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유산소 운동이 관상동맥질환을 동반한 운동유발성 고혈압환자의 심혈관계 요인에 미치는 영향

Effects of aerobic exercise on cardiopulmonary-related factors in exercise-induced hypertension patients

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김영주, 신영오. 유산소 운동이 관상동맥질환을 동반한 운동유발성 고혈압환자의 심혈관계 요인에 미치는 영향. 운동과학, 제16권 제2호. 131-140, 2007. 본 연구는 관상동맥질환을 동반한 운동유발성 고혈압환자(exercise-induced hypertension, n=11; EIH)와 대조군(control, n=12; CON)을 대상으로 14주 동안의 유산소 운동 수행이 이들의 심혈관계 요인에 미치는 영향에 대하여 살펴보았다. 결과는 다음과 같다.1. 유산소 운동 후 안정 시 심박수는 CON군에서 유의하게 감소되었고 최대심박수는 두 집단 모두에서 변화가 없었다. 2. 유산소 운동 후 안정 시 및 운동부하에 따른 수축기혈압은 두 집단에서 다르게 나타났다. CON군에서는 안정 시 수축기혈압이 유의하게 감소된 반면 EIH군에서는 최대수축기혈압이 유의하게 감소되는 특징을 보였다. 3. 유산소 운동 후 안정 시 및 운동부하에 따른 RPP 또한 두 집단에서 다르게 나타났는데, 수축기혈압변화에서와 마찬가지로 CON군에서 안정 시 RPP가 유의하게 감소된 반면 EIH군에서는 최대 RPP가 유의하게 감소되는 특징을 보였다. 4. 두 집단 모두에서 최대산소섭취량과 운동지속시간은 유의하게 증가하였으나 체중을 제외한 신체구성의 변화에서는 CON군에서만 운동 전후에 유의한 변화가 있는 것으로 나타났다.이상의 결과, 관상동맥질환을 동반한 고혈압환자 중에 운동 중 과도한 혈압상승을 보인 EIH군과 운동 시에 정상적인 혈압반응을 보인 CON군에서 유산소 운동을 수행하는 것은 집단 간에 다소 차이는 있었지만 두 집단 모두에서 유의한 혈압감소 및 심근산소소비량 지수(RPP) 감소, 최대산소섭취량 증가 등 심혈관계 요인들 개선에 유익한 영향을 미쳤음을 확인할 수 있었다.

Abstract

Kim, Y.J., & Shin, Y.O. Effects of aerobic exercise on cardiopulmonary- related factors in exercise-induced hypertension patients. Exercise Science, 16(2): 131-140, 2007. The main objective of this study is to investigate the effect of aerobic exercise on cardiopulmonary- related factors in exercise-induced hypertension patients. Coronary artery disease patients were divided two groups; exercise-induced hypertension group(EIH, n=11) and control group(CON, n=12), all patients performed aerobic exercise for 14 weeks. Before and after experiment, heart rate, blood pressure, body composition, peak oxygen consumption were measures at resting and during exercise stress test. The results are as follows. 1. After exercise, heart rate was decreased significantly in CON but not in EIH. 2. Blood pressure was decreased significantly in both groups. But, there were some differences between groups, resting Blood pressure was decreased significantly in CON but not in EIH and maximal blood pressure was decreased significantly in EIH but not in CON. 3. After exercise, rate-pressure product was decreased significantly in both groups and pattern was similar to changes of blood pressure. 4. Peak oxygen consumption and exercise time were increased significantly in both groups after exercise, but obesity-related factors were not changed in both groups. In conclusion, aerobic exercise in EIH and CON accompanied by coronary artery disease have beneficial effects on cardiopulmonary-related factors even though there was some differences.

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