• The Journal of Korean Physical Therapy
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• v.31 no.5
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• pp.322-327
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• 2019

Purpose: This study examined the influence of the maximal aerobic capacity on the two-year cardiac-related re-hospitalization in patients with heart failure with a reduced ejection fraction (HFrEF) in Korean society. Methods: The maximal aerobic capacity of the study population (n=95, male 63%) was evaluated using a cardiopulmonary exercise (CPX) testing system. Each patient was followed up for two years to divide the HFrEF patients into two groups according to cardiac-related re-hospitalization: re-hospitalization (RH) group (n=29, 30%) and no re-hospitalization (NRH) group (n=66, 70%). Results: The relative peak $VO_2$ (mL/kg/min, p<0.001), exercise duration (p<0.001), respiratory exchange ratio ($VCO_2/VO_2$, p=0.001), systolic blood pressure (SBP) reserve (p=0.004), heart rate (HR) reserve (p=0.007), SBP max (p=0.02), and HR max (p=0.039) were significantly lower in the RH group than the NRH group during the CPX test. On the other hand, the ventilatory efficiency (VE/VCO2 slope, p=0.02) and age (p=0.022) were significantly higher in the RH group than in the NRH group. In binary logistic regression analysis, the relative peak $VO_2$ (p=0.001, Wald Chi-square 10.137) was the strongest predictive factor on cardiac-related re-hospitalization, which was followed by $VCO_2/VO_2$ (p=0.019, Wald Chi-square 5.54). On the other hand, age (p=0.063, Wald Chi-square 3.445) did not have a significant influence on cardiac related re-hospitalization. Conclusion: The maximal aerobic capacity, especially the relative peak $VO_2$, is the strongest factor on cardiac-related re-hospitalization within two years in patients with HFrEF in Korean society.

• Biomedical Science Letters
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• v.19 no.1
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• pp.70-78
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• 2013

This study was conducted to identify the effects of intake of beta-blocker and aerobic exercise on heart rate recovery (HRR) and exercise capacity after maximal exercise in acute coronary syndrome patients (ACS). Subjects were divided into 4 groups; Beta-blocker-Exercise group (n=10), Beta-blocker group (n=10), Exercise group (n=10), Control group (n=10). Symptom-limited grade exercise test were conducted on subjects pre- and post- 6 week study, to measure maximal heart rate, heart rate at 1 minute and 2 minutes at the recovery stage, maximal oxygen uptake and maximal exercise time. Study resulted in significant improvements in heart rate recovery for BB-Ex group ($17.40{\pm}5.58$ bpm to $26.10{\pm}6.66$ bpm), maximal oxygen uptake for BB-Ex group ($30.46{\pm}8.63$ to $36.33{\pm}8.10$) and Ex group ($29.04{\pm}4.93$ to $34.31{\pm}5.19$), and total exercise time for BB-Ex group ($906.30{\pm}158.57$ to $1018.50{\pm}151.21$), BB group ($805.70{\pm}182.94$ to $897.50{\pm}160.16$) and Ex group ($870.00{\pm}145.63$ to $961.90{\pm}107.29$). Therefore it showed the biggest improvement for heart rate recovery and exercise capacity in acute coronary syndrome patients when both Beta-blocker and aerobic exercise were in effect.

• Nutritional Sciences
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• v.8 no.1
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• pp.28-34
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• 2005

To examine the combined effects of a high-protein diet and aerobic exercise on body weight and composition and blood lipid profiles in overweight women, 30 young women were recruited and placed into three groups: The high-protein diet and exercise group (HPE), the exercise-only group (EXO) and the control group (CON) (30$\pm$3%, 27$\pm$2%, and 29$\pm$3% body fat, respectively) for an 8-week experimental period. Daily diet included 25% isolated soybean protein (>90% protein, approximately 400 kcal) combined with each subject s usual diet for the HPE group. The exercise program consisted of aerobic-type exercises undertaken >3 times/wk and for>30 min/session at 50-60% of maximal capacity. Physical fitness, body composition, serum total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), triglycerides (TG) and glucose were measured before and after the experiment. Maximal aerobic capacity increased by the end of experiment in both the HPE (from 27.2$\pm$3.5 to 35.l$\pm$5.9 ml/kg/min, p<0.01) and EXO (from 30.3$\pm$5.4 to 33.8$\pm$3.8 mㅣ/kg/min, p<0.05) groups. Percent body fat decreased by 3.3% (p<0.01) in the HPE group and by 1.5% (p<0.05) in the EXO group by the end of the experiment, but not in the CON group. Lower back strength and agility increased only in the HPE group. In the HPE group, TC decreased from 168$\pm$20 to 155$\pm$18 mg/dL and HDL-C increased from 57$\pm$l0 to 61$\pm$9 mg/dL in HPE (p<0.01). But TC and HDL-C did not change in the EXO and CON groups. TG and glucose did not vary among the groups. Although the EXO group showed a similar outcome to that of the HPE group, a favorable change in body composition and blood lipids as well as an improvement in aerobic capacity was more marginal in the latter group.

