• Journal of Korean Biological Nursing Science
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• 제2권2호
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• pp.1-19
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• 2000

The purpose of this study was to identify the characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients. The subjects of this study consisted of 28 inpatients and outpatients aged between 40 and 75 who underwent treadmill test at exercise testing laboratory of S-University from January 2000 to June 2000. Subjects were interviewed with questionnaire regarding sociodemography, the past health history and history related to chest pain before the exercise test. Subjects were interviewed with questionnaire concerning quality, intensity, duration of chest pain induced by walking on the treadmill(Marquette, U.S.A. 1992) according to Bruce protocol following exercise test. Systolic and diastolic blood pressure were measured before, during and after the test, heart rate was determined by ECG. The results of this study were as follows ; 1) Quality of chest pain induced by exercise test were feeling stiffness 19(67.9%), heavy 10(36.0%), exploded 9(32.1%), crushing, suffocating, tight 8(28.6%), stuffy, prickly 7(25.0%), burning 6(21.4%), clasp 5(17.9%), cleaved, tensed, piercing 3(10.7%), perfectly fitting, sore 2(7.1%), tearing, tingling, ticklish, heartburn 1(3.6%). 2) Mean score of VAS(intensity of pain) following exercise test was $5.79{\pm}2.27$ and mean duration of chest pain after the test was $7.83{\pm}5.31$ minutes. 3) Sites of chest-pain induced by exercise test were middle site 11(39.3%), left-chest 10(35.6%), right-chest 6(21.5%). Radiation site of chest-pain was neck(18.0%), right flank site 1(3.6%), left shoulder & arm 2(7.1%) and back 1(3.6%). 4) Symptoms other than chest-pain induced by exercise test were dyspnea 21(75.6%), perspiration 14(50.4%), fatigue 12(43.2%), leg-pain 11(39.6%), dizziness 7(25.2%) anxiety toward chest-pain 3(10.8%), thirst 2(7.1%), and palpation, headache and tingling sensation of hand and leg 1(3.6%). 5) Mean MET(intensity of exercise) during the exercise test was $7.64{\pm}2.57$ and mean RPE(rating of perceived exertion) was $15.89{\pm}2.36$. Mean duration of exercise was $6.79{\pm}2.88$. 6) correlation coefficients between RPE and VAS was 0.500(p=0.003), those between MET and VAS was 0.287(p=0.069) and those between either depression or elevation of ST segment and VAS was 0.236(p=0.114). 7) There was a significant difference in mean systolic pressure between before and after the test as $146.29{\pm}28.18mmHg$ and $177.96{\pm}28.82mmHg$(t=-5.640, p=0.000), a significant difference in mean diastolic blood pressure between before and after the test as $84.85{\pm}15.07mmHg$ and $88.89{\pm}13.72mmHg$(t=-2.082, p=0.047), and there was a significant difference in mean heart-rate between before and after the test as $81.89{\pm}12.22/min$ and $160.68{\pm}21.77/min$(t=-21.255, p=0.000).

• 한국운동역학회지
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• 제19권2호
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• pp.227-235
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• 2009

본 연구는 등산 폴 사용 여부와 걷는 지속시간 경과가 오르막 걷기에 미치는 영향을 규명하는 것이었다. 이러한 연구목적을 달성하기 위해 7명의 피험자가 동원되었고, 각 피험자들은 45분 동안 오르막 25%로 세팅된 트레드밀 위에서 3.5km/h의 속도로 폴 사용 여부에 따른 2회의 실험을 각각 수행하였다. 대퇴직근, 전경골근, 비복근, 대퇴이두근 등을 포함한 하지의 대표적인 4개 근육들에 대한 활동량이 EMG를 통해 획득되었고, 피험자의 심박수와 주관적 운동자각도가 15분 간격으로 기록되었다. 등산 폴 사용 여부와 걷는 지속시간이 경과됨에 따른 이러한 변인들의 통계적 유의성을 검증하기 위해 이원 급내 분산분석이 사용되었고, 이 때 통계적 유의수준은 P<.05로 설정하였다. 본 연구의 결과를 요약하면 다음과 같다 : 첫째, 4개의 개별 근육에 대한 적분근전도는 조건에 따라 통계적 차이가 나타나지 않았지만, 4개 근육을 합한 적분근전도는 폴을 사용한 경우가 사용하지 않은 경우보다 더 작게 나타났고, 시간 경과에 따른 차이점은 나타나지 않았다. 둘째, 심박수는 폴 사용 여부에 의한 차이는 없었지만, 걷는 지속시간이 경과됨에 따라 더 크게 나타났다. 셋째, 운동자각도의 경우, 폴을 사용했을 때가 그렇지 않았을 때보다 더 적게 나타났고, 걷는 지속시간이 경과됨에 따라 증가하는 것으로 나타났다.

