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저항성 운동이 고혈압 전단계 및 고혈압 환자의 24시간 활동성 혈압에 미치는 효과

Effects of resistance exercise on 24 hour ambulatory blood pressure in pre and hypertensive subjects

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저항성 운동이 고혈압 전단계 및 고혈압 환자의 24시간 활동성 혈압에 미치는 효과. 본 연구에서는 약물 치료를 받고 있지 않는 고혈압 전단계 및 고혈압 환자를 대상으로 저항성 운동이 24시간 활동성 혈압에 미치는 효과에 대해 알아보고자 하였다. 연구 대상은 약물을 복용하고 있지 않은 고혈압 전단계와 고혈압 환자를 대상으로 하였으며 평균 나이는 62±6세였다. 모집된 총 17명을 대상으로 운동군(n=11)과 통제군(n=6)으로 무선 배정하였다. 운동군은 1 RM의 40~60% 강도로 총 9종목의 저항성 운동을 12회 반복횟수로 2세트, 주 3회, 12주간 실시하였다. 통제군은 동일기간 저항성 운동에 참여하지 않았으며, 평소 생활습관을 유지하도록 하였다. 운동군과 통제군 모두 운동 프로그램 참가 전, 후에 신체계측, 최대근력검사, 운동부하검사, 혈중지질 및 인슐린 저항성, 임상혈압 및 24시간 활동성 혈압을 측정하였다. 연구 결과, 최대근력 검사 중 chest press가 운동군이 통제군에 비해 유의하게 증가하였다(p=0.020). 그러나 신체계측 지표, 혈중지질 및 인슐린 저항성, 최대산소섭취량에서 시기와 집단간의 유의한 상호작용 효과가 나타나지 않았다. 상완동맥 수축기혈압과 이완기 혈압 모두 감소하였지만 통계적으로 유의하지 않았으며, 24시간 활동성 혈압은 일일평균혈압, 주간혈압, 수면시 혈압 모두 통계적으로 유의한 변화를 보이지 않았다. 결론적으로 본 연구에서는 저항성 운동이 고혈압 환자의 임상혈압과 24시간 활동성 혈압을 유의하게 개선시키지 못하였다.

Abstract

This study was to investigate the effects of resistance exercise in untreated pre and hypertensive subjects. Twenty-three subjects(62±6yrs) with pre and hypertension were participated in the study. Subjects were randomly assigned to an exercise group(n=11) and a control group(n=6). Exercise group was performed the supervised resistance exercise program with low to moderate intensity(40~60% of 1 RM), 12 repetitions, 2sets, 3 times per week, for 12weeks. Body composition, lipid profiles, insulin resistance, cardiorespiratory fitness, 1 RM test, clinical blood pressure and 24 hour ambulatory pressure were measured at baseline and after 12 weeks intervention. Chest press of 1 RM test was significantly increased in exercise group compared with control group(p=0.020). There were no significant changes in body composition, lipid profiles, insulin resistance, and cardiorespiratory fitness. Clinical blood pressure tended to decrease in exercise group, but 24 hour ambulatory blood pressure was not changed. In conclusion, resistance exercise did not improve clinical and 24 hour ambulatory blood pressure in untreated pre and hypertensive subjects.

참고문헌 (50)

