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2010.9.26.

????????: ??96?????????. ???????????(?????????) 1. ?????central obesity?:???waist??? ?90 cm;?? ?80 cm 2. ???BP???:??????? ?130 mmHg;??????? ?85 mmHg . 3. ??????????HDL-C???:?? <40 mg/dl;?? <50 mg/dl 4. ??????triglyceride???:????? ?150 mg/dl 5. ??????fasting glucose???:???? ?100 mg/dl . ??96????

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2010.9.26.

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    1. ???? ??? ?? 2010.9.26. ?????????????

    2. ????????: ??96????????? ???????????(?????????) 1. ?????central obesity?:???waist??? ?90 cm;?? ?80 cm 2. ???BP???:??????? ?130 mmHg;??????? ?85 mmHg 3. ??????????HDL-C???:?? <40 mg/dl;?? <50 mg/dl 4. ??????triglyceride???:????? ?150 mg/dl 5. ??????fasting glucose???:???? ?100 mg/dl

    3. ??96?????? ??????????????: 1.  ??????90??, ????80?? 2.   ????135/85 3.   ??????100 mg/dL 4. ??????????150 mg/dL 5.  ??????, ????40mg/dL, ????50 mg/dL ????????, ?????????.

    4. ATP (Adult Treatment Program)III???????????(???????) 1. ?????central obesity?:???waist??? ?102 cm;?? ?88 cm 2. ???BP???:??????? ?130 mmHg;??????? ?85 mmHg 3. ??????????HDL-C???:?? <40 mg/dl;?? <50 mg/dl 4. ??????triglyceride???:????? ?150 mg/dl 5. ??????fasting glucose???:???? ?110 mg/dl

    5. ??????????????????? 1, ????. 2, ??????????????????????. 3, ????????? ?????????????. 4, ???, ????????????????. 5, ???????????????????.

    6. ???????????????? ???????????????????,??????40???????,???????????????????. National Health and Nutrition Examination Survey (NHANES 1999-2000) ??????27% ??????.

    7. ????(??)??????? ???????????????????. ???????????????????? ?????????????????60%.(Lakka, TA, et. al, 2003) ??????(moderately active)?????????????(???????)??????????????. (Gustat JS, et al., 2002). ???????????????????????????. (Irwin ML, et al, 2002).

    8. ?????????????? ????????????????????????????. (ACSM, 2010). ????????????????, ??????????????????(Katzmarzyk, PT, et al, 2004). ????????????, ????????????????????(19%), ???????, ???????????.(Farrell SW, et al, 2004). ??????????????????????????????????.

    9. ??????????: ?????? ( ????) ?? ?? ??(????? ?????????) ?? ??(?????) ??

    10. ?????????? ??NCEP(National Cholesterol Education Program, 2002 )??????????: 1, ????. 2, ???????. 3, ????????????, ????? ????.

    11. ?????????? ???????(International Diabetic Federation, ) ??: 1, ????????, ?????5-10%??. 2, ???????, ???????????????. 3, ??????. 4, ?????? CVD????. (ACSM 2010)

    12. ????????????. 1, ??????, ?????, ???, ?????????????????, ??????, ???????, ????????, ???????????????. 2,???????????????? ?????????? ??????, ???(submaximal test )????????, ????????????. ????????????, ?????????

    13. ???????????? 3, ?????????, ????????. ????????, ????????. 4, ??????????????, ?????????????????, ????????, ??????????. 5, ???????, ????, ?? ??????, ????????????, ????.

    14. ?????ACSM(2010)???? The minimal FITT framework is consistent with the recommendations for healthy adults regarding aerobic, resistance, and flexibility. ???????FITT(???? ?? ?????)??????????????????? ??????????. Similarly the minimal dose of physical activity to improve health/fitness outcomes is consistent with the consensus public health recommendations of 150 minutes per week or 30 minutes of moderate physical activity on most days of week. ????????????150??. ???????, ???????.

    15. ?????ACSM(2010)???? ?????????????????????, ????????????????????? ??????????????? .

    16. ?????ACSM(2010)???? Initial exercise training should be performed at a moderate intensity (40-60% VO2 R or HRR) and, when appropriate, progress to more vigorous intensity (50-70% VO2 R or HRR) to allow for optimal health/fitness improvements . ?????????(intensity 40-60% VO2 R or HRR)??. ???, ?????????????(50-70% VO2 R or HRR, ????????????????.

    17. ?????ACSM(2010)???? Because of the high likelihood of overweight and obesity, most individuals with the metabolic syndrome may benefit by gradually increasing their PA levels to about 300 min/week or 50-60 minutes on 5 d /wk when appropriate. ?????????????, ????????????????, ???50-60?, ????. ?????????.

    18. ?????ACSM(2010)???? The amount of PA may be accumulated in multiple daily bouts of at least 10 minutes in duration or through increases in other forms of moderate-intensity lifestyle activities. ???????????????, ???????. For some individuals to promote or maintain weight loss, progression to 60-90 min/day may be necessary. ????????????, ???????????????60-90?.

