The Korean Journal of Physical Education (한국체육학회지)

Korean Alliance for Health: Physical Education: Recreation:and Dance (한국체육학회)
권호 표지

The effects of the resistance exercise with aerobic exercise program on body composition and ECG response in the severe obesity women.

고도 비만 여성들의 저항성 운동을 병행한 유산소 운동 프로그램이 신체조성 및 심전도 반응에 미치는 영향

Kim, Nam-Ik
김남익

  • Published : 20040000
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effects of the resistance exercise with aerobic exercise program on body composition and ECG response in the severe obesity women. The subjects consisted 12 severe obesity women, who was aged 20~30years were checked by a body composition and exercise stress testing. In measurement index, body composition analysis were measured of percent body fat, body fluid, BMI and WHR. And exercise stress testing were measured ST segment, ST/HR slope, ECG interval, and QRS vector. We enrolled 12 severe obesity women into the participated 12 week exercise training program. Statistical analysis was performed using analysis of paired t-test. Results of this study were as follows; In the body composition, weight, percent body fat, body fluid, BMI, and WHR were showed significantly effects of exercise program participation in the all index. In the ST segment, ST level were increased at peak exercise in read V2 and V5, and ST slope were decreased at peak exercise in the read V2 and V5. ST/HR slope of read V2 and V5 were increased significantly exercise program participation after than before in exercise peak, recovery three min. In the ECG interval, P-R and QRS interval were showed no significant, but ST, QT, and QTc interval were prolonged significantly exercise program participation after than before. In the QRS vector, frontal axis of resting and recovery was tend to right axis deviation significantly exercise program participation after than before. And, in the amplitude of QRS vector, resting and recovery was tend to longer significantly exercise program participation after than before. These data suggest that 12 week exercise training program in severe obesity women is an effective to improve body composition and cardiac function. Conclusionally, severe obesity women will no longer be a rare event, and providers have to prepare to treat such patients on a regular basis.

