Effect of yoga and walking exercise on physical function, carotid artery structure and function in elderly obese women

요가와 걷기운동이 비만 고령여성의 신체기능과 경동맥 구조 및 기능에 미치는 영향

Park, Sang-Kab;Kwon, Yoo-Chan;Kim, Eun-Hee;Park, Jin-Kee
박상갑;권유찬;김은희;박진기

  • Published : 20091100

Abstract

The purpose of the current study is to examine the influence of 12-week yoga and walking exercise program on the carotid artery structure and function in the obese elderly women. And also this study relation examine physical function with change of the carotid structure and function. Subjects in this study are obese elderly women(over 30% body fat mass) and, the 16 subjects who consent to this study after listening the purpose of the study were selected. The exercise group performed the aerobic and yoga exercise training 12-week for 60 minutes 4 times a week. Exercise group after 12week, body fat mass(%), SBP and 10-m maximal walk time were significantly decrease and, $VO_2$max, $VO_2$max/weight, carotid artery luminal diameter(LD) and peak flow velocity(PFV) were significantly increase. The carotid artery IMT and EFV were no change after 12-week. Also, the change carotid artery LD and PFV were significantly relation with oxygen uptake and 10-m maximal walk time. In conclusion, 12-week aerobic and yoga exercise in the obese elderly women is effective to improve physical function, carotid artery structure and function, and change of the carotid artery LD and PFV had the significant correlation with change of physical function.

비만 고령여성을 대상으로 12주간 요가와 걷기운동의 실시에 따른 동맥혈관의 구조 및 기능에 대한 효과를 파악하고, 또한 운동에 의한 동맥혈관의 변화와 신체기능과의 관련성을 알아보고자한다. 비만 고령여성(체지방률 30%이상)을 16명을 대상으로 실시하였으며, 운동군은 1회 60분, 주 4회, 12주간 요가와 걷기운동을 병행하는 복합운동을 실시하였다. 운동군은 12주 후 체지방률(2.47%), 수축기혈압(3.88 mmHg), 최대보행시간(0.64초)가 각각 유의하게 감소하고, 최대산소섭취량(121.75 ml/min)과 체중당 최대산소섭취량(3.23 ml/kg/min)은 각각 유의하게 증가하였다. 경동맥 내경(luminal diameter; LD)는 0.03 cm가, 최고 수축기혈류속도(peak flow velocity; PFV)는 11.68 cm/sec가 각각 유의하게 증가하였으며, 경동맥 내중막두께와 확장말기 혈류속도(end-diastolic flow velocity; EFV)는 변화가 없었다. 경동맥 LD와 PFV는 체중당 산소섭취량, 최대보행시간과 유의한 관계가 나타났다. 따라서 12주간의 요가와 걷기운동은 비만 고령여성들의 신체기능, 경동맥 구조와 기능을 개선시키는데 효과적인 것으로 나타났으며, 또한 경동맥 내경과 최고수축기 혈류속도의 변화가 신체기능의 변화와 관련이 있는 것으로 나타났다.

