์ด ๋ฌธ์„œ์˜ ์›๋ณธ์€ ์™ธ๋ถ€ ์œ„ํ‚ค์—์„œ ๊ฐ€์ ธ์™”์Šต๋‹ˆ๋‹ค.
1. ๊ฐœ์š”2. ๊ณ„์‚ฐ์‹ ๋ฐ ๋ถ„ํฌ
2.1. ์œ ๋ช… ์ฒด์œก์ธ FFMI
3. ๋น„ํŒ4. ๊ด€๋ จ ํ•ญ๋ชฉ ๋ฐ ๋งํฌ

1. ๊ฐœ์š”[ํŽธ์ง‘]

Fat Free Mass Index. '์ œ์ง€๋ฐฉ๋Ÿ‰์ง€์ˆ˜'๋ผ๊ณ ๋„ ๋ถˆ๋ฆฐ๋‹ค.

BMI๋ณด๋‹ค ์ข€ ๋” ์ž์„ธํ•˜๊ฒŒ ๋ชธ ์ƒํƒœ๋ฅผ ๋ณผ ์ˆ˜ ์žˆ๋Š” ์ง€์ˆ˜๋กœ, ๋ชธ์˜ ๊ตฌ์„ฑ์„ ๋”ฐ์ง€์ง€ ์•Š๋Š” BMI์™€๋Š” ๋‹ฌ๋ฆฌ ์ง€๋ฐฉ์ด ์ฐจ์ง€ํ•˜๋Š” ๋น„์œจ์„ ๊ณ ๋ คํ•˜์—ฌ ๋งŒ๋“ค์–ด์กŒ๋‹ค. ์ฒด์ง€๋ฐฉ๋ฅ ์ด ๋‚ฎ์€ ์šด๋™์ธ๋“ค์—๊ฒŒ ๋น„๊ต์  ์ž˜ ๋งž๋Š” ์ง€์ˆ˜์ด๋‹ค. ์ด ์ง€์ˆ˜๊ฐ€ ์ฒ˜์Œ ๋„์ž…๋œ ๊ฒƒ์€ 157๋ช…์˜ ๋‚จ์„ฑ ์šด๋™์„ ์ˆ˜[1]๋ฅผ ๋Œ€์ƒ์œผ๋กœ ํ•œ ์—ฐ๊ตฌ์—์„œ์ด๋‹ค. ์Šคํ…Œ๋กœ์ด๋“œ ๋น„์‚ฌ์šฉ์ž๋“ค์€ ๋Œ€์ฒด์ ์œผ๋กœ FFMI 25 ์ดํ•˜์˜ ์ˆ˜์น˜๋ฅผ ๋ณด์ธ๋‹ค๊ณ  ์•Œ๋ ค์ ธ ์žˆ๋‹ค.[2][3]

2. ๊ณ„์‚ฐ์‹ ๋ฐ ๋ถ„ํฌ[ํŽธ์ง‘]

FFMI์˜ ๊ณ„์‚ฐ์‹์€ ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค: FFMI = lean mass(kg) / (height(m)^2) ์—ฌ๊ธฐ์„œ lean mass๋Š” ์ง€๋ฐฉ๋Ÿ‰์„ ์ œ์™ธํ•œ ๋ชธ๋ฌด๊ฒŒ๋ฅผ ๋œปํ•œ๋‹ค. ์ฆ‰ ๋‚ด๊ฐ€ 70kg์ด๊ณ  ์ฒด์ง€๋ฐฉ๋ฅ ์ด 20%๋ผ๋ฉด, lean mass = 70*(100%-20%) = 56kg์ด๋‹ค.๊ทธ๋ฆฌ๊ณ  ์ด ์‚ฌ๋žŒ์˜ ํ‚ค๊ฐ€ 165cm์ด๋ผ๋ฉด, ์ด ์‚ฌ๋žŒ์˜ FFMI๋Š” 56/(1.65^2) = 20.56์ด๋‹ค. ์ƒ์œ„ 22%

normalized FFMI ํ˜น์€ adjusted FFMI๋ผ ๋ถˆ๋ฆฌ๋Š” ์ง€์ˆ˜๋„ ์žˆ๋Š”๋ฐ, ์ด๋Š” FFMI+6.3*(1.8-height(m))์œผ๋กœ ์ •ํ•ด์ง„๋‹ค. ์ฆ‰ ์œ„ ์‚ฌ๋žŒ์˜ adjusted FFMI๋Š” ์•ฝ 21.51์ด๋‹ค.