Keywords

References

  1. 강두희 (1998). 생리학. 서울: 신광출판사
  2. 고성경 (2002). 10주간 수영훈련이 트레드밀 운동시 ST분절의 하강에 미치는 영향. 운동과학 11(2), 483-494
  3. 김기호 (1982). 스포츠의 질병관리와 도우핑. 대한의학협회지 25
  4. 김남익, 김영일, 최건식, 최춘길, 윤 성 (2002). 고도 비만자들의 신체조성, 심근 산소소비량 및 심전도 반응. 한국체육학회지 41(1), 395-405
  5. 박상갑, 박재현 (2001). 유산소운동이 비만여성의 심장기능과 효소에 미치는 영향. 한국체육학회지 40(3), 719-729
  6. 안정현, 고성경 (1996). 전투조종사의 혈압 심장벡터 및 좌심실 수축력에 미치는 영향. 한국체육학회지 35(4), 189-198
  7. 유완식, 황수관, 김형진, 주영은 (1984). 체력단련이 심전도 파고와 QRS 벡터에 미치는 영향. 대한생리학회지 18, 51
  8. 윤 성, 김남익 (2004). 운동종목별 선수들의 ST 분절 하강 및 QRS 벡터의 변화. 한국체육학회지 43(1), 509-520
  9. ACSM (1995). ACSM Guidelines for exercise testing and prescription. Philadelphia, Lippincott Williams and Wilkins
  10. ACSM (2000). ACSM Guidelines for exercise testing and prescription. 6th ed. Philadelphia, Lippincott Williams and Wilkins
  11. Alpert, M.A., Terry, B.E., Hamm, C.R., Michael Fan, T., Cohen, M.V., Massey, C.V., & Painter, J.A. (2001). Effect of weight loss on the ECG of normotensive morbidly obese patients. Chest 119(2), 507-510 https://doi.org/10.1378/chest.119.2.507
  12. Bazett, H.C. (1920). An analysis of the time relations of electrocardiogram. Heart 7, 353-367
  13. Blumberg, V.S., & Alexander, J. (1992). Obesity and heart. 517-531, Philadelphia Lippincott Williams and Wilkins
  14. Brouwer, J., van den Berg, M.P., Grobbee, D.E., Haaksma, J., & Wilde, A.A.M. (2003). Diagnostic performance of various QTc interval formulas in a large family with long QT syndrome type 3; Bazett's formula not so bad after all. A.N.E. 8(4), 269-274
  15. Bruce, R.A., Kusumi, F., & Hosmer, D. (1973). Maximal oxygen intake and monograpic assessment of functional aerobic impairment in cardiovascular disease. Am. Heart J. 85, 546-5 https://doi.org/10.1016/0002-8703(73)90502-4
  16. Castini, D., Vitolo, E., Ornaghi, M., & Gentile, F. (1996). Demonstration of the relationship between heart dimensions and QRS voltage amplitude. J. Electrocardiol. 29, 169-173
  17. Chung, E.K. (1980). Electrocardiography. 2nd ed., Hagerstown, Harper & Row
  18. Clementson, J.A. (2003). Improving rehabilitation of severely obese patients. Rehab. Nurs. 28(6), 171 https://doi.org/10.1002/j.2048-7940.2003.tb02055.x
  19. Despres, J.P., Bouchard, C., & Malina, R.M. (1990). Physical activity and coronary disease risk factors during childhood and adolescence. Exerc. Sports Sci. Rev. 18, 243
  20. Frank, S., Colliver, J.A., & Frank, A. (1986). The electrocardiogram in obesity: Statistical analysis of 1,029 patients. J. Am. Coll. Cardiol. 7, 295-299 https://doi.org/10.1016/S0735-1097(86)80494-6
  21. Goldman, M.J. (1979). Principles of clinical electrocardiography. 10th Ed., Los Altos, Lange, 1-415
  22. Gullestad, L., Jorgensen, B., Bjuro, T., Pernow, J., Lundberg, J.M., Dota, C.D., Hall, C., Simonsen, S., & Ablad, B. (2000). Postexercise ischemia is associated with increased neuropeptide Y in patients with coronary artery disease. Circulation 102, 987-993 https://doi.org/10.1161/01.CIR.102.9.987
  23. Hubert, H.B., Feinleib, M., McNamara, P.M., & Castelli, W.P. (1983). Obesity as an independent risk factor for cardiovascular disease: A 26 year follow up of participants in the Framingham heart study. Circulation 67, 968-977 https://doi.org/10.1161/01.CIR.67.5.968
  24. Hulens, M., Vansant, G., Claessens, A.L., Lysens, R., & Muls, E. (2003). Predictors of 6-minute walk test results in lean, obese and morbidly obese women. Scand. J. Med. Sci. Sports 13, 98-105 https://doi.org/10.1034/j.1600-0838.2003.10273.x
  25. Jing, L.I., Shiyue, L.I., Feuers, R.J., Buffington, C.K., & Cowan, G.S.M. (2001). Influence of body fat distribution on oxygen uptake and pulmonary performance in morbidly obese females during exercise. Respirology 6, 9-13 https://doi.org/10.1046/j.1440-1843.2001.00290.x
  26. Karjalainen, J., Reunanen, A., Ristola, P., & Viitasalo, M. (1997). QT interval as a cardiac risk in a middle aged population. Heart 77, 543-548
  27. Karvonen, M., & Kentalak, M.O. (1979). The effects of training heart rate, a longitudinal study. Arch. Intern. Med. 139, 857-962 https://doi.org/10.1001/archinte.139.8.857
  28. King, A.C., Frey-Hewitt, B., Dreon, D.M., & Wood O.D. (1989) Diet vs exercise in weight maintenance: the effects of minimal intervention strategies on long time outcomes in men. Arch. Intern. Med. 149, 2741-2746 https://doi.org/10.1001/archinte.149.12.2741
  29. Kligfield, P., Ameisen, O., & Okin, P.M. (1989). Heart adjustment ST segment depression for improved detection of coronary disease. Circulation 79, 245-255 https://doi.org/10.1161/01.CIR.79.2.245
  30. Kuri, S., Laukkanen, J.A., Tuomainen, T.P., Rauramaa, R., Lakka, T.A., Salonen, R., Eranen, J., Sivenius, J., Salonen, J.T., & Salonen, J.T. (2003). Association of exercise-induced, silent ST segment depression with the risk of stroke and cardiovascular disease in men. Stroke 34, 1760-1765 https://doi.org/10.1161/01.STR.0000078564.46376.0A
  31. Martin, A., & Wail Hashimi, A. (1993). Obesity and the heart. Am. J. Med. Sci. 306(2), 117-123 https://doi.org/10.1097/00000441-199308000-00011
  32. National Task Force on the Prevention and Treatment Obesity (2000). Overweight, obesity, and health risk. Arch. Intern. Med. 160, 898-904 https://doi.org/10.1001/archinte.160.7.898
  33. Okin, P.M., Roman, M.J., Devereux, R.B., & Kligfield, P. (1996). ECG identification of LVH. Relationship of test performance to body habitus. J. Electrocardiol. 29(Suppl), 256-261 https://doi.org/10.1016/S0022-0736(96)80072-0
  34. Pascual, M., Pascual, D.A., Soria, F., & Vicente, T. (2003). Effects of isolated obesity on systolic and diastolic left ventricular function. Heart 89(10), 1152 https://doi.org/10.1136/heart.89.10.1152
  35. Shaper, A.G., Pocock, S.J., Phillips, A.N., Whitehead, T.P., & McFarlane, P.W. (1985). Risk factor for ischemic heart disease: the prospective phase of the British Resional Heart Study. J. Epidemiol. Community Health 39, 197-209 https://doi.org/10.1136/jech.39.3.197
  36. Sinopoulos, A.P., & Van Itallie, T.B. (1984). Body weight, health, and longevity. Am. Intern. Med. 100, 285-295 https://doi.org/10.7326/0003-4819-100-2-285
  37. Spirito, P., Marson, B.J., Bonow, R.O., & Epstein, S.E. (1983). Prevalence and significance of an abnormal S-T segment response to exercise in young athletic population. Am. J. Cardiol. 51, 1163
  38. Sturm, R. (2003). Increases in clinically severe obesity in the United States, 1986-2000. Arch. Intern. Med. 163, 2146-2148 https://doi.org/10.1001/archinte.163.18.2146
  39. Superko, H.R. (1991). Exercise training, serum lipids, and lipoprotein particles: Is there a chang threshold? Med. Sci. Sports Exerc. 23, 677-685
  40. Suurkulia, M., Arvidsson, A., Fagerberg, B., Bjuro, T., & Wikstrand, J. (2001). A new method to quantify postexercise ST-deviation-the ST deficit. A study in men at high and low risk for coronary heart disease. Clin. Physiol. 21(5), 541-555 https://doi.org/10.1046/j.1365-2281.2001.00367.x
  41. WHO Expert Committe. (1995). Physical Status: The use and interpretation of antropometry, Geneva. WHO Technical Report Series no, 854
  42. Wolthuis, R.A., Froelicher, V.F., Hopkirk, A., Fischer, J.R., & Keiser, N. (1979). Normal electrocardiographic waveform characteristics during treadmill exercise testing. Circulation 60(5), 1028-1035 https://doi.org/10.1161/01.CIR.60.5.1028