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The Effects of Aquarobic Exercise Program on Body Composition and Blood Lipid Concentrations in Obese Elderly Females

아쿠아로빅 운동이 비만노인여성의 신체조성과 혈중지질에 미치는 영향

  • Hwang, Yeon-Hee (Dept. of Physical Education, Chonnam National University) ;
  • Kim, Dong-Hee (Dept. of Physical Education, Chonnam National University)
  • Received : 2016.04.26
  • Accepted : 2016.06.02
  • Published : 2016.06.30

Abstract

In the elderly, a lower muscle mass and higher body fat mass are induced by a lower level of physical activity. A negatively changed body composition with an advanced age can lead to a higher falling risk and rate of diseases. On the other hand, aerobic-type exercise positively influences the body composition and hyperlipidemia in the elderly. Therefore, this study examined the effects of aquarobic training for 12 weeks on the body composition and blood lipid levels in obese old women. The subjects (n = 31, body fat: 33.42%) completed a 12 week water based aerobic training at 12 - 13 of Borg Scale of intensity (three times per week, each session: an hour). The body composition was measured by bioelectrical impedance analysis (Inbody 770-Biospace, Seoul, Korea) and the concentrations of blood lipids (high-density lipids cholesterol (HDL), low-density lipids cholesterol (LDL), triglyceride (TG) total cholesterol (TC)) were determined at pre and post training. A paired t-test was used for data analysis with ${\alpha}=0.05$. In the results, the body composition (% body fat (p < 0.05) and waist circumference (p < 0.05)) were reduced significantly. The LDL (p < 0.05), TG (p < 0.001) and TC (p < 0.05) were reduced significantly. In conclusion, a 12 week aquarobic exercise program helps improve the body composition and concentrations of serum lipids. Therefore, aquarobic exercise can enhance lipolysis using fat as energy to induce an improvement of the body composition and induce hyperlipidemia.

본 연구는 비만 노인여성을 대상으로 아쿠아로빅 운동을 적용한 후 신체조성 및 혈중지질의 개선효과를 알아보고 노인운동프로그램에 관한 다각적인 기초자료를 제공하는데 목적이 있다. 실험참가자들 (n=31)은 12주 동안 주 3회 60분의 아쿠아로빅 운동을 Borg의 운동자각도 12-13의 강도로 실시하였다. 신체조성은 inbody의 생체전기저항분석법을 사용하여 측정하였고 채혈된 혈액에서 혈중지질 (고밀도지단백(HDL), 저밀도지단백(LDL), 중성지방(TG)와 총콜레스터롤(TC))을 분석하였다. 자료의 분석은 대응 t-test를 이용하였고 유의수준은 0.05로 설정하였다. 아쿠아로빅 운동 후 체지방량과 허리둘레는 유의하게 감소하였고 (p < 0.05) 혈중지질 중 LDL (p < 0.05), TG (p < 0.001), 그리고 TC (p < 0.05)은 유의하게 감소하였다. 이상과 같은 결과를 볼 때 아쿠아로빅 운동은 신체조성과 혈중지질에 긍정적인 방향으로 변화시켰으며, 지방대사의 활용을 높여 지질분해의 향상과 신체조성을 증진시키고 고지혈증의 위험성을 낮출 것으로 생각된다. 따라서 아쿠아로빅 운동이 지상에서의 유산소 운동 및 저항 운동을 대체할 수 있는 유용한 운동이라 할 수 있다.

