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      KCI등재 SCOPUS SCIE

      The effects of different physical activities on atrial fibrillation in patients with hypertension and chronic kidney disease = The effects of different physical activities on atrial fibrillation in patients with hypertension and chronic kidney disease

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      https://www.riss.kr/link?id=A106043325

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      다국어 초록 (Multilingual Abstract)

      Background: Atrial fibrillation (AF) is highly common, and is most frequently observed in individuals with hypertension and structural cardiac disease. Sympathetic hyperactivity plays a fundamental role in the progression, maintenance and aggravation ...

      Background: Atrial fibrillation (AF) is highly common, and is most frequently observed in individuals with hypertension and structural cardiac disease. Sympathetic hyperactivity plays a fundamental role in the progression, maintenance and aggravation of arrhythmia. Endurance exercise training clearly lowers sympathetic activity in sympathoexcitatory disease states, and is well-tolerated by patients with chronic kidney disease (CKD).
      Methods: We assessed 50 CKD patients with hypertension. Each patient provided a complete medical history and underwent a physical examination. We used an implantable cardiac monitor over a 3-year follow-up period to evaluate the effects of high-intensity interval training (HIIT) and moderate exercise (ModEx) physical activity protocols on AF occurrence, and determined the effectiveness of these protocols in improving renal function. Subjects were followed up every 6 months after the beginning of the intervention.
      Results: During the 3-year follow-up, AF onset was higher in CKD patients who engaged in HIIT (72%) than in those who engaged in ModEx (24%) (hazard ratio, 3.847; 95% confidence interval, 1.694-8.740, P = 0.0013 by log-rank test). Both groups exhibited significant intra-group changes in the mean systolic 24-hour ambulatory blood pressure measurements (ABPM) between baseline and 12, 24, and 36 months. There were also significant differences in the mean systolic 24-hour ABPM between the groups at the same time points.
      Conclusion: In CKD patients with hypertension, improvements in AF onset, renal function and some echocardiographic parameters were more evident in subjects who engaged in ModEx than in those who engaged in HIIT during 3 years of follow-up.

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      참고문헌 (Reference)

      1 Gillen JB, "Three minutes of all-out intermittent exercise per week increases skeletal muscle oxidative capacity and improves cardiometabolic health" 9 : e111489-, 2014

      2 Diedrich A, "The sympathetic nervous system in hypertension: assessment by blood pressure variability and ganglionic blockade" 21 : 1677-1686, 2003

      3 Andrade J, "The clinical profile and pathophysiology of atrial fibrillation: relationships among clinical features, epidemiology, and mechanisms" 114 : 1453-1468, 2014

      4 Carter JR, "Sympathetic neural adaptations to exercise training in humans" 188 : 36-43, 2015

      5 Mosteller RD, "Simplified calculation of body-surface area" 317 : 1098-, 1987

      6 Thelle DS, "Resting heart rate and physical activity as risk factors for lone atrial fibrillation:a prospective study of 309,540 men and women" 99 : 1755-1760, 2013

      7 Aizer A, "Relation of vigorous exercise to risk of atrial fibrillation" 103 : 1572-1577, 2009

      8 Lang RM, "Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology" 18 : 1440-1463, 2005

      9 Howden EJ, "Potential role of endurance training in altering renal sympathetic nerve activity in CKD?" 204 : 74-80, 2017

      10 Drca N, "Physical activity is associated with a reduced risk of atrial fibrillation in middle-aged and elderly women" 101 : 1627-1630, 2015

      1 Gillen JB, "Three minutes of all-out intermittent exercise per week increases skeletal muscle oxidative capacity and improves cardiometabolic health" 9 : e111489-, 2014

      2 Diedrich A, "The sympathetic nervous system in hypertension: assessment by blood pressure variability and ganglionic blockade" 21 : 1677-1686, 2003

      3 Andrade J, "The clinical profile and pathophysiology of atrial fibrillation: relationships among clinical features, epidemiology, and mechanisms" 114 : 1453-1468, 2014

      4 Carter JR, "Sympathetic neural adaptations to exercise training in humans" 188 : 36-43, 2015

      5 Mosteller RD, "Simplified calculation of body-surface area" 317 : 1098-, 1987

      6 Thelle DS, "Resting heart rate and physical activity as risk factors for lone atrial fibrillation:a prospective study of 309,540 men and women" 99 : 1755-1760, 2013

      7 Aizer A, "Relation of vigorous exercise to risk of atrial fibrillation" 103 : 1572-1577, 2009

      8 Lang RM, "Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology" 18 : 1440-1463, 2005

      9 Howden EJ, "Potential role of endurance training in altering renal sympathetic nerve activity in CKD?" 204 : 74-80, 2017

      10 Drca N, "Physical activity is associated with a reduced risk of atrial fibrillation in middle-aged and elderly women" 101 : 1627-1630, 2015

