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Relationship between Handgrip Strength and Cardiopulmonary Fitness in Patients with Myocardial Infarction

심근 경색 환자에서의 손의 근력과 심폐기능의 연관성

  • Kim, JiHee (Department of Rehabilitation Medicine, Wonkwang University School of Medicine)
  • 김지희 (원광대학교 의과대학 재활의학과교실)
  • Received : 2018.07.19
  • Accepted : 2018.10.05
  • Published : 2018.10.31
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Abstract

This study was conducted to investigate the relationship between hand grip strength and cardiopulmonary fitness in patients with myocardial infarction. In this retrospective study, 67 patients who experienced myocardial infarction for 10 months were analyzed. Hand grip strength was measured using a handheld dynamometer. Dynapenia was diagnosed based on a dominant hand grip strength of less than 30 kg for males and 20 kg for females. A cardiopulmonary exercise test was performed using a treadmill. Physical activity status was also evaluated. Cardiorespiratory fitness parameters were analyzed using a t-test and a Mann-Whitney test. VO2max, METmax, and exercise time significantly decreased in the dynapenia group compared with the non-dynapenia group. Correlation analysis revealed that dominant handgrip strength was significantly related to cardiorespiratory fitness parameters. Moreover, VO2max, METmax, and exercise time were significantly increased in patients with vigorous activity compared with the sedentary group. These findings indicate that handgrip strength could potentially be used as a marker of cardiorespiratory functions. Accordingly, patients with myocardial infarction should be evaluated for grip strength and physical activity, and we can encourage patients to participate actively in cardiac rehabilitation.

본 이 연구의 목적은 심근 경색증 환자에서 손의 악력과 심폐 기능의 관련성을 알아보는 것이다. 본 후향적 연구에서는 10개월간 심근 경색을 경험한 총 67 명의 자료를 분석하였다. 손의 악력은 휴대용 동력계로 측정되었다. 운동신경감소증(dynapenia)는 우성 손의 악력을 기준으로 남성의 경우 30kg 미만, 여성의 경우 20kg 미만일 경우 진단하였다. 심폐 운동검사는 트레드밀과 수정 된 Bruce 프로토콜에 따라 수행되었다. 신체활동척도로는 국제 신체활동설문을 사용하여 평가 하였다. 67 명의 대상자 중 60 명은 남성, 7 명은 여성이었고 평균 연령은 $56{\pm}9$ 세였다. 운동신경감소증군과 정상인군을 t-test와 Mann-Whitney test를 이용하여 심폐기능검사 결과를 분석하였고, 최대 산소 소모량, 최대 운동시의 신진대사 해당치, 운동시간 등이 운동신경감소증군에서 의미있게 낮았다(p<0.05). 상관관계 분석에서 손의 악력이 심폐능력과 유의한 관련이 있음을 보여 주었다. 최대산소 소모량, 최대 신지대사 해당치, 운동 시간은 고 신체활동 군에서 저 신체 활동군에 비해 유의하게 높았다(p<0.05). 심근 경색 환자에서 손의 악력은 잠재적 심폐 기능의 지표로 사용될 수 있다. 환자들의 손의 악력과 신체활동정도를 측정하여, 적극적으로 심장 재활에 참여하도록 권장할 수 있다.

Keywords

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