  1. 박상갑, "복합운동이 허약고령여성의 자립생활체력과 인슐린 저항성 및 혈압에 미치는 영향", 한국체육학회지, 45(5), pp.369~380 (2006), 한국체육학회
  2. 서혜욱, "저항성 근력운동이 고혈압 노인의 활동중 혈압반응에 미치는 영향", 석사, pp.2004
  3. 이재영, "Effect on the change in blood pressure, RBC, hematocrit and hemoglobin and risk factors for cardiovascular disease of combined exercise in the older women prehypertensives(JNC-Ⅶ) during 12 weeks", 한국체육과학회지, 17(2), pp.929~937 (2008), 한국체육과학회
  4. 전채린, "복합운동과 유산소운동이 고령여성 고혈압환자의 혈압, 신체조성지표, 체력, 혈액성분에 미치는 영향", 석사, pp.2009
  5. ACSM, "ACSM Guidelines for exercise testing and prescription, 6th edition" (2000), Lipponcott Williams and Wilkins
  6. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription, 6th edition, "ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription,6th edition" (2009), Lipponcott Williams and Wilkins
  7. No authors, "American College of Sports Medicine Position Stand: the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness and flexibility in healthy adults", Med Sci Sports Exerc, 30(6), pp.975~991 (1998)
  8. No authors, "American College of Sports Medicine position stand: the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults", Med Sci Sports Exerc, 22, pp.265~274 (1990)
  9. Baechle, T.R, "Essentials of strength training and conditioning 2th", pp.304~ (2000), Human Kinetics
  10. Bertovic, D.A, "Muscular strength training is associated with low arterial compliance and high pulse pressure", Hypertension, (33), pp.1385~1391 (1999)
  11. Bjorklund, K, "Isolated ambulatory hypertension predicts cardiovascular morbidity in elderly men", Circulation, 107, pp.1297~1302 (2003)
  12. Blumenthal, J.A, "Failure of exercise to reduce blood pressure in patients with mild hypertension. Results of a randomized controlled trial", JAMA, 266, pp.2098~2104 (1991)
  13. Braith, R.W, "Resistance exercise training: its role in the prevention of cardiovascular disease", Circulation, 113, pp.2642~2650 (2006)
  14. Brown, S.P, "Effects of resistance exercise and cycling on recovery blood pressure", J Sports Sci, 12, pp.463~468 (1994)
  15. Chobanian, A.V, "National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee", JAMA, 289, pp.2560~2572 (2003)
  16. Cononie, C.C, "Effect of exercise training on blood pressure in 70- to 79-yr-old men and women", Med Sci Sports Exerc, 23, pp.505~511 (1991)
  17. Cornelissen, V.A, "Effects of endurance training on blood pressure, blood pressure-regulating mechanisms, and cardiovascular risk factors", Hypertension, 46, pp.667~675 (2005)
  18. Cornelissen, V.A, "Effect of resistance training on resting blood pressure: a meta-analysis of randomized controlled trials", J Hypertens, 23, pp.251~259 (2005)
  19. Cortez-Cooper, M.Y, "Effects of high intensity resistance training on arterial stiffness and wave reflection in women", Am J Hypertens, 18, pp.930~934 (2005)
  20. De Buyzere, M, "Preliminary results of the OvA study", The 8th International Consensus Conference on Blood Pressure Monitoring (2001)
  21. Fisher, M.M, "The effect of resistance exercise on recovery blood pressure in normotensive and borderline hypertensive women", J Strength Cond Res, 15, pp.210~216 (2001)
  22. Focht, B.C, "Influence of resistance exercise of different intensities on state anxiety and blood pressure", Med Sci Sports Exerc, 31, pp.456~463 (1999)
  23. Hagberg, J.M, "The role of exercise training in the treatment of hypertension: an update", Sports Med, 30, pp.193~206 (2000)
  24. Handler, C.E, "A comparison of the Naughton and modified Bruce treadmill exercise protocols in their ability to detect ischaemic abnormalities six weeks after myocardial infarction", Eur Heart J, 5, pp.752~755 (1984)
  25. Harris, K.A, "Physiological response to circuit weight training in borderline hypertensive subjects", Med Sci Sports Exerc, 19, pp.246~252 (1987)
  26. Kelley, G.A, "Progressive resistance exercise and resting blood pressure : A meta-analysis of randomized controlled trials", Hypertension, 35, pp.838~843 (2000)
  27. Khattar, R.S, "Prediction of coronary and cerebrovascular morbidity and mortality by direct continuous ambulatory blood pressure monitoring in essential hypertension", Circulation, 100, pp.1071~1076 (1999)
  28. MacDougall, J.D, "Arterial blood pressure response to heavy resistance exercise", J Appl Physiol, 58, pp.785~790 (1985)
  29. Mancia, G, "European guidelines for the management of arterial hypertension", Eur Heart .J, 28, pp.1462~1536 (2007)
  30. Matthews, D.R, "Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man", Diabetologia, 28(7), pp.412~429 (1985)
  31. Miyachi, M, "Greater age-related reductions in central arterial compliance in resistance-trained men", Hypertension, 41, pp.130~135 (2003)
  32. Miyachi, M, "Unfavorable effects of resistance training on central arterial compliance: a randomized intervention study", Circulation, 110, pp.2858~2863 (2004)
  33. Oltra, M.R, "Factors related to the differences in blood pressure values assessed by auscultatory or oscillometric methods", Med Clin (Barc)., 127, pp.688~691 (2006)
  34. Palatini, P, "Blood pressure changes during heavy-resistance exercise", J Hypertens, 7, pp.S72~S73 (1989)
  35. Palatini, P, "Clinical relevance of nighttime blood pressure and daytime blood pressure variability", Arch Intern Med, 152, pp.1855~1860 (1992)
  36. Palatini, P, "Clinical relevance of nighttime blood pressure and daytime blood pressure variability", Arch Intern Med, 152, pp.1855~1860 (1992)
  37. Pannarale, G, "Bias and variability in blood pressure measurement with ambulatory recorders", Hypertension, 22, pp.591~598 (1993)
  38. Pescatello, L.S, "American College of Sports Medicine Position Stand: exercise and hypertension", Med Sci Sports Exerc, 36(3), pp.533~553 (2004)
  39. Pickering TG, "Blood pressure monitoring. task force V: white-coat hypertension", Blood Press Monit, 4, pp.333~341 (1999)
  40. Pollock, M.L, "Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: an advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association: position paper endorsed by the American College of Sports Medicine", Circulation, 101, pp.828~833 (2000)
  41. Queiroz, A.C, "Clinic and ambulatory blood pressure responses after resistance exercise", J Strength Cond Res., 23, pp.571~578 (2009)
  42. Rezk, C.C, "Post-resistance exercise hypotension, hemodynamics, and heart rate variability: inffuence of exercise intensity", Eur J Appl Physiol, 98, pp.105~112 (2006)
  43. Roltsch, M.H, "Acute resistive exercise does not affect ambulatory blood pressure in young men and women", Med Sci Sports Exerc, 33, pp.881~886 (2001)
  44. Stewart, K.J, "Effect of exercise on blood pressure in older persons: a randomized controlled trial", Arch Intern Med, 165, pp.756~762 (2005)
  45. Thompson, P.D, "The acute versus the chronic response to exercise", Med Sci Sports Exerc, 33, pp.438~445 (2001)
  46. Van Hoof, R, "Effect of strength training on blood pressure measured in various conditions in sedentary men", Int J Sports Med, 17, pp.415~422 (1996)
  47. Van Montfrans, GA, "Oscillometric blood pressure measurement: progress and problems", Blood Press Monit, 6, pp.287~290 (2001)
  48. Verdecchia, P, "Prognostic value of ambulatory blood pressure : current evidence and clinical implication", Hypertens, 35, pp.844~851 (2000)
  49. Whelton, S.P, "Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials", Ann Intern Med., 136, pp.493~503 (2002)
  50. Williams, M.A, "American Heart Association Council on Clinical Cardiology; American Heart Association Council on Nutrition, Physical Activity, and Metabolism", Circulation, 116, pp.572~584 (2007)

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