한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제12권8호
  • /
  • Pages.345-356
  • /
  • 2021
  • /
  • 2233-4890(pISSN)
  • /
  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
DOI QR코드

DOI QR Code

성인 초기 비만인을 대상으로 적용된 중재프로그램의 효과에 대한 메타분석

Meta-analysis of the Effects of Obese Management Program for Obese Young Adults

  • Lee, Kowoon (Department of Nursing, Suwon Women's University)
  • 투고 : 2021.05.10
  • 심사 : 2021.08.20
  • 발행 : 2021.08.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 성인 초기 비만인을 대상으로 적용된 중재프로그램의 메타분석으로 중재의 효과를 확인하고, 중재 방법의 특성과 경향을 파악하기 위함이다. 분석 대상 연구는 총 19편으로 SIGN을 사용하여 문헌의 질평가를 실시하였으며, CMA 3.0 및 Revman 5.4을 활용하여 자료 분석하였다. 전체 중재프로그램은 큰 효과크기 (d=-0.76)이며 큰 이질성 (I2=81%)을 보였다. 결과 변수 중 BMI (d=-0.83) 와 체지방률 (d=-0.93)은 큰 효과크기를 보였으며, TG (d=-0.76)와 LDL (d=-0.59)은 중간 효과크기를 보였다. 하위그룹 분석에서 유산소운동, 복합운동, 중강도, 고강도 운동, 1시간 이상의 운동이 효과적이었다. 연구결과를 바탕으로 효과적인 성인 초기 비만인의 중재를 구성할 수 있을 것이다.

The aims of this study is to analysis the effects of obese management program for obese young adults. Nineteen studies were included for meta-analysis and SIGN was used for quality assessment. Effect size was analyzed by CMA 3.0 and Revman 5.4. Overall effect size on obese program was big (d=-0.91) and high heterogeneity (I2=81%). BMI (d=-0.83) and body fat (d=-0.93) shown the big effect size and TG (d=-0.76) and LDL (d=-0.59) were medium effect size among the studies that used dependent variables. Intervention with aerobic and combination exercise, middle and high exercise intensity, over 1 hour exercise were effective. Based on current findings, obesity management programs have significant effects for young adults.

