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포스트코로나 시대의 심폐운동검사 프로토콜 제언

Recommendation of Cardiopulmonary Exercise Testing Protocol in Post-COVID era

이민철|문효열|손정민
학교체육연구소 (Physical Education Lab of Chung-Ang University)|2023.04|Asian Journal of Physical Education and Sport Science|제11권 제2호|pp. 77-86

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키워드

코로나19COVID-19코로나 후유증심폐운동검사트레드밀 검사심폐검사 프로토콜Post-COVID conditionCPETTreadmill TestingCardiopulmonary Protocol
주제분류체육

초록

본 연구는 포스트코로나 시대의 심폐운동검사 적용의 필요성과 코로나 후유증 대상자에게 적용되는 여러 심폐운동검사 프로토콜의 비교에 대한 연구이다. 최근 연구에 따르면 코로나 후유증을 가진 대상자들은 심폐체력의 저하가 나타나며 증상에 대한 평가를 위해서 심폐운동검사가 권장된다. 그러나 코로나 후유증 대상자에게 심폐운동검사를 시행할 때 어떠한 프로토콜을 적용하는 것이 적합한가에 대한 연구는 이루어지고 있지 않다. PubMED, EMBASE, Google Scholar, KISS, RISS, JKMS를 사용하여 코로나19 발생 시기인 2019년 12월부터 2022년 12월까지의 기간으로 설정하여 COVID-19, COVID-19 sequelae, Post-COVID condition, Cardiopulmonary exercise testing(CPET) 검색어를 사용하여 문헌을 검색하였다. 그 결과, 심폐운동검사를 적용한 여러 선행연구는 기존의 Modified Bruce 프로토콜, Ramp 프로토콜 등의 검사 프로토콜을 적용하였다. 고강도 프로토콜들은 최초부하가 높고 단계별 강도 증가가 높아 코로나 후유증 대상자에게 적용하는 것은 부적합하다. 따라서 본 연구를 통해 기존 프로토콜을 토대로 코로나 후유증 대상자에게 더욱 적합한 새로운 프로토콜의 개발이 필요하다고 사료된다.

Abstract

The purpose of this study was to explain the necessity of applying cardiopulmonary exercise testing(CPET) in the Post-COVID condition and compare several traditional protocols applied in Post-COVID sequelae. According to recent studies, Post-COVID condition show a decrease in CPET, and that is recommended to evaluate symptoms. However, there is no study on which protocol is appropriate to apply when testing when CPET is performed in Post-COVID condition. This systematic review examines the effectiveness of COVID-19, COVID-19 sequelae, Post-COVID condition, and CPET. Pubmed, EMBASE, Google Scholar, KISS, RISS, and JKMS databases were used to search for all studies, and assessments from December 2019 to 2022. As a result, most precedent studies have used modified Bruce and/or Ramp protocols for CPET in Post-COVID condition. High-intensity protocol is inappropriate to apply in Post-COVID condition on account of the large initial workload since it is developed to evaluate athletes’ cardiopulmonary fitness. This study suggests that a new protocol develops more suitable for Post-COVID condition.

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