40세 이상 중·노년의 질병 유무에 따른 신체활동과 우울증의 관계

김정운 ( Jung-woon Kim ) , 김준식 ( Joon-sik Kim ) , 임정준 ( Jung-jun Lim ) , 김연수 ( Yeon-soo Kim ) , 이온 ( On Lee ) , 최보율 ( Bo-youl Choi ) , 김미경 ( Mi-kyung Kim ) 한국스포츠정책과학원(구 한국스포츠개발원) 2020 체육과학연구 Vol.31 No.1

[목적] 본 연구의 목적은 질병 유무에 따른 신체활동과 우울증의 관계를 알아보는데 있다. [방법] 농촌기반 코호트 사업에 참여한 40세 이상 남녀 2,754명(남자 1,025명, 여자 1,729명)을 대상으로 설문조사와 기초평가를 실시하였다. 설문조사는 신체활동 설문과 우울증 척도 검사(K-CESD), 질병유무 설문을 실시하였으며, 기초평가는 신장, 체중, 체지방률 등을 측정하였다. 데이터는 로지스틱 회귀분석을 통해 신체활동과 우울증 유병률의 관계를 분석하였다. [결과] 첫째, 일반사람과 질병을 가진 환자에서 신체활동은 우울증 유병률을 각각 33%, 51% 감소시켰다. 둘째, 주 1회~2회의 신체활동은 질병을 가진 환자의 우울증 유병률을 51% 감소시키며, 3회 이상은 일반사람 37%, 질병을 가진 환자 33%의 우울증 유병률을 감소시켰다. 셋째, 주150분 미만의 신체활동은 질병을 가진 환자의 우울증 유병률을 43% 감소시켰으며, 주 150분 이상 300분미만의 신체활동은 일반사람 43%, 질병을 가진 환자 52%의 유병률을 감소시켰다. 주 300분 이상의 신체활동은 일반사람에서 38%의 우울증 유병률 감소 효과가 있었다. [결론] 결론적으로, 우울증 유병률을 최대로 감소시키기 위해서는 ACSM 가이드라인에서 제시하고 있는 신체활동 수준이 적합하다. 또한, 질병을 가진 환자는 일반사람보다 적은 빈도와 양의 신체활동만으로도 효과를 볼 수 있음을 알 수 있었다. [Purpose] The purpose of this study was to investigate the relationship between physical activity and depression according to the presence of disease. [Methods] A survey and basic assessment were conducted for 2,754 (Male=1,025 and Female=1,729) aged 40 and over who participated in the rural-based cohort study. The survey included physical activity, depression scale and disease preservation. The basic assessment measured height, weight, and body fat percentage. The measured data were analyzed by using logistic regression to examine the relationship between physical activity and depression prevalence. [Results] First, physical activity reduced the prevalence of depression by 33% and 51%, respectively, in the general population and in patients with the disease. Second, physical activity once or twice per week reduced the prevalence of depression in patients with disease by 51%, and at least three physical activities reduced the prevalence of depression by 37% in the general population and 33% of patients with disease. Third, physical activity less than 150 minutes per week reduced the prevalence of depression in patients with disease by 43%, and physical activity of more than 150 minutes and less than 300 minutes per week reduced the prevalence of 43% of the general population and 52% of patients with disease. Physical activity over 300 minutes per week had a 38% reduction in the prevalence of depression in the general population. [Conclusion] This study suggests that the level of physical activity suggested by the ACSM guidelines is appropriate to reduce the prevalence of depression. In addition, the patients with the disease was found to be effective with less frequency and amount of physical activity than the general person.

Indoor Physical Activity Reduces All-Cause and Cardiovascular Disease Mortality Among Elderly Women

박소영,이중엽,강동윤,이철우,박병주 대한예방의학회 2012 Journal of Preventive Medicine and Public Health Vol.45 No.1

Objectives: The aim of this study was to investigate whether a medium to high degree of total physical activity and indoor physical activity were associated with reduced all-cause and cardiovascular mortality among elderly Korean women. Methods: A prospective cohort study was done to evaluate the association between physical activity and mortality. The cohort was made up of elderly (≥65 years of age) subjects. Baseline information was collected with a self-administered questionnaire and linked to death certificates retrieved from a database. Cox proportional hazard models were used to estimate the hazard ratios (HRs) with 95% confidence interval (CI) levels. Results: Women who did not suffer from stroke, cancer, or ischemic heart disease were followed for a median of 8 years (n=5079). A total of 1798 all-cause deaths were recorded, of which 607 (33.8%) were due to cardiovascular disease. The group with the highest level of total physical activity and indoor physical activity was significantly associated to a reduced all-cause mortality (HR, 0.60; 95% CI, 0.51 to 0.71 and HR, 0.58; 95% CI, 0.50 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Additionally, the group with the highest level of total physical activity and indoor physical activity was significantly associated to a lower cardiovascular disease mortality (HR, 0.53; 95% CI, 0.40 to 0.71 and HR, 0.51; 95% CI, 0.39 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Conclusions: Our study showed that regular indoor physical activity among elderly Korean women has healthy benefits.

