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The Association between Resistance Exercise Frequency, Aerobic Physical Activity Level, and Health-Related Quality of Life in Korean Older Adults: Findings from the Seventh Korea National Health and Nutrition Examination Survey, 2018
Korean J Sports Med 2021;39:19-26
Published online March 1, 2021;  https://doi.org/10.5763/kjsm.2021.39.1.19
© 2021 The Korean Society of Sports Medicine.

Namkuk Son, Hoyong Sung, Yeonsoo Kim

Department of Physical Education, College of Education, Seoul National University, Seoul, Korea
Correspondence to: Yeonsoo Kim
Department of Physical Education, College of Education, Seoul National University, #408, Sports and Culture Research Bldg 71-1, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea
Tel: +82-2-880-7794, Fax: +82-2-872-2867, E-mail: kys0101@snu.ac.kr
Received November 30, 2020; Revised December 8, 2020; Accepted January 5, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: The purpose of this study was to identify the association between resistance exercise frequency, aerobic physical activity level, and health-related quality of life in Korean older adults from the seventh Korea National Health and Nutrition Examination Survey, 2018.
Methods: Complex samples logistic regression was used to examine the relationship between resistance exercise frequency, aerobic physical activity level, and health-related quality of life in Korean older adults. Odds ratio, covariate-adjusted odds ratio, and 95% confidence interval were calculated for the relationship. Covariates were age, sex, educational status, alcohol drinking, smoking, household income status, and body mass index.
Results: In all variables related to resistance exercise frequency and aerobic physical activity level, the group performing below the recommended level was significantly higher in odds ratio and covariate-adjusted odds ratio on EuroQol-5 Dimension index score of less than 1 (having problems with health-related quality of life) than the group performing above the recommended level.
Conclusion: The results of this study showed that performing above the recommended level of resistance exercise frequency and aerobic physical activity is associated with improved health-related quality of life in Korean older adults.
Keywords : Aerobic physical activity, Health-related quality of life, Korean older adults, Resistance exercise
꽌 濡

쓽猷뚭린닠쓽 諛쒕떖怨 깮솢솚寃쎌쓽 媛쒖꽑 벑쑝濡 씤븯뿬 湲곕닔紐낆씠 젏李 利앷븯怨 엳쑝硫, 씠뒗 끂씤 씤援 鍮꾩쑉쓽 利앷瑜 빞湲고븯떎. 넻怨꾩껌뿉꽌 諛쒗몴븳 옣옒씤援ъ텛怨 蹂닿퀬꽌1뿉 뵲瑜대㈃ 援궡 珥앹씤援 以 65꽭 씠긽 끂씤 씤援 鍮꾩쑉씠 2017뀈뿉뒗 13.8%쑝굹 2030뀈뿉뒗 25%, 2040뀈뿉뒗 33.9%濡 젏젏 뜑 利앷븷 寃껋씠씪怨 쟾留앺븯떎. 끂씤 젣2삎 떦눊蹂, 떖삁愿 吏덊솚, 愿젅뿼, 븫 벑 븳 媛吏 씠긽쓽 留뚯꽦吏덊솚쓣 蹂댁쑀븳 寃쎌슦媛 留롮뜲, 떊泥댄솢룞 씠윭븳 留뚯꽦吏덊솚쓣 삁諛⑺븯嫄곕굹 삉뒗 뜑슧 븙솕릺吏 븡룄濡 愿由ы븯뒗 뜲 룄씠 릺뒗 二쇱슂븳 슂씤씠떎2.

꽭怨꾨낫嫄닿린援(World Health Organization, WHO)3뿉꽌뒗 65꽭 씠긽 끂씤 以 떊泥댁쟻쑝濡 뜑슧 솢룞쟻씤 끂씤씠 솢룞쟻씠吏 븡 끂씤蹂대떎 愿긽룞留 떖옣吏덊솚, 怨좏삁븬, 뇤議몄쨷, 떦눊蹂, 옣븫 벑쓽 쑀蹂묐쪧씠 궙怨 떖룓뒫젰 諛 洹쇰젰 벑쓽 泥대젰 닔以 뜑 넂떎怨 븯떎. 삉븳 끂씤쓽 嫄닿컯쓣 쐞븳 沅뚯옣 떊泥댄솢룞 닔以쓣 젣떆븯뒗뜲, 二쇰떦 理쒖냼 150遺 씠긽쓽 以묎컯룄 쑀궛냼 떊泥댄솢룞씠굹 75遺 씠긽쓽 怨좉컯룄 쑀궛냼 떊泥댄솢룞 삉뒗 씠 룞벑븳 닔以쓽 以묎컯룄 諛 怨좉컯룄瑜 샎빀븳 삎깭쓽 쑀궛냼 떊泥댄솢룞쓣 沅뚯옣븯怨 엳쑝硫, 洹쇰젰슫룞 二쇰떦 2씪 씠긽 떎떆븷 寃껋쓣 沅뚯옣븯怨 엳떎.

