuli, such as physical activity habits, have a beneficial effect on brain development. Many human and animal studies have shown that environmental stimuli, such as physical activity habits, have a beneficial effect on brain development. Exercise has many functions not only in the developmental period of the brain but also in adulthood. Exercise is known to have many beneficial effects on brain function and energy metabolism. In the present study, we discussed on two main topics: “exercise and BDNF” and “exercise and energy restriction”. Endurance exercise and prolonged fasting state are known to improve brain function including cognition. The exact mechanisms of exercise on improving brain function are still unknown. However, it can be considered that energy restriction and stressful challenge induced by long-lasting physical exercise might cause direct effect on brain function. Up-regulation of brain-derived neurotrophic factor (BDNF) and ketone body caused by exercise might be considered as the mechanism of exercise on brain function. It is well known that long-term endurance exercise and fasting state improve brain function. Although the precise mechanisms for brain function improvement have not yet been elucidated, ketone body and BDNF have been suggested as the main substances of this action.

The effects of swimming training on arterial function, muscular strength and cardiorespiratory capacity in postmenopausal women with stage 2 hypertension

Yi-Sub Kwak,Steven D. Scott,Won-Mok Son,Song-Young Park 한국운동재활학회 2018 한국운동재활학회 학술대회 Vol.2018 No.10

Intro/Purpose: Aging is associated with progressive decreases in arterial health and function as well as overall fitness. It is crucial to prevent or reduce the negative effects of aging on vasculature and fitness components by implementing appropriate lifestyle interventions, such as exercise training. We examined the effects of a swimming (SWM) regimen on arterial stiffness (pulse wave velocity, PWV), blood pressure (BP), wave reflection (AIx), muscle strength and aerobic capacity in postmenopausal women with stage 2 hypertension. Methods: Using a parallel experimental design, participants were randomly assigned to either SWM (n=52) or non-exercising control group (n=48) for 20 weeks. Participants in the SWM group trained 3-4 days/week, progressing in duration from 25 to 45 min. Participants’ carotid to radial PWV (crPWV), BP, AIx, muscular strength and cardiorespiratory capacity were measured at baseline and after 20 weeks of their assigned intervention. Results: There was a significant group x time interaction (P<0.05) for crPWV, AIx, and systolic and diastolic BP, which significantly decreased (P<0.05); and strength and cardiorespiratory capacity, which significantly increased (P<0.05) following SWM compared to no changes in control. Conclusions: SWM led to reductions in arterial stiffness, wave reflection and BP while increasing strength and aerobic capacity in postmenopausal women with stage 2 hypertension. SWM may be an effective intervention in the prevention and treatment of age-related vascular complications as well as declines in muscle strength and cardiorespiratory capacity.

Physical exercise and L-arginine supplementation on cardiovascular and macrophage activity in SHR

Yi-Sub Kwak 한국생명과학회 2005 한국생명과학회 심포지움 Vol.45 No.-

운동 유발성 알레르기 질환분석 및 비타민 C와 catalase 투여 효과 분석

Yi-Sub Kwak(곽이섭) 한국생명과학회 2010 생명과학회지 Vol.20 No.4

전 세계적으로 알레르기 환자가 증가하고 있고, 특히 운동이 알레르기 질환을 증가 시켜 운동 유발성 알레르기에 대한 연구가 주목되고 있다. 운동 유발성 알레르기 질환은 운동 중과 운동 후 혈관부종, 두드레기, 호흡, 위와 장계의 증후 및 아나플락시스 등이 나타나는 질환이다. 따라서 본 연구는 운동 유발성 알레르기 질환의 분석 및 비타민 C와 catalase 투여에 대한 항 알레르기 효과와 활성 산소종 생성 조절제 들의 상호작용을 규명하고 전반적인 운동 유발성 알레르기 질환의 치료효과를 규명하는데 그 목적이 있다. 연구방법으로는 무병원성환경에서 사육한 생후 7주령의 BALE/c마우스(Female)를 그룹핑 하여 통제군과 훈련군에게 각각 알레르기를 유발한 후, 서로 다른 기간의 운동 효과를 분석하였고, 운동 유발성 알레르기 군에게 비타민c와 catalase를 투여하여 투여 효과를 분석하였다. 본 연구결과 운동 유발성 알레르기 질환은 훈련기간이 늘어남에 따라 증가함음 알 수 있었고, 이러한 운동 유발성 알레르기 질환과 쇼크사는 복강 림프구에서 발현하는 ROS는 큰 연관이 있다는 것, 그리고 운동 유발성 알레르기 치료 효과는 catalase를 투여하는 것 보다 비타민을 투여하는 것이 더욱 효과적임을 알 수 있었다. 추후 이에 대한 원인을 규명하는 기전적 연구가 필요할 것으로 여겨진다. Exercise-induced anaphylaxis (EIA) is defined as the onset of allergic symptoms during, or immediately after, exercise, the clinical signs being various degrees of urticaria, angioedema, respiratory and gastrointestinal signs, and even anaphylactic shock. Food-dependent exercise-induced anaphylaxis (FDEIA) is a specific variant of exercise-induced anaphylaxis that requires both vigorous physical activity and the ingestion of specific foods within the preceding several hours. To describe the physiopathologic mechanism, etiologic factors, and clinical manifestations, we evaluated the supplementation of vitamin C and catalase on spleen index, proliferation assay, ROS, and ASAS in sensitized and exercise trained mice. The results were as follows: Spleen index showed the highest level in the ST12 group compared to other groups; this level increased in a time dependent manner and in significant amounts. In proliferation assay of Med and OVA, the ST12 group showed the highest level compared to other groups; this level also increased in a time dependent manner. On the other hand, spleen ROS did not show a statistically significant difference, and peritoneal ROS showed the highest level in the ST12 group. ASAS showed the highest level in the ST12 compared to the S; this was also in a time dependent manner and in significant amounts. From the results, we chose the ST9 and ST12 groups to evaluate allergy anaphylaxis with supplementation of Vitamin C and catalase. In both the ST9 and ST12 groups, peritoneal ROS and ASAS were lower in vitamin C treatment group than in the catalase treatment group. This was a statistically significant difference. From the results, allergy anaphylaxis showed a higher level in the long trained group than in the short trained group. Also, treatment with vitamin C was more effective in lowering allergy anaphylaxis than catalase treatment.

Different Water temperature and Swim Training on Tuberculosis infection of trained mice

Yi-Sub Kwak,Young-Wan Jin,Chan-Ho Park,Byung-In Yoo,Woo-Young Ku 한국생명과학회 2005 한국생명과학회 심포지움 Vol.45 No.-