[논문]한국 COPD 환자의 비만도와 근감소증 분석

제갈윤석

doi:10.12925/jkocs.2020.37.3.604

한국 COPD 환자의 비만도와 근감소증 분석
Analysis of Obesity and Sarcopenia among COPD Patients in Korea 원문보기

Journal of the Korean Applied Science and Technology = 한국응용과학기술학회지, v.37 no.3, 2020년, pp.604 - 612

제갈윤석 (제주대학교 체육교육과)

Abstract ▼ AI-Helper

The purpose of this study is to analyze the level of obesity and sarcopenia among chronic obstructive pulmonary disease(COPD) patients in Korea. The current study recruited 75 patients with COPD who visited the department of respiratory medicine at J University Hospital in J-do. Height, body weight, waist circumference, and hip circumference were measured, and body composition, muscle strength, and flexibility were assessed. The levels of obesity were classified with body mass index(BMI), waist-hip circumference ratio(WHR) and percent body fat, and sarcopenia was classified with the value of skeletal muscle mass and muscle strength by Asian Working Group for Sarcopenia. In results, it was found that the level of obesity was very high as 43% by BMI, 88% by WHR, and 64% by percent body fat. The lower level of muscle strength was 15.50% in males and 23.50% in females. The lower level of muscle mass was 24.10% in males and .00% in females. Males who had one sarcopenia factors were 22.40%, and females were 23.50%, respectively. Males with sarcopenia were 6.90%, and females were .00%. In conclusion, regular resistance exercise is essential not only for the development of motor skills, but also for the normalization of skeletal muscle function and prevention of muscle dystrophy among COPD patients.

주제어

표/그림 (7)

표 Table 1. Participants Characteristics
표 Table 2. Diagnosis of Sarcopenia
표 Table 3. The Level of Obesity among Participants
표 Table 4. The Level of Physical Fitness among Participants
표 Table 5. Frequency of Obesity and Sarcopenia Factors
표 Table 6. Correlation between Levels of Obesity and Physical Fitness
표 Table 7. Frequency of Sarcopenia Factors

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문제 정의

The purpose of this study is to analyze the level of obesity and sarcopenia among COPD patients in Korea. It was found that the level of obesity was very high as 43% by body mass index, 88% by waist-hip circumference ratio, and 64% by percent body fat.
The purpose of this study is to analyze the obesity level and sarcopenia among patients with COPD in Korea.
Studies on the analysis of obesity and sarcopenia among COPD patients in Korea are very limited. Therefore, the purpose of this study is to analyze the obesity and sarcopenia among Korean COPD patients.

제안 방법

For the safety of the participants during the examination period, all experiments were constructed and executed after prior discussion with the attending physician, and immediately stopped when respiratory complaints or abnormal symptoms were observed during the examination.
Patients with COPD who have been diagnosed with moderate expiratory volume at 1 second (FEV1) ratio, FEV1/FVC<70%, moderate air flow limit compared to forced vital capacity (FVC) through pulmonary lung measurement. The participants of this study had no orthopedic disease with no participation limitations in the physical strength measurement conducted in the study, no communication problems, adjustable chronic disease, and prepared for medical emergencies and accidents [Table 1]. All study participants understood the research content, procedure, purpose, etc.

대상 데이터

The mean, standard deviation, frequency(%), and median for each measurement item of 75 subjects were calculated.
This study selected 75 patients with COPD who visited the department of respiratory medicine at J University Hospital in J-do. Patients with COPD who have been diagnosed with moderate expiratory volume at 1 second (FEV1) ratio, FEV1/FVC<70%, moderate air flow limit compared to forced vital capacity (FVC) through pulmonary lung measurement.

데이터처리

To analyze the correlation between obesity and fitness level in COPD patients, Pearson's Correlation was conducted.

이론/모형

In the current study, the obesity level was analyzed by setting the body mass index, waist circumference, and body fat percentage criterion suggested by the Korean Society for Obesity. The muscle mass divided by the square of the height was set as the Asian Standard for Sarcopenia using the measurement index presented by the Asian Working Group For Sarcopenia(AWGS)[10].

성능/효과

[Table 6] shows the correlation between obesity and fitness level. As a result of the analysis, GS/wt and BS/wt showed a significant negative correlation with BFM, PBF, BMI, WC, HC, and WHtR, and SMM and LBM had a significant positive correlation with LGS, RGS, BS.
Respiratory rehabilitation training is generally used as a non-medical treatment method for patients with chronic obstructive pulmonary disease. In conclusion, COPD patients are essential not only for the development of motor skills, but also for the normalization of skeletal muscle function and prevention of muscular dystrophy.
50%, respectively. In conclusion, regular resistance exercise is essential not only for the development of motor skills, but also for the normalization of skeletal muscle function and prevention of muscular dystrophy among COPD patients.
[Table 5] shows the results of analyzing the frequency of diagnosis criteria for male and female COPD patients. In the obesity diagnosis criteria, the body mass index was 5.20% for men with low weight, 29.30% for normal, 22.40% for overweight, and 43.10% for obesity. Females were classified as underweight 11.
The purpose of this study is to analyze the level of obesity and sarcopenia among COPD patients in Korea. It was found that the level of obesity was very high as 43% by body mass index, 88% by waist-hip circumference ratio, and 64% by percent body fat. The lower level of muscle strength was 15.

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