• The Journal of Korean Physical Therapy
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• 제30권5호
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• pp.181-186
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• 2018

Purpose: This study investigated the effects of home-based exercise intensity on the aerobic capacity and 1 year re-hospitalization rate in patients with chronic heart failure (CHF). Methods: Forty seven patients with CHF (males 33, females 14, age $61.3{\pm}9.8years$) participated in this study. The patients were allocated randomly to 3 groups in accordance with home-based exercise intensity: no home based exercise (NHE, 40%, n=19), moderate intensity home-based exercise (MIHE, 43%, n=20), and high intensity home based exercise (HIHE, 17%, n=8). All patients completed the symptom-limited cardiopulmonary exercise (CPX) test safely at the cardiac rehabilitation hospital. Results: The NHE group significantly showed lower peak $VO_2$ and a higher $VE/VCO_2$ slope than the MIHE (p<0.05) and HIHE (p<0.01) groups. On the other hand, the NHE group did not show significant differences in the other hemodynamic responses, such as heart rate (HR) max, HR reserve, maximal systolic blood pressure (SBP), and SBP reserve. Nine out of 19 NHE patients (47%) were re-hospitalized related to heart disease and two out of 20 MIHE (10%) patients were re-hospitalized, but nobody in the HIHE group were re-hospitalized within 1 year from the CPX test. Conclusion: In patients with CHF, home-based self-exercise is one of the important factors for reducing the re-hospitalization rate. In addition, improved aerobic capacity is strongly associated with a lower re-hospitalization rate. In particular, re-hospitalized CHF patients showed significant differences in respiratory parameters and hemodynamic parameters compared to the non-re-hospitalized patients.

• 한국임상수의학회지
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• 제40권6호
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• pp.464-467
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• 2023

The autonomic regulation of heart rate (HR) is an indicator of the body's ability to adapt to an exercise stimulus. However, there are no reports on this topic in relation to Jeju horses used for racing. The aim of this study was to analyze the HR responses of Jeju horses during race trials and to investigate the correlation between HR and performance in these horses. HR data were collected from 17 healthy 2- to 7-year-old Jeju horses wearing HR monitors during race trials. Pearson correlation coefficients was used to determine the significance of the association between the race trial time and HR. A significant inverse correlation was observed between the race trial time (performance) and both the maximal HR (HRmax, r = -0.69, p < 0.01) and HR reserve (HRR) (HRmax - average HR during the warm-up period, r = -0.63, p < 0.01) and between the HRR and HRmax (r = 0.73, p < 0.01). Horses with a lower average HR during the warm-up period and higher heart rates during the trial achieved faster race trial times. This study reports the first HR measurements in Jeju horses during race trials, providing new insights into the HR response of this breed to exercise. The use of a noninvasive remote HR monitor system allowed assessment of exercise responses in the field, and the results suggest that both the HRR during warm-up period and HRmax may be useful performance indicators in Jeju horses.

• 한국ITS학회 논문지
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• 제19권4호
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• pp.100-115
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• 2020

최근 각종 센서 및 통신 기술의 발전에 따라 다양한 자료수집이 용이해졌으며, 스마트폰과 연동하여 활동에 대한 기록이 가능한 웨어러블 디바이스 관련 시장이 확대되고 있다. 본 연구에서는 웨어러블 디바이스에서 수집이 가능한 개별 이용자 이동정보, 신체활동 정보 분석을 통해 대중교통 이용이 신체활동에 미치는 영향 정보제공을 위한 기초 분석을 수행하고, 개별 신체활동 정보를 제공하였다. 교통수단별 신체활동 분석은 자료수집, 기초 통계분석, 신체활동 정보 분석의 3단계로 구성하였다. 20-30대 성인남녀 4명을 피험자로 모집하여 상용 웨어러블 디바이스인 Fitbit을 통해 교통수단 이용에 따른 신체활동 정보 및 경로 정보를 수집하였다. 수집된 신체활동 정보 중 심박수를 이용한 예비심박률(%HRR: Percentage of Heart Rate Reserve)을 도출하여 분석에 활용하였다. 분석결과, 교통수단별로 예비심박률은 통계적으로 유의한 차이가 있는 것으로 나타났으며, 도보를 이용하는 경우 신체활동 강도가 가장 높은 것으로 분석되었다. 또한, 추후 이용자에게 신체활동 정보제공 서비스를 제공하기 위한 기초 분석으로, 동일한 기종점에 대한 서로 다른 경로를 이용하는 경우에 대한 신체활동 분석결과를 제시하였다. 본 연구에서 제시한 결과는 향후 대중교통 활성화 정책 마련, 이용자 맞춤형 서비스 제공을 위한 기초자료로 활용이 가능할 것으로 기대된다.

