고령자에서 활동체력 수준과 생화학지표 및 폐기능과의 관계 = The Relationship etween Functional Fitness, Biochemical Profiles and Lung Function for the Elderly

다국어 초록 (Multilingual Abstract)

Background To examine the relationships between the level of functional fitness and biochemical profiles and lung function, crosssectional data were obtained for 295 persons aged 65 years or older who were living independently in Seoul city.Methods The subjects were evaluated for 3 min walking, leg flexion and extension strength, and grip strength), chair stand, pushup with knee, sit and reach, one leg balance with eyes open, and 244 cm up and go. Measurements of height, weightand blood pressure were taken in the morning, after the subjects had fasted for 12 hours. Blood samples were then takenfrom each subject to measure GPT, red blood cell (RBC), forced vital capacity (FVC), hemoglobin (Hb), total cholesterol(TC), high density lipoprotein cholesterol (HDLC), triglyceride (TG), and blood glucose (BG).Results With the results of blood and FVC test, Hb and FVC showed significant higher values in male than female (P〈.01). Legflexion and extension were significantly correlated with RBC(r=0.12, 0.17, P〈0.05), Hb (r=0.40, 0.41, P〈0.01), HDL (r=0.14,0.14, P〈0.05), and SBP (r=0.12, 0.12, P〈0.01), respectively. While, 3-min fast walk did not show any relationship to bloodconstituents except for Hb. Forced vital capacity was significantly correlated with all functional fitness variables (r=-0.44 -0.59, P〈0.01).

국문 초록 (Abstract)

-연구배경 고령자의 활동체력수준과 의학적 건강 변인사이에 어떠한 관련이 있는지 검토하기 위하여 서울시에 거주하고 자립생활을 하는 65세 이상의 고령자 295명을 대상으로 횡단적 연구를 실시하였다 .방 법 모든 대상자들에게 활동체력 측정과 의학검사 및 면접을 실시하였다 . 활동체력은 악력, 하지 신근력 및 굴근력, 3분 보행, 244 cm 왕복 빠르게 걷기 , 의자에서 앉았다 일어서기 , 앉아 윗몸 앞으로 구부리기 , 눈뜨고 한발서기, 전신반응, 무릎대고 팔굽혀펴기를 측정하였다. 의학적 검사 항목으로 최고 /최저혈압(SBP/DBP), 혈색소 수치(Hb), 적혈구수(RBC), 노력성 폐활량(FVC)을 측정하고 생화학검사로 GPT, 총콜레스테롤(TC), 중성지방(TG), 고밀도 지단백 콜레스테롤 (HDLC) 및 혈당(BG)을 측정하였다.결 과 앉아 윗몸 앞으로 구부리기를 제외한 모든 활동체력과 Hb 및 FVC는 남성이 여성보다 유의하게 높은 값을 보였다 . 하지 굴근력과 신근력은 RBC(r=0.12, 0.17, P=0.001), Hb(r=0.40, 0.41, P=0.000), HDL (r=0.14, 0.14, P=0.022), SBP(r=0.12, 0.12, P=0.042)와, 체지방율은 Hb(r=-0.15, P=0.000), HDLC(r=-0.15, P=0.000), TC(r=0.20, P=0.029), TG(r=0.13, P=0.000)와 유의한 사망률 보였다. 그리고 측정한 모든 활동체력 항목이 FVC와 유의한 상관 (r=-0.44-0.55, P〈0.01)을 보였다. 이밖에도 의자 앉았다 일어서기를 제외한 대부분의 활동체력항목이 RBC와 유의한 상관 (r=0.14~0.37)을 보였다.

참고문헌 (Reference)

1 "건강보험심사통계지표" 2003

2 "高齡者の體力と血液生化學的指標" 26 : 204-208, 1998

3 "高?者の筋力系トレ?ニングによる?療費抑制?果." 53 : 205-210, 2004

4 "長期間に及 ぶ輕强度の有酸素的trainingと運動中止が有病高齡者の血淸脂質及び脂質蛋白質に及ぼす影響について。體力科學" 43 : 434-442, 1994

5 "都市在住高齡者の運動習慣と體力診斷battery testによる體力" 40 : 455-464, 1991

6 "地域老人の日常生活動作能力に關する追跡的硏究" 54 : 217-233, 1988

7 "地域における高?者の健康づくりハンドブツク. ?療費への影響" 76-77, 2001

8 "北 義典, 江天 賢一, メ?ル 優子.在宅高?者の生活?力と??的 健康指標との?聯" 27 : 62-69, 1998

9 "健康診?および?力テスト成績からみた中高年?勤?者の望ましいライプ スタイル" 23 : 174-184, 1995

10 "中高年者の形態ㆍ?力と血液性?" 24 : 189-195, 1996

11 "中高年者の形態ㆍ?力と血液性?" 24 : 189-195, 1996

12 "中高年女子における健康に?聯した?力要素 と血液性?" 26 : 184-190, 1998

13 "a new clinical measure of balance" 1990m192-m197

14 "The science of quality of life" 459-463, 1987

15 "The physical condition of elderly womendiffering in habitual physical activity" 25 : 1152-1157, 1993

16 "The economic costs associatedwith physical inactivity and obesity in Canada:An Update" 29 (29): 90-115, 2004

17 "Tests for fitness in older adults" 66-71, 1989

18 "Strength conditioning in older men" 1038-1044, 1988

19 "Physical fitness level vs selected coronary riskfactors" 236 : 166-169, 1976

20 "Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men andwomen" 276 : 205-210, 1996

21 "Health related physical fitness test 成績と健康指標との關連(1)" 24 : 182-188, 1996

22 "Geneva" 706 thesusesofepidemiologyinthestudyoftheelderly

23 "Factors associated with changes in physicalfunctioning in the elderly" 140-153, 1993

24 "Epidemiology of low cholesterol levels in olderadults" 728 31 853-737 859, 19931991

25 "Development and validation of a functionalfitness test for community-residing older adults" 7 : 129-161, 1999

26 "Determinants of change in total cholesterol and HDL-C withage" 1994

27 "Assessment of physical function among olderadults Physical activity for theolder adult American alliance for health" 93-118, 1989

28 "Assessment of older people self-maintaining andinstrumental activities of daily living" 179-186, 1969

29 "Active life expectancy" 309 : 1218-1224, 1983