๋ฏธ๊ตญ์˜ 25~69์„ธ, BMI 18.5~30 ์‚ฌ์ด์˜ ์ธ๊ตฌ๋ฅผ ๋Œ€์ƒ์œผ๋กœ ํ•œ FFMI ๋ถ„ํฌ๋Š” ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค.[4] (adjusted FFMI๊ฐ€ ์•„๋‹ˆ๋‹ค.)
๋ฐฑ๋ถ„์œจ
๋‚จ์„ฑ FFMI
์—ฌ์„ฑ FFMI
๋ฐฑ๋ถ„์œจ
๋‚จ์„ฑ FFMI
์—ฌ์„ฑ FFMI
๋ฐฑ๋ถ„์œจ
๋‚จ์„ฑ FFMI
์—ฌ์„ฑ FFMI
1%
15.278
13.544
34%
18.369
15.425
67%
19.936
16.536
2%
15.560
13.776
35%
18.411
15.461
68%
19.991
16.573
3%
15.751
13.944
36%
18.459
15.493
69%
20.039
16.602
4%
15.978
14.032
37%
18.506
15.523
70%
20.095
16.633
5%
16.168
14.123
38%
18.558
15.558
71%
20.165
16.685
6%
16.357
14.202
39%
18.612
15.589
72%
20.213
16.719
7%
16.465
14.267
40%
18.668
15.618
73%
20.267
16.763
8%
16.581
14.327
41%
18.706
15.644
74%
20.319
16.809
9%
16.692
14.393
42%
18.769
15.675
75%
20.378
16.868
10%
16.807
14.444
43%
18.809
15.703
76%
20.434
16.917
11%
16.924
14.509
44%
18.866
15.739
77%
20.486
16.958
12%
17.008
14.561
45%
18.902
15.786
78%
20.537
17.005
13%
17.116
14.596
46%
18.945
15.819
79%
20.599
17.062
14%
17.183
14.643
47%
18.997
15.851
80%
20.652
17.113
15%
17.241
14.688
48%
19.059
15.883
81%
20.719
17.161
16%
17.315
14.741
49%
19.107
15.924
82%
20.775
17.211
17%
17.378
14.779
50%
19.160
15.962
83%
20.834
17.259
18%
17.428
14.817
51%
19.204
15.991
84%
20.905
17.321
19%
17.496
14.867
52%
19.254
16.017
85%
20.966
17.367
20%
17.568
14.908
53%
19.302
16.046
86%
21.044
17.427
21%
17.638
14.950
54%
19.346
16.087
87%
21.139
17.477
22%
17.689
15.003
55%
19.386
16.126
88%
21.232
17.545
23%
17.773
15.036
56%
19.425
16.164
89%
21.324
17.600
24%
17.830
15.073
57%
19.478
16.195
90%
21.428
17.663
25%
17.891
15.110
58%
19.530
16.224
91%
21.537
17.733
26%
17.954
15.138
59%
19.579
16.255
92%
21.629
17.812
27%
17.992
15.175
60%
19.631
16.287
93%
21.740
17.918
28%
18.046
15.210
61%
19.669
16.328
94%
21.865
18.049
29%
18.114
15.250
62%
19.722
16.367
95%
22.013
18.162
30%
18.168
15.289
63%
19.762
16.405
96%
22.285
18.337
31%
18.224
15.316
64%
19.799
16.430
97%
22.522
18.512
32%
18.277
15.356
65%
19.847
16.463
98%
22.826
18.680
33%
18.322
15.394
66%
19.894
16.498
99%
23.492
19.017

๋„ํ‘œ๋ฅผ ๋ณด๋ฉด ์•Œ๊ฒ ์ง€๋งŒ FFMI 22 ์ˆ˜์ค€์ด๋ฉด ์ƒ์œ„ 5%์ด๊ณ  23์ด๋ฉด ์ƒ์œ„ 1%์— ์†ํ•œ๋‹ค. ์ผ๋ฐ˜์ธ ๊ธฐ์ค€์—์„œ๋Š” ์ƒ๋‹นํžˆ ๊ดœ์ฐฎ์€ ๋ชธ์ด๋ผ๋Š” ๋œป.

