Combined Treatment of Seawater Bathing and Circulation Exercise for Elderly People with Metabolic Diseases Grip Strength and Geriatric Physical Function Test (SPPB) and Impact on Metabolic Disease-related Variables

Purpose : Identify variables related to metabolic syndrome and the positive effects of complex treatment for elderly people with metabolic diseases Methods : Seawater bathing and circulation exercise for 40 minutes each, twice a week, for 4 weeks for elderly patients with metabolic diseases. Results : As for the body composition, the analysis of interaction after the four-week program showed a borderline significant difference in terms of the visceral fat and waist circumference, which decreased both in the combined group and the seawater group after the program. In an analysis of the grip strength and the SPPB (short physical performance battery), all groups demonstrated a significant increase in grip strength (p<.05). The results of the SPPB analysis showed a significant between-group difference, where the combined group, exercise group, and seawater group revealed a significant increase compared to the control group after the four-week program (p<.05). The results of the analysis of the metabolic syndrome-related variables and insulin resistance showed a significant difference in systolic blood pressure and diastolic blood pressure after the four-week program. The analysis results indicated a significant decrease in the combined group and the exercise group compared to the control group after the four-week program (p.05). The insulin and insulin resistance showed a significant difference between the time periods, and the control group demonstrated a significant increase after the four-week program (p>.05). Conclusion : The results of the study showed a borderline significant decrease of visceral fat area in the complex group and the seawater group, a borderline significant decrease of waist circumference in the complex group, and a decrease of systolic blood pressure in the exercise group. These results suggest that the four-week circuit exercise and seawater exercise program had a positive effect on improving metabolic diseases. In particular, the borderline significant difference in waist circumference in the complex group after the program can be attributed to be the synergy effect of seawater bathing and exercise treatment. In addition, the increase in systolic blood pressure, insulin, and insulin resistance in the control group after four weeks indicates the importance of health management.22Nkc