활동적 생활습관과 복합운동이 인슐린 저항성에 미치는 영향

Abstract

The aim of the current study was to examine the changes of body composition, insulin resistance, blood lipid profiles and inflammatory markers following to spontaneous or controlled exercise participation in Korean adults selected from the general population. Subjects with previous diagnosis of diabetes were divided into 2 groups based upon spontaneous exercise participation for using a cross-sectional approach as active group (n=16) and non-active group (n=16). Additionally, we analyzed the effects of a 12 week exercise intervention program by the comparison of between exercise group (n=12) and control group (n=12). We measured anthropometric factors (BMI, percent body fat, WHR, and abdominal fat area by CT scanning), BP, blood levels of glucose, lipid profiles, fibrinogen, CRP, leptin, HbA1c, PAI-1, HOMA, OGTT and physical fitness. Independent t-tests were used to assess differences between active and non-active groups. Additionally, 2-way repeated ANOVA for group and time was used to compare the changes after a 12 week exercise intervention program. Significance was accepted at p0.05. In cross sectional comparison, active group showed significantly (p0.05) lower in WHR, visceral fat area, VSR, blood levels of TG, HbA1c and CRP than non-active group. Active group had a lower trend for HOMA-IR than non-active group, and showed significantly (p0.05) lower in glucose response area of OGTT than non-active group. Exercise group showed a significant (p0.05) decrease in WHR and HOMA-IR whereas control group showed no changes. In these results, we confirmed that continuous and regular exercise participation has a positive effect on insulin resistance with the decrease of WHR, visceral fat area and blood level of TG. We think that the more long-term exercise intervention may be effective improvement on insulin resistance.