운동유형이 대사증후군 구성요소에 미치는 영향 = The Effects of Exercise type on the Components of the Metabolic Syndrome

다국어 초록 (Multilingual Abstract)

This study was performed to investigate the effect of 12 weeks exercise training which divided aerobic and resistance exercise on the components of the metabolic syndrome in obese adolescents. The subjects were 30 who were divided into control group(n = 10), aerobic exercise group(n = 10) and resistance exercise group (n = 10) according to the presence of training. The components of the metabolic syndrome consisting of plasma glucose, blood pressure, triglyceride, HDL-cholesterol, and waist circumference were measured twice, prior to and after the 12 week training period. Aerobic exercise training consisted of treadmill walking, running at 60-70% of HRR(90 minutesday-1, 3 daysweek-1) and resistance training performed three sets of lifts using 60-70% of 1RM to complete each of 12 rep/3set (3 daysweek-1) during 12 weeks. The results of the present study were as follows: As for the components of the metabolic syndrome, waist circumference(p<.01), systolic blood pressure(p<.001), diastolic blood pressure(p<.001), triglyceride(p<.05) significantly decreased and HDL-cholesterol (p<.001) significantly increased in the aerobic and resistance exercise group, and all other components showed positive changes as well. On the other hand, in the control group, most of the components did not change significantly. And there was significantly differences of training effect on waist circumference, diastolic blood pressure, triglyceride, and HDL-C between those three groups but systolic blood pressure, HDL-cholesterol did not significant. These results support that long term exercise training program which divided aerobic and resistance training can be effective regimen to prevent cardiovascular disease in obese adolescents. In conclusion the data from this study reveals that exercise for those who have the metabolic syndrome is beneficial for the treatment of the metabolic syndrome. Furthermore one can say that lifestyle modification included exercise and diet education is an important consideration for someone who has the metabolic syndrome.

참고문헌 (Reference)

1 "트레이닝 유형에 따른 혈중 total cholesterol 및 triglyceride의 농도변화" 161-169, 1997

2 "유산소운동이 제 II형 당뇨병환자의 혈중 Glucose과 혈압에 미치는 영향" 14 : 509-521, 2000

3 "유산소 운동과 무산소 운동이 신체조성과 혈중지질에 미치는 영향" 37 (37): 242-255, 1998

4 "웨이트트레이닝이 노인의 근력, 신체조성과 혈중지질에 미치는 영향" 1997

5 "비만과 비비만자들의 혈청 지질 및 지단백 성분에 대한 웨이트 트레이닝 효과에 관한 연구" 1 : 117-134, 2001

6 "근력운동프로그램이 성인여성의 혈장 지단백 변화에 미치는 영향" 1999

7 "규칙적인 유산소 운동이 체력, 운동수행력 및 혈중 지질 수준에 미치는 영향" 36 (36): 235-247, 1997

8 "and cardiovasculardisease. The need for novel dietary prevention strategies.Basis Res Cardiol" 99-105, 1992

9 "a critical review of the clinical trials. J ClinEpidemiol" 439-447, 1992

10 "Training and detraining effects of a combined-strength and aerobic exercise program on blood lipids in patients with coronary artery disease" 23 (23): 193-200, 2003

11 "The triphasic effects of exercise on blood rheology: Which relevance to physiology and pathophysiology?" 19 (19): 89-104, 1998

12 "The regulation of adipose tissue distribution in humans" 20 : 291-302, 1996

13 "The effects of long-term low intensity aerobic training and detraining on serum lipid and lipoproteins in elderly men and women" 70 (70): 126-131, 1995

14 "Skeletal muscle function in COPD" 117 : 276S-271S, 2000

15 "Skeletal muscle dysfunction in chronic obstructive pulmonary disease" 2 : 216-224, 2001

16 "Role of Exercise Training in the prevention and Treatment of Insulin Resistance and non-insulin dependent diabetes mellitus" 24 : 321-336, 1997

17 "Relationship between physical inactivity and adiposity in prepubertal boys" 31 : 288-292, 1997

18 "Relationship between changes in physical ativity and insulin during a 2.5-year follow-up study." 46 : 1418-1423, 1997

19 "Reduction in obesity and related comorbid conditions after diet-induced weight loss or exerciseinduced weight loss in men: a randomized," 133 : 92-103, 2000

20 "Physical fitness and clustering of risk factors associated with the metabolic syndrome." 31 (31): 287-293, 1999

21 "Physical Activity and Health: A report of the Surgeon General" National Center for Chronic Disease Prevention and Health Promotion 1996

22 "Muscular Strength Training is Associated with low Arterial Compliance and High Pulse Pressure" 33 : 1385-1391, 1999

