Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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Effects of 12-week Combined Exercise Program on Short Physical Performance Battery, Bone Mineral Density and Parathyroid Hormone in the Elderly Women

12주간 복합운동이 여성 노인의 신체수행능력, 골밀도 및 부갑상선호르몬에 미치는 영향

  • Kim, Jung-Sook (Department of Physical Education, Pusan National University) ;
  • Kim, Ji-Hyeon (Department of Physical Education, Pusan National University) ;
  • Ha, Soo-Min (Department of Physical Education, Pusan National University) ;
  • Hynn, Su-Jin (Department of Physical Education, Pusan National University) ;
  • Yoon, Byeong-Kon (Department of Physical Education, Dong Eui University) ;
  • Kim, Do-Yeon (Department of Physical Education, Pusan National University)
  • 김정숙 (부산대학교 체육교육과) ;
  • 김지현 (부산대학교 체육교육과) ;
  • 하수민 (부산대학교 체육교육과) ;
  • 현수진 (부산대학교 체육교육과) ;
  • 윤병곤 (동의대학교 체육학과) ;
  • 김도연 (부산대학교 체육교육과)
  • Received : 2018.05.31
  • Accepted : 2018.06.28
  • Published : 2018.06.30
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Abstract

The purpose of this study was to investigate the effects of combined exercise program on short physical performance battery, bone mineral density and parathyroid hormone levels in elderly women. This study subjects were 22 elderly female volunteers, aged 65-75 years and they divided into the combined exercise group(n=11) and the "no exercise" control group(n=11). The combined exercise included the line dance program performed twice per week for 60 minutes and the resistance exercise program performed once per week during 12 weeks. Exercise intensity was progressively increased from RPE "fairly light" to "slightly hard" (from 11 to 14). The findings of this study were as follows; Short physical performance battery(Balance test, gait speed, and rising from a chair five times) and bone mineral density (lumbar spine L2~L4 bone densities, and the T-score) were significantly increased after 12 weeks in the exercise group compared to the baseline. The PTH level was significantly decreased in the exercise group compared to the baseline. In conclusion, regular and continuous physical activity was effective for improving short physical performance and had a positive effect on bone mineral density and parathyroid hormone. With aging, women have decreased muscle strength and bone density and therefore, it is strongly recommended that women need to carry out continuous physical activity to prevent disease and ensure a healthy retirement.

본 연구는 여성노인을 대상으로 라인댄스와 저항성운동을 적용한 복합운동프로그램이 신체수행능력, 골밀도 및 부갑상선호르몬에 미치는 영향을 구명하기 위하여, 만65세~75세 여성노인을 대상으로 운동군 11명, 대조군 11명으로 분류하여 회당 60분씩 주 2회 라인댄스, 1회 저항성운동을 12주간 실시하였다. 운동 수행강도는 운동자각도(RPE)를 이용하여 '가볍다'에서 '약간 힘들다' 정도인 11~14 사이를 유지하였다. 라인댄스와 저항성운동 전 후에 측정한 자료의 그룹 내 차이 비교를 위해 대응표본 T검정, 그룹 간 차이는 운동 전 후의 변화량을 산출하여 독립표본 T검정을 실시하였고, 측정변인들에 대한 그룹 및 시기간 상호작용을 검증하기 위해 이원배치 반복측정 분산분석으로 하였으며, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 운동군이 신체수행능력 중 균형(p<.05), 보행속도(p<.01), 의자에서 일어서기(p<.001), SPPB 종합점수(p<.001)가 증가하였으며, 골밀도는 요추(L2~L4)골밀도에서 운동군이 유의하게 증가하였고(p<.05), T-score점수는 운동군이 유의한 증가를 보였으나(p<.01), 대조군은 유의한 차이가 나타나지 않았다. PTH수준은 운동군이 유의하게 감소하였고(p<.05), 대조군은 유의한 차이가 나타나지 않았다. 이상의 결과 규칙적이고 지속적인 신체활동은 여성노인의 신체수행능력, 골밀도 및 부갑상선 호르몬의 변화에 긍정적인 영향을 미친 것으로 사료된다.