Keywords

References

  1. American College of Sports Medicine (2006). ACSM's Guidelines for exercise testing and prescription. Seventh Edition, Baltimore, Lippincott Williams & Wilkins, 55-269
  2. Anton M. M., Cortez-Cooper M. Y., DeVan A. E., Neidre D. B., Cook J. N., & Tanaka H. (2006). Resistance training increases basal limb blood flow and vascular conductance in aging humans. Journal of Applied Physiology, 101, 1351-1355 https://doi.org/10.1152/japplphysiol.00497.2006
  3. Azhim A., Akioka K., Akutagawa M., Hirao Y., Yoshizaki K., Obara S., et al. (2007). Effects of aging and exercise training on the common carotid blood velocities in healthy men. Conference proceedings : Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society, 989-93 https://doi.org/10.1109/IEMBS.2007.4352460
  4. Azhim A., Katai M., Akutagawa M., Hirao Y., Yoshizaki K., Obara S., et al. (2007). Exercise Improved Age-associated Changes in the Carotid Blood Velocity Waveforms. Journal of Biomedical & Pharmaceutical Engineering, 1(1), 17-26
  5. Bai C. H., Chen J. R., Chiu H. C., & Pan W. H. (2007). Lower blood flow velocity, higher resistance index, and larger diameter of extracranial carotid arteries are associated with ischemic stroke independently of carotid atherosclerosis and cardiovascular risk factors. Journal of Clinical Ultrasound, 35(6), 322-330 https://doi.org/10.1002/jcu.20351
  6. Ballaz L., Fusco N., Crétual A., Langella B., & Brissot R. (2008). Peripheral vascular changes after home-based passive leg cycle exercise training in people with paraplegia: a pilot study. Archives of Physical Medicine and Rehabilitation, 89, 2162-2166 https://doi.org/10.1016/j.apmr.2008.04.018
  7. Bertoni A. G., Whitt-Glover M., Chung H., Le K. Y., Barr G., Mahesh M., et al. (2008). The association between physical activity and subclinical atherosclerosis(The multi-ethnic study of atherosclerosis). American Journal of Epidemiology, 169(4), 444-454 https://doi.org/10.1093/aje/kwn350
  8. Chen W., Srinivasan S. R., Xu J., & Berenson G. S. (2008). Effect of parental coronary artery disease on adverse effects of the metabolic syndrome and aging on carotid artery intima-media thickness(from the bogalusa heart study). The American Journal of Cardiology, 102, 180-183 https://doi.org/10.1016/j.amjcard.2008.03.035
  9. Elbaz A., Ripert M., Tavernier B., Zureik M., Gariepy J., Alperovitch A., et al. (2005). Common carotid artery intima-media thickness, carotid plaques, and walking speed. Stroke, 36, 2198-2202 https://doi.org/10.1161/01.STR.0000181752.16915.5c
  10. Ferreira I., Twisk J. W., Stehouwer C. D., van Mechelen W., & Kemper H. C. (2003). Longitudinal changes in VO2max: associations with carotid IMT and arterial stiffness. Medicine & Science in Sports & Exercis, 35(10), 1670-1678 https://doi.org/10.1249/01.MSS.0000089247.37563.4B
  11. Hagg U., Wandt B., Bergstrom G., Volkmann R., & Gan L. M. (2005). Physical exercise capacity is associated with coronary and peripheral vascular function in healthy young adults. American Journal of Physiology. Heart and Circulatory Physiology, 289, 1627-1634 https://doi.org/10.1152/ajpheart.00135.2005
  12. Harloff A., Zech T., Frydrychowicz A., Schumacher M., Schöllhorn J., Hennig J., et al. (2009). Carotid intima-media thickness and distensibility measured by MRI at 3 T versus high-resolution ultrasound. European radiology, 19(6), 1470-1479 https://doi.org/10.1007/s00330-009-1295-8
  13. Kawamoto R., Ohtsuka N., Ninomiya D., & Nakamura S. (2008). Association of obesity and visceral fat distribution with intima-media thickness of carotid arteries in middle-aged and older persons. Internal Medicine, 47(3), 143-149 https://doi.org/10.2169/internalmedicine.47.0478
