최대산소섭취량 예측을 활용한 호흡재활 프로그램이 허혈성 심질환을 동반한 만성 폐쇄성 폐질환 환자의 폐 기능 및 신체 기능, 그리고 삶의 질에 미치는 효과 = The Effects of Pulmonary Rehabilitation Program Using Prediction of Maximal Oxygen Uptake in Patients with Moderate to Severe Chronic Obstructive Pulmonary Disease Concomitant Ischemic Heart Disease

다국어 초록 (Multilingual Abstract)

Purpose : Comorbidities associated with systemic inflammation including ischemic heart disease (IHD), stroke, and diabetes mellitus are common among individuals with chronic obstructive pulmonary disease (COPD). Comorbidities in patients with COPD require careful assessment because they can cause dyspnea and functional impairment and increase the risk during respiratory rehabilitation. Methods : This study analyzed the effect of implementing a respiratory rehabilitation program using predicted maximal oxygen uptake on lung function, physical performance, and quality of life in patients with moderate-to-severe COPD concomitant IHD who have difficulty achieving maximal oxygen uptake and pulmonary vital capacity when set as the intensity of their respiratory rehabilitation program. Results : The respiratory rehabilitation program using predictive maximal oxygen uptake showed significant differences in physical function and quality of life. Conclusion : The predicted maximal oxygen uptake can be safely used in patients with COPD concomitant IHD.

참고문헌 (Reference)

1 대한결핵및호흡기학회, "호흡재활 지침서 2015"

2 천성욱, "저강도 유산소운동과 저항운동의 빈도에 따른 근감소증 비만 여성노인의 염증인자 및 기능체역의 변화" 부산대학교 대학원 2018

3 김우성, "운동검사의 호흡재활치료에의 응용" 55 (55): 135-139, 2003

4 김희선 ; 강현숙, "만성 폐쇄성 폐질환자의 호흡재활 프로그램의 효과" 12 (12): 43-53, 2006

5 Warburton DER, "The riskbenefit paradox of exercise" 58 : 210-218, 2016

6 Cahalin L, "The relationship of the 6-min walk test to maximal oxygen consumption in transplant candidates with end-stage lung disease" 108 : 452-459, 1995

7 Chuang ML, "The body weightwalking distance product as related to lung function, anaerobic threshold and peak VO₂ in COPD patients" 95 : 618-626, 2001

8 Hubbard RB, "The association between idiopathic pulmonary fibrosis and vascular disease : A population-based study" 178 : 1257-1261, 2008

9 김시훤, "The Talk Test를 활용한 가정 호흡재활 프로그램이 만성 폐쇄성 폐질환 환자에게 미치는 영향" 9 : 27-31, 2021

10 AACVPR, "Selecting and Assessing the Pulmonary Rehabilitation Candidate. Guidelines for pulmonary rehabilitation programs" Human Kinetics 2011

11 Elhendy A, "Relation among exercise-induced ventricular arrhythmias, acute myocardial infarction" 86 : 723-729, 2000

12 Garber CE, "Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults : guidance for prescribing exercise" 43 : 1334-1359, 2011

13 McCarthy B, "Pulmonary rehabilitation for chronic obstructive pulmonary disease" 2006

14 Garvey C, "Pulmonary rehabilitation exercise prescription in chronic obstructive lung disease : US survey and review of guidelines and clinical practices" 33 (33): 314-322, 2013

15 Feary JR, "Prevalence of major comorbidities in subjects with COPD and incidence of myocardial infarction and stroke : a comprehensive analysis using data from primary care" 65 : 956-962, 2010

16 Carlson DJ, "Prediction of maximum exercise tolerance in patients with COPD" 100 : 307-311, 1991

17 Johansson S, "Mortality and morbidity trends after the first year in survivors of acute myocardial infarction : a systematic review" 17 : 53-61, 2017

18 Spruit MA, "Integration of pulmonary rehabilitation in COPD" 371 : 12-13, 2008

19 Global initiative for chronic obstructive lung disease(GOLD), "Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease"

20 Young RP, "Forced expiratory volume in one second : not just a lung function test but a marker of permature death from all causes" 30 : 616-622, 2007

21 Walker PP, "Effect of primary-care spirometry on the diagnosis and management od COPD" 28 : 945-952, 2006

22 Erfani A, "Does downhill walking on treadmill improve physical status and quality of life of a patient with COPD?" 6 (6): e25821-, 2015

23 Reed RM, "Coronary artery disease is under-diagnosed and under-treated in advanced lung disease" 125 (125): 1228-, 2012

24 Huiart L, "Cardiovascular morbidity and mortality in COPD" 128 : 2640-2646, 2005

25 김창환 ; 박용범 ; 모은경 ; 최은희 ; 남희승 ; 이성순 ; 유영원 ; 양윤준 ; 문정화 ; 김동순 ; 이향이 ; 진영수 ; 이혜영 ; 천은미, "COPD환자에서 6분 보행검사를 이용한 최대산소섭취량 예측" 64 (64): 433-438, 2008

26 Bolton CE, "British Thoracic Society guideline on pulmonary rehabilitation in adults" 68 : ii1-ii30, 2013

27 Enriquez JR, "Association of chronic lung disease with treatments and outcomes patients with acute myocardial infarction" 165 : 43-49, 2013

28 Spruit MA, "An official American Thoracic Society/European Respiratory Society statement : key concepts and advances in pulmonary rehabilitation" 188 : e13-e64, 2013

29 AACVPR, "American association of cardiovascular and pulmonary rehabilitation guidelines for pulmonary rehabilitation programs" Human Kinetics 2020

30 Nici L, "American Thoracic Society/European Respiratory Socirty statement on pulmonary rehabilitation" 173 (173): 1390-1413, 2006

31 American Thoracic Society, "ATS/ACCP Statement on cardiopulmonary exercise testing" 167 : 211-277, 2003

32 American Colloge of Sports Medicine, "ACSM’s guidelines for exercise testing and prescription" Lippincott Williams & Wilkins 2010

33 Cooper KH, "A means of assessing maximal oxygen uptake, Correlation between field and treadmill testing" 203 : 201-204, 1968

34 김미옥 ; 이예주 ; 신상근, "16주간 댄스스포츠와 근력운동이 남성노인의 기능체력과 낙상효능감에 미치는 영향" 21 (21): 81-88, 2023