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Effects of Belly Dancing and Nutritional Education on Body Composition and Serum Lipids Profiles of Obese Women in a Study, 'Obesity Clinic Projects at Community Healthcenter'

'보건소 비만클리닉 시범사업'으로 실시한 Belly Dance와 영양교육이 비만여성의 신체조성 및 혈청지질 농도에 미치는 영향

  • Kim, Kyung-Do (Dept. of Physical Education, Pusan National University) ;
  • Song, Yeong-Ok (Dept. of Food Science and Nutrition, Pusan National University) ;
  • Baek, Yeong-Ho (Dept. of Physical Education, Pusan National University)
  • Received : 2011.06.23
  • Accepted : 2011.09.27
  • Published : 2011.10.31

Abstract

The effects of a 12-week weight reduction program applied to obese women at a community health center were studied. Middle aged women participated in the beginning of the program, but 34 persons finished the study (85% completion). Subjects practiced belly dancing three times a week for 60 minutes (60~85% HR max) per session, and nutritional education was carried out four times during the 12 week program. The weight, %body fat, and BMI significantly decreased by 5.6%, 9.5%, and 5.6%, respectively. The concentrations of serum triglycerides, total cholesterol, and LDL-C were also significantly reduced by 13.5%, 9.5%, and 10.4%, respectively. Insulin level was reduced by 19.8%, thus lowering the HOMA-IR index. Leptin level significantly was reduced by 32.35%, adiponectin concentration. Total ROS concentration increased while total antioxidant capacity in serum remained unchanged. In conclusion, a 12-week 'Obesity Clinic Program' belly dancing and nutritional education held at a Community Center seemed to have health-promoting effects through reducing body fats, plasma lipids, and improving insulin resistance.

본 연구는 비만중년여성 34명을 대상으로 벨리댄스와 영양교육 실시가 신체조성과 혈청지질 및 인슐린 저항성에 미치는 요인을 구명하기 위하여 벨리댄스와 영양교육을 12주간 실시한 후 운동전과 후의 신체조성, 혈청지질, 인슐린 저항성, leptin 및 adiponectin 호르몬, 그리고 항산화능을 측정하여 비교분석하였다. 벨리댄스 프로그램은 1회 1시간씩 주3회 실시하였으며, 운동 강도는 60~85% HRmax로 실시하였다. 영양교육프로그램은 영양 교육과 개별 상담으로 나누어 총 4회 실하였다. 신체조성중 체중 5.53%, 체지방률 9.51%, BMI 5.61% 유의적으로 감소하였으며, 골격근량은 0.81% 증가하였다. 혈청지질의 변화는 TG 13.50%, TC 9.51%, LDL-C 10.43% 유의적으로 감소하였으며, HDL-C는 3.24% 증가하였다. 인슐린 농도는 19.76% HOMA-IR 지수는 18.22% 유의적으로 감소였다. Leptin 호르몬의 분비는 32.35% 유의적으로 감소하였으나 adiponectin 농도는 변화가 없었다. 그러나 총 유리기 농도는 증가하는 경향을 보였고, 혈중 총 항산화능의 변화는 없었다. 본 연구의 결과를 살펴보면 보건소에서 실시하는 비만클리닉 프로그램은 비만중년 여성의 체지방률을 낮추어 혈청지질 및 인슐린 저항성을 개선함으로써 건강을 증진시키는 긍정적인 효과가 있을 것으로 사료된다.