Keywords

References

  1. United Nations, World Population, 2017, (2017).
  2. Korea Centers for Disease Control and Prevention, Obesity prevalence of in elderly Korean. (2014).
  3. Statistics Korea, Demographic housing Total Surbey 2016, (2017).
  4. S. R. Lee, S. B. Cho, K. A. Jeong, "Serum Lipid Profiles and Thyroid Function Tests in Elderly Women", Journal of Menopausal Medicine, Vol.15 No.3 pp. 186-192, (2009).
  5. U. E. Bauer, P. A. Briss, R. A. goodman, B. A. Bowman, "Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the usa", lANCET Vol.384 No.9937 pp. 45-52, (2014). https://doi.org/10.1016/S0140-6736(14)60648-6
  6. American College of Sports Medicine, Acsm's guidelines for exercise testing and prescription 9th ed. Philadelphia: Lippincott Williams & Wilkins, (2013).
  7. Y. Takata, T. Ansai, I. Soh, S. Awano, Y. Yoshitake, Y. Kimura, K. Sonoki, S. Kagiyama, A. Yoshida, I. T. Hamasaki, T. Torisu, K. Toyoshima, T. Takehara, "Quality of life and physical fitness in an 85-year-old population", Archives of Gerontology and Geriatrics, Vol.50 No.3 pp. 272-276, (2010). https://doi.org/10.1016/j.archger.2009.04.005
  8. K. S. Lee, "Effects of Balance Control on Physical Performance of Elderly Women", Journal of Korea Society for Neurotheapy, Vol.16 No.1 pp. 37-43, (2012).
  9. S. W. Arnett, J. H, Laity, S. K. Agrawal, M. E. Cress, "Aerobic reserve and physical functional performance in older adults", Age and ageing, Vol.37 No.4 pp. 384-389, (2008). https://doi.org/10.1093/ageing/afn022
  10. C. G. Choi, "The Effects of Aerobic and Resistance Exercise on the Changes of Body Composition, Blood Lipid Profiles in Obese Middle-School Students", Korea sport research, Vol.20 No.1 pp. 1787-1797, (2003).
  11. E. M. Gorostiaga, K. Hakkinen, J. Ibanez, M. Izquierdo, W. J. Kraemer, & J. L. Larrion, "Once weekly combined resistance and cardiovascular training in healthy older men", Medicine and Science in Sports and Exercise, Vol.36 No.3 pp. 435-443, (2004). https://doi.org/10.1249/01.MSS.0000117897.55226.9A
  12. R. J. Sigal, G. P. Kenney, N. G. Boule, G. A. Wells, D. Prud'homme, M. Fortier. R. D. Reid, H. Tulloch, D. Coly, P. Phillips, A. Jennings, J. Jaffey, "Effects of Aerobic Training, Resistance Training, or Both on Glycemic Control in Type 2 Diabetes", Annals of Internal Medicine, Vol.147 No.6 pp. 357-371, (2007). https://doi.org/10.7326/0003-4819-147-6-200709180-00005
  13. S. G. Baek, H. J. Choi, "The Effect of 12Weeks Complexed Lower Body Muscle-Strengthening Exercise Program on Fall Risk in Elderly women", Journal of Information Technology Applications & Management, Vol.13, No.10 pp. 533-539, (2015).
  14. H. B. Lee, Y. W. Kim, "A Study on the Influence of Combined Training of Dance Sports and Resistance Exercise on Motor Abilities and Sarcopenia Indicators in Old Women", The Journal of Korean Dance, Vol.35 No.4 pp. 321-339, (2017). https://doi.org/10.15726/jkd.2017.35.4.013
  15. Y. C. Byun, D. H. Lee, H. S. Yoo, "Effect of Chronic Dance Sports Activity on Ego-resilience, Subjective Happiness and Balance in Elderly Women", Korean Society of Sports Psychology, Vol.25 No.1 pp. 39-50, (2014).
  16. J. H. Cho, D. J. Kim, "The Effects of Resistance Exercise Programs on Lumbar Extension Strength, Bone Mineral Density and Balance Ability in Sexagenary Woman Patient with Low Back Pain", The official journal of the korean association of certified exercise professionals, Vol.12 No.4 pp. 33-43, (2010).
