[논문]건강한 성인에서 가속도계로 측정한 신체활동과 맥파전달속도 및 상완-발목 간 혈압비에 기반한 동맥경화지표와의 관계

이현주; 박계월; 전하연; 곽지연; 김은경

doi:10.4163/jnh.2022.55.4.506

건강한 성인에서 가속도계로 측정한 신체활동과 맥파전달속도 및 상완-발목 간 혈압비에 기반한 동맥경화지표와의 관계
Association between physical activity measured using an accelerometer and arterial stiffness based on pulse wave velocity and ankle-brachial index in healthy adults 원문보기

Journal of nutrition and health, v.55 no.4, 2022년, pp.506 - 520

이현주 (강릉아산병원 영양과) , 박계월 (강릉아산병원 영양과) , 전하연 (강릉원주대학교 식품영양학과) , 곽지연 (강릉원주대학교 식품영양학과) , 김은경 (강릉원주대학교 식품영양학과)

초록
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본 연구에서는 심혈관 질환의 위험 인자인 고혈압, 이상지질혈증 및 당뇨병이 없는 건강한 성인 남·녀를 대상으로 3축 가속도계를 이용하여 일주일간의 평소 신체활동량을 평가하고 동맥경화지표와의 연관성을 알아보고자 하였다. 가속도계를 이용한 신체활동 측정 결과, WHO 신체활동지침 준수율은 29.9%, 좌식 행동에 소비한 시간은 531.1 min/day, 저강도 활동에 소비한 시간은 281.4 min/day, 중·고강도 활동에 소비한 시간은 36.2 min/day 이였다. 활동 수준이 다른 두 군의 신체활동을 비교한 결과, CPM, 중·고강도 활동에 소비한 시간, 중·고강도 활동을 10분 이상 지속한 횟수 및 시간은 활동군이 비활동군에 비해 유의하게 높았다. 좌식 행동에 소비한 시간은 활동군이 비활동군에 비해 유의하게 낮은 반면 좌식 행동 패턴 및 baPWV와 ABI는 두 군 간에 유의한 차이가 없었다. 그러나 여자에서는 좌식 행동을 60분 이상 지속하는 횟수와 baPWV 간에 양의 상관관계가 나타났으며 좌식 행동을 50분 이상 지속하는 횟수와 ABI 간에 음의 상관관계를 보였고, 저강도 활동에 소비한 시간과 ABI 간에는 양의 상관관계를 보였다. 이는 좌식 행동을 50분 이상 지속하는 횟수가 많을수록 동맥경화 및 말초 동맥질환의 위험이 높고 저강도 활동에 소비한 시간이 많을수록 말초동맥질환의 위험이 낮음을 보여주었다. 향후 동맥경화 예방을 위한 지침 마련을 위해 다양한 연령대의 건강한 성인을 대상으로 신체활동과 함께 식품 및 영양섭취 현황, 식사 패턴, 음주 행태 등 동맥경화와 관련된 요인들이 포함된 연구의 필요성을 제안하는 바이다.

Abstract ▼ AI-Helper

Purpose: Physical activity (PA) has a beneficial effect on the prevention of arteriosclerosis in healthy adults. The purpose of this study was to analyze the relationship between PA measured using an accelerometer and arterial stiffness in healthy Korean adults. Methods: This study involved 87 subjects (36.8% women) aged 20-64 years. PA was evaluated using an accelerometer (wGT3X-BT, ActiGraph, Florida, USA) for 7 days. Based on the results of the accelerometer measurement, subjects were classified into active and inactive groups according to the World Health Organization (WHO) PA guidelines. The brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI) to assess arterial stiffness were measured by a non-invasive vascular screening device (VP-1000 Plus, Omron). Results: The average age of the study subjects was 47.7 ± 11.3 years and the WHO PA guideline achievement rate was 29.9%. There was no significant difference in arterial stiffness (baPWV and ABI) between the active and inactive groups. In females, the time spent in light PA were positively correlated with ABI (r = 0.396; p < 0.05) and the number of sedentary bouts over 50 minutes was inversely correlated with ABI (r = -0.402; p < 0.05). However, there was no significant correlation between PA and arterial stiffness in males. Conclusions: The results of this study suggest that light PA and sedentary behavior have a positive correlation with arterial stiffness in females.

주제어

표/그림 (8)

표 Table 1. Baseline characteristics
표 Table 2. Physical activity of subjects
그림 Fig. 1. Achievement of WHO physical activity guideline. Values are presented as percentage. Data were analyzed using χ² test. There was no difference between the age groups. WHO, World Health Organization. ¹⁾WHO physical activity guideline: Adults should do at least 150 minutes of moderate to vigorous physical activity in of bouts of ≥ 10 minutes per week.
표 Table 3. Comparison of physical activity between active group and inactive group
표 Table 4. Comparison of physical activity patterns
그림 Fig. 2. Physical activity patterns between active group and inactive group. Values are presented as percentage. Data were analyzed using χ² test. MVPA, moderate to vigorous physical activity. ¹⁾MVPA bouts 10 minutes was defined as periods of at least 10 minutes with ≥ 1,952 counts per minute, ²⁾Sedentary bouts 30 minutes was defined as periods of at least 30 minutes with < 100 counts per minute.
표 Table 5. Comparison of arterial stifness indicators between active group and inactive group
표 Table 6. Relationship between physical activity and arterial stifness indicators

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