대사증후군 청소년들의 태권도 수련이 최대산소섭취량과 대사증후군 지표에 미치는 영향 = Effects of Taekwondo Training on Maximal Oxygen Uptake and Metabolic Syndrome Risk Factors in Adolescents with Metabolic Syndrome

다국어 초록 (Multilingual Abstract)

The study aims to examine the changes in relative risk of the metabolic syndrome, plasma lipid levels, and maximal oxygen uptake by performing a 12 weeks taekwondo training targeting adolescents with the metabolic syndrome. The subjects were 30 adolescents with the metabolic syndrome, and they were randomly assigned with 15 taekwondo training group members and 15 person control group members. Taekwondo training performed five times a week for 60 minutes of each time, and the results of test with the average exercise intensity HRR 60~70% for 12 weeks. The results were as follows. In the taekwondo training group, there was a significant difference in lean body mass, the ratio of waist and hip, and the interactions between the group and time in terms of the maximal oxygen uptake. As to relative risks of the metabolic syndrome, waist circumference, triglycerides, HDL-cholesterol, and systolic pressure showed a significant difference in interactions between the group and time. In addition, as the result of comparing the level of relative risks of the metabolic syndrome according to maximal oxygen uptake, the level of relative risks of the metabolic syndrome was excellent in the group with higher maximal oxygen uptake, and especially there was a significant difference between groups in terms of waist circumference, glucose, triglycerides, and HDL-cholesterol. Therefore, the regular taekwondo training had a positive impact on improvement body composition and maximal oxygen uptake in adolescents with metabolic syndrome as well as reduction in relative risks of the metabolic syndrome. In particular, the excellent maximal oxygen uptake was closely related to the relative risks of the metabolic syndrome. Accordingly, adolescents with the metabolic syndrome should exercise like taekwondo to improve their cardiopulmonary fitness, and it will be helpful to prevent and improve the metabolic syndrome.

참고문헌 (Reference)

1 임일혁, "태권도에서 도(道)의 의미접근" 한국체육학회 45 (45): 11-20, 2006

2 신군수, "태권도 수련이 초등학교 저학년의 기초체력 향상에 미치는 영향" 한국스포츠리서치 17 (17): 823-830, 2006

3 문대성, "태권도 수련이 아동의 신체구성과 체력 및 성장인자에 미치는 영향" 한국스포츠리서치 18 (18): 495-506, 2007

4 보건복지부, "소아ㆍ청소년 표준치 제정사업" 질병관리본부 2007

5 Katzmarzyk, P. T., "Targeting the metabolic syndrome with exercise: evidence from the HERITAGE Family Study" 35 (35): 1703-1709, 2003

6 Zhang, X., "Prevalence of dyslipidemia and associated factors among the hypertensive rural chinese population" 38 (38): 432-429, 2007

7 Cook, S., "Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994" 157 (157): 821-827, 2003

8 Blair, S. N., "Physical fitness and activity as separate heart disease risk factors: a meta-analysis" 33 (33): 762-764, 2001

9 Thivel, D., "Metabolic syndrome in obese children and adolescents: dichotomous or continuous?" 7 (7): 549-555, 2009

10 Agirbasli, M., "Metabolic syndrome in Turkish children and adolescents" 55 (55): 1002-1006, 2006

11 Durstine, J. L., "Lipids, lipoproteins, and exercise" 22 (22): 385-398, 2002

12 Reinehr, T., "Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence" 5 : 2009

13 Båvenholm, P. N., "Insulin resistance in type 2 diabetes: association with truncal obesity, impaired fitness, and atypical malonyl coenzyme A regulation" 88 (88): 82-87, 2003

14 Balci, A., "Increased Amount of Visceral Fat in Patients with Psoriasis Contributes to Metabolic Syndrome" 29 : 2009

15 Ruiz, J. R., "High cardiovascular fitness is associated with low metabolic risk score in children: the European Youth Heart Study" 61 (61): 350-355, 2007

16 Stewart, K. J., "Exercise and risk factors associated with metabolic syndrome in older adults" 28 (28): 9-18, 2005

17 Shaibi, G. Q., "Effects of resistance training on insulin sensitivity in overweight Latino adolescent males" 38 (38): 1208-1215, 2006

18 Villareal, D. T., "Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults" 84 : 1317-1323, 2006

19 Moalla, W., "Effect of exercise training on respiratory muscle oxygenation in children with congenital heart disease" 13 (13): 604-611, 2006

20 Guill, S., "Early Evidence of Increased Risk for Metabolic Syndrome in Young Men With Latent Obstructive Sleep Apnea" 29 : 2009

21 Ebbeling, C. B., "Childhood obesity: public-health crisis, common sense cure" 360 (360): 473-482, 2002

22 I'Allemand, D., "Cardiovascular risk in 26,008 European overweight children as established by a multicenter database" 16 (16): 1672-1679, 2008

23 Reinehr, T., "Cardiovascular risk factors in overweight German children and adolescents: relation to gender, age and degree of overweight" 15 (15): 181-187, 2005

24 Obert, P., "Cardiovascular responses to endurance training in children: effect of gender" 33 (33): 199-208, 2003

25 Donovan, R., "Cardiorespiratory fitness and the metabolic syndrome in firefighters" 59 (59): 487-492, 2009

26 Krämer, V., "Association between cardiorespiratory fitness and cardiovascular risk factors in healthy individuals" 137 (137): 737-745, 2009

27 Eisenmann, J. C., "Aerobic fitness, fatness and the metabolic syndrome in children and adolescents" 96 (96): 1723-1729, 2007

28 ACSM, "ACSM's Guidelines for exercise testing and prescription" Williams & Wilkins 173-191, 2006