비만클리닉을 내원한 성인의 체질량지수에 따른 혈액생화학적 지표, 신체활동, 스트레스 및 수면관리

나연경; 홍해숙; 석현진

서지반출

국문초록

현대사회의 발달은 경제성장과 더불어 현대인들의 식습관 변화와 신체활동의 감소에 따른 비만인구의 지속적인 증가를 유발하게 되었으며, 최근 이와 관련된 여러 가지 건강문제가 전 세계적으로 큰 사회적 문제로 대두되고 있다. 미국의 경우 1990년부터 2008년까지 조사한 Behavioral Risk Factor Surveillance System (BRFSS)의 자료를 바탕으로 2030년에는 미국 인구의 51%가 비만일 것이라고 예측하고 있다(Finkelstein et al., 2012). 우리나라의 경우에도 비만이 계속적으로 증가하는 추세이며, 비만은 그 자체뿐만 아니라 이로 인해 발생되는 신체적, 정신적, 사회·경제적인 면에서도 심각한 문제이다.

영문초록

Purpose: The purpose of this study was to investigate the comparison of blood biochemical parameters, physical activity, stress, and sleep management between obese and non-obese subjects according to the body mass index (BMI). Methods: Data were collected from February 1 to May 31 in 2012. This research involved 403 subjects who visited an obesity clinic in Korea. They were divided into 4 groups: normal weight 100 (18.5≤BMI<23.0 kg/m²), overweight 100 (23.0≤BMI<25.0 kg/m²), obese 100 (25.0≤BMI<30.0 kg/m²), and severely obese 103 (BMI≥30.0 kg/m²). Data were analyzed using SPSS version 19.0. Results: There were significant differences on the SGPT (F=22.98, p<.001), SGOT (F=12.91, p<.001), creatinine (F=4.82, p=.003), triglyceride (F=20.17, p<.001), and total cholesterol (F=6.55, p<.001) among the subjects according to the BMI. There was no significant association between frequency of physical activity according to the BMI. There was significant association regarding the management of sleep (F=5.13, p=.002), but no significant association regarding the management of stress. Overall, there were significant association regarding the management of stress and sleep (F=3.79, p=.011) among the groups. Conclusion: The result of this study suggests that it is possible to use the information as basic data for educational and nursing intervention programs based on the BMI.

키워드

Obesity Blood Chemical Analysis Physical activity Stress Sleep 비만 혈액생화학적 지표 신체활동 스트레스 수면

참고문헌 (29건)

