DOI QR코드

DOI QR Code

The Analysis of Pulse Wave Velocity of Jeju female divers

제주 해녀의 맥파전도속도 분석

  • Lee, Han-Young (Nonprofit Organization of Jeju Haenyeo Cultural Heritage Preservation)
  • 이한영 (비영리법인 제주해녀문화보존회)
  • Received : 2015.07.07
  • Accepted : 2015.09.20
  • Published : 2015.09.28

Abstract

In this study, we tried to analyze arterial stiffness of Jeju female divers who diver into cold water without the assistance of oxygen. For this purpose we measured pulse wave velocity and ankle-brachial index of Jeju female divers and same aged females who didn't have any cardiovascular risk for comparing the vascular stiffness. The results were the following : First, the light-femoral pulse wave velocity of Jeju female divers was significantly lower than normal women of the same ages. Second, Jeju female divers's ABI showed higher tendency than normal same aged women. These result showed that Jeju female divers' body had been completed for adaptation to low temperature and high pressure water environment through a long-term immersion activities in old age, as well as due to higher physical activity levels of Jeju female divers peripheral vascular resistance was not reduced.

본 연구에서는 우리는 평균 연령이 높은 제주 해녀의 경-대퇴 맥파 전도 속도와 발목-상완지표를 측정하여 찬물에서 산소의 보조 없이 채취활동을 하는 제주 해녀의 동맥 혈관의 경직도를 측정하였으며, 결과는 다음과 같다. 첫째, 경-대퇴 맥파 전도 속도는 동연령대의 일반여성보다 유의하게 낮게 나타났다. 둘째, 발목-상완지표(ABI)는 해녀와 일반여성 모두 정상범위 안에 포함되어 있었으며, 일반여성보다 해녀집단이 높은 경향을 보였다. 이러한 결과는 고령의 나이임에도 불구하고 장기간 침수활동을 통해 신체의 적응이 이미 완료된 상태로써 저온 및 높은 수압환경에 대한 적응이 완료된 신체상태이며, 아울러 높은 신체활동 수준으로 인하여 말초혈관저항이 고연령임에도 불구하고 감소되지 않았으며, 오히려 동연령 여성들보다 양호한 수준임을 확인할 수 있었다. 하지만 해녀들의 고령화는 여전히 진행되고 있는 중요한 현상이기에 동맥혈관경직도에 대한 관심과 향후의 지속적인 연구는 반드시 더 필요할 것으로 보인다.