  14. Kim S. H., Lee S. J., Kang E. S., Kang S., Hur K. Y., Lee H. J., et al. (2006). Effects of lifestyle modification on metabolic parameters and carotid intima-media thickness in patients with type 2 diabetes mellitus. Metabolism, 55(8), 1053-1059 https://doi.org/10.1016/j.metabol.2006.03.017
  15. Kwon Y. C., Park S. G., Kim E. H., & Park J. K. (2008). The effects of multi-component exercise training on VO2max, muscle mass, whole bone mineral density and fall risk in community-dwelling elderly women. Japanese Journal of Physical Fitness and Sports Medicine, 57, 339-348 https://doi.org/10.7600/jspfsm.57.339
  16. Meyer A. A., Kundt G., Lenschow U., Schuff-Werner P., & Kienast W. (2006). Improvement of early vascular changes and cardiovascular risk factors in obese children after a six-month exercise program. Journal of the American College of Cardiology, 48(9), 1865-1870 https://doi.org/10.1016/j.jacc.2006.07.035
  17. Miyachi M., Kawano H., Sugawara J., Takahashi K., Hayashi K., Yamazaki K., Tabata I., Tanaka H. (2004). Unfavorable effects of resistance training on central arterial compliance: a randomized intervention study. Circulation, 110(18). 2858-2863 https://doi.org/10.1161/01.CIR.0000146380.08401.99
  18. Okamoto T., Masuhara M., & Ikuta K. (2007). Combined aerobic and resistance training and vascular function: effect of aerobic exercise before and after resistance training. Journal of Applied Physiology, 103, 1655-1661 https://doi.org/10.1152/japplphysiol.00327.2007
  19. Olson T. P., Dengel D. R., Leon A., & Schmitz K. H. (2006). Moderate resistance training and vascular health in overweight women. Medicine & Science in Sports & Exercise, 38(9), 1558-1564 https://doi.org/10.1249/01.mss.0000227540.58916.0e
  20. Ozdemir H., Artas H., Serhatlioğlu S., & Oğur E. (2006). Effects of overweight on luminal diameter, flow velocity and intima-media thickness of carotid arteries. Diagnostic and Interventional Radiology, 12, 142-146
  21. Park H. T., Kim K. J., Komatsu T., Park S. K., & Mutoh Y. (2008). Effect of combined exercise training on bone, body balance, and gaitability: a rondomized controlled study in community-dwelling elderly women. Journal of bone and mineral metabolism, 26(3), 254-259 https://doi.org/10.1007/s00774-007-0819-z
  22. Sabatier M .J., Schwark E. H., Lewis, R., Sloan G., Cannon J., & McCully K. (2008). Femoral artery remodeling after aerobic exercise training without weight loss in women. Dynamic Medicine, 7(13)
  23. Schjerve I. E., Tyldum G. A., Tjønna A. E., Stølen T., Loennechen J. P., Hansen H. E., et al. (2008). Both aerobic endurance and strength training programes improve cardiovascular health in obese adults. Clinical Science, 115(9), 283-93 https://doi.org/10.1042/CS20070332
  24. Simova, I., & Denchev, S. (2008). Endothelial functional and structural impairment in patients with different degrees of coronary artery disease development. Heart Vessels, 23, 308-315 https://doi.org/10.1007/s00380-008-1054-9
  25. Villareal D. T., Banks M., Sinacore D. R., Siener C., & Klein S. (2006). Effect of weight loss and exercise on frailty in obese older adults. Archives of Internal Medicine, 166(8), 860-866 https://doi.org/10.1001/archinte.166.8.860
  26. White F. C., Bloor C. M., McKirnan M. D., & Carroll S. M. (1998). Exercise training in swine promotes growth of arteriolar bed and capillary angiogenesis in heart. Journal of Applied Physiology, 85(3), 1160-1168
  27. Woo K. S., Chook P., Yu C. W., Sung R. Y. T., Qiao M., Leung S .S. F., et al. (2004) Effects of diet and exercise on obesity-related vascular dysfunction in children. Circulation, 109, 1981-1986 https://doi.org/10.1161/01.CIR.0000126599.47470.BE
  28. Yasuda T., Matsuhisa M., Fujiki N., Sakamoto F., Tsuji M., Fujisawa N., et al. (2007). Is central obesity a good predictor of carotid atherosclerosis in Japanese type 2 diabetes with metabolic syndrome? Endocrine Journal, 54(5), 695-702 https://doi.org/10.1507/endocrj.K06-210