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    고혈압 전단계 여성에 대한 골격근 group Ⅲ 기계적 수용기 자극 시 심혈관에 미치는 영향 = Group Ⅲ Muscle Afferent Mechanoreflex is Altered in Prehypertensive Women

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    https://www.riss.kr/link?id=A77052506

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    It was suggested that the exercise pressor reflex (EPR) plays an important role to regulate the cardiovascular responses during dynamic exercise. A component of EPR, group Ⅲ mechanoreceptors evoked excessive blood pressure response in hypertensive rats during passive tendon stretch. But it is not known that this exaggerated blood pressure response to passive tendon stretch is mediated by EPR overactivity in prehypertensive women. Therefore, this study was to investigate the physiological responses in both normotension and prehypertension during passive tendon stretch. Twenty subjects (10 prehypertension and 10 normotension) with a mean age 49.0±3.4 years were recruited for this study. All subjects were continuously instrumented to measure stroke volume (SV), heart rate (HR), cardiac output (CO), total vascular conductance (TVC) throughout the experiment. To stimulate the group Ⅲ mechanoreceptors, brief passive dorsiflexion of the foot was performed by a cybex for one minute. The results showed that mean arterial blood pressure was significantly increased during dorsiflexion in both groups, however, this pressor response was significantly higher in prehypertensive women. SV and CO were significantly increased in normotensive women, while there were no differences in prehyperentsive women. There was no difference in HR in both groups. TVC was significantly decreased in prehypertension, while no difference in normotension. It is concluded that the excessive pressor response mediated by dorsiflexion is occurred by overactivity of group Ⅲ mechanorecptors and the mechanism is produced via mainly peripheral vasoconstriction in prehypertensive women.
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    It was suggested that the exercise pressor reflex (EPR) plays an important role to regulate the cardiovascular responses during dynamic exercise. A component of EPR, group Ⅲ mechanoreceptors evoked excessive blood pressure response in hypertensive r...

    It was suggested that the exercise pressor reflex (EPR) plays an important role to regulate the cardiovascular responses during dynamic exercise. A component of EPR, group Ⅲ mechanoreceptors evoked excessive blood pressure response in hypertensive rats during passive tendon stretch. But it is not known that this exaggerated blood pressure response to passive tendon stretch is mediated by EPR overactivity in prehypertensive women. Therefore, this study was to investigate the physiological responses in both normotension and prehypertension during passive tendon stretch. Twenty subjects (10 prehypertension and 10 normotension) with a mean age 49.0±3.4 years were recruited for this study. All subjects were continuously instrumented to measure stroke volume (SV), heart rate (HR), cardiac output (CO), total vascular conductance (TVC) throughout the experiment. To stimulate the group Ⅲ mechanoreceptors, brief passive dorsiflexion of the foot was performed by a cybex for one minute. The results showed that mean arterial blood pressure was significantly increased during dorsiflexion in both groups, however, this pressor response was significantly higher in prehypertensive women. SV and CO were significantly increased in normotensive women, while there were no differences in prehyperentsive women. There was no difference in HR in both groups. TVC was significantly decreased in prehypertension, while no difference in normotension. It is concluded that the excessive pressor response mediated by dorsiflexion is occurred by overactivity of group Ⅲ mechanorecptors and the mechanism is produced via mainly peripheral vasoconstriction in prehypertensive women.

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    목차 (Table of Contents)

    • Abstract
    • 1. 서론
    • 2. 연구방법
    • 3. 결과
    • 4. 논의
    • Abstract
    • 1. 서론
    • 2. 연구방법
    • 3. 결과
    • 4. 논의
    • 5. 결론
    • 후기
    • 인용문헌
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    참고문헌 (Reference)

    1 van Groningen, L. F., "Which physiological mechanism is responsible for the increase in blood pressure during leg crossing?" 26 : 433-437, 2008

    2 Nesbitt, S. D., "Treatment options for prehypertension" 16 : 250-255, 2007

    3 Kim, J. K., "Thin-fiber mechanoreceptors reflexly increase renal sympathetic nerve activity during static contraction" 292 : H866-H873, 2007

