DOI QR코드

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Influence of Physical Activity on Metabolic Syndrome according to Smoking Intensity

  • Ra, Jin Suk (College of Nursing, Chungnam National University) ;
  • Kim, Hye Sun (College of Nursing, Chungnam National University)
  • 투고 : 2018.03.20
  • 심사 : 2018.08.19
  • 발행 : 2018.08.31

초록

Purpose: This study was conducted to determine if physical activity levels relieve the risk of development of metabolic syndrome (Mets) according to smoking intensity among smoking men. Methods: Secondary data from the 2010-2015 Korea National Health and Nutrition Examination Survey were used for this cross sectional study. A total of 3,027 men over the age of 19 were included for data analysis. Complex samples logistic regression was used to analyze the combined effects of smoking and physical activity on Mets. Smoking intensity was categorized as light (${\leq}20cigarettes/day$) or heavy (> 20 cigarettes/day), while physical activity was categorized as light (< 600 metabolic equivalent [MET]-min/week), moderate (600-3,000 MET-min/week), and vigorous (${\geq}3,000MET-min/week$). Results: Mets was less prevalent among light smokers with vigorous physical activity (Adjusted Odds Ratio [AOR]: 0.632, 95% Confidence Interval [CI]: 0.475-0.840) compared to those with light physical activity. Among heavy smokers, physical activity level was not significantly associated with Mets. Conclusion: Only vigorous physical activity exerted protective effects against development of Mets among low intensity smokers. For high intensity smokers, lowering smoking intensity and smoking cessation are also necessary to prevent development of Mets.