키워드

참고문헌

  1. E. W. Gregg & J. E Shaw. (2017). Global health effects of overweight and obesity. New England Journal of Medicine, 377(1), 80-81. DOI: 10.1056/NEJMe1706095
  2. The GDB 2015 Obesity Collaborators. (2017). Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine, 377(1), 13-27 DOI: 10.1056/NEJMoa1614362
  3. World Health Organization. (2018). Obesity and overweight. WHO [Online]. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
  4. inistry of Health and Welfare. (2019), Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey. Ministry of Health and Welfare [Online] https://kosis.kr/statHtml/statHtml.do?orgId=177&tblId=DT_11702_N101&conn_path=I3
  5. C. Y. Park, J. H. Jung & J. H. Yang. (2013). Effects of School of Sports Program on Body Composition.Blood Lipid and CRP in Obesity Middle School Girls. Korean Society For The Study Of Physical Education, 18(3), 219-228.
  6. A. Lanoye, K. L. Brown & J. G. LaRose. (2017) The transition into young adulthood: a critical period for weight control. Current diabetes reports, 17(11), 1-14. DOI: 10.1007/s11892-017-0938-4
  7. G. Boden. (2011). Obesity, insulin resistance and free fatty acids. Current opinion in endocrinology, diabetes, and obesity, 18(2), 139. DOI: 10.1097/MED.0b013e3283444b09
  8. D. T. Chu et al. (2019). An update on obesity: Mental consequences and psycological interventions. Clinical Research & Reviews, 13(1), 155-160. DOI: 10.1016/j.dsx.2018.07.015
  9. R. C. Weisell. (2002). Body mass index as an indicator of obesity. Asia Pacific journal of clinical nutrition, 11, S681-S684. DOI: 10.1046/J.1440-6047.11.S8.5.X
  10. S. H. Bae, G. D. Kim, B. H. Jun, J. C. Go & K. Y. Kim. (2017), Convergence analysis of Body Composition and Balance after 6 Week Combined Exercise in 20's Obese Women. Journal of the Korea Convergence Society, 8(1), 231-238. DOI: 10.15207/JKCS.2017.8.1.231
  11. J. Vekic et al. (2019). Obesity and dyslipidemia. Metabolism, 292, 71-81. DOI: 10.1016/j.metabol.2018.11.005
  12. A. G. Izquierdo et al. (2019). Leptin, obesity, and leptin resistance: where are we 25 years later? Nutrients, 11(11), 2704. DOI: 10.3390/nu11112704
  13. D. H. Ryan & S. Kahan. (2018). Guideline recommendations for obesity management. The medical clinics of north America, 102(1), 49-63. DOI:10.1016/j.mcna.2017.08.006
  14. L. S. Pescatello, D. Riebe & P. D. Thompson. (2014). ACSM's guidelines for exercise testing and prescription. Philadelphia : Lippincott Williams & Wilkins.
  15. M. Small, L. Bailey, N. Morgan & J. Maggs. (2013). Changes in eating and physical activity behaviors across seven semesters of college: living on or off campus matters. Health Education & Behavior, 40(4), 435-441. DOI: 10.1177/1090198112467801
  16. J. Daw, R. Margolis & L. Wright. (2017). Emerging adulthood, emergent health lifestyles: Sociodemographic determinants of trajectories of smoking, binge drinking, obesity, and sedentary behavior. Journal of health and social behavior, 58(2), 181-197. DOI: 10.1177/0022146517702421
  17. A. Lanoye, K. L. Brown & J. G. Larose. (2017). The transition into young adulthood: a critical period for weight control. Current diabetes reports, 17(11), 1-14. DOI: 10.1055/S-2005-865625
  18. E. M. Ozer, J. T. Urquhart, M. J. C. D. Brindis & C. E. Irwin. (2012). Young adult preventive health care guidelines: There but can't be found. Archives of pediatrics & adolescent medicine, 166(3), 240-247. DOI: 10.1007/s11892-017-0938-4
  19. K. S. Sung, Y. M. Yoon & E. J. Kim. (2013). Meta-analysis of the Effects of Obesity Management Program for Children. Child Health Nursing Research, 19(4), 262-269. DOI: 10.4094/chnr.2013.19.4.262
  20. Y. A. Kim, Y. A. Seo & S. H. Yoon. (2018). The effects of obesity intervention programs for adolescents in Korea : A systematic review and meta-analysis. Journal of the Korean & Information Science Society, 29(3), 689-703. DOI: 10.7465/jkdi.2018.29.3.689
  21. J. A. Lee & J. O. Go. (2016). A Meta-analysis on the Effectiveness of Exercise Intervention Programs for Obese Korean Adolescents. Journal of sport and leisure, 63, 691-702. DOI: 10.51979/KSSLS.2016.02.63.691
  22. S. H. Kim, E. J. Sung, J. H. Nam & S. M. Yoo. (2020). Effect of interventions for obesity of children and adolescents in Korea: Evidence from existing meta-analyses. The journal of the Korean public health association, 46(1), 1-15. DOI: 10.22900/kphr.2020.46.1.001
  23. S. H. Park & C. G. Kim. (2019) Impact of Resistance Training on Obesity index, Lipid Index, Blood Pressure,Pulse Rate, and Bone Mineral Densitometer in Middle-aged Women:A Meta-analysis of Randomized Controlled Trials. Korean Academic Society of Rehabilitation Nursing, 22(1), 1-14. DOI: 10.7587/kjrehn.2019.1
  24. K. H. Han & Y. W. Kin. (2017). Meta-analysis of the Effects of Combined Exercise on Health-related Parameters of the Obese Middle-Aged Adults. Journal of sport and leissure studies, 68, 523-537. DOI: 10.51979/KSSLS.2017.05.68.523
  25. PRISMA. (2009). Transparent reporting of systematic reviews and meta-analysis. PRISMA. [Online] http:/www.prisma-statement.org.
  26. SIGN. (2019). Scottish Intercollegiate Guidelines Network. SIGN 50: A guideline developer's handbook. Scotland : SIGN.
  27. R. DerSimonian & N. Laird. (1986). Meta-analysis in clinical trials. Controlled clinical trials, 7(3), 177-188. https://doi.org/10.1016/0197-2456(86)90046-2
  28. J. Cohen. (1992). Statistical power analysis. Current directions in psychological science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783
  29. J. P. Higgins et al. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557-560. DOI: 10.1136/bmj.327.7414.557
  30. S. D. Hwang. (2016). Publication baias in meta-analysis: its meaning and analysis. Korean Journal of Human Development, 23(1), 1-19. https://doi.org/10.15284/kjhd.2016.23.1.1
  31. M. Egger et al. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629-634. https://doi.org/10.1136/bmj.315.7109.629
  32. M. S. Lee & S. K. Kang. (2018). Meta Analysis on Body Fat Reducing Effect of Body.obesity Care Program Focusing on Domestic Papers. Journal of the Korea Society of Cosmetology, 24(2), 280-287. UCI: I410-ECN-0102-2018-500-003863125
  33. C. Free et al. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Medicine, 10(1), e1001363. DOI: 10.1371/journal.pmed.1001363
  34. J. S. Chun, S. H. Yoon, H. W. Han & J. Y. Kim. (2020). Digital Health Care Programs for Obesity Management in South Korea: A Systematic Review. Health and Social Welfare Review, 40(1), 560-591. DOI: 10.15709/hswr.2020.40.1.560
  35. F. W. Booth et al Waging war on modern chronic diseases: primary prevention through exercise biology. (2020). Journal of applied physiology, 88(2), 774-787. DOI: 10.1152/jappl.2000.88.2.774
  36. K. B. Kim, I. L. Kang, Y. S. WI, S. K. Park & W. Song. (2007). A meta-analysis of the effects of exercise therapy applied in obesity studies. The Korean Journal of Obesity, 16(4), 177-185.
  37. Y. K. Kim & K. H. Lee. (2012). Effects of Aerobic Exercise Program on Adiponectin and Leptine according to FTO Polymorphism of Obese Male College Students. Korea society of sport and lesure studies, 47(2), 1001-1012.
  38. H. J. Pan & Z. Su. (2014). Advances in understanding the interrelations between leptin resistance and obesity. Physiology & behavior, 130, 157-169. DOI: 10.1016/j.physbeh.2014.04.003
  39. T. Baechle & R. W. Earle. (2015). Essentials of strength training and conditioning 4th edition. Illinois : Champaign.
  40. S. Alkahtani. (2014). Comparing fat oxidation in an exercise test with moderate-intensity interval training. Journal of sports science & medicine, 13(1), 51.
  41. C. H. Ha & W. Y. So. (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(3), 417-427. DOI: 10.5932/JKPHN.2012.26.3.417