임신 중 운동유무가 산욕기 건강관련체력과 산후우울 및 체중변화에 미치는 영향 (Effects of Exercise on the Health-related Fitness, Postpartum Depression and Body Weight in Puerperium Period during Pregnancy)

서지정보

· 발행기관 : 대한운동학회
· 수록지 정보 : 아시아 운동학 학술지 / 15권 / 3호 / 123 ~ 130페이지
· 저자명 : 전영남, 박정준, 양점홍

초록

[서론] 임심기간 중 규칙적인 운동이 산욕기에 나타나는 신체적·정신적 변화에 미치는 영향에 대해서는 아직 알려진 바 없다. 본 연구에서는 임신기간 중 운동을 한 산모와 하지 않은 산모의 산욕기 건강관련체력, 산후우울, 체중변화를 비교하고 산전운동의 효과를 구명하여 임산부 운동처방의 자료를 제시함과 동시에 임산부의 건강과 출산 후 신체적·정신적 회복에 기여하는 데 있다. [방법] 본 연구의 피험자는 B광역시 D구에 위치한 A병원 조리원에 입실한 산욕부 중 대상자의 일반적 및 분만관련 특성을 설문지를 통해 검사하여 임신 5개월 이후부터 출산 전까지 규칙적인 걷기와 산전 요가프로그램에 참가했던 산모들을 운동군(Exe, n=9)으로 구성하였으며, 그렇지 않은 산모들을 비운동군(Nonexe, n=13)으로 구성하였다. 산전 요가프로그램은 RPE 11-13의 강도로 주 2회, 1시간씩 실시하였으며, 건강관련체력(최대하산소섭취량, 악력, 윗몸일으키기, 백 스크래치, 신체조성), 산후우울, 체중변화를 측정하였다. 연구의 측정결과는 SPSS ver. 12.0을 이용하여 측정항목의 평균값(M)과 표준편차(SD)를 산출하였다. 집단 간 항목별 평균값 차이비교를 위해 t-test를 실시하였으며 체중의 측정시기와 그룹 간 변화를 알아보기 위해 Two-way repeated ANOVA를 실시하였다. 통계적 유의수준은 α=.05로 설정하였다. [결과] 운동군이 비운동군에 비해서 최대산소섭취량, 오른쪽 및 왼쪽 back scratch, 제지방량이 유의하게(p<.05) 높게 나타났다. 근력 및 근지구력은 운동군이 높은 경향을 보였고, 체지방량과 산후우울은 운동군이 낮은 경향을 보였으나 통계적으로 유의한 차이는 없었다. [결론] 연구결과를 종합해 볼 때 신체적․정신적으로 건강한 임신과 출산을 위해 임산부 운동이 활성화되어야 한다고 생각된다.

영어초록

[INTRODUCTION] The purpose of this study was to compare health-related fitness, postpartum depression, and body weight changes between two groups of women who had regularly exercised during pregnancy and who had not exercised. This study may also provide useful information for exercise prescription in pregnancy women and contribute their health during pregnancy and physical and mental recovery after delivery. [METHOD] Puerperium women who were being served at the postpartum care center located in B Metropolitan City completed a questionnaire to identify their demographic and delivery-related characteristics. Total 22 puerperium women participated in this study and divided into exercise and non-exercise group. Exercise group (n=9) was those who had regularly exercised for more than 5 months during their pregnancy, while non-exercise group (n=13) was those who had not participated in any exercise program during their pregnancy. Exercise group performed pregnancy yoga program 2 days/week, which was composed of 5-10 min warm-up, 30-40 min main exercise, and 5-10 min cool-down. Submaiximal oxygen consumption, handgrip test, partial curl-ups, back scratch, and body composition were measured for health-related fitness. Postpartum depression was tested using by self-rating depression scale. Difference between the exercise and non-exercise groups was examined by t-test. Difference between the two groups in weight change in accordance with the time point of weight measurement was analyzed by two-way repeated ANOVA. All statistical analyses was peformed by using a statistical software SPSS Ver. 12.0 at the statistical significance level of α=.05. [RESULT] Main Findings of the study were that the exercise group had significantly higher health-related fitness than the non-exercise group, especially in cardiovascular fitness, upper-limb flexibility, and lean body mass. Also, exercise group tended to show lower postpartum depression than non-exercise group, which was not statistically significant. [CONCLUSION] In conclusion, regular exercise during pregnancy was needed to promote the improvement of physical and mental fitness during pregnancy and after delivery. Therefore, it is needed to develop a well-organized and appropriate exercise program during pregnancy for provide pregnant women.

참고자료

· 없음