2.1. ์œ ๋ช… ์ฒด์œก์ธ FFMI[ํŽธ์ง‘]

์ด๋ฆ„
ํ‚ค(cm)
๋ชธ๋ฌด๊ฒŒ(kg)
์ฒด์ง€๋ฐฉ๋ฅ (%)
FFMI
186cm
83kg
9.6%
21.7
186cm
104kg
7%
28
Ray Williams[5][6]
184cm
181.2kg
24.3%
40.5[7]

3. ๋น„ํŒ[ํŽธ์ง‘]

FFMI์— ๋Œ€ํ•ด์„œ๋„ ์—ฌ๋Ÿฌ ๋น„ํŒ์ด ์กด์žฌํ•œ๋‹ค. ํŠนํžˆ FFMI>25์ด๋ฉด ์•ฝ๋ฌผ ์‚ฌ์šฉ์ด๋ผ๋Š” ๊ณต์‹์— ๋Œ€ํ•ด์„œ ๋ฐ˜๋ฐœ์ด ์‹ฌํ•œ ํŽธ์ด๋‹ค.
  • FFMI>25๊ฐ€ ์•ฝ๋ฌผ์‚ฌ์šฉ ๊ธฐ์ค€์ด๋ผ๋Š” ์—ฐ๊ตฌ์—์„œ ์‚ฌ์šฉ๋œ 157๋ช…์€ ์ถฉ๋ถ„ํ•œ ํ‘œ๋ณธ์ˆ˜๋ฅผ ํ™•๋ณดํ–ˆ๋‹ค๊ณ  ํ•  ์ˆ˜ ์—†๋‹ค.
  • ์ˆ˜์ • FFMI์˜ ๊ธฐ์ค€์€ ์ž„์˜์ ์ด๋ผ ํ•  ์ˆ˜ ์žˆ์œผ๋ฉฐ, ํŠนํžˆ 25๊ฐ€ '๋‚ด์ธ„๋Ÿด'์˜ ํ•œ๊ณ„๋ผ๋Š” ํ•ด์„์€ ์ž˜๋ชป๋˜์—ˆ๋‹ค.
  • ์ง€๋ฐฉ์ด ๋งŽ์„์ˆ˜๋ก ๊ทผ์œก๋„ ๋งŽ์€ ํŽธ์ด๋ฏ€๋กœ ๋šฑ๋šฑํ•œ ์‚ฌ๋žŒ๋“ค์ด ์œ ๋ฆฌํ•˜๋‹ค.[8][9]
  • ์ง€๋ฐฉ์˜ ์ด๋Ÿ‰์ด ๊ฐ™๋”๋ผ๋„ ์ง€๋ฐฉ์ด ์–ด๋””์— ์ฃผ๋กœ ๋ถ„ํฌ๋˜์—ˆ๋Š”๊ฐ€์— ๋”ฐ๋ผ ๊ฒ‰์œผ๋กœ ๋ณด์ด๋Š” ๊ทผ์œก์งˆ์ด ๋‹ค๋ฅด๊ฒŒ ๋‚˜ํƒ€๋‚œ๋‹ค.
  • ์ง€๋ฐฉ ์ธก์ • ๋ฐฉ๋ฒ•์ด ๊ฐ–๋Š” ์‹ค์ œ ์ฒด์ง€๋ฐฉ๋ฅ  ์˜ค์ฐจ๋กœ ์ธํ•ด 1~2 ์ •๋„์˜ ์˜ค์ฐจ๊ฐ€ ์žˆ์„ ์ˆ˜ ์žˆ๋‹ค.[10]
  • lean mass๋Š” ์ง€๋ฐฉ์„ ์ œ์™ธํ•œ ๋ชธ๋ฌด๊ฒŒ์ด๋ฉฐ, ์ด๋Š” ๊ทผ์œก์˜ ์–‘์„ ์ง์ ‘ ์žฐ ๊ฒƒ์ด ์•„๋‹ˆ๋‹ค.

