[논문]과체중·비만인에서 필라테스 운동 순응도에 따른 식생활 변화, 체구성, 신체 균형도 및 대사지표 개선효과

김현주; 박지현; 하미리; 김예진; 김채린; 김오연

doi:10.4163/jnh.2022.55.6.642

[국내논문] 과체중·비만인에서 필라테스 운동 순응도에 따른 식생활 변화, 체구성, 신체 균형도 및 대사지표 개선효과
Changes in body composition, body balance, metabolic parameters and eating behavior among overweight and obese women due to adherence to the Pilates exercise program 원문보기

Journal of nutrition and health, v.55 no.6, 2022년, pp.642 - 655

김현주 (동아대학교 일반대학원 식품영양학과) , 박지현 (동아대학교 일반대학원 건강과학과 임상영양학전공) , 하미리 (동아대학교 일반대학원 건강과학과 임상영양학전공) , 김예진 (동아대학교 일반대학원 건강과학과 임상영양학전공) , 김채린 (동아대학교 일반대학원 건강과학과 임상영양학전공) , 김오연 (동아대학교 일반대학원 식품영양학과)

초록
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본 연구는 과체중 및 비만 또는 복부비만 성인을 대상으로 8주간 중강도 수준의 필라테스 운동 후 필라테스 운동의 순응도에 따른 신체조성, 균형능력 및 기초대사 지표의 변화를 확인하였고, 식생활습관 개선교육후 영양지수의 변화도 함께 살펴보았다. 필라테스 운동에 대한 순응도가 높은 군이 순응도가 낮은 군에 비해 신체의 균형도와 체구성에 더 긍정적인 변화를 보였고 더불어 혈관노화지수도 유의적으로 개선되었고 공복혈당과 당화혈색소가 유의적으로 개선되었다. 그러나 필라테스 운동에 대해 순응도가 낮은 군이라도 실시하지 않았던 것에 비해서 신체균형도, 체질량지수 및 피하지방 면적은 유의적으로 개선되었다. 이는 순응군과 비순응군 모두에서 영양지수가 개선된 것과, 순응도 여부에 관계없이 전체 대상자에서 식생활 교육 후에 하루 식사횟수, 아침식사횟수, 식사의 규칙성, 과식 및 외식횟수 등이 긍정적인 방향으로 변동된 것과 관련이 있을 것으로 판단된다. 따라서, 본 연구는 필라테스 운동과 식생활 개선교육을 포함한 전반적인 생활습관의 개선을 통해 과체중 이상의 여성에서 유의미한 개선 결과가 있음을 보여주고 있다. 더불어 식생활습관 개선 교육만으로도 어느정도 비만관련 지표의 개선에 영향을 줄 수 있을 것이며, 필라테스 운동을 함께 실시했을 때에는 그 개선 효과가 좀더 잘 관찰되는 것으로 판단된다.

Abstract ▼ AI-Helper

Purpose: We examined the effects of the 8-week moderate-intensity Pilates exercise program on body composition, balance ability, metabolic parameters, arterial condition, and eating habits among overweight and obese women. Methods: From the general sample of overweight or obese Korean women (body mass index ≥ 23 kg/m2 ), those who had not been diagnosed with any chronic degenerative diseases were enrolled in the study (n = 39). After 8 weeks of the Pilates exercise program, the participants were subdivided into adherence and non-adherence groups. Among the study participants, 24 women were matched for age and menopausal status to reduce the bias, and then finally included for the comparison (Pilates-adherence, n = 12; Pilates-non-adherence, n = 12). Results: The body balance measured by the Y-balance test, body mass index, and subcutaneous fat areas were significantly improved in both groups. However, the Pilate-sadherence group showed more positive changes in body balance and had significant improvement in body composition parameters such as waist size, visceral fat area, systolic blood pressure, arterial aging index, fasting blood glucose, and glycated hemoglobin than the Pilates-non-adherence group. In addition, the nutrition quotient for Korean adults (balance, moderation, and behavior except diversity) were significantly improved in both groups after dietary education. However, the participants did not show dramatic improvement in the metabolic parameters, because all the study subjects were in relatively good health and did not have any diagnosed diseases. Conclusion: This study demonstrated that higher adherence to the Pilates exercise program together with a modification of eating habits may effectively improve body balance, body composition, and obesity-related parameters among overweight and obese women.

Keyword

표/그림 (8)

표 Table 1. Summary of eating habit education contents
표 Table 2. Pilates exercise program for 8 weeks
그림 Fig. 1. Y-balance test. A well-trained Pilates researcher gives a demonstration of Y-balance test (stretching forth the left leg; stretching out left leg back to the left side, and then stretching out the left leg back to the right side)
표 Table 3. Body balance (left and right) tested by Y-balance measurement according to the Pilates-adherence
그림 Fig. 2. Proportions (%) of eating behaviors between the Pilates non-adherence and Pilates adherence groups during the intervention period. Each panel in Fig. 2 indicates proportions (%) of eating meals 3 times per day (A), eating breakfast everyday (6-7 times) per week (B), eating meals regularly (6-7 times) per week (C), frequent overeating (4 times and more) per week (D), and frequent eating-out (4 times and more) per week (E), respectively. % tested by the McNemar-Bowker test; *p < 0.05 compared with the Pilates non-adherence.
표 Table 4. NQ according to the Pilates during the intervention
표 Table 5. Anthropometric parameters and arterial aging index to the Pilates-adherence during the intervention
표 Table 6. Glycemic parameters, lipid profles and other biochemical parameters according to the Pilates-adherence during the intervention

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