嫄닿컯 愿젴 궣쓽 吏(health-related quality of life)씠 궣쓽 吏덉뿉 쁺뼢쓣 誘몄튂뒗 떊泥댁쟻, 젙떊쟻, 궗쉶쟻 슂냼瑜 룷븿븯뒗 쓽誘몄씠硫, 븞젙쟻씠嫄곕굹 뻾蹂듯븯떎怨 뒓겮뒗 媛먯젙, 嫄닿컯븳 떊泥댁 젙떊, 吏쟻 湲곕뒫쓣 쑀吏븷 닔 엳뒗 뒫젰, 洹몃━怨 궗쉶솢룞뿉 留뚯”뒪윭슫 닔以쑝濡 李몄뿬븷 닔 엳뒗 뒫젰 벑怨 媛숈 二쇨쟻 嫄닿컯 愿젴 냽꽦뱾쓣 룷븿븳떎4. Acree 벑5 60꽭 씠긽 끂씤 112紐낆쓣 긽쑝濡 以묎컯룄 떊泥댄솢룞쓣 二쇰떦 1떆媛 씠긽 닔뻾븯뒗 洹몃9씠 洹 誘몃쭔쑝濡 닔뻾븯뒗 洹몃9蹂대떎 떊泥닿린뒫, 떊泥 嫄닿컯쑝濡 씤븳 뿭븷 젣븳, 넻利, 솢젰, 궗쉶쟻 湲곕뒫, 젙떊 嫄닿컯쑝濡 씤븳 뿭븷 젣븳 벑쓣 룷븿븳 嫄닿컯 愿젴 궣쓽 吏덉씠 쑀쓽븯寃 뜑 넂寃 굹궗떎怨 븯떎. 떎瑜 쇅援쓽 뿬윭 꽑뻾뿰援6-8뿉꽌룄 떊泥댄솢룞 닔以씠 넂 끂씤씠 洹몃젃吏 븡 끂씤뿉 鍮꾪븯뿬 嫄닿컯 愿젴 궣쓽 吏덉씠 뜑 넂븯떎怨 븯쑝硫, 븳援 끂씤쓽 떊泥댄솢룞 닔以怨 嫄닿컯 愿젴 궣쓽 吏덇낵쓽 뿰愿꽦쓣 떎猷 援궡 뿰援9-11뿉꽌룄 鍮꾩듂븳 寃곌낵瑜 굹궡뿀떎. 洹몃윭굹 떊泥댄솢룞 닔以뿉 븳 湲곗怨 EuroQol-5 Dimension (EQ-5D) index 젏닔 솢슜諛⑹떇 벑뿉 李⑥씠媛 엳뿀쑝硫, 듅엳 嫄닿컯 愿젴 궣쓽 吏덇낵 洹쇰젰 諛 쑀궛냼 떊泥댄솢룞 媛곴컖쓽 뿰愿꽦肉먮쭔 븘땲씪 몢 媛吏 떊泥댄솢룞쓽 沅뚯옣닔以쓣 紐⑤몢 異⑹”븳 寃쎌슦 諛 룆由쎌쟻쑝濡 븳 媛吏 떊泥댄솢룞留뚯쓣 異⑹”븳 寃쎌슦뿉 븳 뿰愿꽦쓣 遺꾩꽍븳 뿰援щ뒗 遺議깊븳 떎젙씠떎.

뵲씪꽌 蹂 뿰援щ뒗 WHO뿉꽌 沅뚯옣븯뒗 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞 닔以쓣 湲곗쑝濡 븯뿬, 媛 떊泥댄솢룞쓽 닔以뿉 뵲瑜 李⑥씠 諛 몢 媛吏 떊泥댄솢룞 닔以쓣 紐⑤몢 異⑹”븳 寃쎌슦 븳 媛吏 떊泥댄솢룞 닔以留 異⑹”븳 寃쎌슦뿉 뵲瑜 李⑥씠 벑 븳援 끂씤쓽 떊泥댄솢룞 닔以怨 嫄닿컯 愿젴 궣쓽 吏덇낵쓽 뿰愿꽦쓣 솗씤븯怨좎옄 븯떎.

뿰援 諛⑸쾿

1. 뿰援щ긽

蹂 뿰援щ뒗 吏덈퀝愿由щ낯遺 뿰援ъ쑄由ъ떖쓽쐞썝쉶쓽 듅씤뿉 쓽빐 議곗궗맂 援誘쇨굔媛뺤쁺뼇議곗궗(Korea National Health and Nutrition Examination Survey) 젣7湲 3李⑤뀈룄(2018뀈) 옄猷12瑜 遺꾩꽍븯쑝硫, 꽌슱븰援 깮紐낆쑄由ъ쐞썝쉶쓽 떖쓽 硫댁젣 듅씤쓣 諛쏄퀬 吏꾪뻾븯떎(No. E2011/003-011). 씠 議곗궗뿉 李몄뿬븳 7,992紐 以 留 65꽭 씠긽씠硫 쑀궛냼 떊泥댄솢룞, 洹쇰젰슫룞 씪닔, 嫄닿컯 愿젴 궣쓽 吏덉뿉 紐⑤몢 쓳떟븳 1,521紐낆쓣 뿰援 긽옄濡 꽑젙븯떎.

2. 뿰援 蹂씤

1) 떊泥댄솢룞

쑀궛냼 떊泥댄솢룞 WHO뿉꽌 媛쒕컻븳 援젣떊泥댄솢룞꽕臾(Global Physical Activity Questionnaire, GPAQ)뿉 빐 떊猶곕룄 떦룄媛 寃利앸맂 븳援뼱뙋 꽕臾몄13瑜 궗슜븯뿬 씪怨 뿬媛솢룞 以묒뿉 닔뻾븳 怨좉컯룄 諛 以묎컯룄 떊泥댄솢룞, 洹몃━怨 옣냼 씠룞 떆쓽 떊泥댄솢룞 닔以쓣 痢≪젙븯떎.

蹂 뿰援ъ뿉꽌뒗 씪, 뿬媛, 옣냼 씠룞 떆쓽 쑀궛냼 떊泥댄솢룞웾쓣 GPAQ 遺꾩꽍 媛씠뱶씪씤14뿉꽌 젣떆븯뒗 metabolic equivalent of task (MET)濡 솚궛븯뿬 怨꾩궛븯뒗뜲, 怨듭떇 ‘1씪 떊泥댄솢룞 떆媛(遺)×1二쇱씪媛 떊泥댄솢룞 씪닔×8 METs (怨좉컯룄) 삉뒗 4 METs (以묎컯룄, 옣냼 씠룞)’씠떎.