4. ๊ด€๋ จ ํ•ญ๋ชฉ ๋ฐ ๋งํฌ[ํŽธ์ง‘]

[1] 83๋ช… ์Šคํ…Œ๋กœ์ด๋“œ ์‚ฌ์šฉ, 74๋ช… ์‚ฌ์šฉ ์•ˆ ํ•จ
[2] ๋‹จ ์ด๊ฒƒ์€ ์—ฐ๊ตฌ์— ์ฐธ์—ฌํ•œ 157๋ช…์„ ๊ธฐ์ค€์œผ๋กœ ์‚ฐ์ •ํ•œ ๊ฒƒ์ด๋ฏ€๋กœ, ์ „์ฒด ์ธ๊ตฌ๋ฅผ ๋Œ€ํ‘œํ•˜๋Š” ์™„์ „ํžˆ ์ •ํ™•ํ•œ ๊ธฐ์ค€์ด๋ผ ํ•  ์ˆ˜๋Š” ์—†๋‹ค. ์‹ค์ œ๋กœ ์Šคํ…Œ๋กœ์ด๋“œ๊ฐ€ ์‚ฌ์šฉ๋˜๊ธฐ ์ด์ „์—๋„ FFMI๊ฐ€ 28์— ๋‹ฌํ•˜๋Š” ๊ฒƒ์œผ๋กœ ์ถ”์ •๋˜๋Š” ์šด๋™์„ ์ˆ˜๊ฐ€ ์กด์žฌํ–ˆ๋‹ค๊ณ  ํ•œ๋‹ค. ์ข‹์€ ๋ฐ์ดํ„ฐ์— ๊ธฐ๋ฐ˜ํ•œ ํ†ต๊ณ„๋Š” ์•„๋‹ˆ์ง€๋งŒ 1939~1959๋…„๊นŒ์ง€์˜ ๋ฏธ์Šคํ„ฐ ์•„๋ฉ”๋ฆฌ์นด๋ฅผ ๊ธฐ์ค€์œผ๋กœ ํ•˜๋ฉด normalized FFMI์˜ ํ‰๊ท ์€ 25.4, ํ‘œ์ค€ํŽธ์ฐจ 1.5 ์ •๋„๋กœ ์•Œ๋ ค์ ธ ์žˆ๋‹ค. ์ฆ‰, ๋Œ€๋žต 29.9(ํ‰๊ท +3ํ‘œ์ค€ํŽธ์ฐจ)๊ฐ€ ์ตœ์ƒ๊ธ‰๋“ค ์ค‘์—์„œ๋„ ์ƒ์œ„ 1%์˜ ์ˆ˜์ค€์ด๋ผ๊ณ  ์ถ”์ •ํ•ด๋ณผ ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋‹ค.
[3] ์Šคํ…Œ๋กœ์ด๋“œ๊ฐ€ ์ฒ˜์Œ ์ƒ์—…์ ์œผ๋กœ ์‹œํŒ๋œ ๊ฒƒ์€ 1935๋…„ ์ฆˆ์Œ ๋…์ผ ์‰๋ง์‚ฌ๋กœ๋ถ€ํ„ฐ์˜€๊ณ , ๊ฐ’์ด ์‹ผ ์•„๋‚˜๋ณผ๋ฆญ ์Šคํ…Œ๋กœ์ด๋“œ๋Š” 1950๋…„๋Œ€ ์ค‘ํ›„๋ฐ˜์— ํผ์ง€๊ธฐ ์‹œ์ž‘ํ–ˆ๋‹ค. ์†Œ๋ จ์˜ ๊ฒฝ์šฐ์—๋Š” 1940๋…„๋Œ€ ๋ง๋ถ€ํ„ฐ ์Šคํ…Œ๋กœ์ด๋“œ๋ฅผ ๊ฐœ๋ฐœํ•˜์—ฌ ์šด๋™์„ ์ˆ˜๋“ค์—๊ฒŒ ์‚ฌ์šฉํ–ˆ๋‹ค. ํ…Œ์Šคํ† ์Šคํ…Œ๋ก ๊ณผ ์•„๋‚˜๋ณผ๋ฆญ ์Šคํ…Œ๋กœ์ด๋“œ์˜ ์—ญ์‚ฌ