Indoor Physical Activity Reduces All-Cause and Cardiovascular Disease Mortality Among Elderly Women

Park, So-Young,Lee, Joong-Yub,Kang, Dong-Yoon,Rhee, Chul-Woo,Park, Byung-Joo The Korean Society for Preventive Medicine 2012 Journal of Preventive Medicine and Public Health Vol.45 No.1

Objectives: The aim of this study was to investigate whether a medium to high degree of total physical activity and indoor physical activity were associated with reduced all-cause and cardiovascular mortality among elderly Korean women. Methods: A prospective cohort study was done to evaluate the association between physical activity and mortality. The cohort was made up of elderly (${\geq}65$ years of age) subjects. Baseline information was collected with a self-administered questionnaire and linked to death certificates retrieved from a database. Cox proportional hazard models were used to estimate the hazard ratios (HRs) with 95% confidence interval (CI) levels. Results: Women who did not suffer from stroke, cancer, or ischemic heart disease were followed for a median of 8 years (n=5079). A total of 1798 all-cause deaths were recorded, of which 607 (33.8%) were due to cardiovascular disease. The group with the highest level of total physical activity and indoor physical activity was significantly associated to a reduced all-cause mortality (HR, 0.60; 95% CI, 0.51 to 0.71 and HR, 0.58; 95% CI, 0.50 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Additionally, the group with the highest level of total physical activity and indoor physical activity was significantly associated to a lower cardiovascular disease mortality (HR, 0.53; 95% CI, 0.40 to 0.71 and HR, 0.51; 95% CI, 0.39 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Conclusions: Our study showed that regular indoor physical activity among elderly Korean women has healthy benefits.

신체활동 특성이 노인 만성질환자의 정신건강에 미치는 영향

박재우 ( Jae Woo Park ),황병덕 ( Byung Deog Hwang ) 대한보건협회 2015 대한보건연구 Vol.41 No.1

연구목적 : 본 연구는 노인 만성질환자를 대상으로 신체활동 특성을 파악하여 정신건강과의 관계를 분석함으로써 노인 만성질환자의 정신건강상태 향상을 위한 기초자료를 제공하기 위한 상관관계 분석연구이다. 연구방법 : 본 연구 자료는 한국보건사회연구원과 국민건강보험공단이 실시한 "한국의료패널(2011)"의 원시자료를 사용하였으며, 연구대상자는 의사진단을 받은 55세 이상의 만성질환자로 총 4,118명 이였다. 본 연구 자료의 통계분석을 위해 SPSS 21.0 프로그램을 이용하였다. 분석대상자의 인구사회학적 특성, 신체활동 특성, 정신건강 특성을 파악하기 위해 빈도분석을 실시하였으며, 분석대상자의 신체활동 특성에 따른 각 변수들 간의 차이를 파악하기 위해 교차분석을 실시하였다. 정신건강에 영향을 미치는 요인은 로지스틱 회귀분석을 하여 그 교차비를 보았다. 연구결과 : 본 연구의 결과는 다음과 같다. 첫째, 신체활동 특성에 따른 정신건강 요인의 변이는 스트레스정도, 우울감 경험, 자살충동 경험에서 통계적으로 유의한 차이가 있었다. 신체활동 특성이 양호할수록 정신건강 요인에 긍정적인 영향을 미쳤다. 둘째, 정신건강에 영향을 미치는 주요 요인의 결과는 주관적 건강상태, 건강신체활동 도달 여부 두 변수와 인구사회학적 요인의 성별, 경제활동 유무가 통계적으로 유의한 영향을 주는 것으로 분석되었다. 결론 : 본 연구 결과, 노인 만성질환자의 신체활동 특성이 양호할수록 정신건강 상태가 좋아지는 것을 알 수 있었다. 노인만성질환자의 정신건강 향상을 위해 규칙적인 신체활동과 일상생활 상태 개선으로 신체적 기능을 높여 노년기 삶의 질에 긍정적인 영향을 주는 것이 효과적인 방법이라 사료된다. Objective: This study is a correlation analysis study to identify characteristics of physical activities of the aged with chronic diseases, analyze the relationship with mental health and to provide basic data to improve mental health of the aged with chronic diseases. Methods: Data used in this study include "Korea Health Panel(2011)" conducted by the Korea Institute for Health and Social Affairs and the National Health Insurance Service and study subjects were total of 4,118 people over the age of 55 who were diagnosed with chronic diseases. SPSS 21.0 program was used for statistical analysis of the data. Frequency analysis was conducted to identify the characteristics of sociology of population, physical activity and mental health of the subjects; and cross-tabulation analysis was conducted to identify differences among the variables depending on characteristics of physical activity. Logistic regression analysis was conducted to draw odds ratio of factors that affect mental health. Results: The results of the study are as follows. First, modification of mental health factors according to physical activity characteristics showed significant difference in stress level, history of depression and history of suicidal impulse. And good physical activity characteristics have more positive effect on mental health factors. Second, major factors that affect mental health showed statistical significance in two variables-subjective health conditions, capability of healthy physical activity-and factors of sociology of population such as gender and economic activity. Conclusion: The results indicate that better physical activity characteristics of the aged with chronic diseases affect improvement of mental health. It will be effective to make positive effect on quality of life in senescence for better mental health of the aged with chronic diseases by physical activity on a regular basis and improvement of daily activities and physical activities.

