표제지
목차
논문요약 9
Ⅰ. 서론 11
1. 연구의 필요성 11
2. 연구의 목적 16
3. 연구 가설 16
4. 연구의 제한점 17
5. 용어의 정의 18
1) 노인 (Elderly) 18
2) 동맥 경직도 (Puls wave velocity) 18
3) 경동맥 신전성 (Carotid distensibility) 18
3) 혈관내피세포 의존성혈관 이완능력(Flow-mediated vasodilation) 18
4) 경동맥 내중막 두께(Intima-Media Thickness) 19
5) hs-CRP(High Sensitivity C-Reactive Protein) 19
6) 인슐린 저항성 지수(Homeostasis model assessment of insulin resistance, HOMA-IR) 19
7) 강강술래 20
8) 삶의 질 20
Ⅱ. 이론적 배경 21
1. 노화와 심혈관계 질환 21
2. 동맥경직도와 운동 25
3. 혈관내피세포기능과 운동 27
4. 경동맥 내막-중막 두께(Intima-Media Thickness, IMT)와 운동 30
5. 지질 및 염증지표와 운동 31
6. 강강술래 운동의 효과 34
Ⅲ. 연구방법 37
1. 연구대상 37
2. 실험설계 및 절차 39
3. 운동프로그램 41
4. 분석 항목 및 분석 방법 42
1) 신체계측 42
2) 혈액검사 43
3) 혈압측정 43
4) 혈관건강관련 지표 44
5) 심폐체력 48
6) 삶의 질 49
7) 식이조사 49
5. 자료처리 방법 49
Ⅳ. 연구결과 51
1. 사전 측정 변인에 대한 상관분석 51
2. 식이섭취량의 비교 56
3. 신체조성의 변화 56
4. 혈중지질과 혈압의 변화 57
5. 염증지표와 인슐린저항성의 변화 59
6. 심폐체력의 변화 60
7. 혈관 기능의 변화 61
8. 경동맥 내중막 두께의 변화 62
9. 삶의 질의 변화 63
Ⅴ. 논의 65
Ⅵ. 결론 81
참고문헌 82
ABSTRACT 100
Table 2. Characteristics of the Subjects 38
Table 2. 12 weeks Gang Gang Sool Rea exercise 41
Table 3. Correlation among the various parameters at baseline 53
Table 4. Changes in carolic intakes before adn after exercise training 56
Table 5. Changes in body composition before and after exercise training 57
Table 6. Changes in lipid profile and blood pressure before and exercise training 58
Table 7. Changes in inflammation maker and insulin resistance maker before and after exercise training 59
Table 8. Changes in cardiorespiratory fitness before and after exercise training 60
Table 9. Changes in vascular function before and after exercise training 61
Table 10. Changes in vascular structure before and after exercise training 62
Table 11. Changes in Quality of Life(QOL) before and after exercise training 64
Figure 1. Left ventricular wall mass, measured by M-mode echocardiography, increase with age in Korean healty men and women (data fron Korean Longitudinal Study of Aging) 23
Figure 2. Atherosclerotic Plaque Development 28
Figure 3. Design of the Study Ⅰ 40
Figure 4. Design of the Study Ⅱ 40
Figure 5. Intima media thicknessmeasurement 45
Figure 6. Carotid femoral pulse wave velocity measurement 46
Figure 7. Flow-mediated brachial artery vasodilation measurement 48
Figure 8. Changes in Carotid Distensibility before and after exercise traning 67
Figure 9. Changes in IMTmean before and after exercise training 69
Figure 10. Changes in FMD before and after exercise training 70
Figure 11. Changes in Blood lipids before and after exercise training 72
Figure 12. Changes in logCRP before and after exercise training 75
Figure 13. Changes in logHOMA before and after exercise training 77
Figure 14. Changes in VO2peak before and after exercisd training(이미지참조) 79