[5] 2017 IPF World Classic Championship ์šฐ์Šน์ž. ๋‹น์‹œ ์Šค์ฟผํŠธ 470kg, ๋ฒค์น˜ํ”„๋ ˆ์Šค 242.5kg, ๋ฐ๋“œ๋ฆฌํ”„ํŠธ 377.5kg๋ฅผ ๊ธฐ๋กํ–ˆ๋‹ค.
[7] ํ›„์ˆ ํ•˜๊ฒ ์ง€๋งŒ ์ฒด์ง€๋ฐฉ๋ฅ ์ด ๋†’์œผ๋ฉด FFMI๋Š” ๊ธ‰๊ฒฉํžˆ ์˜ฌ๋ผ๊ฐ€๋Š” ๊ฒฝํ–ฅ์ด ์žˆ๋‹ค. ์ง€๋ฐฉ์ด ๋น ์ง€๋ฉด 25% ์ •๋„์˜ lean body mass๊ฐ€ ์ค„์–ด๋“ ๋‹ค๊ณ  ํ•˜๋Š”๋ฐ(์ฐธ๊ณ ) ์ด๋ ‡๊ฒŒ ๋˜๋ฉด ํ‚ค 184cm, ๋ชธ๋ฌด๊ฒŒ ์•ฝ 102kg, ์ฒด์ง€๋ฐฉ๋ฅ  ์•ฝ 5% ๊ฐ€์ •์‹œ FFMI๋Š” ์•ฝ 28.6์ด ๋œ๋‹ค. ์ด ์‚ฌ๋žŒ์ด ํ˜„์žฌ ์ธ๋ฅ˜ ์ตœ๊ฐ•์˜ ์ธ๊ฐ„์ด๋ผ ํ•  ์ˆ˜ ์žˆ๋‹ค๋Š” ์ ์„ ์ƒ๊ฐํ•ด๋ณผ ๊ฒƒ.
[8] ์‹ค์ œ๋กœ ํ•œ ์Šค๋ชจ ์„ ์ˆ˜์˜ ๊ฒฝ์šฐ 186cm์— 181kg, ์ฒด์ง€๋ฐฉ๋ฅ  33%๋กœ FFMI๋Š” ๋ฌด๋ ค 35.1์„ ๊ธฐ๋กํ–ˆ๋‹ค. ์ฐธ๊ณ ๋…ผ๋ฌธ: Upper limit of fat-free mass in humans: A study on Japanese Sumo wrestlers (Kondo et al. 1994)
[9] ๋‹จ ๋ณด๋””๋นŒ๋”ฉ๊ฐ™์€ ๊ฒฝ์šฐ ๋ณดํ†ต ์ฒด์ง€๋ฐฉ๋ฅ ์„ ์ €๋ ‡๊ฒŒ ๋†’์ด ๊ฐ€์ ธ๊ฐ€์ง€ ์•Š์œผ๋ฏ€๋กœ ์ด ๋ฌธ์ œ๋Š” ๋น„๊ต์  ๋œํ•˜๋‹ค. ์ผ๋ฐ˜์ ์ธ '๋ชธ ๋งŒ๋“ค๊ธฐ'๋ฅผ ํ•˜๋Š” ๊ฒฝ์šฐ์—๋„ ๋งˆ์ฐฌ๊ฐ€์ง€.
[10] ๋…ผ๋ฌธ์˜ ์ €์ž๋“ค์ด ์‚ฌ์šฉํ•œ ๋ฐฉ๋ฒ•์€ ์•ฝ 3.4%p ์ •๋„์˜ ์˜ค์ฐจ๋ฅผ ๋ณด์ด๋ฉฐ, ๋งŒ์•ฝ 3%p ์˜ค์ฐจ๊ฐ€ ๋ฐœ์ƒํ–ˆ๋‹ค๋ฉด FFMI๋Š” ์•ฝ 0.8 ์ •๋„ ์ƒ์Šนํ•œ๋‹ค. ์ด๋Š” ์ƒ๊ฐ๋ณด๋‹ค ์ค‘์š”ํ•  ์ˆ˜ ์žˆ๋Š” ์ˆ˜์ค€์˜ ์˜ค์ฐจ๋‹ค. ์ž์„ธํ•œ ๋‚ด์šฉ์€ ์•„๋ž˜ FFMI ๋…ผ๋ฌธ ๋ฐ˜๋ฐ• ๋งํฌ ์ฐธ๊ณ .