WHO뿉꽌 沅뚯옣븯뒗 떊泥댄솢룞 닔以쓣 湲곗쑝濡 븯뿬, 쑀궛냼 떊泥댄솢룞 二쇰떦 理쒖냼 以묎컯룄 떊泥댄솢룞 150遺 삉뒗 怨좉컯룄 떊泥댄솢룞 75遺꾩뿉 빐떦븯뒗 600 MET-min/wk瑜 湲곗쑝濡, 洹쇰젰슫룞 鍮덈룄뒗 二쇰떦 2씪 씠긽쓣 湲곗쑝濡 븯뿬 ‘沅뚯옣닔以 씠긽 洹몃9’怨 ‘沅뚯옣닔以 誘몃쭔 洹몃9’쑝濡 援щ텇븯떎.

2) 嫄닿컯 愿젴 궣쓽 吏

援誘쇨굔媛뺤쁺뼇議곗궗뿉꽌 嫄닿컯 愿젴 궣쓽 吏덉 EQ-5D瑜 궗슜븯뿬 痢≪젙릺뿀떎. EQ-5D뒗 嫄닿컯 愿젴 궣쓽 吏덉뿉 쁺뼢쓣 誘몄튂뒗 떎꽢 媛吏 쁺뿭(슫룞뒫젰, 옄湲곌由, 씪긽솢룞, 넻利/遺덊렪, 遺덉븞/슦슱)쑝濡 援ъ꽦릺뼱 엳쑝硫, 媛 쁺뿭 ‘臾몄젣媛 뾾뒗 寃쎌슦(no problems)’, ‘떎냼 臾몄젣媛 엳뒗 寃쎌슦(some problems)’, ‘留ㅼ슦 떖븳 臾몄젣媛 엳뒗 寃쎌슦(extreme problems)’ 꽭 媛吏 以 빐떦븯뒗 븳 媛吏뿉 쓳떟븯룄濡 援ъ꽦릺뼱 엳떎.

援誘쇨굔媛뺤쁺뼇議곗궗뒗 吏덈퀝愿由щ낯遺뿉꽌 닔뻾븳 EQ-5D쓽 吏 媛以묒튂 異붿젙 뿰援15瑜 諛뷀깢쑝濡 媛 쁺뿭뿉 븳 쓳떟뿉 媛以묒튂瑜 쟻슜븯뿬 궛異쒕맂 EQ-5D index瑜 젣떆븯怨 엳뒗뜲, 1젏 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 뾾뒗 긽깭瑜 굹궡怨 1젏 誘몃쭔 臾몄젣媛 엳뒗 긽깭瑜 굹궦떎. 뵲씪꽌 蹂 뿰援ъ뿉꽌뒗 EQ-5D index媛 1젏씤 洹몃9怨 1젏 誘몃쭔씤 洹몃9쑝濡 援щ텇븯떎.

3) 怨듬씤(covariates)

떊泥댄솢룞 닔以怨 嫄닿컯 愿젴 궣쓽 吏덉쓽 뿰愿꽦쓣 遺꾩꽍븯뒗 뜲 엳뼱 샎蹂닔(confounding variable)媛 맆 닔 엳뒗 7媛吏 슂씤(꽦蹂, 굹씠, 援먯쑁 닔以, 냼뱷 닔以, 쓬二, 씉뿰, 泥댁쭏웾吏닔)쓣 꽑뻾뿰援7,11,16瑜 諛뷀깢쑝濡 븯뿬 怨듬씤쑝濡 꽑젙븯떎. 媛 슂씤뿉 븳 꽭遺 젙쓽뒗 援誘쇨굔媛뺤쁺뼇議곗궗 썝떆옄猷 씠슜吏移⑥꽌17 Table 1뿉 젣떆릺뼱 엳떎.

Table 1 . Descriptive of covariates

VariableMaleFemaleTotal
Age (yr)
65닋70251 (42.6)325 (35.1)576 (38.2)
71닋75164 (24.1)230 (24.0)394 (24.1)
76닋80228 (33.3)323 (40.9)551 (37.7)
Educational status
Elementary school238 (35.8)624 (71.6)862 (56.5)
Middle school125 (19.4)119 (12.9)244 (15.6)
High school175 (28.2)88 (10.6)263 (18.0)
College or University104 (16.6)44 (5.0)148 (9.9)
Alcohol drinkinga
No279 (42.2)728 (83.4)1,007 (66.0)
Yes363 (57.8)147 (16.6)510 (34.0)
Smokingb
No536 (83.4)859 (98.7)1,395 (92.2)
Yes106 (16.6)15 (1.3)121 (7.8)
Household income status (quartile)
Low262 (41.1)460 (52.5)722 (47.7)
Mid-low174 (27.3)214 (24.6)388 (25.7)
Mid-high116 (17.9)124 (14.8)240 (16.1)
High88 (13.7)76 (8.1)164 (10.5)
Body mass indexc
Underweight12 (1.3)16 (2.4)28 (2.0)
Normal399 (64.7)485 (56.4)884 (59.9)
Obese222 (34.0)355 (41.2)577 (38.2)

Values are presented as number (weighted %).

aNo (never drunk or less than one glass in a month in the last year), yes (more than one glass in a month in the last year); bno (non-smoker or past smoker), yes (current smoker); cunderweight (<18.5 kg/m2), normal (≥18.5 kg/m2 and <25 kg/m2), obese (≥25 kg/m2).