Keywords

References

  1. H. J. Kim, Y. M. Kim, The Effect of 20-Weeks' Aquarobics Exercise on the Body Composition, Physical Fitness, Blood Lipid and Glucose in Obese Elderly Women, The Korean Journal of Sports Science vol. 23, no. 1, pp. 1263-1272, 2014.
  2. Statistics Korea, "Population projections for Korea", Available from http://kostat.go.kr. (accessed Feb 20, 2016)
  3. H, S, Kim, S, K, Hyun, Effectiveness of Exercise Training for a Short Period on Functional Fitness and Depression in the Frail Elderly, Journal of The Korean Society of Living Environmental System vol. 11, no. 2, pp. 122-128, 2004.
  4. Y. R. Lee, Effects of Aquarobics for 48weeks on Body Composition, Health Related Fitness and Metabolic Syndrome Risk Factors in Elderly Obese Woman, The Korean Society of Sports Science, vol. 23, no. 4, pp. 1191-1200, 2014.
  5. Office for Healthcare Policy, Korea Health Statistics 2013 : Korea National Health and Nutrition Examination Survey (KNHANES VI-1), Ministry of Health & Welfare, 2013.
  6. Office for Healthcare Policy : Centers for Disease Control and Prevention, Women and Health Policy, 2014.
  7. W. S. Shin, C. H. Kho, J. E. Choi, S. W. Lee, W. H. Park, and Y. Y. Cha, The Study on the Characteristics of Obese Elderly Based on Blood Test, Journal of Korean Medicine for Obesity Research, vol. 13, no. 2, pp. 66-73, 2013.
  8. G. J. Kim, The role of exercise on the activation of lipid metabolism in obese, Korean Society of Exercise Physiology, vol. 12, no. 4, pp.553-573, 2003.
  9. S. L. Jung, S. H. Lee and M. D. Huh, Effects of Aerobic Exercise and Combined Aerobic Exercise with Muscle Strength Exercise Program on Body Fat Distribution in Obese Women, Journal of Sport and Leisure Studies, vol. 35, no. 2, pp. 881-888, 2009.
  10. H. K. Kim and M. J. Kim, Effects of Weight Control Program on Dietary Habits and Blood Composition in Obese Middle-Aged Women, Journal of Nutrition and Health, vol. 43, no. 3, pp. 273-284, 2010. DOI: http://dx.doi.org/10.4163/kjn.2010.43.3.273
  11. S. H. Yoon, J. K. Chang and J. Y. Kim, Effects of a Water Exercise on the Lower Extremities Coordination during Obstacle Gait in the Female Elderly - Focusing on Training and Detraining Effects -, Korean Journal of Sport Biomechanics, vol. 24, no. 2, pp. 95-101, 2014. DOI: http://dx.doi.org/10.5103/KJSB.2014.24.2.95
  12. J. H. Jung, J. Y. Lee, E. J. Chung, and K. Kim, The effect of obstacle training in water on static balance of chronic stroke patients, Journal of Physical Therapy Science, vol. 2, no. 6, pp. 437-440, 2014. DOI: http://dx.doi.org/10.1589/jpts.26.437
  13. Y. Katsura, T. Yoshikawa, T. Ueda, S. Y. Usui, T. Sotobayashi, D. Nakao, H. Sakamoto, H. Okumoto, and s. Fujimoto, Effects of aquatic exercise training using waterresistance equipment in elderly, European Journal of Applied Physiology, vol. 108, no. 5, pp. 957-964, 2010. DOI: http://dx.doi.org/10.1007/s00421-009-1306-0
  14. A. E. Rahmann, S. G. Brauer and J. C. Nitz, A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial, Archives of Physical Medicine and Rehabilitation, vol. 90, no. 5, pp. 745-755, 2009. DOI: http://dx.doi.org/10.1016/j.apmr.2008.12.011
  15. S. Y. Lee, I. H. Hyong, and J. M. Shim, The Effect of Aquatic Gait Training on Foot Kinesiology and Gait Speed in Right Hemiplegic Patients, The Journal of the Korea Contents Association, vol. 9, no. 12, pp. 674-682, 2009. DOI: http://dx.doi.org/10.5392/JKCA.2009.9.12.674
  16. T. J. Wang, B. Belza, F. Elain Thompson, J. D. Whitney, and K. Bennett, Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee, Journal of Advanced Nursing, vol. 57, no. 2, pp. 141-152, 2007. DOI: http://dx.doi.org/10.1111/j.1365-2648.2006.04102.x
  17. A. R. Ko, The Effects of Aqua robics participants satisfaction on repurchasing decision making, Soongsil University, 2014.