American Heart Association. Statistical Fact Sheet 2013 Updates. Overweight & Obesity. Retrived September 1, 2013, from https://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadabl/ucm_319588.pdf
Busija, L., Hollingsworth, B., Buchbinder, R., & Osborne, R. H. (2007). Role of age, sex, and obesity in the higher prevalence of arthritis among lower socioeconomic groups: A population-based survey. Arthritis and Rheumatism, 57, 553-561. doi: 10.1002/art
Chen, Y., & Qian, L. (2012). Association between lifetime stress and obesity in canadians. Preventive Medicine, 55, 464-467. doi: http://dx.doi.org/10.1016/j.ypmed.2012.08.013
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, 2011. Retrived September 1, 2013, from http://www.cdc.gov/physicalactivity/everyone/health/index.html
Finkelstein, E. A., Khavjou, O. A., Thompson, H., Trogdon, J. G., Pan, L., Sherry, B., et al. (2012). Obesity and severe obesity forecasts through 2030. American Journal of Preventive Medicine, 42, 563-570. doi: http://dx.doi.org/10.1016/j.amepre.2011.10.0
Gøbel, R. J., Jensen, S. M., Frøkiær, H., Mølgaard, C., & Michaelsen, K. F. (2011). Obesity, inflammation and metabolic syndrome in Danish adolescents. Acta Paediatrica, 101, 192-200. doi: 10.1111/j.1651-2227.2011.02493.x
Haslam, D. W., & James, W. P. T. (2005). Obesity. Lancet, 366, 1197-1209.
Hsieh, M., Lin, W., Chien, H., Chien, L., Huang, C., Yang, J., et al. (2012). Waist circumference, body mass index, serum uric acid, blood sugar, and triglyceride levels are important risk factors for abnormal liver function tests in the taiwanese populati
Hwang, J. H. (2003). The relationship of obesity between blood cholesterol, blood sugar and blood pressure. Unpublished master’s thesis, Kyungpook University, Daegu.
Jeoung, B. J., & Shin, C. (2005). Relation between physical activity, obesity and metabolic syndrome. Journal of Korean Physical Education Association for Girls and Woman, 19, 45-53.
Kim, H. K., Kim, J. H., & Jung, H. K. (2012). A comparison of health related habits, nutrition knowledge, dietary habits, and blood composition according to gender and weight status of college students in ulsan. The Korean Journal of Nutrition, 45, 336-346
Kim, J., & Jo, I. (2010). Age-dependent association between sleep duration and hypertension in the adult korean population. American Journal of Hypertension, 23, 1286-1291. doi: 10.1038/ajh.2010.166
Korean Endocrine Society & Korean Society for the Study of Obesity. (2010). Management of Obesity, 2010 Recommendation. Journal of Clinical Endocrinology & Metabolism, 25, 301-304. doi: 10.3803/EnM.2010.25.4.301
Lee, S., Bacha, F., & Arslanian, S. A. (2006). Waist circumference, blood pressure, and lipid components of the metabolic syndrome. The Journal of Pediatrics, 149, 809-816. doi: http://dx.doi.org/10.1016/j.jpeds.2006.08.075
Lin, J. P., O’ Donnell, C. J., Schwaiger, J. P., Cupples, L. A., Lingenhel, A., Hunt, S. C., et al. (2006). Association between the UGT1A1*28 allele, bilirubin levels, and coronary heart disease in the Framingham Heart Study. Circulation, 114, 1476-1481. d
McArdle, P. F., Whitcomb, B. W., Tanner, K., Mitchell, B. D., Shuldiner, A. R., & Parsa, F. (2012). Association between bilirubin and cardiovascular disease risk factors: Using Mendelian randomization to assess causal inference. BMC Cardiovascular Disorder
Ministry of Health & Welfare. (2012). The Third Korea National Health and Nutrition Examination Survey (KNHANES lll). Retrived September 1, 2013, from http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=031604&CONT_SEQ=264493&page=1
Nam, S. J., & Park, J. H. (2012). Depression and stress related to obesity among normal, obese, and severe obese groups. Korean Journal of Human Ecology, 21, 1199-1210. doi: http://dx.doi.org/10.5934/KJHE.2012.21.6.1199
Ok, S. J. (2010). Behavior and obesity clinic satisfaction factors and the perceived effects. Unpublished master’s thesis, Sungsin Women’s University, Seoul.
Park, H. A., & Cho, J. J. (2011). Economic activities and Socioeconomic status of morbidly obese Korean adults. Journal of Korean Society for the society of Obesity, 20, 210-218. http://dx.doi.org/10.7570/kjo.2011.20.4.210
Patel, S. R., Malhotra, A., White, D. P., Gottlieb, D. J., & Hu, F. B. (2006). Association between reduced sleep and weight gain in women. American Journal of Epidemiology, 164, 947-954. doi: 10.1093/aje/kwj280
Roh, S. Y., & Choue, R. W. (2002). A study for the correlations between obesity and blood parameters at the worksite. Journal of the Korean Dietetic Association, 8, 333-341.
Schwertner, H. A., & Fischer, J. R. Jr. (2000). Comparison of various lipid, lipoprotein, and bilirubin combinations as risk factors for predicting coronary artery disease. Atherosclerosis, 150, 381-387. doi: http://dx.doi.org/10.1016/S0021-9150(99)00387-1
Shin, S. K., & Seo, K. E. (2003). The comparisons of health-related physical fitness and blood constituents in the middle aged woman with classified by relative fatness. Journal of Physical Growth and Motor Development, 11, 97-105.
Sim, S. J., Cheon, K. S., & Park, H. S. (2003). The relation of serum lipid profiles to overweight among children in gangneung area. The Korean Journal of Obesity, 12, 146-153. http://dx.doi.org/10.3803/jkes.2006.21.4.311
Song, H. Y. (2010). Children obesity and health behavior on elementary school students in Seoul. Unpublished master’s thesis, Ewa Womans University, Seoul.
Song, Y. J., & Lee, D. H. (2011). Effect of the Body-awareness entered yoga program on body-image, self-esteem, and stress of the obese children. Journal of Human Sciences, Kyungsung University, 241-269.
Sur, H., Kolotourou, M., Dimitriou, M., Kocaoglu, B., Keskin, Y., Hayran, O., & Manios, Y. (2005). Biochemical and behavioral indices related to BMI in schoolchildren in urban turkey. Preventive Medicine, 41, 614-621. doi: http://dx.doi.org/10.1016/j.ypmed
World Health Organization. (March 2013). Obesity: Fact sheet on obesity and overweight. Retrieved September 1, 2013, from http://www.who.int/mediacentre/factsheets/fs311/en/index.html

구매하기 (3,000)

장바구니

국문초록

영문초록

목차

키워드

참고문헌 (29건)