3. 옄猷뚮텇꽍 諛⑸쾿

援誘쇨굔媛뺤쁺뼇議곗궗쓽 몴蹂몄꽕怨꾨뒗 2떒怨 痢듯솕吏묐씫몴蹂몄꽕怨 諛⑸쾿쓣 넻븯뿬 議곗궗긽씠 꽑젙릺뿀湲 븣臾몄뿉 蹂듯빀몴蹂몄꽕怨(complex sampling)瑜 諛섏쁺븳 遺꾩꽍諛⑸쾿쓣 궗슜븯떎. 援誘쇨굔媛뺤쁺뼇議곗궗 젣7湲 3李⑤뀈룄쓽 遺꾩궛異붿젙痢듭쓣 怨꾩링蹂닔濡, 議곗궗援щ 援곗쭛蹂닔濡, 洹몃━怨 꽕臾 諛 寃吏꾩“궗 媛以묒튂瑜 몴蹂 媛以묎컪쑝濡 꽑깮븯뿬 遺꾩꽍 怨꾪쉷뙆씪濡 옉꽦븯떎. 洹몃━怨 留 65꽭 씠긽씠硫댁꽌 쑀궛냼 떊泥댄솢룞, 洹쇰젰슫룞 씪닔, EQ-5D index 꽕臾 빆紐⑹뿉 寃곗륫移섍 뾾뒗 긽옄瑜 遺紐⑥쭛떒(subpopulation)쑝濡 吏젙븯뿬 遺꾩꽍븯떎.

뿰援щ긽옄쓽 꽦蹂, 굹씠, 援먯쑁 닔以, 냼뱷 닔以, 쓬二 뿬遺, 씉뿰 뿬遺, 泥댁쭏웾吏닔뒗 蹂듯빀몴蹂 鍮덈룄遺꾩꽍쓣 궗슜븯뿬 媛 蹂씤떦 빐떦릺뒗 씤援ъ쓽 鍮덈룄 異붿젙맂 鍮꾩쑉(weighted %)쓣 굹궡뿀떎. 삉븳 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞 닔以씠 嫄닿컯 愿젴 궣쓽 吏덇낵 뼱뼚븳 뿰愿꽦씠 엳뒗吏瑜 遺꾩꽍븯湲 쐞븯뿬 蹂듯빀몴蹂 濡쒖뒪떛 쉶洹遺꾩꽍쓣 궗슜븯뿬, 援먯감鍮(odds ratio) 怨듬씤씠 蹂댁젙맂 援먯감鍮(covariate-adjusted odds ratio) 諛 媛곴컖뿉 븳 95% 떊猶곌뎄媛(confidence interval, CI)쓣 굹궡뿀떎. 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞 WHO 沅뚯옣닔以쓣 湲곗쑝濡 븯뿬, 빐떦 蹂씤뿉 빐 異⑹”븳 洹몃9쓣 湲곗쑝濡 븯뿬 遺꾩꽍븯떎. 利 沅뚯옣닔以쓣 異⑹”븯吏 紐삵븳 洹몃9씠 異⑹”븳 洹몃9뿉 鍮꾪븯뿬 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳쓣 援먯감鍮꾨 굹궡뿀떎.

紐⑤뱺 넻怨 遺꾩꽍 IBM SPSS version 26.0 (IBM Corp., Armonk, NY, USA) 넻怨 뙣궎吏瑜 궗슜븯쑝硫, 쑀쓽닔以 α=0.05濡 꽕젙븯떎.

寃 怨

Table 1 뿰援щ긽옄쓽 꽦蹂, 굹씠, 援먯쑁 닔以, 냼뱷 닔以, 쓬二 뿬遺, 씉뿰 뿬遺, 泥댁쭏웾吏닔뿉 븳 蹂듯빀몴蹂 鍮덈룄遺꾩꽍 寃곌낵瑜 굹궦 寃껋씠떎. 뿰졊蹂꾨줈뒗 65–70꽭(38.2%), 76–80꽭(37.7%), 71–75꽭(24.1%) 洹몃9 닚쑝濡 씤援щ퉬쑉씠 넂寃 굹궗쑝硫, 꽦蹂꾨줈 굹늻뼱 蹂대㈃ 궓꽦 65–70꽭(42.6%), 뿬꽦 76–80꽭(40.9%) 洹몃9쓽 鍮꾩쑉씠 媛옣 넂寃 굹궗떎. 援먯쑁 닔以 궓꽦怨 뿬꽦 紐⑤몢 珥덈벑븰援 議몄뾽 씠븯 븰젰뿉 빐떦릺뒗 鍮꾩쑉씠 媛옣 넂븯쑝硫, 븰援 議몄뾽 씠긽 븰젰뿉 빐떦릺뒗 鍮꾩쑉씠 媛옣 궙븯떎. 洹몃윭굹 뿬꽦쓽 寃쎌슦 珥덈벑븰援 議몄뾽 씠븯뿉 빐떦릺뒗 鍮꾩쑉씠 71.6%濡 35.8%씤 궓꽦뿉 鍮꾪븯뿬 留ㅼ슦 넂寃 굹궗怨, 諛섎㈃ 븰援 議몄뾽 씠긽쓽 寃쎌슦뒗 5.0%濡 16.6%씤 궓꽦뿉 鍮꾪븯뿬 留ㅼ슦 궙寃 굹궗떎. 쓬二 뿬遺뿉 븳 鍮꾩쑉뿉꽌뒗 궓꽦쓽 쓬二 鍮꾩쑉씠 57.8%濡 16.6%씤 뿬꽦뿉 鍮꾪븯뿬 넂寃 굹궗쑝硫, 씉뿰 뿬遺뿉 엳뼱꽌룄 궓꽦쓽 씉뿰 鍮꾩쑉씠 16.6%濡 1.3%씤 뿬꽦뿉 鍮꾪븯뿬 넂寃 굹궗떎. 媛援ъ냼뱷 궓꽦怨 뿬꽦 紐⑤몢 냼뱷痢듭뿉 빐떦븯뒗 鍮꾩쑉씠 媛곴컖 41.1%, 52.5%濡 媛옣 넂寃 굹궗쑝硫, 냼뱷 닔以씠 利앷븷닔濡 鍮꾩쑉씠 媛먯냼븯떎. 泥댁쭏웾吏닔뒗 젙긽 踰붿쐞뿉 빐떦릺뒗 鍮꾩쑉씠 궓꽦怨 뿬꽦 媛곴컖 64.7%, 56.4%濡 궓꽦씠 뜑 넂寃 굹궗쑝굹, 鍮꾨쭔쓽 寃쎌슦뿉뒗 媛곴컖 34.0%, 41.2%濡 뿬꽦씠 뜑 넂寃 굹궗떎.

