The Effect of Exercise Type on Cardiovascular Disease Risk Index Factors in Male Workers

일부 직장 남성들의 운동형태가 심혈관질환의 위험 예측인자에 미치는 영향

  • Lee, Suk-In (Institute of Sports Science, Chung-Ang University) ;
  • Kim, Nam-Jin (Institute of Sports Science, Chung-Ang University)
  • 이석인 (중앙대학교 스포츠과학 연구소) ;
  • 김남진 (중앙대학교 스포츠과학 연구소)
  • Published : 2006.11.30

Abstract

Objectives : The purpose of this study was to gain an understanding of the effects of three exercise types on anthropometric and serum lipids and physiological index factors, which are known to be the three risk factors of cardiovascular disease in male workers. Methods : The experimental study period was 12 weeks. In this study, 30-40's males (N=31) were assigned to 3 experimental groups: regular aerobic(treadmill walking) exercise group, regular anaerobic(muscular endurance) exercise group, irregular aerobic & anaerobic exercise group and a control group using a stratified random assignment method. Results : In relation to anthropometric factors, the regular aerobic & anaerobic exercise groups showed significant decreases in Weight, Broca's index, WC, BMI, WHtR, WHpR and HRrest. With regard to the serum lipid factors, the TC was decreased, but the HDL-c increased among the regular aerobic & anaerobic exercise groups. However, no significant difference was found between the other groups in respect to the LDL-c and TG. Considering the physiological factors, the TC/HD-c, TC-HDL/HDL-c, LDL-C/HDL-c and NON-HDL-c ratios were decreased, but the HDL-c/TC ratio increased among the regular aerobic & anaerobic exercise groups. The TG/HDL-c and HDL-c/LDL-c ratios showed no significant differences between the groups. These results indicated that the positive change for each factor is much larger in the regular exercise groups, especially in the anaerobic exercise group. Conclusions : The results indicate that not only regular aerobic exercise, but also regular anaerobic(muscular endurance) exercise could be utilized in lessening the deleterious effects of the risk index factors for cardiovascular disease.