      11 Mozaffarian D, "Physical activity and incidence of atrial fibrillation in older adults:the cardiovascular health study" 118 : 800-807, 2008

      12 Coumel P, "Paroxysmal atrial fibrillation: a disorder of autonomic tone?" 15 (15): 9-16, 1994

      13 Stray-Gundersen J, "Neither hematocrit normalization nor exercise training restores oxygen consumption to normal levels in hemodialysis patients" 27 : 3769-3779, 2016

      14 Knutsen KM, "Mmode echocardiographic findings in apparently healthy, non-athletic Norwegians aged 20-70 years. Influence of age, sex and body surface area" 225 : 111-115, 1989

      15 Hood MS, "Low-volume interval training improves muscle oxidative capacity in sedentary adults" 43 : 1849-1856, 2011

      16 Lee DC, "Leisure-time running reduces all-cause and cardiovascular mortality risk" 64 : 472-481, 2014

      17 D’Andrea A, "Left atrial volume index in highly trained athletes" 159 : 1155-1161, 2010

      18 Yamaguchi K, "Left atrial volume in normal Japanese adults" 70 : 285-288, 2006

      19 Pritchett AM, "Left atrial volume as an index of left atrial size: a population-based study" 41 : 1036-1043, 2003

      20 Abdulla J, "Is the risk of atrial fibrillation higher in athletes than in the general population? A systematic review and meta-analysis" 11 : 1156-1159, 2009

      21 Vasan RS, "Interpretation of echocardiographic measurements: a call for standardization" 139 : 412-422, 2000

      22 Van Dusen A, "In Depth: Ten ways to get more from your workout 2008"

      23 Grimsmo J, "High prevalence of atrial fibrillation in long-term endurance cross-country skiers: echocardiographic findings and possible predictors--a 28-30 years follow-up study" 17 : 100-105, 2010

      24 Meredith IT, "Exercise training lowers resting renal but not cardiac sympathetic activity in humans" 18 : 575-582, 1991

      25 Howden EJ, "Exercise training in chronic kidney disease patients" 42 : 473-488, 2012

      26 Howden EJ, "Exercise training in CKD: efficacy, adherence, and safety" 65 : 583-591, 2015

      27 Spencer KT, "Effects of aging on left atrial reservoir, conduit, and booster pump function: a multi-institution acoustic quantification study" 85 : 272-277, 2001

      28 Myrstad M, "Effect of years of endurance exercise on risk of atrial fibrillation and atrial flutter" 114 : 1229-1233, 2014

      29 Brugger N, "Effect of lifetime endurance training on left atrial mechanical function and on the risk of atrial fibrillation" 170 : 419-425, 2014

      30 Kou S, "Echocardiographic reference ranges for normal cardiac chamber size: results from the NORRE study" 15 : 680-690, 2014

      31 Devereux RB, "Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings" 57 : 450-458, 1986

      32 Thomas L, "Compensatory changes in atrial volumes with normal aging: is atrial enlargement inevitable?" 40 : 1630-1635, 2002

      33 D’Ascenzi F, "Characterization of right atrial function and dimension in top-level athletes:a speckle tracking study" 29 : 87-94, 2013

      34 Haack KK, "Central mechanisms for exercise training-induced reduction in sympatho-excitation in chronic heart failure" 188 : 44-50, 2015

      35 Leenen FH, "Cardiovascular consequences of sympathetic hyperactivity" 15 (15): 2A-7A, 1999

      36 Agarwal SK, "Cardiovascular benefits of exercise" 5 : 541-545, 2012

      37 Qureshi WT, "Cardiorespiratory fitness and risk of incident atrial fibrillation: results from the henry Ford Exercise Testing (FIT) project" 131 : 1827-1834, 2015

      38 Gamboa A, "Autonomic blockade reverses endothelial dysfunction in obesity-associated hypertension" 68 : 1004-1010, 2016

      39 Stergiou GS, "Automated blood pressure measurement in atrial fibrillation: a systematic review and meta-analysis" 30 : 2074-2082, 2012

      40 Wang Y, "Atrial volume in a normal adult population by two-dimensional echocardiography" 86 : 595-601, 1984

      41 Drca N, "Atrial fibrillation is associated with different levels of physical activity levels at different ages in men" 100 : 1037-1042, 2014

      42 Menezes AR, "Atrial fibrillation in the 21st century:a current understanding of risk factors and primary prevention strategies" 88 : 394-409, 2013

      43 Levey AS, "A new equation to estimate glomerular filtration rate" 150 : 604-612, 2009

      44 Mancia G, "2007 guidelines for the management of arterial hypertension: the task force for the management of arte rial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)" 25 : 1105-1187, 2007

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      2005-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.21 0.21 0.17
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.14 0.1 0.422 0.11
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