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논문 상세정보

중년여성대상 체중조절 프로그램이 체구성 및 혈액지질 개선에 미치는 영향

Effect of Weight Control Program on Obesity Degree and Blood Lipid Levels among Middle-aged Obese Women

초록

본 연구는 $35{\sim}55$세 중년 여성을 대상으로 운동과 식사요법을 중심으로 12주간 체중 조절 프로그램을 실시한 후 대상자들의 비만도 및 혈액 지질 개선 효과, 식습관 변화에 미치는 영향을 조사하였고 그 결과는 다음과 같다. 1. 12주간의 체중 조절 프로그램 실시로 체중, 체지방량, 체지방률, BMI, 비만도 모두 유의성은 없었지만 감소되었다. 체중은 $67.4{\pm}10.8kg$에서 $65.1{\pm}9.2kg$으로, 체지방량은 $27.6{\pm}6.9kg$에서 $26.7{\pm}7.5kg$으로 프로그램 실시전과 비교하여 0.9 kg 정도 감소되었다. 체지방률(%)도 $40.6{\pm}5.2%$에서 $39.6{\pm}5.1%$로 감소되었으며 제지방량(FFM)도 $39.9{\pm}5.6kg$에서 $37.0{\pm}8.5kg$으로 감소를 보였다. 2. 대상자들의 비만도 (Obesity degree, %)와 체질량지수 (BMI)는 프로그램 실시 전 각각 $128.4{\pm}19.1%,\;27.8{\pm}3.9$에서 프로그램 실시 후 $123.4{\pm}15.7%,\;26.8{\pm}3.0$로 감소하였다. 복부 비만도(WHR)도 프로그램 실시 전과 후 각각 $0.98{\pm}0.16$에서 $0.94{\pm}0.04$로 변화되었다. 3. 체중조절 프로그램 실시 전후 혈압, 공복시 포도당, 중성지방, 콜레스테롤 농도 모두 뚜렷한 변화는 없었지만 수축기 혈압이 $119.19{\pm}17.03mmHg$에서 $114.55{\pm}17.86mmHg$으로 감소되었고, 총 콜레스테롤은 $179.35{\pm}34.46mg/dL$에서 $173.45{\pm}38.88mg/dL$로, 중성지방은 $174.71{\pm}91.33mg/dL$에서 $167.44{\pm}47.31mg/dL$로 유의성은 없었지만 모두 감소한 반면, 동맥경화 억제요인인 HDL-콜레스테롤 농도는 $43.06{\pm}14.05mg/dL$에서 $50.38{\pm}16.47mg/dL$로 증가되었다. 4. 대상자들의 식습관 분석 결과 영양교육 실시 전 18.7점에서 실시 후 20.8점으로 증가하였으며 특히 가장 점수가 낮았던 ${\ulcorner}$만복감${\lrcorner}$${\ulcorner}$식품의 배합${\lrcorner}$ 항목에서 개선되었고, 그외 ${\ulcorner}$음식의 간을 싱겁게${\lrcorner}$${\ulcorner}$채소섭취${\lrcorner}$ 항목도 영양교육 실시로 인해 크게 개선되었다. 5. 식사 일기 기록을 통한 영양소 섭취 분석 결과 1일 총 열량 섭취량은 $30{\sim}49$세 경우 프로그램 실시 전 $1,774.7{\pm}486.1kcal$에서 실시후 $1,189.1{\pm}310.5kcal$로 낮아졌으며, 50세 이상에서도 프로그램 실시 전과 후 각각 $1,549.4{\pm}327.1kcal,\;1,371.4{\pm}221.0kcal$로 감소하였다. 1일 단백질 섭취량을 비롯하여 지방, 칼슘, 철분, 비타민 C의 섭취량도 열량 섭취량 감소에 따라서 섭취 권장량 이하로 감소되었다.

Abstract

This study was performed to investigate the effect of 12-week weight control program including nutrition education, diet therapy and regular exercise on body weight, obesity degree, BMI and blood lipid levels among middle aged obese women. The 31 middle aged obese women participated in the weight control program for 12-week. The body weight, body composition, blood lipid levels and food habit were measured before and after the weight control program. Changes in body weight after 12 week weight control program showed the slight reduction from $67.4{\pm}10.8kg\;to\;65.1{\pm}9.2kg$. Obesity degree and BMI were decreased from $128.4{\pm}19.1%,\;27.8{\pm}3.9\;to\;123.4{\pm}15.7%,\;26.8{\pm}3.0$, respectively. Waist-hip ratio was also decreased from $0.98{\pm}10.16\;to\;0.94{\pm}0.04$. LBM was also slightly reduced from $39.9{\pm}5.6kg\;to\;37.0{\pm}8.5kg$ with the reduction of body fat. The levels of systolic blood pressure, total cholesterol and triglyceride were slightly decreased, HDL-chol level was significantly increased from $43.1{\pm}14.1mg/dL\;to\;50.4{\pm}16.5mg/dL$. Waist-hip ratio was also slightly decreased after 12 weeks. Food habit score was significantly increased after nutriton education and personal counseling about their eating behaviors and nutritional status.

