jetr

Journal of Exercise Therapy and Rehabilitation

2148-8819

Yavuz YAKUT

Hipertansif ve hipertansif olmayan kronik obstrüktif akciğer hastalığı olan bireylerde fonksiyonel egzersiz kapasitesinin karşılaştırılması

Comparison of functional exercise capacity in chronic obstructive pulmonary disease individuals with hypertensive and non-hypertensive

Özsoy

İsmail

Özcan Kahraman

Buse

Acar

Serap

Özalevli

Sevgi

Akkoçlu

Atila

Savcı

Sema

03 30 0017

4 1 26 32 12 01 0016 03 07 0017

2013

Journal of Exercise Therapy and Rehabilitation

Amaç: Çalışmada, hipertansif ve hipertansif olmayan kronik obstrüktif akciğer hastalığı (KOAH) olan bireylerde fonksiyonelegzersiz kapasitesinin karşılaştırılması amaçlandı.Yöntem: Çalışmaya, Obstrüktif Akciğer Hastalıklarına Karşı Küresel İşbirliği (GOLD) kriterlerine göre tanısı konmuş, 22hipertansif olmayan ve 21 hipertansif toplam 43 evre I-IV stabil KOAH’lı birey dahil edildi. Katılımcıların demografik ve klinikbilgileri, solunum fonksiyon testi sonuçları, semptom skorları (Modifiye Tıbbi Araştırma Kurulu Dispne Skalası ve KOAHDeğerlendirme Testi) ve altı dakika yürüme testi (6DYT) değerleri kaydedildi.Bulgular: İki grup; demografik bilgiler, sigara maruziyeti, alevlenme hikayesi, solunum fonksiyon testi sonuçları ve semptomskorları açısından benzerdi (p>0.05). Hipertansif KOAH’lı bireylerin 6DYT mesafeleri istatistiksel olarak hipertansif olmayanbireylere göre daha düşük bulundu (p<0.05). Başlangıç, bitiş hemodinamik ve vital bulguları ve iki değer arasındaki farkı ikigrupta benzerdi (p>0.05).Sonuç: KOAH’a eşlik eden hipertansiyon fonksiyonel egzersiz kapasitesini sınırlandırmaktadır. Submaksimal seviyede kalanegzersiz testlerinde, hipertansif KOAH’lı bireyler hipertansif olmayanlara benzer hemodinamik ve vital yanıtlar vermektedir.Komorbiditelerin eşlik ettiği heterojen bir hastalık olan KOAH’ta, hipertansiyonun fonksiyonel egzersiz kapasitesini ve egzersizeğitim programlarının yapılandırılmasını etkileyebileceği düşünülmelidir.

Purpose: In the study, it was purposed to compare functional exercise capacity in chronic obstructive pulmonary disease(COPD) individuals with hypertensive and non hypertensive.Methods: Twent-two non-hypertensive and 21 hypertensive patients a total of 43 with stage I-IV stable COPD patients whowere diagnosed according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria were included.Participants' demographic and clinical information, pulmonary function test results, symptom scores (Modified MedicalResearch Council Dyspnea Scale and The COPD Assessment Test), and six-minute walk test (6MWT) values were recorded.Results: Demographic data, smoking exposure, exacerbation history, pulmonary function test results, and symptom scoreswere similar between the two groups (p>0.05). The 6MWT distance of individuals with hypertensive COPD were statisticallylower than those of non-hypertensives (p<0.05). Initial and end values and the change in hemodynamic values and vitalfindings were similar in both groups (p>0.05).Conclusion: Hypertension associated with COPD limits functional exercise capacity. In exercise tests on submaximal levels,individuals with hypertensive COPD respond similar hemodynamic and vital responses with non-hypertensive COPD. It shouldbe considered that hypertension may affect functional exercise capacity and structuring exercise training programs in COPD, aheterogeneous disease accompanied by comorbidities.

KOAH Hipertansiyon Fonksiyonel egzersiz kapasitesi.

COPD Hypertension Functional exercise capacity.

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