농촌 만성질환 노인의 신체활동관련 요인

백현희,김정자,Peak, Hyun-Hee,Kim, Jeong-Ja 한국임상보건과학회 2014 한국임상보건과학회지 Vol.2 No.4

Purpose. This study is based on physical and mental health and physical activity differences in Practice rate each physical activity according to the body to target the 319 people who live in rural areas of 65 and older who have chronic diseases Practice rate activities, general characteristics of chronic diseases, elderly differences in physical activity and investigate the factors that influence. Methods. Physical activity Practice rate was used for descriptive statistics. Each physical activity Practice rate in accordance with the general characteristics of the rural elderly chronic disease were independent T test and One-way ANOVA test. To evaluate the factors influencing the physical activity was the multiple logistic regression analysis. Results. Results of physical activity practice was the most flexibility exercise was walking then, Practice rate each physical activity in accordance with the general characteristics of the elderly are tangible and physical activity radish age, housing type, education level, health insurance part statistically significant were different. Physical health status according to the presence or absence of physical activity showed a significant difference in daily life activities and limited mental health differences were not significant. Factors affecting the physical activity of the elderly with chronic diseases appeared to limit the presence and activities of daily living. Conclusions. As well there is no activity restrictions can be more physically active everyday life well. It is suggested that it is important to approach everyday life, I can help eliminate the factors that independently giving limits on the activities of the elderly with chronic diseases.

신체활동을 통한 평생스포츠가 알츠하이머 형 치매 예방에 미치는 영향에 대한 문헌고찰

박윤진(Youn Jin Park) 한국사회체육학회 2013 한국사회체육학회지 Vol.0 No.53

As a review of literature about lifelong sports througy physical activity effect on Alzheimer`s disease prevention, following conclusions are drawn. Physical activities enhance brain health of both patients and non-patients and the workout of the whole body is more efficient. For those who got Alzheimer`s disease(AD) and mild cognitive impairment(MCI) that physical activities ameliorates the conservation of brain. The workout is a good means of alleviating and preventing the aging process and neurode generative diseases. The low-intense or mid-intense jogging is good for the prevention of Alzheimer`s disease in terms of memory improvement and other low-intense physical activities such as walking, stroll, riding a bicycle, swimming or playing golf are also beneficial. It was more high reprocuction rate nerve cell, occure to increase of estrogen. Regular physical activity is defined to be 30 minutes a day and 3 times a week. It alleviates nerve cell degradation and ameliorates neural plasticity for Alzheimer`s disease affected patients. Conscious manual exercise improves learning capabilities and concentration and it prevents dementia for all categories of people ranging from infants to adults and seniors. It provides opportunities for seniors and people who are not seniors to understand, respect and communicate meaningfully with the old age and prevents the decline of physical functions caused by the lack of physical activities and Alzheimer`s disease by promoting the development of physical, emotional, social, functional characteristics and by extending schools` physical education to the lifelong sports in order for people to make a lifestyle.