저자의 다른 논문

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이 논문을 인용한 문헌 (12)

  1. Lee, Byung-Soon 2007. "Changes in Body Composition, Health Status, and Dietary Behavior for Middle-Aged Obese Women in a Weight Control Program at a Community Health Center" 한국식품영양학회지 = The Korean journal of food and nutrition, 20(4): 433~439 
  2. Kim, Myoung-Sook ; Choi, Mee-Sook ; Kim, Ki-Nam 2007. "Effect of Nutritional Education and Exercise Intervention on Reducing and Maintaining Weight in Obese Women" 대한지역사회영양학회지 = Korean journal of community nutrition, 12(1): 80~89 
  3. Moon, Hyun-Kyung ; Lee, Hyun-Jin ; Park, Young 2007. "Comparison of Health Status and Dietary Habits by Percent Body Fat (PBF) Change for Adult Women in the Weight Control Program by the Community Health Center" 대한지역사회영양학회지 = Korean journal of community nutrition, 12(4): 477~488 
  4. Lee, Seung-Hee ; Chang, Nam-Soo 2007. "Effectiveness of Nutrition Education on Dietary Habits and Diet Quality in the Weight Loss and Weight Gain Groups in College Women" 韓國營養學會誌 = The Korean journal of nutrition., 40(5): 463~474 
  5. Lee, Yo-A ; Kim, Ki-Nam ; Chang, Nam-Soo 2008. "The Effect of Nutrition Education on Weight Control and Diet Quality in Middle-Aged Women" 韓國營養學會誌 = The Korean journal of nutrition., 41(1): 54~64 
  6. Choi, Yoon-Jung ; Kim, Eun-Mi 2008. "Relations Among Weight Control Behaviors, Health-related Lifestyles, and Diet Behaviors in Middle Aged Koreans" 대한지역사회영양학회지 = Korean journal of community nutrition, 13(2): 176~188 
  7. Choi, Mee-Sook 2009. "Effects of Nutrition Education and Exercise Intervention on Health and Diet Quality of Middle-Aged Women" 韓國營養學會誌 = The Korean journal of nutrition., 42(1): 48~58 
  8. Lee, Hee-Seung ; Lee, Ji-Won ; Chang, Nam-Soo ; Kim, Ji-Myung 2009. "The Effect of Nutrition Education and Excercise Program on Body Composition and Dietary Intakes, Blood Lipid and Physical Fitness in Obese Women" 韓國營養學會誌 = The Korean journal of nutrition., 42(8): 759~769 
  9. Kim, Mi-Yeon ; Han, Seo-Young ; Jeong, Jeong-Hee ; Kim, Sung-Hee ; Lee, Jin-Kyoung ; Park, Eun-Suk ; Zhang, Xian-Hua ; Seo, Jung-Sook 2009. "Effectiveness of Nutrition-Exercise Education Program on Weight Control of Adult Women" 대한지역사회영양학회지 = Korean journal of community nutrition, 14(2): 168~174 
  10. Yoo, Jae-Hee ; Jo, Hyun-Sook 2009. "The Effects of a Compound Exercise and a Walking Exercise Program on Body Composition, Perceived Health Status, and Stress for Thin-Obesity College Women" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 26(4): 91~103 
  11. Chang, Hye-Soon 2010. "A Study on Weight Control Behaviour, Eating Habits and Health-related Life Habits according to Obesity Degree by Body Fat Percentage among Middle-aged Women in Gunsan City" 대한지역사회영양학회지 = Korean journal of community nutrition, 15(2): 227~239 
  12. Lee, Hee-Seung ; Lee, Ji-Won ; Kim, Ji-Myung ; Chang, Nam-Soo 2010. "The Effect of Nutrition Education and Excercise Program on Body Composition and Dietary Intakes, Blood Lipid and Physical Fitness in Obese Women (2) - Relationship between Participation Rates and Effectiveness of Obesity Management Program -" 韓國營養學會誌 = The Korean journal of nutrition., 43(3): 260~272 

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