  17. Y. M. Ko, C. H. Lim, "The Effects of Combined Exercise Program on Physical Fitness and Related Hormone in Elderly Women", Korean Society of Physical Medicine, Vol.10 No.1 pp. 53-61, (2015). https://doi.org/10.13066/kspm.2015.10.1.53
  18. J. M. Guranlnik, L. Femicci, C. E. Pieper, S. G. Leveille, K. S. Markides, G. V. Ostir, S. Studenski, L. F. Berkman, & R. B. Wallace, "Lower extremity function and subsequent disability: conses across studies, predictive models, and value of gait speed alone compared with the short physical performance battery", Journals of Gerontology A Biological Sciences Medical Sciences, Vol.55 No.4 pp. 221-231, (2000). https://doi.org/10.1093/gerona/55.4.M221
  19. K. R. Vincent, R. W. Braith, R. A. Feldman, P. S. Magyari, R. B. Cutler, S. A. Persin, S. L. Lennon, A. H. Gabr, "Resistance exercise and physical performance in adults aged 60 to 83", Journal of the American Geriatrics Society, Vol.50 No.6 pp. 1100-1107, (2002). https://doi.org/10.1046/j.1532-5415.2002.50267.x
  20. J. K. Kim, S. M. Yang, "The Study of Whole Body Vibration training Effects with Bio-mechanical Gait Analysis and Short Physical Performance Battery(SPPB) in elderly women", The Korean Society of Sports Science ,Vol.23 No.1 pp. 1447-1458, (2014).
  21. B. S. Kim, H. W. Lim, W. J. Won, H. R. Choi, "Prevalence of Osteoporosis, Related Factors in 66-Year-OldWomen in Korea", Korean Journal of Health Promotion, Vol.12 No.3 pp. 109-114, (2012).
  22. Korean Association of Geriatric Healthy Exercise, Guidlines for the Elderly Sports Medicine, pp. 31-66, Hanmibook, (2015).
  23. National Health Insurance Service, Big Data Analysis for Health Insurance, (2018).
  24. H. M. Frost, "Bone's mechanostat : a 2003 update", The Anatomical Record, Vol.275 No.2 pp. 1081-1101, (2003).
  25. T. W. Oh, "Effects of 12-Week Exercise Program on Muscle Strength, Balance and Bone Mineral Density in Elderly Women", Korean Journal of Gerontological Social Welfare, Vol.73 NO.1 pp. 505-515, (2018).
  26. H. N. Han, J. O. Kim, "Effects of Recreation Exercise Program on Bone Mineral Density, Grip Strength and Flexibility of the Elderly Women", The Korean Journal of Sport, Vol.14 No.4 pp. 859-865, (2016).
  27. J. H. Kim, H. J. Hyun, M. H. Ahn, E, Y. Choi, G. Y. Ko, B. S. Park, "The Effects of the Thera Band Exercise Program on Bone Mineral Density and Health Promotion Behaviors in Elderly Women", Korean Society of Biological Nursing Science, Vol.15 No.3 pp. 147-153, (2013). https://doi.org/10.7586/jkbns.2013.15.3.147
  28. S. j. Kang, "Effect of Aerobic Exercise on Bone Mineral Density, Bone Metabolism Related Hormones, and Fitness in Osteopenic and Obese Women", Journal of Sport and Leisure Studies, 2013. Vol.51 pp. 645-655, (2013)
  29. J. K. Park, "Relationship of Leg Muscle Strength and Body Fat on Bone Mineral Density in Healthy Women Aged Over 60 to 80 Year", Korean Journal of Exercise Rehabilitation, Vol.7 No.3 pp. 153-163, (2011).
  30. Y. M. Alkhiary, L. C. Gerstenfeld, E. Krall, M. Westmore, M. Sato, B. H. Mitlak, & T. A. Einhorn, "Enhancement of experimental fracture-healing by systemic administration of recombinant human parathyroid hormone(PTH)", Journal of Bone and Joint Surgery, Vol.87 No.4 pp. 731-741, (2005).
  31. J. K. Byeon, H. J. Kim, S. S. Goong, S. H. Park, J. K. Seo, J. M. Byeon, S. J. Jeong, "Effects of 12-Week Combined Exercise Program on BMD, PTH and IGF-I in Elderly Women", Health & Sports Medicine, Vol.12 No.1 pp. 55-64, (2010).