Table 2뒗 沅뚯옣릺뒗 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞 媛곴컖쓽 닔以쓣 異⑹”븯뒗 洹몃9怨 誘몄땐議 洹몃9, 몢 媛吏 떊泥댄솢룞 닔以쓣 紐⑤몢 異⑹”븯뒗 洹몃9怨 紐⑤몢 誘몄땐議깊븯뒗 洹몃9, 쑀궛냼 떊泥댄솢룞留 異⑹”븯뒗 洹몃9(洹쇰젰슫룞 鍮덈룄 湲곗 誘몄땐議)怨 紐⑤몢 誘몄땐議깊븯뒗 洹몃9, 洹쇰젰슫룞 鍮덈룄留 異⑹”븯뒗 洹몃9(쑀궛냼 떊泥댄솢룞 湲곗 誘몄땐議)怨 紐⑤몢 誘몄땐議깊븯뒗 洹몃9, 洹몃━怨 EQ-5D index 젏닔媛 1젏씤 洹몃9怨 1젏 誘몃쭔씤 洹몃9뿉 븳 鍮덈룄 異붿젙맂 鍮꾩쑉쓣 굹궦 寃껋씠떎.

Table 2 . Descriptive of resistance exercise frequency, aerobic physical activity level, and EQ-5D index

VariableMaleFemaleTotal
Aerobic (MET-min/wk)
≥600216 (33.7)226 (24.3)442 (28.3)
<600427 (66.3)652 (75.7)1,079 (71.7)
Resistance exercise (day/wk)
≥2186 (30.3)83 (9.5)269 (18.3)
<2457 (69.7)795 (90.5)1,252 (81.7)
Aerobic and resistance exercise
≥Recommended level91 (21.8)31 (5.0)122 (11.5)
<Recommended levela332 (78.2)600 (95.0)932 (88.5)
Aerobic but not resistance exercise
≥Recommended level125 (28.5)195 (22.8)320 (24.8)
<Recommended levela332 (71.5)600 (77.2)932 (75.2)
Resistance exercise but not aerobic
≥Recommended level95 (24.8)52 (7.7)147 (14.4)
<Recommended levela332 (75.2)600 (92.3)932 (85.6)
EQ-5D index scoreb
1370 (59.6)353 (41.2)723 (49.0)
<1273 (40.4)525 (58.8)798 (51.0)

Values are presented as number (weighted %).

EQ-5D, EuroQol-5 Dimension; MET, metabolic equivalent of task.

a<Recommended level (both activities); b1 (no problems on health-related quality of life), <1 (having problems on health-related quality of life).



洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞 닔以怨 愿젴맂 紐⑤뱺 蹂씤뿉꽌 沅뚯옣릺뒗 닔以쓣 誘몄땐議깊븯뒗 洹몃9쓽 鍮꾩쑉씠 넂寃 굹궗떎. 쑀궛냼 떊泥댄솢룞쓣 沅뚯옣닔以 씠긽 떎떆븯뒗 鍮꾩쑉 궓꽦씠 33.7%濡 24.3%씤 뿬꽦뿉 鍮꾪븯뿬 넂寃 굹궗쑝硫, 洹쇰젰슫룞쓣 沅뚯옣닔以 씠긽 떎떆븯뒗 鍮꾩쑉뿉꽌룄 궓꽦씠 30.3%濡 9.5%씤 뿬꽦뿉 鍮꾪븯뿬 넂寃 굹궗떎. 洹쇰젰슫룞 鍮덈룄 쑀궛냼 떊泥댄솢룞 닔以 紐⑤몢 異⑹”븯뒗 寃쎌슦쓽 鍮꾩쑉 궓꽦씠 21.8%濡 5.0%씤 뿬꽦蹂대떎 넂寃 굹궗떎. 쑀궛냼 떊泥댄솢룞 닔以 異⑹”븯吏留 洹쇰젰슫룞 鍮덈룄뒗 誘몄땐議깊븯뒗 寃쎌슦쓽 鍮꾩쑉 궓꽦씠 28.5%濡 22.8%씤 뿬꽦뿉 鍮꾪븯뿬 넂寃 굹궗쑝硫, 洹쇰젰슫룞 鍮덈룄뒗 異⑹”븯吏留 쑀궛냼 떊泥댄솢룞 닔以 誘몄땐議깊븯뒗 寃쎌슦쓽 鍮꾩쑉 궓꽦씠 24.8%濡 7.7%씤 뿬꽦蹂대떎 넂寃 굹궗떎.

EQ-5D index 젏닔뒗 꽦蹂꾩쓣 怨좊젮븯吏 븡븯쓣 븣 1젏怨 1젏 誘몃쭔 洹몃9쓽 鍮꾩쑉씠 媛곴컖 49.0%, 51.0%濡 鍮꾩듂븯寃 굹궗쑝굹, 꽦蹂꾨줈 援щ텇븯뿬 蹂대㈃ 궓꽦 1젏씤 寃쎌슦쓽 鍮꾩쑉(59.6%)씠 뜑 넂븯怨, 뿬꽦 1젏 誘몃쭔씤 寃쎌슦쓽 鍮꾩쑉(58.8%)씠 뜑 넂寃 굹궗떎. 씠寃껋 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳떎怨 깮媛곹븯뒗 鍮꾩쑉씠 뿬꽦씠 뜑 넂쓬쓣 쓽誘명븳떎.

