신체활동과 건강 관련 삶의 질과의 연관성에 대한 메타분석

국문 초록 (Abstract)

이 연구의 목적은 삶의 질 척도로 EQ-5D(index)와 EQ-VAS를 이용하여 신체활동과의 관계를 연구한 논문들을 대상으로 신체활동과 건강 관련 삶의 질과의 관련성에 대하여 체계적 문헌 고찰과 메타분석을 통해 참가 대상자들의 신체활동 유무, 신체활동 정도가 건강 관련 삶의 질에 미친 영향을 종합적으로 규명하는 것이다.
본 연구는 국제적 연구보고 지침인 Cochrane library와 PRISMA(Preferred Reporting Items for Systematic reviews and Meta-Analysis)의 단계를 준수하였고 문헌 고찰의 일반적인 기술형식인 PICO(population, intervention, comparison, outcome)에 기초하여 수행하였다. 연구 참여자는 실험연구나 관찰연구에 참여한 성인이며, 중재 방법은 신체활동으로 제시된 가이드라인을 따랐고, 중재 결과는 건강 관련 삶의 질의 변화로 EuroQol-5 Dimension questionnaire(EQ-5D)
index와 Euro-Qol-Visual Analogue Scale(EQ-VAS)로 측정되었다.
종합효과 크기는 MD(mean difference)로 측정됐으며, 처치군이 대조군과 비교해서 0.046(95%CI; 0.039, 0.053), p‐value < 0.001 이하로서 PA(신체활동)에 따라 EQ-5D Index와 EQ-VAS의 지표는 통계적으로 유의하게 개선되는 결과를 나타내었다. 하위그룹 분석에서 EQ-5D index는 처치군이 대조군과 비교해서 0.035(95% CI; 0.027, 0.042), 삶의 질 지표가 증가하였고 통계적으로 유의하였으며, EQ-VAS는 처치군이 대조군과 비교해서 0.062(95% CI; 0.049, 0.075), 삶의 질 지표가 증가하였고 통계적으로 유의하였다.
본 연구의 결과 신체활동이 건강 관련 삶의 질에 영향을 미치는 것으로 나타났다. 대상의 성별, 연령, 국가별, 질병 유무, 그리고 신체활동의 종류나 강도와 관계없이 EQ-5D index 와 EQ-VAS로 표시된 삶의 질이 대조군과 비교해서 운동군이 높았다. 앞으로 국민의 삶의 질 향상을 위한 건강증진방안이 신체활동의 일상화를 가능하게 하도록 인구 사회학적 대표성을 지니는 집단을 대상으로 대규모 전향적 후속 연구가 필요할 것이다.

목차 (Table of Contents)

• 국문요약 ⅷ
• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구목적 3
• Ⅱ. 연구 방법 3
• 1. 연구설계 3
• 2. 문헌 선정기준 및 배제기준 3
• 3. 문헌 검색 전략 4
• 3.1. 문헌 검색정보원 4
• 3.2. 문헌 검색 실시 4
• 4. 문헌의 질 평가 (Quality assessment) 4
• 5. 자료 추출과 분석 5
• Ⅲ. 연구 결과 6
• 1. 자료선정 6
• 2. 대상 문헌의 특징 6
• 2.1. 이번 연구 대상 문헌의 특징 6
• 2.2 국민건강영양조사 자료 연구 대상 문헌의 특징 11
• 2.3. 전체 연구 대상 문헌의 특징 14
• 3. 대상 문헌의 질 평가 14
• 3.1. 대조군 연구 대상 문헌의 질 평가 14
• 3.2. 기타 연구 대상 문헌의 질 평가 16
• 3.3. 국민건강영양조사 연구 대상 문헌의 질 평가 17
• 4. 효과 크기 추정 19
• 4.1. 전체 연구논문의 효과 크기 19
• 4.2. 대조군이 있는 연구논문의 효과 크기 23
• 4.3. 대조군이 없는 연구논문의 효과 크기 27
• 4.4. 국민건강영양조사 자료 연구논문의 효과 크기 31
• 4.5. 국민건강영양조사 자료 연구논문을 제외한 기타 논문의 효과 크기 34
• Ⅳ. 논의 38
• Ⅴ. 결론 43
• 참고 문헌 44
• 부 록 58
• ABSTRACT 60

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