운동생리학 : 고도 비만 여성들의 저항성 운동을 병행한 유산소 운동 프로그램이 신체조성 및 심전도 반응에 미치는 영향 = The effects of the resistance exercise with aerobic exercise program on body composition and ECG response in the severe obesity women

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the effects of the resistance exercise with aerobic exercise program on body composition and ECG response in the severe obesity women. The subjects consisted 12 severe obesity women, who was aged 20-30years were checked by a body composition and exercise stress testing. In measurement index, body composition analysis were measured of percent body fat, body fluid, BMI and WHR. And exercise stress tasting were measured ST segment, ST/HR slope, ECG interval, and QRS vector. We enrolled 12 severe obesity women into the participated 12 week exercise training program Statistical analysis was performed using analysis of paired t-test. Results of this study were as follows; In the body composition, weight, percent body fat, body fluid, BMI, and WHR were showed significantly effects of exercise program participation in the all index. In the ST segment, ST level were increased at peak exercise in read V2 and V5, and ST slope were decreased at peak exercise in the read V2 and V5. ST/HR slope of read V2 and V5 were increased significantly exercise program participation after then before in exercise peak recovery three min. In the ECG interval, P-R and QRS interval were showed no significant, but ST, QT, and QTc interval were prolonged significantly exercise program participation after than before. In the QRS vector, frontal axis of resting and recovery was tend to right axis deviation significantly exercise program participation after than before. And, in the amplitude of QRS vector, resting and recovery was tend to longer significantly exercise program participation after than before. These data suggest that 12 week exercise training program in severe obesity women is an effective to improve body composition and cardiac function. Conclusionally, severe obesity women will no longer be a rare event, and providers have to prepare to treat such patients on a regular basis.

참고문헌 (Reference)

1 "체력단련이 심전도 파고와 QRS 벡터에 미치는 영향" 1984

2 "전투조종사의 혈압 심장벡터 및 좌심실 수축력에 미치는 영향" 1996189-198

3 "유산소운동이 비만여성의 심장 기능과 효소에 미치는 영향" 719-729, 2001

4 "운동종목별 선수들의 ST 분절 하강 및 QRS 벡터의 변화" 509-520, 2004

5 "스포츠의 질병관리와 도우핑" 1982

6 "고도 비만자들의 신체조성 심근 산소소비량 및 심전도 반응" 395-405, 2002

7 "The use and interpretation of antropometry" 1995

8 "The electrocardiogram in obesity Statistical analysis of 1" 029 295-299, 1986

9 "The effects of training heart rate" 857-962, 1979

10 "Risk factor for ischemic heart disease the prospective phase of the British Resional Heart Study" 1985197-209

11 "QT interval as a cardiac risk in a middle aged population" 77 : 543-548, 1997

12 "Principles of clinical electro- cardiography" 1-415, 1979

13 "Prevalence and significance of an abnormal S-T segment response to exercise in young athletic population" 1983

14 "Predictors of 6-minute walk test results in lean" 98-13 105, 2003

15 "Post- exercise ischemia is associated with increased neuropeptide Y in patients with coronary artery disease" 102 : 987-993, 2000

16 "Physical activity and coronary disease risk factors during childhood and adolescence" 1990

17 "Overweight, obesity, and health risk" 160 : 898-904, 2000

18 "Obesity as an independent risk factor for cardiovascular disease A 26 year follow up of participants in the Framingham heart study" 968-67 977, 1983

19 "Normal electro- cardiographic waveform characteristics during treadmill exercise testing" 1028-60 1035, 1979

20 "Maximal oxygen intake and monograpic assessment of functional aerobic impairment in cardio- vascular disease" 546-562, 1973

21 "Influence of body fat distribution on oxygen uptake and pulmonary performance in morbidly obese females during exercise" 9-6 13, 2001

22 "Increases in clinically severe obesity in the United States" 163 : 2146-2148, 2003

23 "Improving rehabilitation of severely obese patients" 28 (28): 2003

24 "Heart adjustment ST segment depression for improved detection of coronary disease" 245-79 255, 1989

25 "Effects of isolated obesity on systolic and diastolic left ventricular function" 89 (89): 1152-, 2003

26 "Effect of weight loss on the ECG of normotensive morbidly obese patients" 507-119 510, 2001

27 "ECG identification of LVH Relationship of test performance to body habitus" 29 : 256-261, 1996

28 "Diet vs exercise in weight maintenance the effects of minimal intervention strategies on long time outcomes in men" 2741-2746, 1989

29 "Diagnostic performance of various QTc interval formulas in a large family with long QT syndrome type 3 Bazett's formula not so bad after all" 269-274, 2003

30 "Demonstration of the relationship between heart dimensions and QRS voltage amplitude" 169-173, 1996

31 "Association of exercise-induced, silent ST segment depression with the risk of stroke and cardiovascular disease in men" 34 : 1760-1765, 2003

32 "An analysis of the time relations of electrocardiogram" 353-367, 1920

33 "ACSM Guidelines for exercise testing and prescription" Lippincott Williams and Wilkins 2000

34 "ACSM Guidelines for exercise testing and prescription" Lippincott Williams and Wilkins 1995

35 "A new method to quantify postexercise ST-deviation-the ST deficit. A study in men at high and low risk for coronary heart disease" 21 (21): 541-555, 2001

36 "10주간 수영훈련이 트레드밀 운동시 ST분절의 하강에 미치는 영향" 483-494, 2002