• Journal of Korean Academy of Nursing
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• v.18 no.2
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• pp.105-117
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• 1988

To evaluate training effect, aerobic dance was performed by eight female collegestudents for 8 weeks. Body composition, cardiopulmonary function at rest and during maximal exercise, blood cholesterol concentration at rest were determined before and after 8weeks of aerobic dance training. Maximal exercise was performed on the treadmill according of Bruce protocol. Pre to post training differences were evaluated. The results obtained were as follows : 1. After the training, skinfold thickness and total body fat decreased significantly(p＜0.1) while lean body mass increased with significance (p＜0.1). 2. Heart rate and arterial blood pressure at rest decreased without sinificance after the training. 3. As a result of training, forced vital capacity and forced expiratory volume for a second increased significantly (p＜0.01, p＜0.1). 4. After the training period, heart rate at 3, 6, and 9 min. during treadmill exercise was significantly lower than those of pretraining (p＜0.05). 5. After the training, systolic and diastolic blood pressure at 6 and 9 min during the exercise was significantly lower than those of pretraining (p＜0.025, p＜0.1). 6. After the training, oxygen uptake at 3 and 6 min during the exercise was significantly greater than those of pretraining (p＜0.05). 7. As a result of training, the maximal oxygen uptake increased significantly during the exercise (p＜0.1). 8. After the training, expired air volume for a minute at 3 and 6 min during the exercise was signigicantly grerter than those of pretraining (p＜0.1). 9. After the training, repiratory quotient during the exercise was lower than pretaining without significance. 10. After the training, blood HDL -cholesterol concentration incereased with significance, (p＜0.1) blood total cholesterol and triglycerids concentration decreasedsignificantly (p＜0.1). From these results, it may be concluded that 8 week aerobic dance training reduces skinfold thickness and body fat contents, improves the cardiopulmonary function and tissue oxygen utilization, reduces blood cholesterol and triglyceride concentration and brings about the increase of blood HDL-cholesterol concentriation.

• Journal of the Korea Society of Computer and Information
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• v.25 no.11
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• pp.187-193
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• 2020

This study is proposed to the effects of interval training by different intensity on body fat, flexibility, agility, quickness, and maximal oxygen consumption. A total of 30 healthy men voluntarily participated in the study. The participants were randomized to moderate aerobic exercise(n=15) and high-intensity interval training groups(n=15). Exercise programs lasted for six weeks, with each session occurring four times per week for 50 minutes per session. There were significant differences in fat and physical fitness according to flexibility, agility, quickness, and maximal oxygen consumption within the high-intensity interval training groups(p<.05). For the moderate aerobic exercise group, there was a significant difference in fat, flexibility, maximal oxygen consumption(p<.05). There were significant differences between groups for fat, flexibility, agility and quickness(p<.05). Therefore using high-intensity interval training will significantly benefit obese young men in musculoskeletal capacity and quickness.

• Journal of Nutrition and Health
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• v.28 no.9
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• pp.904-913
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• 1995

The purpose of this study is to determine the effects of exercise programs on the treatment of chronic diseases. For this purpose, nine middle-aged women suffering from such chronic diseases as obesity, hypertension and coronary heart disease(CHD) were sampled to perform a 4-month-long exercise program which required the lactate threshold(LT) level corresponding to 70% of maximal oxygen uptake(VO2max). Thereupon, their physiques, physical fitness, blood components and physiological varibles were compared pre and post of exercise program. The results were summarized as follows ; 1) After the 4-month-long exercise program, %fat was significantly decreased, while such variables as grip strength, side step, trunk flexion and leg balance were significantly increased. 2) Blood components such as TG, TC, HDL-C, LDL-C, hemoglobin and hematocrit did not show and change in after exercise program. 3) Physiological varables such as HR, SBP, DBP, HR/LT, SBP/LT, DBP/LT, RPE/LT, VE/LT, VO2/LT and VO2 max showed significant increase after 4-month exercise program. These results suggest that regular aerobic exercise in a long period might help to decrease % fat and to increase aerobic capacity in middle-aged women suffering from chronic diseases.

• The Korean Journal of Physiology
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• v.1 no.1
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• pp.91-101
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• 1967

The maximal oxygen intake (MOI) was determined in 54 males (23 nonathletes, 10 basketball players, 8 hand ball players, 7 weight lifters and 6 long distance runners) and in 49 females (24 non-athletes, 16 basketball players and 9 volley ball players) by using a treadmill method outlined in Part I of the present investigation and the following results were obtained: (1) The maximal aerobic work capacity varied from the lowest value of 1,008 kg-m/min in female non-athletes to the highest value of approximately 2,000 kg-m/min in male basketball players and long distance runners. Values of other groups varied from 1,400 kg-m/min in male non-athletes and female athletes to 1,800 kg-m/min in male hand ball players. (2) The MOI per unit body weight varied from the lowest value of 41.3 ml/min/kg in female non-athletes to the highest value of 67.6 ml/min/kg in male long distance runners. Values of other groups were in the order of 47 to 55 ml/min/kg. (3) The heart rate during maximal aerobic work performance varied from the lowest value of approximately 180 per min in female basketball players and male long distance runners to the highest value of 190 or above in nonathletes of both sexes. (4) An estimate of oxygen debt as measured during 15 minutes following the maximal work was 3.841 in female non-athletes, 4.681 in female athletes, 5.561 in male non-athletes and 6.321 in male athletes. These results indicate that the MOI per unit body weight as well as the oxygen debt of Korean non-athletes were comparable to, while corresponding values of Korean athletes were considerably lower than, those of other countries such as Japan, the United States of America and Europe.