    4 Kahn, J. F., "The static exercise-induced arterial hypertension test" 20 : 1067-1071, 1991

    5 Coote, J. H., "The reflex nature of the pressor response to muscular exercise" 215 : 789-804, 1971

    6 Kaufman, M. P., "The exercise pressor reflex" 12 : 429-439, 2002

    7 Chobanian, A. V., "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure" 42 : 1206-1252, 2003

    8 Greenlund, K. J., "Prevalence of heart disease and stroke risk factors in persons with prehypertension in the United States, 1999-2000" 164 : 2113-2118, 2004

    9 Liszka, H. A., "Prehypertension and cardiovascular morbidity" 3 : 294-299, 2005

    10 Pickering, T. G., "Pathophysiology of exercise hypertension" 12 : 119-124, 1987

    1 van Groningen, L. F., "Which physiological mechanism is responsible for the increase in blood pressure during leg crossing?" 26 : 433-437, 2008

    2 Nesbitt, S. D., "Treatment options for prehypertension" 16 : 250-255, 2007

    3 Kim, J. K., "Thin-fiber mechanoreceptors reflexly increase renal sympathetic nerve activity during static contraction" 292 : H866-H873, 2007

    4 Kahn, J. F., "The static exercise-induced arterial hypertension test" 20 : 1067-1071, 1991

    5 Coote, J. H., "The reflex nature of the pressor response to muscular exercise" 215 : 789-804, 1971

    6 Kaufman, M. P., "The exercise pressor reflex" 12 : 429-439, 2002

    7 Chobanian, A. V., "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure" 42 : 1206-1252, 2003

    8 Greenlund, K. J., "Prevalence of heart disease and stroke risk factors in persons with prehypertension in the United States, 1999-2000" 164 : 2113-2118, 2004

    9 Liszka, H. A., "Prehypertension and cardiovascular morbidity" 3 : 294-299, 2005

    10 Pickering, T. G., "Pathophysiology of exercise hypertension" 12 : 119-124, 1987

    11 Cui, J., "Muscle sympathetic nerve activity responses to dynamic passive muscle stretch in humans" 576 : 625-634, 2006

    12 Rowell, L. B., "Integration of cardiovascular control systems in dynamic exercise. in: Handbook of Physiology, Section 12: Regulation and Integration of Multiple Systems. II. Control of Respiratory and Cardiovascular Systems" Oxford University Press 770-838, 1996

    13 Rowell, L. B., "Human Cardiovascular Control" Oxford University Press 1993

    14 Gladwell, V. F., "Heart rate at the onset of muscle contraction and during passive muscle stretch in humans: a role for mechanoreceptors" 540 : 1095-1102, 2002

    15 Brum, P. C., "Exercise training increases baroreceptor gain sensitivity in normal and hypertensive rats" 36 : 1018-1022, 2000

    16 Smith, S. A., "Exercise pressor reflex function is altered in spontaneously hypertensive rats" 577 : 1009-1020, 2006

    17 Eldridge, F. L., "Exercise hyperpnea and locomotion: Parallel activation from the hypothalamus" 211 : 844-846, 1981

    18 Kaufman, M. P., "Effects of static muscular contraction on impulse activity of groups III and IV afferents in cats" 55 : 105-112, 1983

    19 Kaufman, M. P., "Effect of ischemia on responses of group III and IV afferents to contraction" 57 : 644-650, 1984

    20 Kaufman, M. P., "Discharge properties of group III and IV muscle afferents: their responses to mechanical and metabolic stimuli" 61 : 160-165, 1987

    21 Kokkinos, P. F., "Determinants of exercise blood pressure response in normotensive and hypertensive women: role of cardiorespiratory fitness" 22 : 178-183, 2002

    22 Miyai, N., "Blood pressure response to heart rate during exercise test and risk of future hypertension" 39 : 761-766, 2002

    23 Vasan, R. S., "Assessment of frequency of progression to hypertension in non-hypertensive participants in the framingham heart study: a cohort study" 358 : 1682-1686, 2001

    24 Pescatello, L. S., "American College of Sports Medicine position stand.Exercise and hypertension" 36 : 533-553, 2004

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