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음악 청취가 교감신경 활성화에 대한 심혈관 및 자율신경 반응 완화에 미치는 영향

The effect of listening to music on cardiovascular and autonomic reactivity to sympathoexcitation in young adults

  • 권정인 (서울시립대학교 스포츠과학과) ;
  • 김현정 (서울시립대학교 스포츠과학과) ;
  • 조민정 (서울시립대학교 스포츠과학과) ;
  • 오유성 (서울시립대학교 스포츠과학과) ;
  • 제세영 (서울시립대학교 스포츠과학과)
  • Jeong In Kwon (Department of Sport Sciences, University of Seoul) ;
  • Hyun Jeong Kim (Department of Sport Sciences, University of Seoul) ;
  • Min Jeong Cho (Department of Sport Sciences, University of Seoul) ;
  • Yoo Sung Oh (Department of Sport Sciences, University of Seoul) ;
  • Sae Young Jae (Department of Sport Sciences, University of Seoul)
  • 투고 : 2023.07.20
  • 심사 : 2023.08.23
  • 발행 : 2023.08.31

초록

스트레스 자극에 대한 심혈관계 및 교감신경계 과활성화 반응은 향후 심혈관계 질환 발생 및 심장 돌연사의 위험을 증가시킨다. 음악 청취는 자율신경계 기능을 향상시켜 안정 시 긴장 이완을 유도하는 것으로 알려져 있으나 음악이 스트레스 상황에서의 과도한 심혈관 반응을 완화 시킬 수 있는지에 대한 연구는 부족하다. 본 연구는 음악청취가 스트레스 자극에 대한 심혈관 반응성을 완화시켜 줄 수 있을지 검증하였다. 15명의 건강한 성인(남자 9명, 여성 6명)을 대상으로 무작위 교차 실험 설계로 진행하였다. 음악 처치는 음악을 30분간 청취하였고 통제 처치는 30분간 휴식을 취하였다. 냉압박 검사로 교감신경계를 자극하였으며, 변인으로 심박수, 상완 및 중심동맥 혈압과 심박변이도(heart rate variability)를 측정하였다. 연구 결과, 음악 처치와 통제 처치 모두 냉압박 검사 중 심박수와 혈압 반응이 유의하게 증가하였으나(p < .001), 처치와 시기 간 상호작용 효과는 유의하지 않았다. 회복 구간에서 상완동맥 수축기혈압이 음악처치 그룹에서만 유의하게 감소하였다(p = 0.008). 나머지 혈압 변인들도 음악중재 그룹에서 더 완화되는 경향이 나타났으나 통계적으로 유의하지는 않았다. 심박변이도는 음악 처치 전후로 음악 처치 그룹에서만 SDNN(standard deviation of the NN intervals), TP(total power)와 HF(high frequency)값이 유의하게 증가하였다(p = 0.001, p = 0.002, p = 0.011). 따라서 음악 청취는 스트레스 이후의 회복력을 촉진시킬 가능성이 있다. 음악 처치의 구체적인 변인들을 고려하여 과도한 심혈관 반응에 대한 보호 효과로서의 음악 청취에 대한 추가적인 연구가 필요하다.

The purpose of this study was to investigate the effect of acute listening to music on the cardiovascular reactivity to sympathoexcitation. In this crossover design study, 15 healthy adults(23.1±1.94(yrs) were randomized to either (1)acute listen to the subject's preferred music for 30 minutes and (2)sat as a time control by an experiment coordinator. After completing each trial, the cold pressor test(CPT) was conducted. Heart rate(HR) and blood pressure(BP) were measured for 4 times at baseline, during and after the CPT. Heart rate variability(HRV) were measured for 3 times at baseline, prior and after the CPT. HR and BP increased during the CPT in both trial and returned to baseline after CPT(time effect, p < .001). After CPT, brachial systolic BP reactivity to the CPT was attenuated in listening to music trial compared to control trial(p = . 008). As a result of heart rate variability(HRV), the difference values between the baseline and prior to the CPT showed a significant increase in standard deviation of the NN intervals(SDNN), total power(TP) and high frequency(HF) only in the music trial (p = .001, p = .002, p = .011). The difference value between prior to and after the CPT did not show significance. But compared with the control trial, the music trial was confirmed that SDNN, TP and HF were more activated. Therefore, listening to music alleviated anxiety and tension before the CPT, and it is estimated that it had a favorable effect on stability after the CPT. This findings showed that listening to music may have a positive effect on brachial systolic BP and HRV to sympathoexcitation.

키워드

참고문헌

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