Physical Activity Level of Korean Adults with Chronic Diseases: The Korean National Health and Nutritional Examination Survey, 2010–2012

Ho-Seong Jin,Ah-Reum An,Ho-Chun Choi,Sang-Hyun Lee,Dong-Heon Shin,Seung-Min Oh,Young-Gyun Seo,Be-Long Cho 대한가정의학회 2015 Korean Journal of Family Medicine Vol.36 No.6

Background: Proper physical activities are known to be helpful in the prevention and management of chronic diseases. However, the physical activity level of patients with chronic diseases is low. Therefore, this study aimed to investigate the physical activity compliance of patients with hypertension, diabetes, and dyslipidemia in Korea. Methods: This study analyzed the 2010–2012 Fifth Korean National Health and Nutrition Examination Survey data. We included 13,873 individuals in the analysis. The level of physical activity compliance was measured by performing multivariate logistic regression analyses. Results: In the univariate analysis, the subjects with hypertension or diabetes tended to comply with the physical activity guidelines less faithfully than their healthy counterparts. The proportion of subjects with hypertension who were insufficiently physically active was 65.4% among the men and 75.8% among the women. For diabetes, the proportions were 66.7% and 76.8%, respectively. No significant difference was found between the subjects with dyslipidemia and their healthy counterparts. In the multivariate logistic regression analysis, no significant difference in physical activity compliance was observed between the subjects with hypertension, diabetes, or dyslipidemia and their healthy counterparts for both sexes. Conclusion: The patients with hypertension or diabetes tended to have lower physical activity prevlaence than their healthy counterparts. However, for dyslipidemia, no significant difference was found between the two groups. Given the significance of physical activities in the management of chronic diseases, the physical activities of these patients need to be improved.

The Prevalence of Chronic Physical Diseases Comorbid with Depression among Different Sex and Age Groups in South Korea : A Population-Based Study, 2007–2014

SeJin Park,Seungyeon Hong,Hyesue Jang,JungWon Jang,Boram Yuk,ChulEung Kim,Subin Park 대한신경정신의학회 2018 PSYCHIATRY INVESTIGATION Vol.15 No.4

Objective-People with depression often suffer from comorbid, chronic physical diseases. Little is known about how demographic characteristics such as age and sex influence the prevalence of chronic physical diseases comorbid with depression. Therefore, this study aimed to explore the age and sex differences in the prevalence of diverse, chronic physical diseases comorbid with depression. Methods-This cross-sectional survey were conducted with the participants (n=45,598) of the Korean National Health and Nutrition Examination Survey (KNHANES). Using log-binomial regression, age adjusted prevalence ratios (APR) of chronic physical diseases of participants with depression and those without depression were estimated for each sex and age group. Results-The APR of most chronic physical diseases were significantly higher among respondents with depression than those without depression. Chronic physical diseases that showed the highest APR were asthma in adult male respondents (APR=3.46) and adult female respondents (APR=2.19) and chronic renal failure in elderly male respondents (APR=8.36) and elderly female respondents (APR=1.94). Conclusion-Prevalence ratios of the chronic physical diseases comorbid with depression differed according to sex and age groups. Collaborative care strategies should be designed according to demographic characteristics of the population.

COVID-19 대유행으로 인한 대구시민의 신체활동 변화와 영향요인

진수희 ( Soo-hee Jin ),김건엽 ( Keon-yeop Kim ) 한국보건정보통계학회 2021 보건정보통계학회지 Vol.46 No.4

Objectives: We investigated relation between changes in physical activity during the COVID-19 pandemic and its related factors in Daegu Metropolitan City. Methods: 6,910 subjects were selected from 2020 Community Health Survey in Daegu. We analyzed the relation of changes in physical activity and general characteristics, health behavior, health status, health anxiety, mental health, chronic disease. Results: 49.7% of the total survey subjects, 47.8% of hypertensive patients, 46.7% of diabetic, and 54.3% of obesity patient showed a decrease in physical activity during the COVID-19 outbreak. Results by multiple logistic regression analysis, in female (odds ratio, OR=1.37; 95% confidence interval, CI=1.18-1.59), 19-29y (OR=1.49; 95% CI=1.18-1.88), 30s (OR=1.52; 95% CI=1.18-1.96), 40s (OR=1.55; 95% CI=1.20-2.00), residents in the urban area (OR=1.41; 95% CI=1.18-1.69), non-practice of moderate to vigorous physical activity (OR=1.49; 95% CI=1.26-1.76), high health anxiety from COVID-19 infection (OR=1.41; 95% CI=1.21-1.65), perceived depression (OR=1.90; 95% CI=1.50-2.40), and obesity (OR=1.23; 95% CI=1.07-1.41) more decreased than before COVID-19 pandemic in physical activity. Conclusions: The prolonged reduction in physical activity due to COVID-19 may increase the burden of disease on infectious and chronic diseases. Therefore, a public health intervention is essential to increase physical activity for the group with a high decrease in physical activity and then interventions are needed involving the entire population.

