Journal of the Korean Society of Food Science and Nutrition (한국식품영양과학회지)

The Korean Society of Food Science and Nutrition (한국식품영양과학회)
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Effects of a Nutrition Education and Exercise Program of Overweight or Obese Female Adults on Nutritional and Health Status

영양교육과 운동프로그램이 과체중이상의 성인여성의 영양상태와 건강수준에 미치는 영향

  • 김은정 (동의대학교 식품영양학과) ;
  • 황혜진 (동의대학교 식품영양학과)
  • Published : 2010.01.30
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Abstract

This study was to designed to investigate the effects of nutrition education and exercise program for overweight or obese female adults, and also emphasize the necessity of a proper nutrition education. The anthropometric characteristics, nutritional intake, eating habit, and hematological index, physical examination were measured before and after program. Considering the time schedule of the subjects, the exercise program was divided into 3 sessions (morning, afternoon, and evening) and the subjects performed swimming and weight training for 4 weeks. The subjects were overweight or obese women, with an average age and height of each 46.1 and 156.3 cm. The weight and BMI were decreased significantly after nutrition education and exercise program. The back region of front arm (p<0.001), infrascapular region (p<0.001), body fat (p<0.001) were significantly decreased, and grasping power (p<0.01), back muscle power (p<0.001) were significantly increased after nutritional and exercise program. Total triglyceride level and fasting blood glucose (p<0.001) were decreased significantly after program. The intakes of vitamin D and vitamin $B_1$ were significantly changed after nutrition and exercise program. As for eating behavior and nutritional knowledge evaluation after program, the average score increased significantly (p<0.001). The results of this study show that this nutrition and exercise program can be an effective approach to improve their hematological index and nutritional and health status.

본 연구는 부산시 해운대구 보건소에서 과체중 이상인 30세 이상 중년여성을 대상으로 스스로 평생 자기 건강관리를 할 수 있는 능력을 키울 수 있는 건강 체중조절 프로그램을 개발하여 운영하고, 효과적인 영양교육의 필요성과 체계적이고 지속적인 체중조절 프로그램의 운영방안을 마련하고자 하였다. 상반기, 하반기로 2차례에 걸쳐서 과체중 이상인 해운대구 거주 주민 여자 53명을 선착순 모집하여 프로그램을 운영하였다. 프로그램 시작 전후에 건강검진, 체력측정, 체성분측정, 설문조사를 하고, 건강상태와 비만도에 따른 결과를 개인상담으로 실시하였으며, 영양교육은 비만 특강(1시간)을 시작으로, 소그룹별로 4주간 매주 1회 실시한 결과는 다음과 같다. 영양교육과 운동프로그램 전후의 대상자의 체중, BMI는 유의적으로 감소(p<0.001)하였으며 체격 및 체력검사결과 허리둘레, 엉덩이둘레, 상완배부, 견갑하연부는 유의적으로 감소하였으며(p<0.001), 배근력(p<0.001), 악력(p<0.01)은 유의적으로 증가하였다. 또한 영양교육과 운동프로그램 실시 후에 공복 시 혈당(p<0.001), 중성지방(p<0.01)의 농도는 유의적으로 감소하였다(p<0.01). 건강 상태에 대한 평가 결과, 스스로의 건강상태에 대해 긍정적으로 변화되었고, 프로그램 실시 후에 건강관리를 위해서 운동을 중요시하는 양상을 보였다. 영양소 섭취 상태 조사 결과 비타민 D의 섭취량은 유의적으로 증가하였으며(p<0.05). 식습관 조사와 영양지식평가 결과, 평균점수가 유의적인 증가를 보였다(p<0.001). 4주간의 영양교육과 운동프로그램 실시 후 대상자의 식습관과 비만도, 혈액수치에 있어서 긍정적인 영향을 미쳤다고 사료되며, 교육효과를 더 증진시키기 위한 보다 체계적이고 지속적인 영양교육 프로그램의 개발이 필요하며 잘못된 식습관으로 인한 영양불균형이 성인병 등을 유발하지 않도록 평소 균형된 식생활이 이루어지도록 하여야 할 것이다.

Keywords

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