    19. ????? ACSM???????? : ???? For persons with hypertension ??????, ???????????????.? ??????? 200 mmHg?????? 110 mm Hg???????. ??????, ?????? 250 mmHg?????? 115 mm Hg???????. ???????????????????, ??????????????.

    20. ACSM recommendations ?????????????????, ?????????????. ????????????????????????????????????10 mmHg (stage 1 or stage 2 essential hypertension, BP in the range of 140 to 179/90 to 109 mmHg). ???????????????????, ????????????.

    21. ACSM recommendations ????????????, ??, ????, ???????????????. ??????????(? 40-60% VO2 Reserved),?????????????, ????????. ??,???????????,???????????????

    22. ???? ?????????????,???????????????????,???????????????????,??,??????????????????,??????????????

    23. ACSM 2010??????? Exercise prescription ??: ???????, ????????. ?????????????????. ??: ????????, ??????2-3?. ??: ????(moderate)????, 40-<60% VO2 Reserve. ????60-80% 1 RM(????). ????Duration: 30-60 min. ???????????, ????????????. ?????????(???8-12 ????) , ??8-10 ????. ????????????????Resistance training should involve lower resistance with higher repetition.

    24. ??????Exercise precaution ??????????, ???????????. ???????????, ?????????? ????????????????????. ???????????, ??????. ???????????, ?????. ??????????, ????????(post-exercise hypotention), ???????? ???????????. ????????????, ?????????????? ???????, ???????.

    25. ??????Exercise precaution ????????????? ??Beta-blockers????, ?????????????????????, ?????????????????. ???????????,???????, ??Beta-blockers??????, ??????. ?????????????????v(alsalva maneuvers),????????,??????? ????????, ?????????.????????????????, ???????. ?????????????, ???????????.

    26. ??????Exercise precaution ???????????????. ????, ????, ??????????????. ?????????????????, ??????????????. ??????????????. ????????. ???????, ???????????.

    27. :???????????? ???????? ????????????? ?????? ??????????????

    28. ?????????? ?? ?? ??? ?? ?????????? ????????

    29. ??????? Diagnostic Criteria of diabetes ???? 1,??????> 200 mg/dl anytime. 2,???? > 126 mg/dl. 3,?????????? (75g ???)???????200 mg/dl (ACSM’s Resource Manual For Guidelines for Exercise Testing and Prescription, 2006)

    30. ?????????????? ??????????????? 126 mg/dl , ?????????100mg/dl, ???110mg/dll. ???????? ?????100mg/dl, ??????. ?????????????????????, ????????????????????????????????.

    31. ???????Exercise prescription (ACSM guideline, 2010) ??: ???? . ??: 3-7 ?/?. ??: 20-60 ?/??????????( ???????). ???150?????, ????300?????????. ??:????????. 50-80% VO2R. Or HRR. RPE 12-16, on 6-20 scale. ????????????, ???????????????.

    32. ???????Exercise prescription (ACSM guideline, 2010) ?????????(???????????) ??: ??????. ??: ????? 8-12rep at 60-80% 1RM. ??: 8-10 ????????. ??: ??????, ??????, ??????.

    33. ???????Exercise prescription (ACSM guideline, 2010) ???????? , ??????1600??, ????150????????? (40-60% VO2R, or 55-70% ?????). ???90??????(??60% VO2R, or ??70% ?????). ??????????????, ??????????????. ?????????????. ????, ????????????2000??.

    34. ??????????????? ?, ????????????????. ?????????????. ????300mg/dl?????, ???????????. ?, ???????????, ???????, ?????????????. ??????????????, ???????????. ?, ???????, ??????????????????.

    35. Exercise precaution 4, ?????????, ??????????????????. ?????? 80-100 mg/dl.????????. 5, ????????, ???????????(hypoglycemia).

    36. ???: ACSM(2010)???? Although exercise has been shown to improve lipid profiles in many individuals, these changes are not universal, particularly among patients with dyslipidemia. ??????????, ??????????. ?????????. ???????????. ?????????????????.

    37. ???: ACSM(2010)???? ??: ????.?? ???????. ??: ????, ??????. ??:40-75% VO2R, or HRR. ????: 30-60 ?. ????????????????50-60???. ????????????, ???????????? FITT ?????????? ????200-300?? ????????2000??.

    38. ????: ACSM(2010)???? ??: ????.?? ???????. ??: ????, ??????. ??: ??????. ????40-60% VO2R or HRR, ???????50-75% VO2R, or HRR. ????: 30-60 ?. ????150????? . ?????300?????, ?????150?. ????????????? ????????????, ????????????

    39. ??????: ACSM’s Guidelines for Exercise Testing and Prescription, 8 edition, Lippincott Williams& Wilkins,2010. ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, 6 edition, Lippincott Williams& Wilkins,2010.

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