Table 3 蹂듯빀몴蹂 濡쒖뒪떛 쉶洹遺꾩꽍쓣 궗슜븯뿬 떊泥댄솢룞 닔以怨 愿젴맂 蹂씤뱾뿉꽌 沅뚯옣닔以쓣 異⑹”븯뒗 洹몃9뿉 鍮꾪븯뿬 誘몄땐議깊븯뒗 洹몃9쓽 EQ-5D index 젏닔媛 1젏 誘몃쭔쑝濡 굹궇 援먯감鍮꾨 굹궦 寃껋씠떎.

Table 3 . Relationships between resistance exercise frequency, aerobic physical activity level and EQ-5D index

VariableEQ-5D index score of less than 1

≥Recommended level<Recommended level

ORAdjusted OR
AerobicaReference1.90 (1.43−2.54)1.57 (1.14−2.17)
Resistance exerciseaReference2.95 (2.09−4.16)2.02 (1.38−2.97)
Aerobic and resistance exercisea,bReference4.35 (2.65−7.14)2.93 (1.71−5.01)
Aerobic but not resistance exercisea,bReference1.75 (1.27−2.41)1.49 (1.05−2.11)
Resistance exercise but not aerobica,bReference2.85 (1.84−4.42)1.85 (1.16−2.96)

Values are presented as OR (95% CI) or covariate-adjusted OR (95% CI).

EQ-5D, EuroQol-5 Dimension OR, odds ratio; CI, confidence interval.

Covariates: sex, age, educational status, alcohol drinking, smoking, household income status, body mass index.

aStatistically significant; b<recommended level (both activities).



쑀궛냼 떊泥댄솢룞 닔以쓣 誘몄땐議깊븯뒗 洹몃9씠 異⑹”븯뒗 洹몃9뿉 鍮꾪븯뿬 EQ-5D index 젏닔媛 1젏 誘몃쭔씪 援먯감鍮꾨뒗 1.90 (95% CI, 1.43–2.54)쑝濡 굹궗쑝硫, 怨듬씤쓣 蹂댁젙븳 썑뿉룄 1.57 (95% CI, 1.14–2.17)濡 쑀쓽븳 李⑥씠媛 엳뒗 寃껋쑝濡 굹궗떎.

洹쇰젰슫룞 鍮덈룄 닔以쓣 誘몄땐議깊븯뒗 洹몃9씠 異⑹”븯뒗 洹몃9뿉 鍮꾪븯뿬 EQ-5D index 젏닔媛 1젏 誘몃쭔씪 援먯감鍮꾨뒗 2.95 (95% CI, 2.09–4.16)濡 굹궗쑝硫, 怨듬씤쓣 蹂댁젙븳 썑뿉룄 2.02 (95% CI, 1.38–2.97)濡 쑀쓽븳 李⑥씠媛 엳뒗 寃껋쑝濡 굹궗떎.

쑀궛냼 떊泥댄솢룞 닔以 諛 洹쇰젰슫룞 鍮덈룄瑜 紐⑤몢 誘몄땐議깊븯뒗 洹몃9씠 紐⑤몢 異⑹”븯뒗 洹몃9뿉 鍮꾪븯뿬 EQ-5D index 젏닔媛 1젏 誘몃쭔씪 援먯감鍮꾨뒗 4.35 (95% CI, 2.65–7.14)濡 굹궗쑝硫, 怨듬씤쓣 蹂댁젙븳 썑뿉룄 2.93 (95% CI, 1.71–5.01)쑝濡 쑀쓽븳 李⑥씠媛 엳뒗 寃껋쑝濡 굹궗떎.

몢 媛吏 떊泥댄솢룞 紐⑤몢 誘몄땐議깊븯뒗 洹몃9씠 쑀궛냼 떊泥댄솢룞 닔以留 異⑹”븯뒗 洹몃9뿉 鍮꾪븯뿬 EQ-5D index 젏닔媛 1젏 誘몃쭔씪 援먯감鍮꾨뒗 1.75 (95% CI, 1.27–2.41)濡 굹궗쑝硫, 怨듬씤쓣 蹂댁젙븳 썑뿉룄 1.49 (95% CI, 1.05–2.11)濡 쑀쓽븳 李⑥씠媛 엳뒗 寃껋쑝濡 굹궗떎.

몢 媛吏 떊泥댄솢룞 紐⑤몢 誘몄땐議깊븯뒗 洹몃9씠 洹쇰젰슫룞 鍮덈룄留 異⑹”븯뒗 洹몃9뿉 鍮꾪븯뿬 EQ-5D index 젏닔媛 1젏 誘몃쭔씪 援먯감鍮꾨뒗 2.85 (95% CI, 1.84–4.42)濡 굹궗쑝硫, 怨듬씤쓣 蹂댁젙븳 썑뿉룄 1.85 (95% CI, 1.16–2.96)濡 쑀쓽븳 李⑥씠媛 엳뒗 寃껋쑝濡 굹궗떎.

怨 李

蹂 뿰援ъ쓽 寃곌낵뒗 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞쓣 WHO뿉꽌 沅뚯옣븯뒗 닔以 誘몃쭔쑝濡 닔뻾븯뒗 끂씤씠 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 끂씤蹂대떎 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳쓣 媛뒫꽦씠 넂떎뒗 寃껋쓣 蹂댁뿬以떎. 援誘쇨굔媛뺤쁺뼇議곗궗 젣5湲 1, 2李⑤뀈룄(2010뀈, 2011뀈) 옄猷뚮 遺꾩꽍븳 Park18쓽 뿰援ъ뿉꽌뒗 留뚯꽦吏덊솚씠 엳뒗 꽦씤 以 씪긽깮솢 떊泥댄솢룞 닔以씠 600 MET-min/wk 誘몃쭔씤 洹몃9씠 씠긽씤 洹몃9뿉 鍮꾪븯뿬 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳쓣 援먯감鍮꾧 1.62 (95% CI, 1.38–1.91)濡 굹궗쑝硫, 꽦蹂, 뿰졊, 븰젰, 媛援ъ냼뱷 벑쓽 怨듬씤쓣 蹂댁젙븳 썑뿉룄 1.32 (95% CI, 1.11–1.58)濡 굹궗떎. 삉븳 洹쇰젰슫룞 씪닔媛 二 2쉶 誘몃쭔씤 洹몃9 二 2쉶 씠긽씤 洹몃9뿉 鍮꾪븯뿬 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳쓣 援먯감鍮꾩 蹂댁젙맂 援먯감鍮꾧 媛곴컖 2.22 (95% CI, 1.78–2.79), 1.44 (95% CI, 1.12–1.86)濡 굹굹 蹂 뿰援ъ쓽 寃곌낵 쑀궗븯떎.