  32. R. K. Evans, A. J. Antczak, M. Lester, R. Yanovich, E. Israeli, & D. S. Moran, "Effects of a 4-month recruit training program on markers of bone metabolism", Medicine and Science in Sports and Exercise, Vol.40 No.11 pp. 660-670, (2008). https://doi.org/10.1249/MSS.0b013e318189422b
  33. V. V. Valimaki, H. Alfthan, E. Lehmuskallio, E. La'yttyniemi, T. Sahi, H. Suominen, M. J. Valimaki, "Risk factors forclinical stress fractures in male military recruits: a prospective cohort study", Bone, Vol.37 No.2 pp. 267-273, (2005). https://doi.org/10.1016/j.bone.2005.04.016
  34. M. Moghadasi, S. Siavashpour, "The effect of 12 weeks of resistance training on hormones of bone formation in young sedentary women", European Journal of Applied Physiology, Vol.113 No.1 pp. 25-32, (2012). https://doi.org/10.1152/japplphysiol.01582.2011
  35. Y. S. Park,. "The Effect of Combined Program on the Relation between Physical Performance and Gait Variables of Elderly Peoples", The Korean Journal of Growth and Development, Vol.20, No.3 pp. 185-192, (2012).
  36. S. Kirchengast, B. Haslinger, "Gender differences in health-related quality of life among healthy aged and old-aged Austrians Cross-sectional analysis", Gender Medicine, Vol.5 No.3 pp. 270-278, (2008). https://doi.org/10.1016/j.genm.2008.07.001
  37. Korean society of bone metabolism, Bone Mineral Density(3th), Hanmiook, Seoul, (2006).
  38. L. P. Lustosa, F. M. Coelho, J. P. Silva, D. S. Pereira, A. N. Parentoni, J. M. Dias, R. C. Dias, & L. S. Pereira, "The effects of a muscle resistance program on the functional capacity, knee extensor muscle strength and plasma levels of IL-6 and TNF-alpha in pre-frail elderly women: randomized crossover clinical trial-a study protocol", Trials, Vol.8 pp. 71-82, (2010).
  39. S. C. Sung, S. H. Shin, K. J. Choi, H. S. Kim, "Validation and Normative Standard of Chair Sit-to-stand Test for Evaluating Lower Body Strength in Korean Older Adults", Journal of The Korean Society of Living Environmental System, Vol.22 No.1 pp. 87-92, (2015). https://doi.org/10.21086/ksles.2015.02.22.1.87
  40. K. T. Kim, J. H. Cho, "The Effect of Elastic Band and Aerobic Exercise on Fitness, Blood Lipids, and Vascular Inflammatory Markers in Elderly Women", The official journal of the korean association of certified exercise professionals, Vol.15 No.2 pp. 129-138, (2013).
  41. N. Garatachea, O. Molinero, R. Martinez-Garcia Jimenez-Jimenez, J. Gonzalez-Gallego, & S. Marquez, "Feelings of well being in elderly people: Relationship to physical activity and physical function", Archives of Gerontology and Geriatrics, Vol.48 No.3 pp. 306-312, (2008). https://doi.org/10.1016/j.archger.2008.02.010
  42. G, Sposito, M. J. Diogo, F. A. Cintra, A. L. Neri, M. E. Guariento, M. L. De Sousa, "Relationship between subjective well-being and the functionality of elderly outpatients", Brazilian Journal of Physical Therapy, Vol.14 No.1 pp. 81-89, (2010). https://doi.org/10.1590/S1413-35552010000100013
  43. H. S. Shin, N. J. Kim, J. U. Ko, J. H. Jang, "Changes of Physical Fitness Variables According to Age Ranges in Elderly Women after 12-Week-Combined Exercise Program Application", Journal of the Korean Gerontological Society, Vol.33 No.2 pp. 461-474, (2013).
  44. S. H. Kim, H. S. Rhyu, C. K. Hong, "The Effects of 12 Weeks Pilates Mat Exercise and Elastic Band Exercise on Blood Lipids and Physical Function Performance in Elderly Women", The official journal of the korean association of certified exercise professionals, Vol.13 No.1 pp. 103-112, (2011).
  45. H. Shin, L. B. Panton, G. R. Dutton, J. Z. Ilich, "Relationship of Physical erformance with Body Composition and Bone Mineral Density in Individuals over 60 Years of Age: A Systematic Review", Journal of Aging Research, 191896 pp. 14, (2011).
