PURPOSE Increased body mass index (BMI) increases ankle instability and adversely affects human movement. This study aims to compare and analyze the muscle function and proprioception of the ankle joint based on Body Mass Index (BMI) to determine potential differences. METHODS Twenty-eight healthy male and female college students were categorized into overweight (≥ BMI 23) and normal (< BMI 23) groups. Measurements included BMI, isokinetic strength of dorsiflexion, plantarflexion, eversion, inversion, ankle joint range of motion, and ankle joint proprioception. RESULTS In dorsiflexion, right 30°/sec (p=.035), left 30°/sec (p=.009) and right 120°/sec (p=.011); in plantarflexion, left 30°/sec (p<.001), right 120°/sec (p=.007) and left 120°/sec (p=.006) in ankle inversion, left 30°/sec (p=.001), right 120°/sec (p=.021) and left 120°/sec (p=.007), left 30°/sec (p=.014), 120°/sec (p=.001) in ankle inversion-eversion ratio, right (p=.003) and left (p=.003) in ankle joint range of motion, right (p<.001) and left (p=.022) in total proprioception, and left (p<.001) in left-right proprioception were significantly different between the normal and overweight groups. CONCLUSIONS It was found that the overweight group had lower muscle strength, joint range of motion, and proprioceptive control function of the ankle joint than the normal group according to BMI. Therefore, exercise programs should be provided to strengthen the periarticular muscles involved in ankle movement, such as the tibialis anterior, soleus, and peroneus longus, and to control dynamic proprioception to prevent ankle injuries and function of the ankle joint according to BMI.
Purpose The present study compared physical fitness, metabolic syndrome risk factors, and resting metabolic rate (RMR) according to body mass index (BMI) and percent body fat (%BF) in 20s females. Methods Fifty-one women in their 20s were recruited and assigned into three groups, i.e., normal group (n=18), normal weight obesity (NWO) group (n=18), and obesity group (n=15) according to BMI and %BF. Physical fitness, metabolic syndrome risk factors, and RMR were measured and compared among three groups. Results Main results were as follows: 1) Physical fitness were not significantly different among three groups. 2) Regarding 1-RM, arm curl and leg extension were significantly lower in normal group and NWO group than obesity group. Leg press was significantly lower in normal group than obesity group. 3) Regarding metabolic syndrome risk factors, there were significant differences in waist circumference, ordering from low to high such as normal, NWO, and obesity groups. Systolic blood pressure and diastolic blood pressure were significantly lower in normal group and NWO group than obesity group, while HDL-C was significantly higher in normal group than NWO group and obesity group. 4) Regarding RMR, absolute values of RMR such as VO2(㎖·min-1), RMR (Kcal·min-1), RMR (KJ·min-1), and RMR (Kcal·day-1) were significantly lower in normal group and NWO group than obesity group. On the other hand, relative value of RMR such as RMR (KJ·kg-1FW·h-1) was significantly higher in normal group than NWO group and obesity group. Conclusions It was concluded that obese women showed increased risk of metabolic syndrome and low relative RMR level, and NWO had similar problems. Active health management through physical activity and dietary control should be committed to NWO individuals because the NWO has possibility of high risk of metabolic syndrome and reduction of metabolic rate from 20s even though there was no problem in their external appearance.
The primary purpose of the study was to compare cardiovascular function, mental health indices, stress-related variables according to body mass index (BMI) and percent body fat (%BF) in 20s females. Sixty-eight women, aged 20-29 yrs, participated in the study as subjects. There were three groups, i.e., normal group (BMI<24 kg·m-2 and %BF<25%; n=25), normal weight obese group (BMI<24 kg·m-2 and 28%<%BF<40%; n=19), and obese group (BMI>26 kg·m-2 and 28%<%BF<40%; n=24). Cardiovascular function, mental health indices, stress-related blood variables were measured and compared among three groups. Main results of the present study were as follows: 1) SBP, DBP, mean arterial pressure, and RPP were significantly higher in obese group than normal group. 2) There were no significant differences in mental health indices among three groups. 3) Fasting plasma insulin, fasting plasma glucose, and CRP were significantly higher in obese group than normal weight obese group and normal group. It was concluded that there would be abnormal cardiovascular function, insulin resistance, and inflammation in general obese individuals in 20s females, not normal weight obese and normal individuals.
