• Tuberculosis and Respiratory Diseases
• /
• 제64권6호
• /
• pp.433-438
• /
• 2008

연구배경: COPD 환자에서 최대산소섭취량의 측정은 호흡재활치료에서 운동 강도의 결정과 치료 반응을 평가 하는데 사용된다. 하지만 운동부하 심폐기능 검사는 공간및 비용 등의 문제로 우리나라에서는 보편화되어 있지 않다. 한편 6분 보행검사는 간단하게 운동능력을 평가할 수 있는 방법으로 신뢰도가 높고 운동능력의 변화를 비교적잘 반영한다. 본 연구에서는 중등도 이상의 COPD 환자에서 $6M_{work}$을 이용해 최대산소섭취량을 예측하는 공식을 구하고자 하였다. 방 법: 중등도 이상의 COPD 남성 33명을 대상으로 전향적 다기관 연구를 진행하였다. 최초 방문시 폐기능검사, 운동부하 심폐기능 검사와 6분 보행검사를 실시하였고, 보행거리와 체중을 곱하여 $6M_{work}$을 구한 다음 최대산소섭취량과 상관관계가 높은 변수들을 찾아 다중회귀분석법을 이용하여 추정 예측식을 구하였다. 결 과: 환자의 평균 연령은 67.7세, 신체질량지수는 $22.5kg/m^2$였다. $FEV_1$의 평균값은 1.33 L (정상 예측치의 51.1%)이었고, 최대산소섭취량도 1,015.9 ml/min (정상 예측치의 50.8%)로 낮게 측정되었다. 평균 6분 보행거리는 516 m, $6M_{work}$는 32,811이었으며, $6M_{work}$가 6분 보행거리보다 최대산소섭취량과 더 높은 상관관계를 보였다. 또한 $FEV_1$, 폐확산능, FVC가 최대산소섭취량과 높은 상관관계를 보였다. 다중회귀분석으로 얻어진 예측식은 [최대산소섭취량(ml/min)=($274.306{\times}FEV_1$)+($36.242{\times}DLco$)+($0.007{\times}6M_{work}$)-84.867]이었다. 결 론: 최대산소섭취량 검사가 불가능한 상황에서의 대안으로 시행이 간편한 6분 보행검사를 보조적으로 이용할 수 있을 것으로 사료되며, 본 연구에서 얻어진 추정공식의 타당성에 대한 대규모 연구가 필요하다.

• 미생물학회지
• /
• 제5권2호
• /
• pp.69-78
• /
• 1967

Kim, Jong Hyup, (Div. of Biology, Atomic Energy Research Institute.) Studies on the Cellular Metabolism in Microorganisms as influenced by Gamma-irradiation(II). On respiration rate and dehydrogenase activity of yeast cells irradiated by gamma ray from cobalt-60. 1. Oxygen uptake rate of the gamma irraiated yeast cells had been measured with Warburg's manometer, and the $O_{2}$-uptake was compared with those of normal cells. The rate of endogetious respiration increases in its $O_2$-uptake at 150, 000 rentgen dose, and at higher rentoen doses it was decreased. Exogenous respiration begin to decrease in its O_2$-uptake at 5, 000r. doses of irradiation, further decrease with increasing of doses unproportionally. 2. It appears that plasma-membrane and nuclear membrane of yeast cells have changed and denatured by gamma-irradiation, as exogenous respiration of glucose had been decreased at a dose of 200, 000r's irradiation. 3. The activity of glucose, alcoholic, lactic, succinic and glutamic deliydrogenase (G.D.H., A.D.H., L.D.H., S.D.11., and GL.D.H.) in the gamma irradaited cells had been assayed by T.T.C.(Triphenyl tetrazolium chloride) method and spectrophotometry, the obtained results were compared with those of normal cells. 4. At a dose of and 10, 000 rentgens' irradiation of gamma ray, the activty of each debydrogenase (G.D.H., A.D.H., L.D.H., ) shows a sharp and highest peak in optical absorbalicy, but each abtivity of S.D.H and Gl.D.H shows its' maximum peak at a dose of 30, 000r. 5. The curve of each dehydrogenase activity was found to be rhythmical according to dose-rate of gamma irradiation. 6. Comparing with activity of debydrogenase each other, the maximum peak in optical absorbency can be arranged according to order as follows; glucose > alcoholoic > lactic > glutamic > succinic, this order is identical to the order of breakdown utility in respiration of normal yeast cells. 7. The activity of dehydrogenase experimented exhibit a resistance against gamma irradiation at lethal dose of cells, and the activity of dehydrogenase are found to be much resistant than those of respiratory system. We may assume that the membrane substrate of mitochondria or cytoplasm had been destructed by gamma-irradiation much more than that of dehydronase system.