Keywords

References

  1. Laurent, S., Cockcroft, J., Van Bortel, L., Boutouyrie, P., Giannattasio, C., Hayoz, D., Pannier, B., Vlachopoulos, C., Wilkinson, I., & Struijker-Boudier, H., expert consensus document on arterial stiffness: Methodological issues and clinical applications, European Heart Journal, 27(21), 2588-2605, 2006. https://doi.org/10.1093/eurheartj/ehl254
  2. Yamashina, A., Tomiyama, H., Takeda, K., Tsuda, H., Arai, T., Hirose, K., Koji, Y., ori, S., & Yamamoto, Y., Validity, reproducibility, and clinical significance of oninvasive brachial-ankle pulse wave velocity measurement, Hypertens. Res., May(25), 359-364, 2002.
  3. Yamashina, A., Tomiyama, H., Arai, T., Hrose, K., Koji, Y., Yrayam, Y., Brachilal-ankle pulse wave velocity as a marker of atherosclerotic vascular damage and cardiovascular risk, Hypertens. Res., 26, 615-622, 2003. https://doi.org/10.1291/hypres.26.615
  4. Laurent,S., Boutouyrie, P., Asmar, R., Gautier, I., Laloux, B., Louis, G., Ducimetiere, P., & Benetos, A., Aortic Stiffness Isan Independent Predictor of All-Cause and Cardiovascular Mortality In Hypertensive Patients, Hypertension, 37(5), 1236-1241, 2001. https://doi.org/10.1161/01.HYP.37.5.1236
  5. Libby, P., Inflammation and therosclerosis, Nature, 420(6917), 868-74, 2002. https://doi.org/10.1038/nature01323
  6. Kingwell B. A., Medley T. L., Waddell T. K., Cole T. J., Dart A. M., & Jennings G. L., Large artery stiffness: structural and genetic aspects, Clinical and experimental pharmacology & physiology, 28, 1040-1043, 2001. https://doi.org/10.1046/j.1440-1681.2001.03580.x
  7. Marinovic, J., Ljubkovic, M., Breskovic, T., Gunjaca, G., Obad, A., Modun, D., Bilopavlovic, N., Tsikas, D., Dujic, Z., Effects of successive air and nitrox dives on human vascular function, Eur. J Appl. Physiol., 112(6), 2131-2137, 2012. https://doi.org/10.1007/s00421-011-2187-6
  8. Tanaka, H., Dinenno, F. A., Hunt, B. E., Jones, P. P., DeSouza, C. A., & Seals, D. R., Hemodynamic sequelae of age-related increases in arterial stiffness in healthy women, American Journal of Cardiology, 82(9), 1152-1155, 1998. https://doi.org/10.1016/S0002-9149(98)00578-5
  9. Ferreira, I., Twisk, J. W., Mechelen, W., Kemper, H. C., Seidell, J. C., & Stehouwer, C. D., Current and adolescent body fatness and fat distribution: relationships with carotid intima-media thickness and large artery stiffness at the age of 36 years, Journal of Hypertension, 22, 145-155, 2004. https://doi.org/10.1097/00004872-200401000-00024
  10. Wildman, R. P., mackey, R. H., Bostom, A., Thompson, T., & Sutton-Tyrrell, K., Measures of obesity are associated with vascular stiffness in young and older adults, hypertension, 42, 468-473, 2003. https://doi.org/10.1161/01.HYP.0000090360.78539.CD
  11. Ki-jin Kim, Comparison by the Submergence Duration of Physiological Responses in SCUBA Diving, The Korean Society of Living Environmental System, 8(3), 256-262, 2001.
  12. Sung-gil Kim, The Effect of Repetitive Dive on Blood Constituent and Physiological Reaction in No Decompression Limit. Ocean Science and Technology School, Graduate School Korea Maritime and Ocean university. 2006.
  13. Gye-soon Park, The effect of water temperature on the immunity and hormone response during scuba diving, Sports Science, 13(4), 446-458, 2003.
  14. Eun-young Kim, The change of blood cell components before and right after underwater activities, Educational Graduate School Jeju University, 1991.
  15. Roberts, J. M., Holmes, N. E., & Doudt, T. J., Light leg exercise will maintain core temperature during 3 hours of cold water immersion, Medicine and Science in Sports and Exercise, 24(Suppl): S153, 1922.
  16. Seung-chul Kim, Study of physiological response changes to the depth of water during scuba-diving, Educational Graduate School Inje University, 2004.
  17. Novosadova, J., The Changes in hematocrit, hemoglobin, plasma volume and proteins during and after different types of exercise, European Journal of Applied d Physiology, 36, 223-230, 1977. https://doi.org/10.1007/BF00421753
  18. Boutouyrie, P., Lacolley, P., Girerd, X., Beck, L., Safar, M., & & Laurent, S., Sympathetic activation decreases medium-sized arterial compliance in humans. Am. J. Physiol., 267, 1368-1376, 1994.
  19. Edwards, D. G., Schofield, R. S., Magyari, P. M., Nichols, W. W., & Braith, R. W., Effect of exercise training on central aortic pressure wave reflection in coronary artery disease, Am. J. Hy-pertens., 17, 540-543, 2004. https://doi.org/10.1016/j.amjhyper.2003.12.001
  20. Zieman, S. J., Melenovsky, V., & Kass, D. A., Mechanisms, pathophysiology, and therapy of arterial stiffness, Arteriosclerosis Thrombosis Vascular Biology, 25(5), 932-943, 2005. https://doi.org/10.1161/01.ATV.0000160548.78317.29
  21. London, G. M., & Guerin, A. P., Influence of arterial pulse and reflected waves on blood pressure and cardiac function, American Heart Journal, 138(3), 220-224, 1999. https://doi.org/10.1016/S0002-8703(99)70313-3
  22. ESH/ESC, 2013 ESH/ESC guidelines for the management of arterial hypertension, Blood Press. 22(4), 193-278, 2013. https://doi.org/10.3109/08037051.2013.812549
  23. Resnick, H. E., Lindsay, R. S., McDermott, M. M., Devereux, R. B., Jones, K. L., Fabsitz, R. R., Howard, B. V., Relationship of high and Low AnkleB rachial Index to All-Cause and Cardiovascular Disease Mortality, Circulation, 109(6), 733-739, 2004. https://doi.org/10.1161/01.CIR.0000112642.63927.54
  24. Gole. Y., Louge. P., & Boussuges, A., Effects of successive air and nitrox dives on human vascular function, Eur. J Appl. Physiol., 112(6), 2131-7, 2012. https://doi.org/10.1007/s00421-011-2187-6
  25. Gole, Y., Rossi, P., Fontanari, P., Gavarry, O., & Boussuges, A., Arterial compliance in divers exposed to repeated hyperoxia using rebreather equipment, Aviat Space Environ Med 80, 482-484, 2009. https://doi.org/10.3357/ASEM.2457.2009