삉븳 蹂 뿰援ъ쓽 寃곌낵뿉꽌 몢 媛吏 떊泥댄솢룞 紐⑤몢 沅뚯옣닔以 誘몃쭔쑝濡 닔뻾븯뒗 洹몃9씠 몢 媛吏 紐⑤몢 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 洹몃9뿉 鍮꾪븯뿬 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳쓣 援먯감鍮꾧 媛옣 넂寃 굹궗뒗뜲, 씠寃껋 몢 媛吏 떊泥댄솢룞 紐⑤몢 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 寃껋씠 븳 媛吏留 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 寃껊낫떎 끂씤쓽 嫄닿컯 愿젴 궣쓽 吏 뼢긽뿉 뜑슧 슚怨쇱쟻씪 닔 엳떎뒗 寃껋쓣 쓽誘명븳떎.

洹몃━怨 몢 媛吏 떊泥댄솢룞 媛곴컖씠 룆由쎌쟻쑝濡 嫄닿컯 愿젴 궣쓽 吏덉뿉 誘몄튂뒗 슚怨쇰 솗씤븯湲 쐞븯뿬 빐떦 떊泥댄솢룞 닔以留 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 洹몃9怨 몢 媛吏 紐⑤몢 沅뚯옣닔以 誘몃쭔쑝濡 닔뻾븯뒗 洹몃9쓽 嫄닿컯 愿젴 궣쓽 吏덉뿉 븳 援먯감鍮꾨 鍮꾧탳븯떎. 洹 寃곌낵 몢 媛吏 떊泥댄솢룞 紐⑤몢 沅뚯옣닔以 誘몃쭔쑝濡 닔뻾븯뒗 洹몃9씠 쑀궛냼 떊泥댄솢룞留 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 洹몃9怨 洹쇰젰슫룞 鍮덈룄留 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 洹몃9蹂대떎 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳쓣 援먯감鍮꾧 쑀쓽븯寃 넂寃 굹궗떎. 씠寃껋 떊泥댄솢룞쓽 醫낅쪟뿉 긽愿뾾씠 쑀궛냼 떊泥댄솢룞씠굹 洹쇰젰슫룞 以 븳 媛吏씪룄 沅뚯옣닔以 씠긽쑝濡 닔뻾븳떎硫 끂씤쓽 嫄닿컯 愿젴 궣쓽 吏덉쓣 뼢긽떆궗 媛뒫꽦씠 엳쓬쓣 쓽誘명븳떎.

씠 媛숈 寃곌낵媛 굹궃 씠쑀瑜 異붿젙빐蹂대㈃ EQ-5D瑜 援ъ꽦븯뒗 떎꽢 媛吏 쁺뿭 以 떊泥댄솢룞씠 닔諛섎릺뒗 쁺뿭씠 꽭 쁺뿭씠굹 릺湲 븣臾몄쑝濡 깮媛곹빐蹂 닔 엳떎. 利 嫄룰린, 紐⑹슃븯湲/샆 엯湲, 씪긽솢룞 븯湲 벑쓽 떊泥댄솢룞쓣 닔뻾븯뒗 뜲 엳뼱 븳 媛吏씪룄 吏옣씠 엳쓣 寃쎌슦 嫄닿컯 愿젴 궣쓽 吏덉뿉 臾몄젣媛 엳떎怨 굹굹湲 븣臾몄씠떎. 뵲씪꽌 떊泥댄솢룞 뒫젰씠 뼢긽릺硫 嫄닿컯 愿젴 궣쓽 吏 뼢긽뿉 湲띿젙쟻씤 쁺뼢쓣 겮移 媛뒫꽦씠 留ㅼ슦 넂떎怨 蹂 닔 엳떎.