• Journal of Medicine and Life Science
• /
• 제19권2호
• /
• pp.57-65
• /
• 2022

This study aimed to compare the Korean Activity Status Index (KASI) with the cardiopulmonary exercise test (CPET) among patients with acute myocardial infarction. A total of 2,268 patients (85.4% male; mean age, 59.3±10.2 years; range, 23-90 years) diagnosed with acute myocardial infarction were enrolled in the Regional Center Myocardial Infarction Registry between July 2016 and June 2019. The KASI is a tool used to measure functional capacity by asking patients about their ability to perform specific activities and then scoring their responses. In contrast, CPET is the gold standard for assessing the objective functional capacity in patients undergoing cardiac rehabilitation. Peak oxygen uptake (VO_2peak) was used to analyze the correlation. Patients who completed two consecutive KASI and CPET evaluations during their first (KASI_1, VO_2peak_1) and second visits (KASI_2, VO_2peak_2) for cardiac rehabilitation were included in the study. The mean KASI_1 and KASI_2 scores were 43.3±14.3 and 49.8±13.9, respectively, and the mean VO_2peak_1 and VO_2peak_2 scores were 25.9±8.0 and 28.5±8.3, respectively. Both the KASI scores were significantly correlated with the measured VO_2peak during each visit, with correlation coefficients of 0.385 (P<0.001) and 0.346 (P<0.001), respectively. Moreover, the KASI score and VO_2peak had a linear relationship (VO_2peak_1=0.22×KASI_1+16.5, P<0.001; VO_2peak_2=0.21×KASI_2+18.2,VO_2peak_2=0.21×KASI_2+18.2, P<0.001). This study revealed that the KASI is a valid measure for the follow-up evaluation of the functional capacity of patients. These findings suggest that VO_2peak can be predicted using the KASI score in patients who do not undergo CPET.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제24권1호
• /
• pp.54-64
• /
• 2021

Purpose: Nonalcoholic fatty liver disease (NAFLD) is the most frequent cause of chronic liver diseases in both adults and children with obesity. The aim of this study was to compare the changes in liver enzymes and metabolic profile in adolescents with fatty liver following selected school-based exercise (SBE) and high-intensity interval training (HIIT) interventions. Methods: In a semi-experimental study, 34 obese male adolescents with clinically defined NAFLD were divided into the HIIT (n=11, age=12.81±1.02 years, body mass index [BMI]=26.68±2.32 kg/㎡), selected SBE (n=11, age=13.39±0.95 years, BMI=26.47±1.74 kg/㎡), and control (n=12, age=13.14±1.49 years, BMI=26.45±2.21 kg/㎡) groups. The ultrasonography NAFLD grade, peak oxygen uptake (VO2peak), lipid profile, insulin resistance, and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels of the participants were measured before and after the exercise interventions. Results: The BMI, waist-to-hip ratio, and body fat percentage of the participants decreased, and a significant increase in VO2peak was observed after the intervention; however, the HIIT group showed a significant improvement compared with the SBE group (p<0.01). Significant reductions were observed in the levels of insulin resistance, triglyceride, total cholesterol, ALT, and AST in both groups, although high-density lipoprotein levels decreased only in the HIIT group (p<0.01). Further, a significant reduction in low-density lipoprotein level was observed in the training groups (p<0.01), but this decrease was not significant compared with the control group (p>0.01). Conclusion: HIIT and SBE are equally effective in improving health parameters in obese children and adolescents.