• 대한의생명과학회지
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• 제19권3호
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• pp.254-260
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• 2013

The purpose of this study was to survey the effects of Karvonen exercise prescription in coronary artery disease patients reaching age-predicted maximal heart rates with the exercise stress test on hemodynamic responses and cardiorespiratory fitness. The subject group was comprised of acute coronary syndrome (ACS) patients, who were divided into the maximal heart rate (MHR) group that included those who completed the test with their heart rates reaching the number of 220-age and the maximal dyspnea (MD) group that included those who could not continue the test due to respiratory difficulty and were asked to stop the test. Both groups had the exercise stress test before and after the experiment. In the exercise stress test before the experiment, the exercise prescription intensity of Karvonen was set at the target heart rates of 50~85% with a six-week exercise monitoring arrangement. As a result, there were no interactive effects in rest heart rate (RHR) according to time and group, but interactive effects were observed in maximal heart rate (MHR) (P=0.000). Both rest systolic blood pressure (RSBP) and rest diastolic blood pressure (RDBP) had no interactive effects according to time and group. Maximal systolic blood pressure (MSBP) showed significant interactive effects according to time and group (P=0.017). Maximal diastolic blood pressure (MDBP) showed no interactive effects according to time and group, while maximal rate pressure product (MRPP) showed significant interactive effects according to time and group (P=0.003). Maximal time (MT) had no interactive effects according to time and group. $VO_{2max}$ and maximal metabolic equivalent (MMET) showed significant interactive effects according to time and group (P=0.000, P=0.002, respectively), whereas maximal respiratory exchange ratio (MRER) and maximal rating of perceived exertion (MRPE) showed no interactive effects according to time and group. The exercise test that was discontinued as the subjects reached the predicted maximal heart rates considering age did not reach the maximal exercise intensity and accordingly showed low exercise effects when applied to Karvonen exercise prescription intensity. That is, the test should keep going by monitoring cardiac events, MRER and MRPE until the heart rates exceed the predicted MHR by up to 10~12 even after the subject reaches the predicted MHR considering age in the exercise stress test.

• 생명과학회지
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• 제20권2호
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• pp.304-313
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• 2010

J시 소재 K여자고등학교 1학년 중에서 %fat이 30% 이상인 24명을 유의추출법에 의해 운동그룹 A (8명), B (8명) 그룹과 통제그룹(8명)으로 3그룹으로 구분하여 Borg의 주관적운동강도를 이용, A그룹은 RPE 15-17 (hard-very hard; 힘듦-매우 힘듦)${\times}$3 sets, B그룹은 RPE 11-13 (fairly light-somewhat hard; 알맞음-약간 힘듦)${\times}$3 sets로 설정하여 step aerobics (step box: 길이 68 cm, 폭 28 cm, 높이 15 cm, 무게 450 g)를 1일 50-60분간, 주3회(월, 수, 금)로 총 8주간 실시하였다. 본 연구는 step aerobics의 RPE가 비만 여고생의 면역기능(Neutrophil, Lymphocyte, Monocyte, Eosinophil, Basophil, IgG, IgA, IgM)에 어떠한 영향을 미치는가를 알아보는 것이었다. 자료처리는 SPSS Ver. 14.0을 이용하여 집단과 시기 간 상호작용의 효과를 알아보기 위하여 repeated two-way ANOVA를, 집단 내 운동 전 후는 paired t-test를 실시하였고, 집단 간은 변화율(% diff.)을 구하여 one-way ANOVA를 실시하여 다음과 같은 결론을 얻었다. WBC에서, 집단 내 비교에서 A그룹은 Neutrophil, Monocyte, Basophil, Eosinophil 모두 증가하였으나 Lymphocyte는 변화가 없었고, B그룹은 Eosinophil은 감소하였으나 Neutrophil, Lymphocyte, Monocyte, Basophil 모두 변화가 없었으며, 통제군은 Neutrophil, Basophil, Eosinophil은 감소하였으나 Lymphocyte와 Monocyte는 변화가 없었다. 집단 간 비교의 Neutrophil은 A그룹이 B그룹과 통제군보다 더 많이 증가하였고, Lymphocyte는 집단 간 차이가 없었으며, Monocyte는 A, B그룹이 통제군보다 많이 증가하였다. Basophil과 Eosinophil은 A그룹이 B그룹과 통제군보다 더 많이 증가하였다. Immunoglobin에서, 집단 내 비교에서 A그룹은 IgG는 증가하였으나 IgA와 IgM는 변화가 없었고, A그룹은 IgA는 증가하였으나 IgG는 감소하였고 IgM은 변화가 없었다. 통제군은 IgG은 감소하였으나 IgA와 IgM은 변화가 없었다. 집단 간 비교의 IgA는 A그룹이 통제군보다 증가하였고, IgG는 A그룹이 B그룹과 통제군보다 증가하였으나 IgM은 집단 간 차이가 없었다. 요약하면 세 집단 모두 운동프로그램 전 후의 WBC와 Ig 수준이 연령에 맞게 참고치 내의 수준에 머물렀지만 step aerobics를 RPE 15-17로 실시한 A그룹의 경우가 가장 많은 측정항목에서 증가를 보였고, 이 결과는 참고치 범위 내에서 면역기능의 항진을 보여주는 것으로 면역기능의 향상을 위한 step aerobics의 RPE 강도는 힘듦-매우 힘듦(15-17)의 수준으로 실시하는 것이 효과적인 것으로 생각된다.