Keywords

References

  1. Huh KB, Lee HC, Kim HS, Lee JH. Influence of age on serum hormone levels, visceral fat area and thigh muscle mass in healthy Korean men. Korean J Med 1998; 54(3): 406-414 (Korean)
  2. Kim NJ, Suh I. The relationship between exercise and perceived stress in employees. J Korean Soc Health Edu Promot 2004; 21(2): 101-115 (Korean)
  3. Kim NJ. A study on the effect between employees health condition and exercise. Korean J Phys Edu 2000; 39(4): 389-401 (Korean)
  4. Paek KW, Hong YM Health behavior factors affecting waist circumference as an indicator of abdominal obesity. J Prev Med Public Health 2006; 39(1): 59-66 (Korean)
  5. Seo HK, Lee SW, Na JC, Kang SB, Kim JM. The effects of muscle endurance weight training on physical fitness, blood lipid and lipoprotein in middle aged woman. J Sports Med 1999; 17(2): 224-234 (Korean)
  6. Scranton R, Sesso HD, Stampfer MJ, Levenson JW, Buring JE, Gaziano JM Predictors of 14year changes in the total cholesterol to highdensity lipoprotein cholesterol ratio in men. Am Heart J 2004; 147(6): 1033-1038 https://doi.org/10.1016/j.ahj.2003.11.018
  7. Abe T, Kawakami Y, Sugita M, Fukunaga T. Relationship between training frequency and subcutaneous and visceral fat in women. Med Sci Spans Exerc 1997; 29(12): 1549-1553 https://doi.org/10.1097/00005768-199712000-00001
  8. Hass CJ, Feigenbaum MS, Franklin BA. Prescription of resistance training for healthy populations. Sports Med 2001; 31(14): 953-964 https://doi.org/10.2165/00007256-200131140-00001
  9. 김남진, 김남진 박사의 운동클리닉, 서울: 대경북스; 2006
  10. 통계청, 사망원인 통계 연보; 2003
  11. Kim NS, Moon OR, Kang JH, Lee SY, Jeong BG, Lee SJ, Yoon TH, Hwang KH. Increasing prevalence of obesity related disease for Koreans associated with overweight and obesity. Korean J Prev Med 2001; 34(4): 309-315 (Korean)
  12. Nishtar S, Wierzbicki AS, Lumb PJ, Lambert-Hammill M, Turner CN, Crook MA, Mattu MA, Shahab S, Badar A, Ehsan A, Marber MS, Gill J. Waist-hip ratio and low HDL predict the risk of coronary artery disease in Pakistanis. Curr Med Res Opin 2004; 20(1): 55-62 https://doi.org/10.1185/030079903125002595
  13. Ko JY, Lee HL, Park SA, Park WM, Lee SW, Lee HS. The usefulness of waistlheight ratio as a predictor for the risk factors of coronary artery disease. J Korean Acad Fam Med 1998; 19(9): 719-727 (Korean)
  14. Ho SY, Lam TH, Janus ED; Hong Kong Cardiovascular risk factor prevalence study steering committee. Waist to stature ratio is more strongly associated with cardiovascular risk factors than other simple anthropometric indices. Ann Epidemiol 2003; 13(10): 683-691 https://doi.org/10.1016/S1047-2797(03)00067-X
  15. Kim YH, Yang YO. Effects of walking exercise on metabolic syndrome risk factors and body composition in obese middle school girls. J Korean Acad Nurs 2005; 35(5): 858-867(Korean) https://doi.org/10.4040/jkan.2005.35.5.858
  16. Tokmakidis SP, Volaklis KA. Training and detraining effects of a combined-strength and aerobic exercise program on blood lipids in patients with coronary artery disease. J Cardiopulm Rehabil 2003; 23(3): 193-200 https://doi.org/10.1097/00008483-200305000-00006
  17. Castelli WP, Abbott RD, McNamara PM. Summary estimates of cholesterol used to predict coronary heart disease. Circulation 1983;67(4): 730-740 https://doi.org/10.1161/01.CIR.67.4.730
  18. Kang HI, Youn YH, Kang JY, Cho JJ. Effects of changes in lifestyle and biological parameters on blood lipid levels in middle aged men. J Korean Acad Fam Med. 2000; 21(6): 782-791 (Korean)
  19. Lemieux I, Lamarche B, Couillard C, Pascot A, Cantin B, Bergeron J, Dagenais GR, Despres JP. Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: The Quebec cardiovascular study. Arch Intem Med 2001; 161(22): 2685-2692 https://doi.org/10.1001/archinte.161.22.2685
  20. Gibbons RJ, Abrams J, Chenerjee K, Daley J, Deedwania PC, Douglas JS, Ferguson TB Jr, Fihn SD, Fraker TD Jr, Gardin JM, O'Rourke RA, Pasternak RC, Williams SV, Gibbons RJ, Alpert JS, Antman EM, Hiratzka LF, Fuster V, Faxon DP, Gregoratos G, Jacobs AK, Smith SC Jr. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina: A report of the ACC/ AHA task force on practice guidelines. Circulation 2003; 107(1); 149-158 https://doi.org/10.1161/01.CIR.0000047041.66447.29
