Journal of Obesity & Metabolic Syndrome

Search

Article

Korean J Obes 2014; 23(3): 187-193

Published online September 30, 2014

Copyright © Korean Society for the Study of Obesity.

The Effect of Nutrition and Exercise or Exercise Program alone on Macronutrients, Sodium Intake and Physical Strength in Middle Aged Obese Women

Jung Soon Han*, Ae Jung Kim

Department of Alternative Medicine, Kyonggi University, Seoul, Korea

Received: July 27, 2014; Reviewed : August 19, 2014; Accepted: August 27, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Background: This study was performed to investigate the effect of nutrition and exercise or exercise program alone on macronutrients, sodium intake, and physical strength in overweight Korean middle aged women.
Methods: The subjects were middle aged obese women (N=32) with body mass index (BMI) greater than 25 kg/m2. Thirty two participants were randomly divided into two groups. They were assigned to either the nutritional management and exercise (NME) program or the exercise management (EM) program. Both programs were conducted for 3 months. The dietary intake of macro-nutrients (carbohydrates, protein, lipid), sodium intake, dietary cholesterol, blood pressure, VO2, physical strength, and etc. were measured.
Results: NME group showed decreased dietary cholesterol and significantly higher vitamin C intake than that of EM group. The dietary intake of macronutrients and sodium in NME group was lower than that of EM group, but was not statistically significant. In both NME and EM group, VO2 and physical strength were increased whereas blood pressure and pulse decreased, however no statistical significance was evident.
Conclusion: These results show that continuous NME program, rather than the EM program alone, will help prevent obesity and manage hypertension in middle aged obese women.

Keywords: Nutrition education program, Exercise program, Sodium intake, Macronutrients intake, Physical strength, Middle aged obese women


The general characteristics of participants



The comparison of BMI, blood pressure, and VO2max between NME and EM group in middle aged obese women



The comparison of NME and EM group of physical strength in middle aged obese women



The comparison of NME and EM group of daily Nutrient intake in middle aged obese women


  1. Korean Endocrine Society, Korean Society for the Study of Obesity. Management of obesity, 2010 Recommendation. Endocrinol Metab 2010;25:301-4.
    CrossRef
  2. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES Ⅴ-2). Seoul: Korea Centers for Disease Control and Prevention; 2012.
  3. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES Ⅳ). Seoul: Korea Centers for Disease Control and Prevention; 2010.
  4. Hahn D, Payne W, Lucas E. Focus on health. 11th ed. New York:McGrow Hill Humanities; 2012.
  5. Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. 2010;33:386-93.
  6. Kang JK. Relationship between abdominal obesity and hypertension [dissertation]. Busan: Kosin Univ.; 2009.
  7. The sixth report of Joint National Committee on prevention, detection, evaluation, treatment of high blood pressure. Arch Intern Med 1997;157:2413-46.
    CrossRef
  8. Muntzel M, Dr?eke T. A comprehensive review of the salt and blood pressure relationship. Am J Hypertens 1992;5:1-42.
    CrossRef
  9. Alderman MH. Dietary sodium and cardiovascular health in hypertensive patients: The case against universal sodium restriction. J Am Soc Nephrol 2004;15 Suppl 1:47-50.
  10. Intersalt Cooperative Research Group. Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ 1988;297:31928.
  11. Midgley JP, Matthew AG, Greenwood CM, Logan AG. Effect of reduced dietary sodium on blood pressure: a meta-analysis of randomized controlled trials. JAMA 1996;275:1590-7.
    Pubmed CrossRef
  12. Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA, et al. American college of sports and medicine position stand. Exercise and hypertension. Med Sci Sports Exerc 2004;36:533-53.
    Pubmed CrossRef
  13. Yi KN, Kwon OH. Clinical pathology file. 3rd ed. Seoul: Medrang, Inforang; 2000. p. 14-62.
  14. Christensen JR, Faber A, Ekner D, Overgaard K, Holtermann A, Søgaard K. Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial. BMC Public Health 2011;11:671.
    Pubmed KoreaMed CrossRef
  15. Reeves WG. Insulin antibody determination: theoretical and practical considerations. Diabetologia 2011;24:399-403.
  16. Wang F, McDonald T, Reffitt B, Edington DW. BMI, physical activity, health care utilization/costs among Medicare retirees. Obes Res 2005;13:1450-7.
    Pubmed CrossRef
  17. Stamford BA, Shimer P. Fitness without exercise. New York: Warner Books; 1990. p. 137-41.
  18. Kim MS, Ahn HS. Dietary intakes and serum component in middle aged abdominal obese women. Korean J Obes 2003;12:124-36.
  19. Lee JH, Jang YS, Park HY, Kim OY, Ryu HJ, Chae JS. Beneficial effect of weight reduction in overweight middle-aged men. Korean J Obes 1999;8:154-63.
  20. Kotchen TA. Obesity-related hypertension: epidemiology, pathophysiology, clinical management. Am J Hypertens 2010;23:1170-8.
    Pubmed CrossRef
  21. Savica V, Bellinghieri G, Kopple JD. The effect of nutrition on blood pressure. Annu Rev Nutr 2010;30:365-401.
    Pubmed CrossRef
  22. Campbell NR, Willis KJ, L’Abbe M, Strang R, Young E. Canadian initiatives to prevent hypertension by reducing dietary sodium. Nutrients 2011;3:756-64.
    Pubmed KoreaMed CrossRef
  23. Kotchen TA, Kotchen JM, Boegehold MA. Nutrition and hypertension prevention. Hypertension 1991;18(Suppl 3):115-20.
  24. Hackam DG, Anand SS. Emerging risk factors for atherosclerotic vascular disease: a critical review of the evidence. JAMA 2003;290:932-40.
    Pubmed CrossRef

Share this article on :