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참고문헌

  1. Aguilar, M., Bhuket, T., Torres, S., Liu, B., & Wong, R. J. (2015). Prevalence of the metabolic syndrome in the United States, 2003-2012. The Journal of the American Medical Associaion, 313(19), 1973-1974. http://dx.doi.org/10.1001/jama.2015.4260
  2. Chu, A. H., & Moy, F. M. (2014). Association between physical activity and metabolic syndrome among Malay adults in a developing country, Malaysia. Journal of Science and Medicine in Sport, 17(2), 195-200. http://dx.doi.org/10.1016/j.jsams.2013.04.003
  3. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. http://dx.doi.org/10.3758/BRM.41.4.1149
  4. Ford, E. S. (2005). Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome a summary of the evidence. Diabetes Care, 28(7), 1769-1778. http://dx.doi.org/10.2337/diacare.28.7.1769
  5. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., ... & Spertus, J. A. (2005). Diagnosis and management of the metabolic syndrome. Circulation, 112(17), 2735-2752. http://dx.doi.org/10.1161/CIRCULATIONAHA.105.169404
  6. Guinhouya, B. C., Samouda, H., Zitouni, D., Vilhelm, C., & Hubert, H. (2011). Evidence of the influence of physical activity on the metabolic syndrome and/or on insulin resistance in pediatric populations: a systematic review. Pediatric Obesity, 6(5-6), 361-388. http://dx.doi.org/10.3109/17477166.2011.605896
  7. Ha, C. H., Ha, S., & So, W. Y. (2012). Effects of a 12 week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women. Journal of Korean Public Health Nursing, 26, 417-427. http://dx.doi.org/10.5932/JKPHN.2012.26.3.417
  8. Hidalgo-Santamaria, M., Fernandez-Montero, A., Martinez-Gonzalez, M. A., Moreno-Galarraga, L., Sanchez-Villegas, A., Barrio-Lopez, M. T., & Bes-Rastrollo, M. (2017). Exercise intensity and incidence of metabolic syndrome: the SUN Project. American Journal of Preventive Medicine, 52(4), e95-e101. http://dx.doi.org/10.1016/j.amepre.2016.11.021
  9. Huang, J. H., Li, R. H., Huang, S. L., Sia, H. K., Chen, Y. L., & Tang, F. C. (2015). Lifestyle factors and metabolic syndrome among workers: the role of interactions between smoking and alcohol to nutrition and exercise. International Journal of Environmental Research and Public Health, 12, 15967-15978. http://dx.doi.org/10.3390/ijerph121215035
  10. IPAQ Research Committee. (2005, November). Guidelines for the data processing and analysis of the International Physical Activity Questionnaire. Retrieved May 23, 2016, from https://sites.google.com/site/theipaq/scoring-protocol
  11. Kato, H., Kashiwagi, H., Shiraga, M., Tadokoro, S., Kamae, T., Ujiie, H., ... & Maeda, N. (2006). Adiponectin acts as an endogenous antithrombotic factor. Arteriosclerosis, Thrombosis, and Vascular Biology, 26(1), 224-230. http://dx.doi.org/10.1161/01.ATV.0000194076.84568.81
  12. Kim, B. S., Kim, M. J., Choi, H. R., Won, C. W., & Kim, S. Y. (2014). Relationship between physical activity level, amount of alcohol consumption and metabolic syndrome in Korean male drinkers. The Korean Journal of Sports Medicine, 32(2), 97-104. http://dx.doi.org/10.5763/kjsm.2014.32.2.97
  13. Kim, M. K., Lee, W. Y., Kang, J. H., Kang, J. H., Kim, B. T., Kim, S. M., ... & Lee, K. Y. (2014). 2014 clinical practice guidelines for overweight and obesity in Korea. Endocrinology and Metabolism, 29(4), 405-409. http://dx.doi.org/10.3803/EnM.2014.29.4.405
  14. Kim, Y. H. (2008). Effect of the physical activity promotion program on physical function and quality of life in elderly. Journal of Korean Biological Nursing Science, 10(1), 11-18. Retrieved October 3, 2015, from http://www.koreascience.or.kr/article/ArticleFullRecord.jsp?cn=GCJOBO_2008_v10n1_11
  15. Korean Society of Lipidology and Atherosclerosis. (2015). Dyslipidemia fact sheet in korea 2015 [Fact sheet]. Retrieved August 23, 2015, from http://www.lipid.or.kr/file/Dyslipidemia%20fact%20sheet_kor_Final.pdf
  16. Lallukka, T., Rahkonen, O., Lahelma, E., & Lahti, J. (2015). Joint associations of smoking and physical activity with disability retirement: a register-linked cohort study. British Medical Journal Open, 5, e006988. http://dx.doi.org/10.1136/bmjopen-2014-006988
  17. Lee, H. (2014). The effects of lifestyle factors on metabolic syndrome among adolescents. Journal of Korean Public Health Nursing, 28, 270-284. http://dx.doi.org/10.5932/JKPHN.2014.28.2.270
  18. Lee, I. M., Sesso, H. D., Oguma, Y., & Paffenbarger Jr, R. S. (2004). The "weekend warrior" and risk of mortality. American Journal of Epidemiology, 160(7), 636-641. http://dx.doi.org/10.1093/aje/kwh274
  19. Lee, J. A., Cha, Y. H., Kim, S. H., Pa가, H. S. (2016). Impact of combined lifestyle factors on metabolic syndrome in Korean men. Journal of Public Health, 39, 82-89. http://dx.doi.org/10.1093/pubmed/fdv208
  20. Park, E., Choi, S. J., & Lee, H. Y. (2013). The prevalence of metabolic syndrome and related risk factor based on the KNHANES V 2010. Journal of Agricultural Medicine and Community Health, 38(1), 1-13. http://dx.doi.org/10.5393/JAMCH.2013.38.1.001
  21. Ra, J. S., & Kim, H. S. (2015). Combined influence of obesity and metabolic syndrome on ischemic heart disease in Korean middle aged and older adults. Journal of Korean Public Health Nursing, 29, 540-550. http://dx.doi.org/10.5932/JKPHN.2015.29.3.540
  22. Reaven, G. M. (1988). Role of insulin resistance in human disease. Diabetes, 37(12), 1595-1607. http://dx.doi.org/10.2337/diab.37.12.1595
  23. Slagter, S. N., van Vliet-Ostaptchouk, J. V., Vonk, J. M., Boezen, H. M., Dullaart, R. P., Kobold, A. C. M., ... & Wolffenbuttel, B. H. (2013). Associations between smoking, components of metabolic syndrome and lipoprotein particle size. BMC Medicine, 11(1), 195. http://dx.doi.org/10.1186/1741-7015-11-195
  24. Sun, K., Liu, J., & Ning, G. (2012). Active smoking and risk of metabolic syndrome: a meta-analysis of prospective studies. PLoS One, 7(10), e47791. http://dx.doi.org/10.1371/journal.pone.0047791
  25. Swain, D. P., & Franklin, B. A. (2006). Comparison of cardioprotective benefits of vigorous versus moderate intensity aerobic exercise. The American journal of Cardiology, 97(1), 141-147. http://dx.doi.org/10.1016/j.amjcard.2005.07.130
  26. U.S. Department of Health and Human Services. (2014, January). The health consequences of smoking-50 years of progress: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Retrieved August 23, 2015, from https://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf
  27. Wakabayashi, I. (2014). Relationship between smoking and metabolic syndrome in men with diabetes mellitus. Metabolic Syndrome & Related Disorders, 12(1), 70-78. http://dx.doi.org/10.1089/met.2013.0110
  28. Xiao, J., Shen, C., Chu, M. J., Gao, Y. X., Xu, G. F., Huang, J. P., ... & Cai, H. (2016). Physical activity and sedentary behavior associated with components of metabolic syndrome among people in rural china. PloS One, 11(1), e0147062. http://dx.doi.org/10.1371/journal.pone.0147062
  29. Yamauchi, T., Kamon, J., Minokoshi, Y. A., Ito, Y., Waki, H., Uchida, S., ... & Eto, K (2002). Adiponectin stimulates glucose utilization and fatty-acid oxidation by activating AMP-activated protein kinase. Nature Medicine, 8(11), 1288-1295. http://dx.doi.org/10.1038/nm788
  30. Zhu, S., St-Onge, M. P., Heshka, S., & Heymsfield, S. B. (2004). Lifestyle behaviors associated with lower risk of having the metabolic syndrome. Metabolism, 53(11), 1503-1511. http://dx.doi.org/10.1016/j.metabol.2004.04.017