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

Yıl 2017, Cilt: 4 Sayı: 1, 26 - 32, 30.03.0017

İsmail Özsoy Buse Özcan Kahraman Serap Acar Sevgi Özalevli Atila Akkoçlu Sema Savcı

Öz

Amaç: Çalışmada, hipertansif ve hipertansif olmayan kronik obstrüktif akciğer hastalığı (KOAH) olan bireylerde fonksiyonel
egzersiz kapasitesinin karşılaştırılması amaçlandı.

Yöntem: Çalışmaya, Obstrüktif Akciğer Hastalıklarına Karşı Küresel İşbirliği (GOLD) kriterlerine göre tanısı konmuş, 22
hipertansif olmayan ve 21 hipertansif toplam 43 evre I-IV stabil KOAH’lı birey dahil edildi. Katılımcıların demografik ve klinik
bilgileri, solunum fonksiyon testi sonuçları, semptom skorları (Modifiye Tıbbi Araştırma Kurulu Dispne Skalası ve KOAH
Değerlendirme Testi) ve altı dakika yürüme testi (6DYT) değerleri kaydedildi.

Bulgular: İki grup; demografik bilgiler, sigara maruziyeti, alevlenme hikayesi, solunum fonksiyon testi sonuçları ve semptom
skorları açısından benzerdi (p>0.05). Hipertansif KOAH’lı bireylerin 6DYT mesafeleri istatistiksel olarak hipertansif olmayan
bireylere göre daha düşük bulundu (p<0.05). Başlangıç, bitiş hemodinamik ve vital bulguları ve iki değer arasındaki farkı iki
grupta benzerdi (p>0.05).

Sonuç: KOAH’a eşlik eden hipertansiyon fonksiyonel egzersiz kapasitesini sınırlandırmaktadır. Submaksimal seviyede kalan
egzersiz 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 egzersiz
eğitim programlarının yapılandırılmasını etkileyebileceği düşünülmelidir.

Anahtar Kelimeler

KOAH, Hipertansiyon, Fonksiyonel egzersiz kapasitesi.

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

Öz

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 who
were 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 Medical
Research 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 scores
were similar between the two groups (p>0.05). The 6MWT distance of individuals with hypertensive COPD were statistically
lower than those of non-hypertensives (p<0.05). Initial and end values and the change in hemodynamic values and vital
findings 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 should
be considered that hypertension may affect functional exercise capacity and structuring exercise training programs in COPD, a
heterogeneous disease accompanied by comorbidities.

Anahtar Kelimeler

COPD, Hypertension, Functional exercise capacity.

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