• Safety and Health at Work
• /
• 제6권3호
• /
• pp.192-199
• /
• 2015

Background: Overweight, obesity, and cardiovascular disease risk factors are prevalent among firefighters in some developed countries. It is unclear whether physical activity and cardiopulmonary fitness reduce cardiovascular disease risk and the cardiovascular workload at work in firefighters. The present study investigated the relationship between leisure-time physical activity, cardiopulmonary fitness, cardiovascular disease risk factors, and cardiovascular workload at work in firefighters in Hong Kong. Methods: Male firefighters (n = 387) were randomly selected from serving firefighters in Hong Kong (n = 5,370) for the assessment of cardiovascular disease risk factors (obesity, hypertension, diabetes mellitus, dyslipidemia, smoking, known cardiovascular diseases). One-third (Target Group) were randomly selected for the assessment of off-duty leisure-time physical activity using the short version of the International Physical Activity Questionnaire. Maximal oxygen uptake was assessed, as well as cardiovascular workload using heart rate monitoring for each firefighter for four "normal" 24-hour working shifts and during real-situation simulated scenarios. Results: Overall, 33.9% of the firefighters had at least two cardiovascular disease risk factors. In the Target Group, firefighters who had higher leisure-time physical activity had a lower resting heart rate and a lower average working heart rate, and spent a smaller proportion of time working at a moderate-intensity cardiovascular workload. Firefighters who had moderate aerobic fitness and high leisure-time physical activity had a lower peak working heart rate during the mountain rescue scenario compared with firefighters who had low leisure-time physical activities. Conclusion: Leisure-time physical activity conferred significant benefits during job tasks of moderate cardiovascular workload in firefighters in Hong Kong.

• Tuberculosis and Respiratory Diseases
• /
• 제52권4호
• /
• pp.346-354
• /
• 2002

연구배경: 만성폐쇄성질환은 호흡곤란과 신체활동능력저하가 특징이며, 이들 환자의 체중감소는 예후를 결정하는 중요한 인자로 알려져 있다. 이러한 사실은 체성분의 변화가 환자의 운동능력에 영향을 미칠 수 있는 요인으로 작용할수 있음을 의미한다. 저자들은 최대산소섭취량에 영향을 미치는 요소들을 분석하여, 체성분의 변화가 환자의 최대운동능력에 미치는 영향을 알아보았다. 대상 및 방법: 만성폐쇄성질환으로 입원한 83명(남자 63명, 여자 20명)을 대상으로 급성기 증상이 호전된 후 퇴원하기 직전 안정시 폐기능 및 체성분 분석, 그리고 운동부하심폐기능을 측정하여 최대산소섭취량에 영향을 미치는 요소를 분석하였다. 결 과: 만성폐쇄성질환자의 최대산소섭취량은 영양상태와 관계없이 감소하였으나, 영양결핍환자들의 최대산소섭취량 및 최대운동부하량, 그리고 최대산소맥압은 영양상태가 정상인 환자보다 훨씬 낮았다. 최대산소섭취량은 최대흡기압 (r=0.71), 최대호기압(r=0.68), 노력성 흡기폐활량(r=0.55), 그리고 폐확산능(r=0.53)과 상관관계가 있고(p<0.01), 체성분 가운데 제지방량(r=0.55), 체질량지수(r=0.47), 제지방지수(r=0.41)와 상관관계가 있었다(p<0.01). 최대산소섭취량과 상관관계가 있는 지표들을 단계적 회귀분석으로 확인한 결과 제지방량 (t=2.31, p<0.05), 노력성 흡입폐활량(t=3.22, p<0.01), 폐확산능(t=3.41, p<0.01)이 유의수준 5% 이내에서 통계적인 의미가 있었다. 이들 세 가지 지표만으로 회귀모델을 만들 경우 최대산소섭취량의 68.8%를 설명할 수 있었다($r^2=0.688$, p<0.05). 결 론: 만성폐쇄성폐질환자의 제지방량은 안정시 폐기능과 더불어 최대운동능력에 영향을 미치는 중요한 인자이며, 환자의 활동능력을 유지하기 위하여 근육량을 보존할 수 있는 치료적인 접근이 반드시 필요할 것으로 생각한다.