• 운동영양학회지
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• 제23권1호
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• pp.21-27
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• 2019

[Purpose] In the present pilot study, we aimed to investigate the effects of the Silverrobics exercise program, which is similar to aerobic dance, on the factors related to glucose metabolism and liver enzymes. [Methods] Eight elderly women with obesity and impaired fasting glucose participated in the Silverrobics exercise program (60 minutes per session for five times a week for 8 weeks). The program was conducted at 50-60% of the heart rate reserve at 1 to 2 weeks and at 60-80% of the heart rate reserve at 3 to 8 weeks. To verify the effect of this 8-week exercise program on glucose metabolism and liver enzymes, blood analysis at pre- and post-training was performed. [Results] After the Silverrobics exercise program, there were significant decreases in the glucose (p<0.05), glycated hemoglobin A1c (p<0.05), 1,5-anhydroglucitol (p<0.05), and insulin levels (p<0.01) and homeostatic model assessment of insulin resistance score (p<0.05). However, there were no significant effects on the liver enzymes, except for alkaline phosphatase. The alkaline phosphatase level increased after the Silverrobics exercise program (p<0.05). [Conclusion] Although the Silverrobics exercise program had no beneficial effects on the liver enzymes, it may play an important role in preventing liver diseases considering the effects on glucose metabolism.

• 한국운동역학회지
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• 제25권2호
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• pp.141-147
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• 2015

Objective : This study aimed to understand how increased heart rates at the time of drop landing during a step test would affect biomechanical variables of the lower extremity limbs. Background : Ballet performers do more than 200 landings in a daily training. This training raises the heart rate and the fatigability of the lower extremity limbs. Ballet performance high heart rate can trigger lower extremity limb injury. Method : We instructed eight female ballet dancers with no instability in their ankle joints(mean ${\pm}$ SD: age, $20.7{\pm}0.7yr$; body mass index, $19.5{\pm}1.2kg/m^2$, career duration, $8.7{\pm}2.0yr$) to perform the drop landing under the following conditions: rest, 60% heart rate reserve (HRR) and 80% HRR. Results : First, the study confirmed that the increased heart rates of the female ballet dancers did not affect the working ranges of the knee joints during drop landing but only increased angular speeds, which was considered a negative shock-absorption strategy. Second, 80% HRR, which was increased through the step tests, led to severe fatigue among the female ballet dancers, which made them unable to perform a lower extremity limb-neutral position. Hence, their drop landing was unstable, with increased introversion and extroversion moments. Third, we observed that the increasing 80% HRR failed to help the dancers effectively control ground reaction forces but improved the muscular activities of the rectus femoris and vastus medialis oblique muscles. Fourth, the increasing heart rates were positively related to the muscular activities of the vastus medialis oblique and rectus femoris muscles, and the extroversion and introversion moments. Conclusion/Application : Our results prove that increased HRR during a step test negatively affects the biomechanical variables of the lower extremity limbs at the time of drop landing.

• The Journal of Korean Physical Therapy
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• 제31권5호
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• pp.322-327
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• 2019

Purpose: This study examined the influence of the maximal aerobic capacity on the two-year cardiac-related re-hospitalization in patients with heart failure with a reduced ejection fraction (HFrEF) in Korean society. Methods: The maximal aerobic capacity of the study population (n=95, male 63%) was evaluated using a cardiopulmonary exercise (CPX) testing system. Each patient was followed up for two years to divide the HFrEF patients into two groups according to cardiac-related re-hospitalization: re-hospitalization (RH) group (n=29, 30%) and no re-hospitalization (NRH) group (n=66, 70%). Results: The relative peak $VO_2$ (mL/kg/min, p<0.001), exercise duration (p<0.001), respiratory exchange ratio ($VCO_2/VO_2$, p=0.001), systolic blood pressure (SBP) reserve (p=0.004), heart rate (HR) reserve (p=0.007), SBP max (p=0.02), and HR max (p=0.039) were significantly lower in the RH group than the NRH group during the CPX test. On the other hand, the ventilatory efficiency (VE/VCO2 slope, p=0.02) and age (p=0.022) were significantly higher in the RH group than in the NRH group. In binary logistic regression analysis, the relative peak $VO_2$ (p=0.001, Wald Chi-square 10.137) was the strongest predictive factor on cardiac-related re-hospitalization, which was followed by $VCO_2/VO_2$ (p=0.019, Wald Chi-square 5.54). On the other hand, age (p=0.063, Wald Chi-square 3.445) did not have a significant influence on cardiac related re-hospitalization. Conclusion: The maximal aerobic capacity, especially the relative peak $VO_2$, is the strongest factor on cardiac-related re-hospitalization within two years in patients with HFrEF in Korean society.

• Journal of Trauma and Injury
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• 제24권2호
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• pp.155-158
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• 2011

Mechanical ventilation is usually the treatment of choice for severe respiratory failure associated with trauma. However, in case of severe hypoxia, mechanical ventilation may not be sufficient for gas exchange in lungs. Patients with Acute Respiratory Distress Syndrome (ARDS) undergo difficulties in oxygen and carbon dioxide exchange. Extracorporeal Membrane Oxygenation (ECMO) is the ideal therapeutic option for those patients with severe traumatic injuries. ECMO allows lungs to reserve their functions and decreases further lung injuries while increasing survival rate at the same time. We report two cases of patients with traumatic ARDS and Multiple Organ Failure including compromised heart function. The preservation of lung function was successful using ECMO therapy.