Relationship of Metabolic Diseases with Physical Activity Depending on Age

임효경,설재웅,박범석,문지영,홍민화,이유리,황민지,이미나,이지영,김인식,Lim, Hyo Kyung,Sull, Jae Woong,Park, Beom Seok,Mun, Ji Young,Hong, Min Hwa,Lee, Yoori,Hwang, Min Ji,Lee, Mi Na,Lee, Ji Young,Kim, In Sik Korean Society for Clinical Laboratory Science 2018 대한임상검사과학회지(KJCLS) Vol.50 No.2

본 연구의 목적은 2014년 조사되어진 제 6기 2차 국민건강영양조사 자료를 바탕으로 연령별 신체활동에 따른 대사성질환과의 관계를 파악하여 연령별 신체활동에 따른 대사성질환과의 관련성을 규명하여 예방적 기초자료를 제공하기 위한 연구이다. 본 연구는 제 6기 2차(2014) 국민건강영양조사의 자료를 이용하여 수행되었다. 정상군의 382명과 대사질환군의 1,525명을 총 9,701명의 설문 응답자 중 관련 자료가 없는 2,506명을 제외하고 총 7,295명을 분석했다. 본 연구에서 신체활동은 국제신체활동 설문지 (IPAQ)를 기반으로 재분류 되었다. 대사증후군의 정의는 2004년 개정 된 NCEP-ATP III에 근거하여 다음과 같은 결론을 얻었다. 연령에 따른 대사성질환과 신체활동과의 관계에서 10~29세 정상군과 50~69세의 대사질환군에서 혈색소, 적혈구용적, 크리아티닌의 수치는 고강도 신체활동이 수행되었을 때 증가했고 저강도 신체활동을 수행되었을 때 감소했다. 30~49세의 정상군과 대사질환군에서 고밀도 지단백 콜레스테롤 수치는 고강도 신체활동이 수행되었을 때 증가했지만, 저강도 신체활동이 수행되었을 때 감소하였다. 따라서 연령과 운동강도가 고밀도 지단백 콜레스테롤 수치에 미치는 영향을 조사하였다. 결과는 정상군에서 연령과 운동강도에 따라 고밀도 지단백 콜레스테롤 수치에 차이는 없었지만 대사질환군에서는 연령에 따라 고밀도 지단백 콜레스테롤 수치가 감소하였고 운동강도에 따라 증가하였다. 종합하면, 본 연구의 결과는 대사질환군에서 고밀도 지단백 콜레스테롤 수치는 고강도 신체활동에서 긍정적인 효과를 나타내고 연령은 부정적인 효과를 나타냈다. 이러한 결과는 우리가 신체활동과 연령에 따라 대사성질환을 더 잘 이해하는데 도움이 될 수 있다. Metabolic disease is associated with abdominal obesity, high blood pressure, and dyslipidemia. Physical activity has beneficial effects on a variety of diseases. This study examined the relationship between metabolic diseases and physical activity according to age. Among a total of 7,295 subjects, the data from 382 individuals in the normal group and 1,525 persons in the metabolic disease group were analyzed. The data were analyzed statistically by one-way ANOVA, the Pearson's correlation coefficient, and multiple regression analysis. The levels of hemoglobin (HB), hematocrit (HCT), and creatinine (CR), were elevated when a high-intensity physical activity was performed, but they were reduced when a low-intensity physical activity was performed in the normal group aged 10~29 years and the metabolic disease group aged 50~69 years. In the normal group and metabolic disease group aged 30~49 years, the level of high density lipoprotein cholesterol (HDL-C) was elevated when high-intensity physical activity was conducted, whereas it was reduced when low-intensity physical activity was performed. No difference in the level of HDL-C depending on age and exercise intensity was observed in the normal group; the level of HDL-C decreased with age and increased with exercise intensity in the metabolic disease group. Physical activity has different effects in metabolic disease depending on age.