Keywords

References

  1. Burke GL, Bertoni AG, Shea S, Tracy R, Watson KE, Blumenthal RS, Chung H, Carnethon MR. 2008. The impact of obesity on cardio-vascular disease risk factors and subclinical vascular disease: the Multi-Ethnic Study of Atherosclerosis. Arch Intern Med 168: 928-935. https://doi.org/10.1001/archinte.168.9.928
  2. Hill MJ, Metcalfe D, Mcternan PG. 2009. Obesity and diabetes: lipids, 'nowhere to run to'. Clin Sci 116: 113-123. https://doi.org/10.1042/CS20080050
  3. Korean National Examination Health and Nutrition survey. 2008. The Ministry of Health, Welfare and Family Affairs.
  4. Kopelman PG. 2000. Obesity as medical problem. Nature 404: 635-643. https://doi.org/10.1038/35007508
  5. Choi SH, Jo MW, Shin DS. 2004. Effects of the 8-week resistance exercise on body composition, serum hormone profiles and feeding patterns of obese females. Korean J Nutr 37: 888-898.
  6. Huh SY. 2009. Effects of bellydance and yoga on the physical- efficacy of female participants. MS Thesis. Sogang University, Seoul, Korea.
  7. Lee YM. 2010. The influence of belly dance program on the physical strength and LDH, CPK enzyme of activity mentally retarded children. PhD Dissertation. Chosun University, Gwangju, Korea.
  8. Lee SJ. 2011. The effects of belly dance exercise on body composition, health fitness and metabolic. PhD Dissertation. Chonnam National University, Gwangju, Korea.
  9. Jung. MH. 2005. A study on effect of exercise program during short term in public health center on fitness, body component and blood component in mid-women. MS Thesis. Korean National Sport University, Seoul, Korea.
  10. Korea National Health and Nutrition Examination Survey. 2007. Ministry of Health & Welfare.
  11. Yoon HS. 2007. Analysis of the utilization of health promotion program inn health care centers: social ecological model. PhD Dissertation. Ewha Womans University, Seoul, Korea.
  12. Song SK. 2008. A study on the name recognition of health promotion program and the effects of exercise health program in the public health centers. MS Thesis. Kosin University, Busan, Korea.
  13. Kim EJ. 2007. A study on effects of a nutritional education and weight control program for overweight or obese female adults. MS Thesis. Dong-eui University, Busan, Korea.
  14. Park YS, Lee JY Seo JS, Lee BG, Lee HS. 2010. Nutrition educations & counseling. Kyomunsa Publishing Co., Ltd., Seoul, Korea. p 4.
  15. Kang JS, Kim HS. 2004. A study on the evaluation of a nutritional education program for the middle aged obese women. Korean J Food & Nutr 17: 356-367.
  16. Moon HK, Lee HJ, Park Y. 2007. Comparison of health status and dietary habits by percent body fat (PBF) change for adult women in the weight control program by the community health center. J Korean Soc Commu Nutr 12: 477-488.
  17. Kim DJ, Kwon CK, Choi DJ, Ka KH, Kim TM, Kim BT, Lee BK, Hwang JH, Ann ES, Kim DY. 2009. Effects of nutrition education and exercise intervention on improvement of diet intakes and metabolic risk factors in obese middle aged women. Korean J Exerc Nutr 13: 179-184.
  18. Jeon ER. 2006. Effects of nutrition education and aerobic exercise program on weight control program of middle aged abdominal obese women. Korean J Human Ecol 9: 65-73.
  19. Eom IJ. 2005. Comparison of level of body composition, blood lipid profiles and blood sugar in aerobics by career. MS Thesis. Chosun University, Gwangju, Korea.
  20. Kim JE. 2010. The effects of walking running exercise and dance sports on health related physical fitness, blood lipid in obese middle-aged women. MS Thesis. Chosun University, Gwangju, Korea.
  21. Shin SE, Park HK. 2005. The effect of regularly dance sports exercise for 12 weeks on body composition and blood lipids to middle aged women. Korean J Physical Edu 44: 781-789.
  22. LaMonte MJ, Yanowize FG, Hunt SC, Adams TD. 2004. Fitness and the metabolic syndrome among severely obese adults. Med Sci Sports Exerc 36: S7.
  23. Choi BH. 2003. Change of HOMA index by weight reduction in abdominal obesity women. MS Thesis. Ajou university, Suwon, Korea.
  24. Kim DH. 2010. The effects of combined exercise on blood inflammatory markers, leptin and adiponectin in middle aged women. Korean J Growth Devel 18: 25-30.
  25. Warner F, Blum WF, Englaro P, Hanitsch S, Juul A, Hertel NT, Müller J, Skakkebaek NE, Heiman ML, Birkett M, Attanasio AM, Kiess W, Rascher W. 1997. Plasma leptin levels in healthy children and adolescents: dependence on body mass index, body fat mass, gender, pubertal stage, and testosterone. J Clin Endocrinol Metab 82: 2904-2010. https://doi.org/10.1210/jc.82.9.2904
  26. Roemmich JN, Clark PA, Berr SS, Mai V, Mantzoros CS, Flier JS, Weltman A, Rogol AD. 1998. Gender differences in leptin levels during puberty are related to the subcutaneous fat depot and sex steroids. Am J Physiol Endocrinol Metab 275: E543-E551.
  27. Kim HA, Lee HS, Kim CS, An CU, Jeong YS, Lee GU, Heo GB, Kim DJ. 2003. Relationship with serum adiponection concentrations and obesity in Korean children. J Korean Endocr Soc 18: 473-480.
  28. Hara T, Fujiwara H, Nakao H, Mimura T, Yoshikawa T, Fujimoto S. 2005. Body composition is related to increase in plasma adiponectin levels rather than trainining in young obese man. Eur J Appl Physiol 94: 520-526. https://doi.org/10.1007/s00421-005-1374-8
  29. Kim TK, Kang HS. 2009. Association of serum adiponectin concentration with cardiorespiratory fitness and metabolic syndrome markers in young adults. Korean J Sports Med 27: 183-191.
  30. Kim DY. 2009. Effects of regular aerobic exercise on HMW adiponectin concentration. Korean J Sport Sci 20: 445-454. https://doi.org/10.24985/kjss.2009.20.3.445
  31. Kang HS, Park JK, Lee JY. 2010. The effects of cardiorespiratory fitness and serum adiponectin on insulin resistance markers in college male students. J Korean Soc Living Environ Sys 17: 814-822.
  32. Hulver MW, Saleh O, MacDonald KG, Pories WJ, Barakat HA. 2004. Ethnic differences in adiponectin levels. Metabolism 53: 1-3. https://doi.org/10.1016/j.metabol.2003.07.002
  33. Hulver MW, Zheng D, Tanner CJ, Hoummard JA, Kraus WE, Slentz CA, Shina MK, Pories WJ, MacDonald KG, Dohm GL. 2002. Adiponectin is not altered sith exercise training despite enhanced insulin action. Am J Physiol Endocrinol Metab 283: E861-E865. https://doi.org/10.1152/ajpendo.00150.2002
  34. Jeong YJ, Nam MK, Kang KJ. 2011. The effect Angelica keiskei ethanol extract of proliferation, apoptosis and ROS accumulation in human breast cancer MDA-MB-231 cells. J East Asian Soc Dietary Life 21: 24-30.
  35. Chun SI, Kim SB, Min WK. 2000. Total antioxidant capacities in patrients with end stage renal disease and effect of hemodialysis. Korean J Clin Pathol 20: 275-278.

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