  21. 한국체육과학 연구원. 전문가를 위한 최신 운동처방론, 서울: 21세기 교육사; 2000
  22. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972;18(6):499-502
  23. Garcin M, Wolff M, Bejma T. Reliability of rating scales of perceived exertion and heart rate during progressive and maximal constant load exercises till exhaustion in physical education students. Int J Sports Med 2003; 24(4): 285-290 https://doi.org/10.1055/s-2003-39502
  24. Karvonen J, Vuorimaa T. Heart rate and exercise intensity during sports activities. Practical application. Sports Med 1988; 5(5): 303-311 https://doi.org/10.2165/00007256-198805050-00002
  25. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982; 14(5): 377-381
  26. 이석인, 신정태, 박규태, 이한경, 웨이트 트레이닝 이론과 실제. 서울: 21세기 교육사; 1993
  27. Chikuji K, Motoyama M, Ohto H, Morita T, Sunami Y, Tanaka M, Shindo M. The effects of low intensity aerobic training on the physiological indexes and the quality of life in middle-aged white collar workers. Sangyo Eiseigaku Zassh 1999; 41(3): 63-71 https://doi.org/10.1539/sangyoeisei.KJ00001990787
  28. Ko GT. Short-term effects after a 3-month aerobic or anaerobic exercise programme in Hong Kong Chinese. Diabetes Nutr Metab 2004; 17(2): 124-127
  29. Taylor AJ, Watkins T, Bell D, Carrow J, Bindeman J, Scherr D, Feuerstein I, Wong H, Bhattarai S, Vaitkus M, O'Malley PG. Physical activity and the presence and extent of calcified coronary atherosclerosis. Med Sci Sports Exerc 2002; 34(2): 228-233 https://doi.org/10.1097/00005768-200202000-00008
  30. Shono N, Urata H, Saltin B, Mizuno M, Harada T, Shindo M, Tanaka H. Effects oflow intensity aerobic training on skeletal muscular capillary and blood lipoprotein profiles. J Atheroscler Thromb 2002; 9(1): 78-85 https://doi.org/10.5551/jat.9.78
  31. Mayo MJ, Grantham JR, Balasekaran G. Exercise-induced weight loss preferentially reduces abdominal fat. Med Sci Sports Exerc 2003;35(2):207-213 https://doi.org/10.1249/01.MSS.0000048636.46744.01
  32. Byun JS, Kim MJ, Hwang YW, Kim SY, Hwang IH. The usefulness of waist/height ratio as an obesity index. J Korean Acad Fam Med 2004; 25(4): 307-313 (Korean)
  33. Hsieh SD, Yoshinaga H, Muto T. Waist-to-height ratio, a simple and practical index for assessing central fat distribution and metabolic risk in Japanese men and women. Int J Obes Relat Metab Disord 2003; 27(5): 610-616 https://doi.org/10.1038/sj.ijo.0802259
  34. Banz WJ, Maher MA, Thompson WG, Bassett DR, Moore W, Ashraf M, Keefer DJ, Zemel ME. Effects of resistance versus aerobic training on coronary artery disease risk factors. Exp Biol Med (Maywood) 2003; 228(4): 434-440 https://doi.org/10.1177/153537020322800414
  35. Kukkonen-HaJjula K, Laukkanen R, Vuori I, Oja P, Pasanen M, Nenonen A, Uusi-Rasi K. Effects of walking training on health-related fitness in healthy middle-aged adults--a randomized controlled study. Scand J Med Sci Sports 1998; 8(4): 236-242 https://doi.org/10.1111/j.1600-0838.1998.tb00198.x
  36. Wadden TA. The Treatment of Obesity: An over View in Obesity Theory and Therapy. 2nd ed. New York: Raven Press 1993
  37. Kelley GA, Kelley KS, Tran ZV. Walking, lipids, and lipoproteins: a meta-analysis of randomized controlled trials. Prev Med 2004; 38(5): 651-661 https://doi.org/10.1016/j.ypmed.2003.12.012
  38. Joseph LJ, Davey SL, Evans WJ, Campbell WW. Differential effect of resistance training on the body composition and lipoprotein-lipid profile in older men and women. Metabolism 1999; 48(11): 1474-1480 https://doi.org/10.1016/S0026-0495(99)90162-2
  39. Wood PD, Terry RB, Haskell WL. Metabolism of substrates: diet, lipoprotein metabolism, and exercise. Fed Proc 1985; 44(2): 358-363
  40. Marrugat J, Elosua R, Covas MI, Molina L, Rubies-Prat J. Amount and intensity of physical activity, physical fitness, and serum lipids in men. The Marathom Investigators. Am J Epidemiol 1996; 143(6): 562-569 https://doi.org/10.1093/oxfordjournals.aje.a008786
  41. Goldberg L, Elliot DL, Schutz RW, Kloster FE. Changes in lipid and lipoprotein levels after weight training. JAMA 1984;252(4): 504-506 https://doi.org/10.1001/jama.252.4.504