мȸ ǥ ʷ


Warning: getimagesize(/home/virtual/circulationadmin/renewal/econgress/conference/abstract/img_files/overweight.jpg) [function.getimagesize]: failed to open stream: No such file or directory in /home/virtual/circulationadmin/new/econgress/conference/manage/schedule/view_abstract.php on line 164
ǥ : ȣ - 540199   211 
Overweight is Related to Dynamic Arterial Stiffness During Exercise and it's relationship to left ventricular remodeling in Nondiabetic Women
연세대학교 의과대학 세브란스병원
심지영, 박성하, 최동훈, 양우인, 조인정, 고영국, 장양수, 정남식, 하종원
Background: Although obesity is associated with arterial stiffening, the dynamic changes of arterial stiffness during exercise in overweight subjects have not been studied. We hypothesized that overweight would be associated with a dynamic arterial stiffening during exercise. Methods: The multistage (25 Watt, 3 minutes increments), symptom-limited, supine bicycle exercise testing was performed in 44 overweight women, defined as a body mass index (BMI) between 25 and 30 kg/m2, and 48 lean women (BMI < 25.0 kg/m2). Central arterial hemodynamics including central aortic pressure and augmentation index (AIx) were obtained at rest as well as at peak exercise using radial artery tonometry. Results: At rest, there were no significant differences in the augmentation pressure (lean vs. overweight; 18±10 vs. 20±8, p = 0.290), AIx (37.5±11.7 vs. 38.2±10.2 %, p = 0.754) and AIx normalized for heart rate 75/min (AIx@75; 32.5±11.7 vs. 33.3±9.3 %, p = 0.716) between 2 groups. Despite similar exercise duration, however, the augmentation pressure (10±9 vs. 18±12, p < 0.001), AIx (17.7±14.5 vs. 27.7±13.9 %, p = 0.001) and AIx@75 (28.4±13.7 vs. 35.5±9.3 %, p = 0.018) at peak exercise were significantly higher in the overweight women. In simple correlation analysis, BMI revealed significant correlations with augmentation pressure, AIx, and AIx @75 at peak exercise whereas no relationship was found with the resting parameters. Multiple regression analysis showed that BMI was an independent determinant of AIx at peak exercise (β = 0.21, p = 0.028). In aspects of left ventricular remodeling, overweight women showed a high prevalence of left ventricular hypertrophy (40.9 vs. 14.6 %, p = 0.020) than lean subjects. Conclusion: Overweight is related with dynamic arterial stiffening during exercise and left ventricular remodeling in nondiabetic women.
̹ 󼼺


[ư]


logo 학술대회일정 사전등록안내 초록등록안내 초록등록/관리 숙박 및 교통 안내 전시 및 광고