  18. A. Bates, and N. Hanson, Aquatic exercise therapy. W. B. Saunders Company, 1996.
  19. M. E. Kim, The Effects of Aquarobics Exercise on Body Composition and Isokinetic Muscular Function of Postmenopausal Patients with Knee Osteoarthritis, Journal of exercise rehabilitation, vol. 7, no. 1, pp. 133-142, 2011.
  20. S. W. Han, The effects of aquarobics exercise programs for female elderly suffering from degenerative arthritis on pain, bone mineral density and leg muscle strength, The Korea Joumal of Sports Science, vol. 21, no. 1, pp. 803-814, 2012.
  21. E. J. Kim, The Effects of Self-Consciousness on the Body Image and Self-Esteem for Middle-Aged Women Participating in Aquarobics, The Korea Journal of Sports Science, vol. 20, no. 3, pp. 221-234, 2011.
  22. J. H. Cho and H. Y. Jung, The Effects of an Aquarobics Exercise Program on Body composition and Inflammation Markers in Obese Middle-aged Women, The Korean Alliance for Health,Physical Education, vol. 52, no. 3, pp. 483-493, 2013.
  23. R. L. McNeal, Aquatic therapy for patients with rheumatic disease. Rheum. Dis. Cli. Am., vol. 18, no. 4, pp. 915-929, 1990.
  24. W. Y. So, J. Y. Hong, E. J. Jun, D. H. Choi and K. H. Kim, Effects of Aquarobics Exercise on Body Composition, Fitness and Health Related Quality of Life(SF-36)in Elderly Women, Korean Gerontological Society, vol. 30, no. 3, pp. 683-694, 2010.
  25. D. H. Kim, H. Y. Lee and H. B. Yoo, The Effect of Aquarobic Exercise on the Apo E, Leptin and Blood Lipids of Obese Women, Korea Sports Research, vol. 18, no. 1, pp. 299-308, 2007.
  26. ACSM, ACSM's guidelines for exercise testing and prescription, LWW, 2010.
  27. Durstine, J. L., Grandjean, P. W., Cox, C. A. & Thompson, P. D. (2002). Lipids, lipoproteins, and exercise. J Cardiopulm Rehabil, vol. 22, no. 6, pp. 385-398. DOI: http://dx.doi.org/10.1097/00008483-200211000-00002
  28. I. S. Kim, The Effect of an Aquarobic Exercise Program on the Self-Efficacy, Pain, Body Composition, Blood Lipid and Depression in women with Osteoarthritis, Chonbuk National University, 2009.
  29. e. Y. Lee, Y. S. Lee, A. L. Han and S. Y. Kim, Effects of Silverobics Exercise on Metabolic Syndrome Risk Factors, Bone Mineral Density and Living Fitness of Elderly Women, The Korea Joumal of Sports Science, vol. 21, no.1, pp. 1155-1164, 2012.
  30. J. H. Kim, Effect of aquarobic exercise on body composition and blood lipids of obese women, Chonnam University, 2003.
  31. Y. A. Park, Effect of Aquarobic Exercise on Metabolic Syndrome and Physical Fitness of Elderly Women, Chonnam University, 2010.
  32. ACSM.(2006). ACSM'S Guideliness for Exercise Testing and Prescription. 6th Edition. Philadelphia: Lippincott, Williams & Witkins.
  33. Y. J. Jang, Effect of 12-week aquatic exercise on weight, percent body fat, serum glucose and serum lipids on elderly women, Kookmin University, 2008.
  34. J. Y. Lee, The Difference of Physical Fitness and Blood Lipid by types of the Aquatic Exercise Programs in the Elderly Women, Korea National Sport University, 2007.
  35. D, J. Jung, D. E. Choi and J. W. Chung, The Effect of Aquarobics on Metabolic Syndrome Risk Factors in Middle-aged Women, Journal of Korean Physical Education Association for Girls and Women, vol. 23, no. 4, pp. 45-56, 2009.
  36. D. K. Kang, The effects of aquatic exercise on body composition and serum lipids in obese middle-aged women, Korean journal of physical eduaction, vol. 42, no. 2, pp. 519-527, 2001.
  37. Y. S. Gee, M. K. Kim, J. S. Choi, T. B. Seo, S. K. Lee and S. S. Kim, The effects of 48 weeks aqua-exercise on blood lipid profile and body composition of elderly women, Korean journal of physical eduaction, vol. 40, no. 2, pp. 717-737, 2001.
  38. A. H. Hyun, Effect of 16-week Aquarobics Exercise Program on Body Composition, Physical Fitness, and Blood Lipids of Aged Women, Korea National Sport University, 2007.