[논문]걷기 운동으로 체중감량 및 혈당 호전을 보인 비만 환자

김양현

doi:10.23137/aom22.02.cr0003

걷기 운동으로 체중감량 및 혈당 호전을 보인 비만 환자
Obese Patients Who Lost Weight and Improved Glycemic Control Through Walking Exercise

비만대사연구학술지 = Archives of obesity and metabolism, v.1 no.2, 2022년, pp.74 - 77

김양현 (고려대학교 의과대학 고려대학교안암병원 가정의학교실)

Abstract ▼ AI-Helper

Treatment of obesity includes diet therapy, exercise therapy, cognitive behavioral therapy, drug therapy, and bariatric surgery. Most obese patients lose weight by combining diet, exercise, cognitive behavioral therapy or medication. But, in some cases, only one of these treatments is preferred. A 56-year-old male patient had a body mass index (BMI) of 33.1 kg/m2 and a waist circumference of 108 cm. He had been treated for hypertension; diabetes and dyslipidemia were diagnosed but not treated. However, at the initial visit to treat obesity, he was diagnosed with type 2 diabetes mellitus and dyslipidemia again. So he decided to treat these two diseases with drugs first and modify his lifestyle. He started walking more than 20,000 steps every day and then he really walked about 15,000 steps every day during 5 months, although diet calorie or alcohol drinking amount was not significantly decreased. After about 6 months, the patient's weight decreased by 10.1 kg, the BMI decreased by 4.1 kg/m2, the waist circumference decreased by 10 cm, the glycated hemoglobin (HbA1c) decreased by 4.59%, the visceral fat area decreased by 115 cm2, and the subcutaneous fat decreased by 38 cm2. As a result of body composition analysis, muscle mass increased by 1.2 kg, and the percentage of body fat decreased by 10.4%. The walking exercise does not have any space restrictions and has high accessibility by using a mobile phone app. Therefore, considering the patient's situation, it would be better to treat obese patients by first recommending walking exercises and increasing the number of steps to lose weight and improve the comorbidities.

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그림 Fig. 1. Body composition change during treatment measured by bioimpedence analysis.
그림 Fig. 2. Abdominal Fat CT for evaluating visceral fat and subcutaneous fat before and after treatment. (A) Before treatment 2022.4.29, (B) After treatment 2022.7.25.

참고문헌 (7)

Kim BY, Kang SM, Kang JH, et al. 2020 Korean society for the study of obesity guidelines for the management of obesity in Korea. J Obes Metab Syndr 2021;30:81-92.

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Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403.

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Master H, Annis J, Huang S, et al. Association of step counts over time with the risk of chronic disease in the All of Us Research Program. Nat Med 2022;28:2301-8.

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Cuthbertson CC, Moore CC, Sotres-Alvarez D, et al. Associations of steps per day and step intensity with the risk of diabetes: the Hispanic Community Health Study / Study of Latinos (HCHS/SOL). Int J Behav Nutr Phys Act 2022;19:46.
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걷기 운동으로 체중감량 및 혈당 호전을 보인 비만 환자
Obese Patients Who Lost Weight and Improved Glycemic Control Through Walking Exercise

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걷기 운동으로 체중감량 및 혈당 호전을 보인 비만 환자 Obese Patients Who Lost Weight and Improved Glycemic Control Through Walking Exercise

Abstract ▼ AI-Helper

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걷기 운동으로 체중감량 및 혈당 호전을 보인 비만 환자
Obese Patients Who Lost Weight and Improved Glycemic Control Through Walking Exercise