誘멸뎅뒪룷痢좎쓽븰쉶(American College of Sports Medicine, ACSM)19뿉꽌뒗 끂솕媛 吏꾪뻾릺硫댁꽌 굹굹뒗 깮由ъ쟻 蹂솕濡 씤븯뿬 洹쇰젰, 洹쇱援щ젰, 洹좏삎뒫젰, 諛섏쓳 냽룄, 쑀뿰꽦 벑쓽 泥대젰슂씤 닔以씠 媛먯냼븯寃 릺뒗뜲, 씠뒗 끂씤쓽 씪긽깮솢 룞옉 닔뻾뒫젰뿉 쁺뼢쓣 誘몄퀜 떊泥댁쟻 룆由쎌꽦 媛먯냼쓽 썝씤씠 맆 닔 엳떎怨 븯떎. 洹몃윭굹 洹쒖튃쟻씤 떊泥댄솢룞쓣 닔뻾븯硫 끂솕 愿젴맂 깮由ъ쟻 蹂솕瑜 뜑뵒寃 븯뿬 留뚯꽦吏덊솚쓽 쐞뿕쓣 媛먯냼떆궎怨 씠濡 씤븯뿬 湲곕닔紐낆쓣 利앷떆耳 嫄닿컯뿉 湲띿젙쟻씤 쁺뼢쓣 以 닔 엳떎怨 븯떎. 삉븳 옣湲곌컙 쑀궛냼 떊泥댄솢룞쓣 솢諛쒗엳 닔뻾븳 끂씤 洹몃젃吏 븡 끂씤蹂대떎 理쒕븯 닔以쓽 슫룞 떆 떖삁愿怨 뒪듃젅뒪 洹쇱쑁쓽 뵾濡쒕룄媛 궙寃 굹궗쑝硫, 옣湲곌컙 洹쇰젰슫룞쓣 닔뻾븳 끂씤 洹몃젃吏 븡 끂씤蹂대떎 洹쇱쑁怨 堉덉쓽 吏덈웾 諛 洹쇰젰쓽 媛먯냼瑜 뒭異붾뒗 슚怨쇨 엳떎怨 븯떎. 듅엳 옣湲곌컙 洹쇰젰슫룞쓣 넻빐 뼸쓣 닔 엳뒗 씠젏뱾 쑀궛냼 슫룞留 떎떆븯쓣 寃쎌슦뿉뒗 씪愿릺寃 愿李곕릺吏 븡븯떎怨 븯떎. 利 쑀궛냼 떊泥댄솢룞怨 洹쇰젰슫룞 紐⑤몢 끂씤쓽 떊泥댁뿉 湲띿젙쟻씤 쁺뼢쓣 誘몄튂吏留, 媛곴컖쓽 슚怨쇨 떎瑜닿린 븣臾몄뿉 몢 媛吏 떊泥댄솢룞쓣 븿猿 닔뻾븯뒗 寃껋씠 끂씤쓽 떊泥닿굔媛뺤뿉 뜑슧 湲띿젙쟻씤 쁺뼢쓣 誘몄튌 寃껋씠씪怨 蹂 닔 엳떎.

슦슱利앹뿉 븳 떊泥댄솢룞쓽 슚怨쇰 議곗궗븳 꽑뻾뿰援ъ뿉꽌뒗 洹쇰젰슫룞20-24怨 쑀궛냼 슫룞25,26씠 끂씤쓽 슦슱利 媛먯냼뿉 슚怨쇱쟻씠뿀떎怨 븯떎. 洹몃윭굹 떊泥닿 嫄닿컯븳 끂씤뿉寃뚮뒗 以묎컯룄굹 怨좉컯룄쓽 洹쇰젰슫룞씠 슦슱利앹쓣 媛먯냼떆궎吏 紐삵븯떎뒗 뿰援ш껐怨쇰룄 엳뿀떎27. ACSM19 떊泥댄솢룞씠 슦슱利 媛먯냼뿉 誘몄튂뒗 쁺뼢뿉 븳 꽑뻾뿰援щ뱾쓽 寃곌낵瑜 諛뷀깢쑝濡 怨좉컯룄 洹쇰젰슫룞씠 슦슱利 移섎즺뿉 슚怨쇱쟻씠씪뒗 媛뺥븳 洹쇨굅媛 엳떎怨 蹂닿퀬븯떎. 遺덉븞 諛 슦슱븳 媛먯젙 EQ-5D쓽 븳 쁺뿭쓣 李⑥븯硫, 嫄닿컯 愿젴 궣쓽 吏덉쓣 뼥뼱쑉由щ뒗 슂냼씠湲 븣臾몄뿉 洹쇰젰슫룞 諛 쑀궛냼 떊泥댄솢룞쓣 넻븳 슦슱利 媛먯냼뒗 끂씤쓽 궣쓽 吏 뼢긽뿉 留ㅼ슦 以묒슂븯떎怨 븷 닔 엳떎.

蹂 뿰援ъ쓽 寃곌낵뒗 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞쓣 沅뚯옣닔以 씠긽쑝濡 닔뻾븯뒗 寃껋씠 끂씤쓽 嫄닿컯 愿젴 궣쓽 吏 뼢긽怨 뿰愿꽦씠 엳떎뒗 寃껋쓣 蹂댁뿬二쇰뒗뜲, 씠뒗 꽑뻾뿰援щ뱾쓽 寃곌낵뿉꽌 솗씤븷 닔 엳뒗 寃껉낵 媛숈씠 洹쒖튃쟻씤 떊泥댄솢룞씠 씪긽깮솢 룞옉뿉 븘슂븳 떊泥대뒫젰쓽 뼢긽怨 슦슱利 媛먯냼 벑 젙떊쟻씤 遺遺꾩뿉꽌 湲띿젙쟻씤 쁺뼢쓣 誘몄낀湲 븣臾몄씠씪怨 異붿젙븷 닔 엳쓣 寃껋씠떎.

蹂 뿰援ъ쓽 젣븳젏 븳援 끂씤쓽 洹쇰젰슫룞 鍮덈룄 諛 쑀궛냼 떊泥댄솢룞 닔以怨 嫄닿컯 愿젴 궣쓽 吏덇낵쓽 씤怨쇨怨꾨 솗씤븷 닔 뾾떎뒗 젏怨 援ъ껜쟻씤 洹쇰젰슫룞 諛 쑀궛냼 떊泥댄솢룞쓽 醫낅쪟瑜 솗씤븷 닔 뾾떎뒗 젏씠떎. 뵲씪꽌 異뷀썑 몢 蹂씤쓽 씤怨쇨怨꾨 솗씤븷 닔 엳쑝硫, 끂씤쓽 嫄닿컯 愿젴 궣쓽 吏 뼢긽쓣 쐞븳 援ъ껜쟻씤 떊泥댄솢룞 醫낅쪟瑜 솗씤븷 닔 엳뒗 뿰援ш 닔뻾릺뼱빞 븷 寃껋씠떎.

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Author Contributions

Conceptualization: YK. Data curation: NS. Formal analysis: HS. Writing-original draft: NS. Writing-review & editing: YK, HS.

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