This study was designed to compare physical fitness, blood lipids, and insulin resistance according to body mass index (BMI) and percent body fat (%BF) in 20s females. Sixty women, aged 20-29 yrs, volunteered to participate in the study as subjects. There were three groups, i.e., normal group (BMI < 24 kg·m-2 and %BF < 25%; n = 25), normal weight obese group (BMI < 24 kg·m-2 and 28% < %BF < 40%; n = 22), and obese group (BMI > 26 kg·m-2 and 30% < %BF < 40%; n = 13). Physical fitness, blood lipid profiles, and surrogate indices of insulin resistance were measured and compared among three groups. Main results of the present study were as follows: 1) There were significant differences in all variables regarding body composition among three groups. All values were lowest in normal group and highest in obese group. 2) There was significant difference in sit-and-reach among three groups, whereas no significant differences were found in other variables regarding physical fitness among three groups. 3) There were significant differences in all variables regarding blood lipids among three groups. In particular, total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), TC/HDL-C ratio, and LDL-C/HDL-C ratio were significantly higher in normal weight obese group than normal group. 4) There were significant differences in all variables regarding insulin resistance among three groups. Fasting plasma glucose and HOMA-IR were lowest in normal group and highest in obese group. It was concluded that there would be abnormal blood lipid profiles and insulin resistance in even normal weight obese individuals as well as general obese individuals in 20s females.
PURPOSE High blood pressure and obesity pose significant health problems for older individuals. Previous studies showed that regular exercise improves physical fitness factors and decreases blood pressure and obesity. Therefore, this study investigated differences in blood pressure and obesity according to the physical fitness level of Korean older individuals using the National Fitness 100 data and used them to recognize the importance of maintaining physical fitness through regular physical activity or exercise for older individuals. METHODS From 2013 to 2019, a total of 218,848 subjects (men=74,271, women=144,577) aged ≥65 years who participated in the National Fitness 100 had their muscular strength, muscular endurance, cardiorespiratory endurance, balance, coordination, and flexibility measured, and they were ascribed a fitness level. Blood pressure, body mass index (BMI), percentage of bodyfat, and waist circumference were measured to compare the difference in fitness level. RESULTS There was a significant difference in the systolic and diastolic blood pressure in older men, and the diastolic blood pressure of older women by the fitness level (p<.001). In both older men and women, there was a significant difference in BMI, percentage of bodyfat, and waist circumference according to the fitness level (p<.001). CONCLUSIONS In conclusion, men and women showed different aspects in blood pressure, but Korean older individuals with having a high level of fitness managed their weight and body fat well. The decrease in obesity and improvement of physical fitness through regular physical activity and exercise could be a positive effect on maintaining health and extending healthy life years.
PURPOSE This study investigated the impact of underweight and hand grip strength (HGS) levels on the risk of all-cause mortality in older adults. METHODS Data from the 2006 baseline and 2020 follow-up assessments of the Korean Longitudinal Study of Aging (KLoSA), involving 3,009 older Koreans (≥65 years) were used in the study. Participants were categorized based on body mass index (BMI) as underweight, normal, overweight, or obese and grouped according to the Asian Working Group Sarcopenia criteria into high or low HGS. Cox proportional hazard models were used to estimate the hazard ratio (HR) and 95% confidence interval (CI) of all-cause mortality according to BMI and HGS categories. RESULTS During the 11.3±4.0 years follow-up period, 1,334 deaths from all causes occurred. The risk of death by BMI and HGS level was analyzed. The results showed that the risk of death in the overweight and high HGS group (HR=0.773, p=.016) was significantly lower than that in the normal weight & high HGS group (HR=1). In comparison, the risk of death in the underweight & low HGS group (HR=1.930, p<.001) and the normal weight & high HGS group (HR=1.225, p=.014) were significantly higher than normal weight & high HGS. However, the risk of death in the underweight and high HGS group showed no significant difference compared to the normal weight and high HGS group. CONCLUSIONS The current findings suggest that improving muscle strength through regular exercise may be important in preventing the risk of all-cause mortality due to being underweight.
The purpose of this study was to examine the relationship between QTc interval and maximal oxygen consumption(V˙O2max) and body fat distribution in middle-aged men. Abnormal subjects (QTc interval, ≥440ms, n=10) and normal subjects(≤430ms, n=11) using QTc interval based on the Bazzet's equation were involved in the study. After overnight fasting, blood and blood pressure were measured. Abdominal fat area and regional fat compartment were measured by computed tomography(CT) and dual-energy X-ray absorptiometry(DXA), respectively. For V˙O2max, the subjects underwent a maximal graded exercise test on a cycling ergometer. Abnormal group was significantly higher in SBP, basal insulin, HOMA-IR, and leg fat compared with normal. There was a significant relationship(r=.614, p=.03) between QTc interval and V˙O2max in all subjects. Also, partial correlation analysis showed a significant relationship(r=.480, p=.032) between the QTc interval and V˙O2max. Having a QTc interval outside normal range significantly worsened risk parameters for metabolic syndrome, in particular blood pressure and insulin resistance. Moreover, QTc interval was strongly correlated with cardiorespiratory fitness in middle-aged men. This study indicates that further study will be needed to assess the exercise training effects on QTc interval.
PURPOSE The purpose of this study was to investigate the association of physical activity level with insomnia severity (Normal, Subthreshold, Moderate and Severe) in adolescents and to use it as a basis for insomnia prevention. METHODS This study was conducted on a cohort of 50 adolescents under the age of 20 (19 males, 31 females) recruited from Hospital N in Incheon, Korea. Participants were categorized into groups according to the severity of insomnia in both males and females using the Korean version of the Insomnia Severity Index-Korean (ISI-K). The Korean version of the International Physical Activity Questionnaire was also used to calculate participants’ weekly moderate and vigorous physical activity. RESULTS The participants’ characteristics did not differ by insomnia severity in males, but there were significant differences in weight (p=.008), BMI (p=.019), SBP (p=.004), and DBP (p=.019) in females by insomnia severity. In male adolescents, there was no significant difference in the amount of physical activity by insomnia severity, but there was a trend toward decreased amount of physical activity with increasing severity. Among female adolescents, there were significant differences in the amount of physical activity by insomnia severity: moderate (p<.05), high (p<.05), and moderate-high (p<.05). In the unadjusted model, adolescents who did not meet the recommended amount of physical activity (150 minutes per week) were more likely to have insomnia (OR=4.67, 95% CI=1.34–16.24) than those who met the recommended amount of physical activity. The model after adjusting for covariates (gender and body mass index) also showed an association between the recommended amount of physical activity and insomnia (OR=3.94, 95% CI=1.17–13.28). Negatice correlations was found between insomnia index and moderate-to-vigorous physical activity (r=–.357, p=.013). CONCLUSIONS Adolescents are approximately 4.67 times more likely to suffer from insomnia if they do not meet physical activity recommendations, and there was a negative correlation between the insomnia index and moderate-to-vigorous physical activity, suggesting that physical activity should be increased to reduce the insomnia index.
Purpose The purpose of the study was to determine difference of body composition, bone mineral density and health-related fitness by physical activity level in young women. Methods A total of 90 women aged 19-29 years participated in this study. The subjects were divided into three groups (low, middle, and high level) according to the physical activity level estimated by bone-specific physical activity questionnaire(BPAQ). Body height and weight were measured. Body composition parameters including four sites of bone mineral density(BMD) were estimated by DXA (Hologic, QDR-4500, USA). Health-related fitness tests was assessed using sit & reach, grip strength, sit-ups, and VO2max. Statistical analysis was performed using SAS version 9.4. All data were presented in terms of means and standard deviations. One-way ANOVA was applied to determine difference of dependent variables by physical activity level. Duncan's multiple range test was used as a post-hoc test. The statistical significance level was set at p < .05. Results There were significant differences on body weight(F = 4.867, p = .01), body mass index(F = 5.053, p = .008) and fat-free mass(F = 8.364, p = .0001) among the three groups. Significant differences were found on whole body BMD(F = 16.730, p = .0001), lumbar BMD(F = 11.480, p = .0001), femur BMD(F = 42.182, p = .0001) and forearm BMD(F = 5.560, p = .005) among the three groups. There were also significant differences on sit and reach(F = 11.433, p = .0001), sit-ups(F = 17.972, p = .0001), VO2max(F = 3.106, p = .05) and duration of GXT(F = 7.479, p = .001). Conclusions There were differences on body composition, bone mineral density and health-related physical fitness by physical activity levels. Nevertheless, the questionnaire used in this study was not able to judge participation in various exercise types including aerobic exercise or resistance exercise. Therefore, in the future study, longitudinal study considering various types of physical activity and dietary intake will be needed.
PURPOSE This study aimed to investigate the effects of continuous exercise and the accumulation of short-duration exercise for 12 weeks on body composition, physical fitness, and lifestyle disease indices in overweight men in their 30s. METHODS Participants in the continuous exercise group (CE; n=13) performed a circuit exercise program of 30 min/session, 3 sessions/week for 12 weeks. Participants in the accumulation of short duration exercise group (ASE; n=12) performed the same exercise time of 30 min per day, divided into three sessions of 10 min. Body composition, physical fitness, and lifestyle disease indices were measured pre- and post-test and were compared by utilizing a repeated two-way ANOVA. RESULTS 1) Regarding body composition, body weight, body mass index, skeletal muscle mass, waist circumference, and fat mass decreased significantly, while hip circumference increased significantly in the CE group. Waist circumference and skeletal muscle mass decreased significantly, while hip circumference increased significantly in the ASE group. 2) Regarding physical fitness, right grip strength, sit and reach, sit up, and maximal oxygen uptake increased significantly in both groups. 3) Regarding hypertension indices, there were no significant differences in both groups, but they showed a tendency to improve. 4) Regarding hyperlipidemia indices, triglycerides (TG) decreased significantly in both groups, and total cholesterol (TC) decreased significantly in the CE group. 5) Regarding diabetes indices, there were no significant differences in both groups, but a tendency to improve was noticed. 6) Regarding arteriosclerosis indices: TG/high density lipoprotein-cholesterol ratio decreased significantly in both groups, and the TC/high density lipoprotein-cholesterol ratio decreased significantly in the CE group. CONCLUSIONS We concluded that both the accumulation of short duration exercise and continuous exercise can be effective in improving body composition, physical fitness, and lifestyle disease in overweight men.
