중년 남성 소방관의 심폐체력과 동맥경직도, 심박수변이도 및 수면의 질 간의 연관성 = Relationship between Cardiovascular Fitness and Arterial Stiffness, Heart Rate Variability, Quality of Sleep in Middle-aged Male Firefighters

다국어 초록 (Multilingual Abstract)

[PURPOSE] The aim of this study was the relationship between cardiovascular fitness and arterial stiffness, heart rate variability, and quality of sleep in middle-aged male firefighters. [METHODS] The subjects were 180 firefighters who were examined for cardiovascular fitness, arterial stiffness, heart rate variability, and sleep quality at the National Fitness Center in 2016. The maximal oxygen uptake was measured by exercise test. The marker of arterial stiffness was the brachial-ankle pulse wave velocity. The heart rate variability index used time domain analysis and frequency domain. The quality of sleep was assessed by the quality index of the Korean version of Pittsburgh. [RESULTS] There was a correlation between cardiorespiratory fitness and arterial stiffness(r=-0.292, p<.05). LF/HF in cardiovascular fitness and heart rate variability(r=-0.318, p<.05). However, there was no correlation between cardiorespiratory fitness and sleep quality. [CONCLUSIONS] These results can be used as a basis for judging the importance of cardiorespiratory fitness enhancement to prevent the risk of cardiovascular disease in firefighters

참고문헌 (Reference)

1 진정권, "중년 남성 소방공무원의 규준지향 체력평가기준치" 한국사회체육학회 (62) : 785-794, 2015

2 황부근, "젊은 성인 남자의 최대산소섭취량 수준과 심박변이도 및 운동 후심박수 회복율의 관련성" 한국생활환경학회 23 (23): 645-651, 2016

3 김윤규, "교대근무가 건강에 미치는 영향 -일반건강, 수면, 스트레스, 삶의 질과 정신건강에 관하여-" 대한직업환경의학회 14 (14): 247-256, 2002

4 Kim, D. K, "Work-related diseases and health management of firefighters" 113 : 27-34, 1997

5 McKenna, M, "The ratio of ankle and arm arterial pressure as an independent predictor of mortality" 87 : 119-128, 1991

6 Carter, J. B, "The effect of age and gender on heart rate variability after endurance training" 35 (35): 1333-1340, 2003

7 Buysse, D. J, "The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research" 28 : 193-213, 1989

8 National Human Rights Commission of Korea, "Survey on human rights situation of firefighters" National Human Rights Commission of Korea 2016

9 Parish. J, "Sleep-related problems in common medical conditions" 35 : 563-572, 2009

10 Pilcher, J. J, "Sleep quality versus sleep quantity:relationships between sleep and measures of health, well-being and sleepiness in college students" 42 (42): 583-596, 1997

11 Mehrdad, R, "Sleep quality of professional firefighters" 4 (4): 1095-1100, 2013

12 Carey, M. G, "Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters" 53 (53): 928-, 2011

13 Germain, A, "Sleep disturbances as the hallmark of PTSD: where are we now" 170 (170): 372-382, 2013

14 Akerstedt, T, "Shift work and disturbed sleep/wakefulness" 53 (53): 89-94, 2003

15 Garbarino, S, "Risk of occupational accidents in workers with obstructive sleep apnea: Systematic review and meta-analysis" 39 : 1211-1218, 2016

16 Markham, A, E, "Relationship between aerobic capacity and sleep quality in military men" 41 (41): 50-51, 2009

17 Heinrichs, M, "Predicting post traumatic stress symptoms from peritraumatic risk factors: A 2-year prospective follow-up study in firefighters" 162 : 2276-2286, 2005

18 Davis, P. O, "Physiological aspects of fire fighting" 23 : 280-291, 1987

19 Misner, J. E, "Performance difference between males and female on simulated firefighting tasks" 29 (29): 801-805, 1987

20 Boullosa, D. A, "Parasympathetic modulation and running performance in distance runners" 23 (23): 626-631, 2009

21 McLeod, A. L, "Non-invasive measures of pulse wave velocity correlate with coronary arterial plaque load in humans" 22 : 363-368, 2004

22 Oudegeest-Sander, M. H, "Impact of physical fitness and daily energy expenditure on sleep efficiency in young and older humans" 59 (59): 8-16, 2013

23 Levy, D, "Framingham Heart Study 100K Project:genome-wide associations for blood pressure and arterial stiffness" 8 : 3-, 2007

24 Lynn, A. R, "Fitness and gender-related differences in heart period variability" 60 : 773-781, 1988

25 임동균, "Factors Related to Sleep Disorders among Male Firefighters" 대한직업환경의학회 26 (26): 1-8, 2014

26 Laurent, S, "Expert consensus document on arterial stiffness:Methodological issues and clinical applications" 27 : 2588-2605, 2006

27 Kales, S. N, "Emergency duties and deaths from heart disease among fire fighters in the United States" 356 (356): 1207-1215, 2007

28 Evenson, K. R, "Effect of cardiorespiratory fitness on mortality among hypertensive and normotensive women and men" 15 : 565-572, 2004

29 Brownlie, L, "Cost-effective selection of fire fighter recruits" 17 : 661-666, 1985

30 Lombardi, F, "Clinical implications of present physiologic understanding of HRV components" 6 : 245-249, 2002

31 Boreham, C. A, "Cardiorespiratory fitness, physical activity, and arterial stiffness: the Northern Ireland Young Hearts Project" 44 : 721-726, 2004

32 Lee, C. D, "Cardiorespiratory fitness, body composition, and all cause and cardiovascular disease mortality in men" 69 : 373-380, 1999

33 LaMonte, M. J, "Cardiorespiratory fitness is inversely associated with the incidence of metabolic syndrome: a prospective study of men and women" 112 (112): 505-512, 2005

34 Malliani, A, "Cardio-vascular neural regulation explored in the frequency domain" 84 (84): 482-492, 1991

35 Buchheit, M, "Cardiac parasympathetic regulation: respective associations with cardiorespiratory fitness and training load" 291 : 451-458, 2006

36 Markowitz, J. S, "Acute health effects among firefighters exposed to a polyvinyl chloride (PVC) fire" 129 (129): 1023-1031, 1989

37 National Emergency Management Agency, "2014 year National firefighters personnel psychological assessment questionnaire analysis" National Emergency Management Agency 2014