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제주 해녀의 폐기능 비교

The Comparison of Pulmonary Function in Jeju female divers

  • 이한영 (비영리법인 제주해녀문화보존회)
  • Lee, Han-Young (Nonprofit Organization of Jeju Haenyeo Cultural Heritage Preservation)
  • 투고 : 2015.09.07
  • 심사 : 2015.11.20
  • 발행 : 2015.11.28

초록

본 연구에서는 무호흡으로 저수온의 해수에서 채집활동을 하는 제주 해녀의 폐기능 및 폐확산능을 측정하였으며, 동일 연령대의 일반여성과 비교한 결과는 다음과 같다. 첫째, FVC 및 FVC%는 해녀집단이 일반여성들보다 유의하게 높았다. 둘째, $FEV_1/FVC$는 일반여성과 해녀집단간 차이가 유의한 차이는 없었다. 셋째, $FEF_{25{\sim}75%}$는 두 집단 모두 정상수준이었으며, 해녀집단이 일반여성보다 유의하게 높았다. 넷째, DLCO는 해녀집단과 일반여성과 유의한 차이는 없었다. 이러한 결과는 제주해녀가 고령임에도 불구하고 장기간 무호흡 침수활동을 수행하면서 폐기관의 적응 및 발달이 된 상태임을 확인할 수 있었다. 하지만 제주해녀의 경우 계속적인 직업적 신체활동을 유지했음에도 불구하고 DLCO가 통계적으로 유의하지는 않았지만 일반여성보다 낮게 나타난 점은 폐포와 간질의 손상이 발생했을 가능성이 높기 때문에 차 후 고령의 제주해녀에 대한 계속적인 신체기능검사가 요구된다.

In this study, we measured lung function and lung diffusing capacity of Jeju women divers who were gathering activities in the sea waters of the low temperature. The results Compared with ordinary women of the same age group were as follows: First, FVC and FVC% of Jeju women divers were significantly higher than the general population. Second, $FEV_1/FVC$ had no significant difference the difference between the general population and Jeju women divers. Third, $FEF_{25{\sim}75%}$ in both groups was in the normal level, especially Jeju women divers groups showed significantly higher FEF results than normal women. Fourth, DLCO is no significant difference between the Jeju divers and the general female group. Despite the advanced age of Jeju women divers These results indicated that adaptation and development of state institutions while performing long-term lung apnea immersion activities. Despite the advanced age of Jeju women divers These results indicated that adaptation and development of state institutions while performing long-term lung apnea immersion activities.

