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Relationship between Handgrip Strength and Cardiopulmonary Fitness in Patients with Myocardial Infarction

심근 경색 환자에서의 손의 근력과 심폐기능의 연관성

  • Kim, JiHee (Department of Rehabilitation Medicine, Wonkwang University School of Medicine)
  • 김지희 (원광대학교 의과대학 재활의학과교실)
  • Received : 2018.07.19
  • Accepted : 2018.10.05
  • Published : 2018.10.31

Abstract

This study was conducted to investigate the relationship between hand grip strength and cardiopulmonary fitness in patients with myocardial infarction. In this retrospective study, 67 patients who experienced myocardial infarction for 10 months were analyzed. Hand grip strength was measured using a handheld dynamometer. Dynapenia was diagnosed based on a dominant hand grip strength of less than 30 kg for males and 20 kg for females. A cardiopulmonary exercise test was performed using a treadmill. Physical activity status was also evaluated. Cardiorespiratory fitness parameters were analyzed using a t-test and a Mann-Whitney test. VO2max, METmax, and exercise time significantly decreased in the dynapenia group compared with the non-dynapenia group. Correlation analysis revealed that dominant handgrip strength was significantly related to cardiorespiratory fitness parameters. Moreover, VO2max, METmax, and exercise time were significantly increased in patients with vigorous activity compared with the sedentary group. These findings indicate that handgrip strength could potentially be used as a marker of cardiorespiratory functions. Accordingly, patients with myocardial infarction should be evaluated for grip strength and physical activity, and we can encourage patients to participate actively in cardiac rehabilitation.

Keywords

cardiorespiratory fitness;hand grip strength;rehabilitation;myocardial infarction;physical activity

Acknowledgement

Supported by : 원광대학교

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