23 "Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome" 25 : 1612-1618, 2002

24 "Lipid profile disorders induced by long-term cessation of physical activity in previously highly endurance- trained subjects" 89 (89): 3377-3384, 2004

25 "Effects of resistance versus aerobic training on coronary artery disease risk factors" 228 : 434-440, 2003

26 "Effects of exercise training on abdominal obesity and related metabolic complications" 21 (21): 191-212, 1996

27 "Effects of aerobic or resistance exercise and/or diet on glucose tolerance and plasma insulin levels in obese men" 22 : 684-691, 1999

28 "Effect of physical exercise on lipoprotein(a) and lowdensity lipoprotein modifications in the 2 diabetic patients" 49 : 640-647, 2000

29 "Effect of age on the response of blood lipids, body composition, and aerobic power to physical conditioning and deconditioning." 44 (44): 161-165, 1995

30 "B. J.(1986" . Physiology of exercise and sport. Time Mirror/Mosby College Publish 317-345.

31 "Associations of smoking, alcohol and physical activity with risk factors for coronary heart disease and diabetes in the first follow-up cohort of the Heart Disease and Diabetes Risk Indicators in a Screened Cohort study (HDDRISC- 1)." 244 (244): 33-41, 1998

32 "Associations between central obesity and indexes of hemostatic,carbohydrate and lipid metabolism" Scand J Med Sci Sports 8 : 109-115, 1998

33 "Amultifaceted syndrome responsible for NIDDM" 286-300, 1991

34 "Aerobic endurance exercise or circuit-type resistance training for individuals with impaired glucose tolerance?" 30 (30): 37-41, 1997

35 "ACSM's Guideline for Exercise Testing and Prescription" American College of Sports Medicine 215 : 223-230, 2000

36 "2004년 사망원인 통계 연보." 통계청 2004

37 ".The response of serum lipid and plasma and androgens toweight training exercise in sedentary males. Sports Med" 39-41, 1982

38 ".Health and performance related potential of resistance training.Sports Med" 210-231, 1991

39 ".Changes in lipid and lipoprotein levels after weight training.JAMA" 504-506, 1984

40 ". 유산소성 운동이 혈중 지질 및 지단백 콜레스테롤에 미치는 영향. 한국체육학회지" 339-347, 1992

41 ". The effects ofexercise and weight loss on plasma lipids in young obese men" 227-236, 1985

42 ". Skeletal muscle adaptations to long-term heavyresistance exercise. Med Sci Sports Exerc" S132-S134. 1988

43 ". Resistancetraining can reduce coronary risk factors without alteringVO2max or percent body fat. Med Sci Sports Exerc" 150-154, 1988

44 ". Primary prevention of noninsulin-dependent diabetes mellitus. Am J Prev Med" 10 : 172-184, 1994

45 ". Lipoprotein lipaseactivity in skeletal muscle is related to insulin sensitivity.Arterioscler Thromb" 1192-1203, 1991

46 ". Impact of experimental manipulation of energyintake and expenditure on body composition. Crit Rev FoodSci" 369-373. 1993

47 ". Glucosemetabolism during leg exercise in man. J Clin Invest" 2715-2725, 1971

48 ". Freefattyacid inhibition of insulin binding" 39 570-574, 1990

49 ". Exercisetraining Improves Fat Distribution Patterns in 60-70 years-oldMen & Women. J Gerontol" 99-105, 1992

50 ". Effects of low-and highrepetitionsresistive on lipoprotein-lipid profiles. Med SciSports Exerc" kokki (kokki): 50-54, 1988

51 ". Effects of exercisetraining on glucose control and insulinsensitivity in hypertriglyceridemia and non-insulin dependentdiabetes mellitus. Med Sci Sports Exerc" 703-712, 1991

52 ". Effects of exercise training onserum lipid and lipoprotein concentrations in women" 434-429, 1988

53 ". Effects of exercise onplasma lipids and lipoproteins. Exerc Sport Sci Rev" 22 : 477-521, 1994

54 ". Effects of endurance training on blood0pressure at rest during exercise and during 24 hours insedentary men. Am J Cardiol" 945-949, 1989

55 ". Effect of endurance training on plasma free fattyacid turnover and oxidation during exercise. AM J Physiol" 1993

56 ". Does-response issues from a biological perspective.In" illi (illi): 1030-1039, 1994

57 ". Changesin ponderosity and blood pressure in childhood" 1986195-206.

58 ". Cardiovascular adaptations to resistance training.Med Sci Sports Exerc" S146-S151. 1988

59 ". Body mass index and blood pressure in Korean menand women" the Korea National Blood Pressure Survey. JHypertens 1433-1437, 1994