키워드

참고문헌

  1. Wilmore, J. H., & Costill, D. L., Physiology of sport and exercise(2nd ed.) IL: Human kinetics, 1999.
  2. Anthonisen, N. R., Medical aspects of sport diving: Exercise and medical demands of scuva diving, Medicine and Science in Spots and Exercise, 28, 591-595, 1976.
  3. Won-Suk Lee, The study of change of monoamines in brain of rats after $O_2$ intoxication, Ocean & underwater medicine, 7, 63-78, 1985.
  4. Elsner, R., & de Burgh Daly, M., Coping with asphyxia: Lessons from seals, News in Physiological Science, 3, 65-69, 1988.
  5. Ferrara, N., & Davis-smyth, T., The biology of vascular endothelial growth factor, Endocrine reviews, 18(1), 4-25, 1997. https://doi.org/10.1210/edrv.18.1.0287
  6. Elsner, R., & Gooden, B., Diving and asphyxia. A comparative study of anmials and man. Monographs of the physiological Society, Cambridge Univ, 1-163, 1983.
  7. Shiraki, K., Konda, N., Sagawa, S., Park, Y. S., Komatsu, T., Hong, S. K., Diving patterns of Tsushima male breathhold divers (Katsugi), Undersea Biomed. Res., 12, 439-452, 1985.
  8. Song, S. H., Lee, W. K., Chung, Y. A., Hong, S. K., Mechanism of apneic radycardia in man. J. Appl. Physiol., 27, 323-327, 1969. https://doi.org/10.1152/jappl.1969.27.3.323
  9. Schaefer, K. E., Allison, R. D., Dougherty Jr., J. H., et al., Pulmonary and circulatory adjustments determining the limits of depth in breath-hold diving, Science, 162, 1020-1023, 1968. https://doi.org/10.1126/science.162.3857.1020
  10. Ferretti, G., Costa, M., Diversity in and adaptation to breath-hold diving in humans, Comp. Biochem. Physiol. A. Mol. Integr. Physiol., 136(1), 205-213, 2003. https://doi.org/10.1016/S1095-6433(03)00134-X
  11. Chong-Seung Kim, Role of Norepinephrine in Cold Acclimatization of Korean Diving Women, The Korean Journal of Medicine, 13(11), 737-744, 1970.
  12. Hye-Kyung Choa, A Comparative Ethnical Study between the Japanese Sugajima's 'Ama' and the Jeiu Women Sea Divers, The Korean Folklore, 36, 229-270, 2002.
  13. Hyo-Hyun Lee, Si-Yeon Kim, Young-Joon Jang, Jeong-Yoon Ha, Kwon-Yong Kang, Mi-Seon Kwon, Joo-Young Lee, The Age-related Changes in Behavioral Temperature Regulation and Thermal Tolerance of the Elderly Jeju Haenyeo - A Questionnaire and a Local Cold Tolerance Test, The Korean Society of Living Environmental System, 22(3), 477-489, 2015. https://doi.org/10.21086/ksles.2015.06.22.3.477
  14. Keun-Ah Bae, Prolonged intermittent cold exposure causes a muscle-specific adaptation in human skeletal muscle, Graduate School Korean National University of Physical education, 1998.
  15. Kiyan, E., Aktas, S., Toklu, A. S., Hemoptysis provoked by voluntary diaphragmatic contractions in breath-hold divers, Chest, 120(6), 2098-2100, 2001. https://doi.org/10.1378/chest.120.6.2098
  16. Jacobson, F. L., Loring, S. H., Ferrigno, M., Pneumomediastinum after lung packing, Undersea Hyperb. Med., 33(5), 313-316, 2006.
  17. Liner, M. H., Andersson, J. P. A., Pulmonary edema after competitive breath-hold diving, J. Appl. Physiol., 104(4), 986-990, 2008. https://doi.org/10.1152/japplphysiol.00641.2007
  18. Walterspacher, S., Scholz, T., Tetzlaff, K., Sorichter, S., Breath-hold diving: respiratory function on the longer term, Med. Sci. Sports Exerc., 43(7), 1214-1219, 2011. https://doi.org/10.1249/MSS.0b013e31820a4e0c
  19. Dail, C. W., Affeldt, J. E., Collier, C. R., Clinical aspects of glossopharyngeal breathing; report of use by one hundred postpoliomyelitic patients, J Am. Med. Assoc., 158(6), 445-449, 1955. https://doi.org/10.1001/jama.1955.02960060003002
  20. Lemaitre, F., Clua, E., Andreani, B., Castres, I., Chollet, D., Ventilatory function in breath-hold divers: effect of glossopharyngeal insufflation, Eur. J Appl. Physiol., 108(4), 741-747, 2010. https://doi.org/10.1007/s00421-009-1277-1
  21. Byung-Ki Lee, Tae-Soo Kim, Effect of treadmill walking exercise after 8 weeks on the DLCO, Hb and adjusted DLCOav/Hb in male collegian with smoking, Journal of exercise rehabilitation, 6(4), 199-207, 2010.