• 대한의생명과학회지
• /
• 제19권1호
• /
• pp.61-69
• /
• 2013

The aim of this study was to evaluate the effect of exercise-based cardiac rehabilitation on pro- and anti-inflammatory markers in patients with acute coronary syndrome (ACS). ACS patients who underwent percutaneous coronary intervention (PCI) and took medicine during phase II of rehabilitation were recruited for study. Subjects were divided into two groups; exercise group (EX, n=21) and a non-exercise group (non-EX, n=13). Supervised exercise program in hospital consisted of treadmill and bicycle exercise was performed three times per week for 6 weeks. Patients of EX received individual counseling, including knowledge of heart disease, risk factor modification, and physical training. Cardiopulmonary fitness, body composition, and biochemical blood factors were analyzed before and after experiment. There was no significant difference in serum levels of hs-CRP and TGF-${\beta}1$ between groups, and between time intervals. But there was a significant decrease in serum levels of IL-18 (P<.001). And there was a significant increase in ratio of IL-18 to IL-10 (P<.01) and serum levels of IL-10 (P<.001). After cardiac rehabilitation, there was significant increase in exercise duration (P<.001), maximal oxygen uptake ($VO_{2peak}$; P<.001) and decrease in submaximal rate-pressure product (sRPP; P<.05) in EX. In conclusion, exercise-based cardiac rehabilitation during phase II in patients with ACS after PCI decreased serum IL-18 (pro-inflammatory) content and ratio of IL-18 to IL-10 in serum (highly related with disease recurrence), and increased serum IL-10 (anti-inflammatory) content. In addition, it led to improved cardiopulmonary fitness.

• Progress in Superconductivity
• /
• 제10권1호
• /
• pp.23-28
• /
• 2008

We report refinement of crystalline boron by an attrition ball milling system and the superconducting properties of the $MgB_2$ pellets prepared from the refined boron. In this work, we have conducted the ball milling with only crystalline boron powder, in order to improve homogeneity and control the grain size of the $MgB_2$ that is formed from it. We observed that the crystalline responses in the ball-milled boron became broader and weaker when the ball-milling time was further increased. On the other hand, the $B_{2}O_{3}$ peak became stronger in the powders, resulting in an increase in the amount of MgO within the $MgB_2$ volume. The main reason for this is a greater oxygen uptake. From the perspective of the superconducting properties, however, the sample prepared from boron that was ball milled for 5 hours showed an improvement of critical current density ($J_c$), even with increased MgO phase, under an external magnetic field at 5 and 20 K.

• Carbon letters
• /
• 제8권2호
• /
• pp.108-114
• /
• 2007

In this work, activated carbon (AC) after $HNO_3$ modification was used as the support during the production of supported $TiO_2$ to increase the high deposition efficiency and the photocatalytic activity. The results of $N_2$ adsorption showed that the BET surface area of samples decreased with an increasing of the concentration of $HNO_3$ due to the penetration of $TiO_2$. From XRD data, a single crystal structure of anatase peak was observed in diffraction patterns for the AC coated with titanium complexes. From the SEM results, almost all particles were aggregated with each other at the carbon surface and AC was covered with $TiO_2$ particles in all of the samples. The EDX spectra show the presence of C, O, Ti and other elements. It was also observed a decreasing of amount of C content with increasing Ti and O content from the EDX. The results of FT-IR revealed that the modified AC contained more surface oxygen bearing groups than that of the original AC. The effect of surface acidity and basity calculated from Boehm titration method was also evaluated from correlations as a function of NaOH, $NaHCO_3$, and $Na_2CO_3$ uptake. The surface modification of AC by $HNO_3$ leads to an increase in the catalytic efficiency of AC/$TiO_2$ catalysts, and the catalytic efficiency increases with increasing of $HNO_3$ concentration.

• 대한물리의학회지
• /
• 제14권1호
• /
• pp.63-73
• /
• 2019

PURPOSE: This study examined the effects of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI). METHODS: Electronic bibliographic databases of a regional information sharing system (RISS) and PubMed were searched to identify studies with randomized and non-randomized controlled trials. As the final outcome, 320 publications were identified and 18 studies met the inclusion and exclusion criteria. All studies were assessed for the quality of study using Cochrane's risk of bias. RESULTS: Sixteen studies met the inclusion criteria, in which meta-analysis had been conducted to examine the effectiveness of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI. Meta-analysis based on a random effect model showed that the cardiopulmonary physiotherapy was beneficial in improving the cardiopulmonary function, metabolism, inflammatory markers, and quality of life. In particular, there was a significant effect on the peak oxygen uptake (effect size 5.30%; 95% confidence interval 3.62~6.97). Cardiopulmonary physiotherapy for a during period of 6 weeks or more was effective in significantly improving the cardiopulmonary function and metabolism function in a subgroup analysis, but cardiopulmonary physiotherapy for less than 6 weeks was not effective. CONCLUSION: Cardiopulmonary physiotherapy has positive effects on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI.