운동요법과 복부 수기 마사지 요법이 체중 및 체성분 변화에 미치는 영향

Abstract

This study was carried out in order to examine a change in body measurement after carrying out aerobic exercise and abdominal manual massage targeting middle-aged women. Research subjects were randomly selected 30 middle-aged women in 30～55 years old. They were all people who take aerobic exercise. 15 people for the control group were carried out aerobic exercise. 15 people for the experimental group were carried out aerobic exercise and abdominal manual massage side by side. In the body measurement before and after experiment, the weight, waist circumference, body fat percentage, BMI, abdominal fat rate, body fat amount, fat-free mass, skeletal muscle mass, and basal metabolic rate were measured. Both experimental group and control group were surveyed eating habits and were comparatively analyzed on difference before and after care. Research period was 5 weeks. Exercise and manual massage were managed 10 times with twice a week. The analytical processing of the statistical data, which was obtained through experiment, was analyzed by using SPSS/Window 14.0. The following results were obtained.

First, in research subjects' general characteristics, the educational level was indicated to be 16.7% for under middle school graduate, 53.3% for high school graduate, and 30.0% for university graduate. Job was indicated to be 76.7% for full-time housewife, 13.3% for service industry, and 10.0% for clerical work. The marital status was indicated to be the largest in the unmarried with 16.7% and in the married with 83.3%. Income was indicated to be 20% for 1∼2 million won, 76.7% for 2∼3 million won, and 3.3% for 3∼4 million won. However, there was no significant difference between experimental group and control group. In the research subjects' healthy condition and life habit, the sleeping time was indicated to be 70.0% for 6∼7 hours and 30.0% for 7～8 hours. The smoking status was indicated to be the largest in 'not smoking originally' with 70.0%. The drinking status was indicated to be 20.0% for '1～2 times a week and to be 40.0% for '12 times a month,' and was indicated to be 33.3% for 'not drinking at all.' As for a habit of activity, the scores in the control group and the experimental group were, respectively, 2.77 and 2.85. Thus, the habit of activity in the experimental group tended to be shown more positively. Second, the weight before experiment was indicated to be 67.20㎏ and 68.43㎏, respectively, in the control group and the experimental group. The waist circumference was indicated to be 87.31cm and 89.93cm, respectively. There was no significant difference between experimental group and control group. The weight after experiment was indicated to be 66.71㎏ and 67.33㎏, respectively, in the control group and the experimental group. The waist circumference was indicated to be 86.00㎏ and 86.03㎏, respectively. Thus, the control group was significantly reduced(p<0.001) only in waist circumference. The experimental group, which carried out exercise and abdominal massage side by side, was indicated to be significantly reduced in both weight(p<0.01) and waist circumference(p<0.001). Third, in case of body composition before experiment, the body fat percentage in the control group and experimental group was 36.19% and 36.61%, respectively. BMI was 26.38kg/㎡ and 26.74kg/㎡, respectively. Abdominal fat rate was 0.90 and 0.89, respectively. Body fat amount was 25.13㎏ and 25.33㎏, respectively. Fat-free mass was 42.67㎏ and 43.10㎏, respectively. Skeletal muscle mass was 23.42㎏ and 23.53㎏, respectively. Basal metabolic rate was indicated to be 1291.93㎉ and 1300.93㎉, respectively. However, there was no significant difference between control group and experimental group. In case of body composition after experiment, the body fat percentage in the control group and experimental group was 34.89% and 33.77%, respectively. BMI was 26.18kg/㎡ and 26.31kg/㎡, respectively. Abdominal fat rate was 0.90 and 0.84, respectively. Body fat amount was 23.47㎏ and 22.39㎏, respectively, thereby having reduced as a whole. Also, fat-free mass was 43.24㎏ and 48.94㎏, respectively. Skeletal muscle mass was indicated to be 24.04㎏ and 27.50㎏, respectively, and was 1303.93㎉ and 1427.13㎉, respectively. In the control group, only body fat amount was indicated to have reduced significantly(p<0.05). In case of the experimental group, BMI(p<0.01) and abdominal fat rate(p<0.01) statistically reduced significantly. Fat-free mass, skeletal muscle mass(p<0.01), and basal metabolic rate(p<0.01) increased significantly. As a result of analyzing a change after experiment between two groups, the variable, which showed significant difference, was abdominal fat rate(0%, 0.06, respectively). Weight, waist circumference, body fat percentage, BMI, body fat amount, fat-free mass, skeletal muscle mass, and basal metabolic rate didn't show statistically significant difference between two groups. Fourth, as a result of analyzing items in a survey on satisfaction after experiment between two groups, the satisfaction with body type management, the satisfaction with digestive ability, and the satisfaction with concentration were indicated to be insignificant in difference between two groups. However, the satisfaction with weight loss( p<0.05), the satisfaction with muscle strengthening(p<0.05), and the reduction in waist circumference(p<0.001) were indicated to have significant difference in the experimental group, which carried out exercise and abdominal massage side by side. In this way, this study leads to being able to be known that the exercise therapy and abdominal manual massage therapy bring about a change in body composition of body measurement, thereby being efficient and effective for body type management to carry out exercise therapy and abdominal manual massage program side by side rather than one method, and being considered to be program proper for obesity management.