• The Journal of Korean Physical Therapy
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• v.30 no.5
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• pp.181-186
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• 2018

Purpose: This study investigated the effects of home-based exercise intensity on the aerobic capacity and 1 year re-hospitalization rate in patients with chronic heart failure (CHF). Methods: Forty seven patients with CHF (males 33, females 14, age $61.3{\pm}9.8years$) participated in this study. The patients were allocated randomly to 3 groups in accordance with home-based exercise intensity: no home based exercise (NHE, 40%, n=19), moderate intensity home-based exercise (MIHE, 43%, n=20), and high intensity home based exercise (HIHE, 17%, n=8). All patients completed the symptom-limited cardiopulmonary exercise (CPX) test safely at the cardiac rehabilitation hospital. Results: The NHE group significantly showed lower peak $VO_2$ and a higher $VE/VCO_2$ slope than the MIHE (p<0.05) and HIHE (p<0.01) groups. On the other hand, the NHE group did not show significant differences in the other hemodynamic responses, such as heart rate (HR) max, HR reserve, maximal systolic blood pressure (SBP), and SBP reserve. Nine out of 19 NHE patients (47%) were re-hospitalized related to heart disease and two out of 20 MIHE (10%) patients were re-hospitalized, but nobody in the HIHE group were re-hospitalized within 1 year from the CPX test. Conclusion: In patients with CHF, home-based self-exercise is one of the important factors for reducing the re-hospitalization rate. In addition, improved aerobic capacity is strongly associated with a lower re-hospitalization rate. In particular, re-hospitalized CHF patients showed significant differences in respiratory parameters and hemodynamic parameters compared to the non-re-hospitalized patients.

• The Korean Journal of Physiology
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• v.2 no.2
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• pp.45-52
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• 1968

Maximal oxygen uptake was measured in twenty-eight middle-aged men aged 45.0 (range: 40.3-50.7) years and fourteen middle-aged women aged 40.5 (range: 34.3-47.5) years by means of a treadmill test. The physique of subjects were:mean skinfold thickness at 4 sites, namely, back, arm, waist and abdomen was 7.59 mm in men and 14.5 mm in women; total body fat estimated from the mean skinfold thickness, 11.9% fat in men and 25.5% fat in women. The detailed observations are as follows: 1. Maximal oxygen uptake expressed on any reference unit in men was greater than that of women. The values of men to women were: 2.61 to 1.92l/min., 45.1 to 37.0 ml/min./kg, 51.8 to 46.5 ml/min./kg lean body mass (LBM), 15.7 to 12.6 ml/min./cm body height. 2. Maximal pulmonary ventilation in men was 80.2 l/min. and 63.5 l/min. in women. 3. There was a correlation of fairly high degree between maximal oxygen uptake and body weight, namely, r=0.56 in men and r=0.79 in women. The correlation between maximal oxygen uptake and lean body mass also was fairly high, namely, r=0.58 in men and r=0.69 in women. 4. The correlation between maximal pulmonary ventilation and body weight or lean body mass was r=0.51 and r=0.25 in middle-aged men and r=0.41 and r=0.19 in middle-aged women, respectively. 5. Maximal heart rate in men was 176.4 beat/min. and it was 183.9 beat/min. in women. 6. Maximal oxygen pulse in men was 14.6 ml/beat and 9.5 ml/beat in women. 7. Aerobic work capacity of korean middle-aged men and women maintained the same level as that of young men and women, respectively, as shown by maximal oxygen uptake expressed ml/min./kg or ml/min./kg lean body mass.

• Journal of the Korean Society of Physical Medicine
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• v.11 no.4
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• pp.33-39
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• 2016

PURPOSE: The purpose of this study was to investigate whether a circuit aerobic exercise program positively affects pulmonary function and gait endurance in chronic stroke patients. METHODS: Twenty-four chronic stroke patients were allocated equally and randomly to an experimental group (n=12) or a control group (n=12). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally performed a circuit aerobic exercise for 30 minutes, while the control group additionally performed a general aerobic exercise, i.e., gait training on the treadmill for 30 minutes. These 30-minute exercise sessions were held three times per week for six weeks. Pulmonary function was assessed using forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and maximal voluntary ventilation (MVV), and gait endurance was assessed using the 6-minute walk test (6MWT). RESULTS: In the both groups, FVC, FEV1, MVV, and 6MWT were significantly increased after training. Members of the experimental group showed significant improvements in FVC, FEV1, and MVV, and significantly greater improvements than controls (p<.05). However, 6MWT improvements were not significantly different in the two groups (p>.05). CONCLUSION: The devised circuit aerobic exercise program offers an effective rehabilitation aerobic exercise for improving pulmonary function and gait endurance in patients after chronic stroke.