  22. Guyton, A. C., & Hall, E. J., Textbook of Medical Physiology, Saunders, 2002.
  23. Weinberger, S. E., Johnson, T. S., Weiss, S. T., Clinical signifcance of pulmonary function tests. Use and interpretation of the single-breath diffusing capacity, Chest, 78, 483-488, 1980. https://doi.org/10.1378/chest.78.3.483
  24. Soon-Kew Park, Clinical usefulness of lung diffusion capacity, Journal of Pusan national university hospital, 12, 19-27, 2002.
  25. Cotton, D. J., Soparkar, G. R., Grahan B. L., Diffusion capacity in the clinical assessment of chronic airflow limitation, Med. Clin. North. Am., 80, 549-564, 1996. https://doi.org/10.1016/S0025-7125(05)70453-3
  26. Alhamad, E. H., Lynch, J. P., Martinez. F. J., Pulmonary function tests in interstitial lung disease : what role do they have?, Clin. Chest Med,, 22, 715-750, 2001. https://doi.org/10.1016/S0272-5231(05)70062-9
  27. Si-Ja, Chon, Kang-Mija, Kim, Jung-Sook, Park, Mi-Ho Lee, Kyung-Sun Cho, Hee-Kyung Kim, Sun-Ok Park, Kyung-Sook Bae, Kyung-Suk Cho, Ok-Nam Hwang,Medical Surgical Nursing, 4th ed, Hyun-moon sa, 1992.
  28. Hong, S. K., Henderson, J., Olszowka, A., Hurford, W. E., Falke, K. J., Qvist, J., Radermacher, P., sjiraki, K., Mohri, M., & Kakeuchi, H., Daily diving pattern of Korean and Japanese breath-hold divers(ama), Undersea Biomedical Research, 18(5-6), 433-443, 1991.
  29. Jum Mo, Kim, Sung-Gil Kim., The effect of repetitive dive on physiological reactions and stress hrmone in No Decompression limit, The Korean Journal of Applied Statistics, 21(6), 1027-1035, 2008. https://doi.org/10.5351/KJAS.2008.21.6.1027
  30. Holm, B., Schagatay, E., Kobayashi, T., Masuda, A., Ohdaira, T., & Honda, A., Cardiovascular change in elderly male breath - hold divers(Ama) and their socio-economical background at chijura in Japan, Appl. Human Sci., 17(5), 181-187, 1998. https://doi.org/10.2114/jpa.17.181
  31. Sung-Ho Yoon, Cardiovascular Regulation During Water Immersion In Korean Woman Breath-Hold Divers. graduate school Kosin Univ, 2002.
  32. Bousamra, M. 2nd., Presberg, K. W., Chammas, J. H., et al., Early and late morbidity in patients undergoing pulmonary resection with low diffusion capacity. Ann. Thorac. Surg., 62, 974-975, 1996.
  33. Enright, P. L., Crapo, R. O., Controversies in the se of spirometry for early recognition and diagnosis of chronic obstructive pulmonary disease in cigarette smokers, Clin. Chest Med., 21, 645-652, 2000. https://doi.org/10.1016/S0272-5231(05)70174-X
  34. Crapo, R. O., Jensen R. L., Wanger J. S., Single-breath carbon monoxide diffusing capacity, Clin Chest Med., 22, 637-649, 2001. https://doi.org/10.1016/S0272-5231(05)70057-5
  35. Macintyre, N1., Crapo, RO., Viegi, G., Johnson, D. C., van der Grinten, C. P., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Enright, P., Gustafsson, P., Hankinson, J., Jensen, R., McKay, R., Miller, M. R., Navajas, D., Pedersen, O. F., Pellegrino, R., & Wanger, J., Standardisation of the single-breath determination of carbon monoxide uptake in the lung, Eur. Respir. J., 26(4), 720-735, 2005. https://doi.org/10.1183/09031936.05.00034905
  36. Holmgren, A., Astrand, P. O., DL and the dimensions and functional capacities of the O2 transport system in humans, J Appl. Physiol., 21(5), 1463-1470, 1966. https://doi.org/10.1152/jappl.1966.21.5.1463
  37. Kobayashi, A., Yoneda, T., Yoshikawa, M., Ikuno, M., Takenaka, H., Fukuoka, A., Narita, N., Nezu, K., The relation of fat-free mass to maximum exercise performance in patients with chronic obstructive pulmonary disease, Lung, 178(2), 119-127, 2000. https://doi.org/10.1007/s004080000014
  38. Niinimaa, V., Shephard, R. J., Training and oxygen conductance in the elderly. I. The respiratory system. J Gerontol., 33(3), 354-361, 1978. https://doi.org/10.1093/geronj/33.3.354
  39. Yang-Soo Kim, Chang-Kwan Kim, Effect of Long Term Aerobic Exercise on diffusing Capacity of Lungs, The Research Institute of Physical Education & Sports Science, 9(1), 85-98. University Press, 2006.