  46. H. H. Choi, "The Correlation between Bone Mineral Density, Body Composition and Lower leg strength of old women", Korean Journal of Sports Science, Vol.21 No.1 pp. 701-710, (2012).
  47. H. J. Oh, "Therapeutic drugs of Osteoporosis; ParathyroidHormone(PTH)", Korean Journal of Health Education and Promotion, Vol.8 No.3 pp. 335-338, (2007).
  48. N. J. Kim, "Effects of Resistance Exercise Using Water Bottles on BMD and Aging-related Hormone in the Rural Elderly Women", Korean Association of Physical Education and Sport for Girls and Women, Vol.25 No.3 pp. 1-10, (2011).
  49. J. M. Hagberg, S. D. Zmuda, K. S. McCole, R. E. Rodgers, K. R. Ferrell, K. R. Wilund, G. E. & G. E. Moore, "Moderate physical activity is associated with higher bone mineral density in postmenopausal women", Journal of the American Geriatrics Society, Vol.49 No.11 pp. 1411-1418, (2001). https://doi.org/10.1046/j.1532-5415.2001.4911231.x
  50. K. S. Shin, B. H. Jang, "The Effect of Lower Weight Training on Bone Mineral Density and Body Composition in Old-Aged Women", The Korean Society Fisheries And Sciences Education, Vol.28 No.1 pp. 118-126, (2016). https://doi.org/10.13000/JFMSE.2016.28.1.118
  51. A. Y. Kim, "Effects of Muscle Strengthening Exercise with Elastic Band on Physical Fitness and Bone Mineral Density in the Elderly Women", Korea National Sport University, (2010).
  52. P. B. Choi, "Long-term Combined Exercise has Effect on Regional Bone Mineral Density and Cardiovascular Disease Risk Factors of the Elderly with Osteoporosis", Journal of the Korean Gerontological Society, Vol.31 No.2 pp. 355-369, (2011).
  53. J. Rittweger, "Can exercise prevent osteoporosis?", Journal of Musculoskeletal and Neuronal Interactions, Vol.6 No.2 pp. 162-166, (2006).
  54. H. K. Seo, "Effects of Dance Sport on bone Mineral Density and Hormone of bone Metabolism in Elderly Women", Journal of Korean Physical Education Association for Girls and Women, Vol.21 No.1 pp. 11-19, (2007).
  55. M. Y. Chien, Y. T. Wu, A. T. Hsu, R. S. Yang, & J. S. Lai, "Efficacy of a 24-Week Aerobic Exercise Program for Osteopenic Postmenopausal Women", Calcified Tissue International, Vol.67 No.6 pp. 443-448, (2000). https://doi.org/10.1007/s002230001180
  56. B. A. Michel, N. E. Lane, D. A. Bloch, H. H. Jones, J. F. Fries, "Effect of Changes in Weight-Bearing Exercise on Lumbar Bone Mass after Age Fifty", Journal Annals of Medicine, Vol.23 No.4 pp. 397-401, (1991). https://doi.org/10.3109/07853899109148081
  57. J. S. So, H. M. Park, "Relationship between Parathyroid Hormone, Vitamin D & Bone Turnover Markers in Korean Postmenopausal Women", Obstetrics & Gynecology Science, Vol.47 No.1 pp. 153-160, (2004).
  58. B. Taribian, B. Haijzadeh, & A. MAbbasi, "The calciotropic hormone response to omega-3 supple-mentation during long-term weight-bearing exercise training in post menopausal women", Journal of Sports Science and Medicine, Vol.9 No.2 pp. 245-252, (2010).
  59. A. Bouassida, D. Zalleg, Zaouali, M. Ajina, N. Gharbi, M. Duclos, J. P. Richalet, & Z. Tabka, "Parathyroid hormone concentrations during and after two periods of high intensity exercise with and without an intervening recovery period", European Journal of Applied Physiology, Vol.88 No.4-5 pp. 339-344, (2003). https://doi.org/10.1007/s00421-002-0721-2
  60. H. Brahm, K. Piehl-Aulin, & S. Ljunghall, "Bone metabolism during exercise and recovery: the influence of plasma volume and physical fitness", Calcified Tissue International, Vol.61 No.3 pp. 192-198, (1997). https://doi.org/10.1007/s002239900322