• 재활복지공학회논문지
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• 제10권4호
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• pp.243-249
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• 2016

본 논문에서는 건강한 성인 26명(남자 14명, 여자 12명)을 대상으로 기계승마의 적용을 통한 심폐기능의 변화 및 그에 따른 운동 강도를 정량적으로 측정하여, 기계식 승마 치료의 임상 적용가능성과 유효성을 추정하였다. 기계승마 장비인 JOBA(R)(Panasonic Electric Works, Osaka, Japan)을 이용하였고, 운동의 강도는 level 2 (0.73 Hz)에서 4 (0.9 Hz), 6 (1.03 Hz), 8 (1.2 Hz), 9 (1.3 Hz)까지 증가시키고, 각각의 level에서 3분간 유지하였다. 운동 중 참여자의 심폐 반응은 호흡가스분석 시스템(TruOne 2400, Parvo Medics, USA)과 운동부하검사 시스템(Q Stress, Cardiac Science, USA)을 이용하여 심박수, 혈압, 최대산소소모량(VO2max)을 측정하였다. 또한 기계승마를 통해 유발되는 유산소 운동 강도를 평가하기 위해 대사당량(MET)을 측정하고, 예비심박수율(%HRR), 최대심박수율(%peak HR)과 칼로리소모량을 계산하였다. 그 결과는 SPSS 18.0 프로그램을 이용해 분석하였으며, 건강한 성인에서 간단한 사전 교육 후 15분간의 JOBA(R)를 이용한 기계식 승마 치료시 증등도의 운동 강도에 도달할 수 있는 것으로 평가되었다.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.140-148
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• 2017

본 연구는 고혈압전단계 남자 대학생들이 단순 일회성 유산소 운동을 운동강도를 달리하여 혈압, 혈중지질, 섬유소용해 인자에 미치는 영향에 대하여 연구하였다. 총 6명이 최종 실험 참가자로 선정되어 일회성 달리기 운동을 저강도(50-60% 여유심박수(Heart rate reserve(HRR)), 중강도(60-70%HRR), 고강도(70-80%HRR)로 실시하였다. 혈압(수축기와 이완기), 혈중지질(총 콜레스테롤(total cholesterol(TC), 고밀도단백질 콜레스테롤(high-density lipoprotein cholesterol(HDL-C)), 섬유소 용해인자(tissue plasminogen activator(tPA) and plasminogen activator inhibitor-1(PAI-1))는 운동 전과 후 그리고 운동 후 60분 각각의 강도마다 측정되었다. 실험결과는 저강도 그룹의 수축기 혈압은 운동 후에 유의하게 상승하였다(p=0.013). 하지만 중강도와 고강도 그룹의 수축기 혈압은 유의미하지는 않았으나 효과크기로 분석시 운동 후 60분에 -1.33과 -1.23으로 큰 효과를 보이며 낮아졌다. HDL-C는 중강도(p=0.003)와 고강도 그룹(p=0.002)에서 운동 후 60분에 유의하게 증하였다. tPA는 중강(p=0.021)와 고강도 그룹이(p=0.042) 운동 후에 유의하게 증가하였다. 그리하여 일회성 중강도와 고강도 운동을 했을 때 운동 후 저혈압이 나타나고 HDL-C가 높아지고 또한 tPA 농도가 높아져서 고혈압 전 단계 젊은 남자들이 지속적인 중강도 이상의 운동을 하게 되면 고혈압과 심혈관질환을 예방하고 지연시킬 것이다.

• 생명과학회지
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• 제27권9호
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• pp.1047-1051
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• 2017

노화 과정에 따라 중년 여성들은 폐경 이후 체력이 저하되기 시작하면서 체지방 증가와 제지방량의 감소로 비만으로 이어지기 쉽고, 이러한 현상은 체내 호르몬의 분비의 변화와 함께 발생된다. 본 연구는 서킷 트레이닝이 비만 중년 여성의 노화 관련 호르몬에 미치는 영향을 구명하기 위해 실시하였다. 대상자 체지방률 30% 이상인 비만 중년 여성 운동군 10명, 대조군 10명 총 20명을 실시하였다. 운동 시간은 준비운동 5분, 본 운동 20분, 정리운동 5분으로 총 30분 주 3회 실시하였으며, 운동 강도는 운동자각도를 이용하여 13~17(약간 힘들다-매우 힘들다)수준으로 실시하였고, 또한 POLAR 심박수 변화량을 측정하여 1~6주는 60~70%HRR (Heart rate reserve), 7~12주는 70~80%HRR로 설정하였다. IGF-1은 운동군이 유의하게 증가하였으며, GH는 운동군이 유의하게 증가하였고, DHEA-S는 운동군이 유의하게 증가하였다. 이상의 결과 서킷 트레이닝이 비만 중년 여성의 노화 관련 호르몬에 긍정적인 영향을 준 것으로 사료된다.