Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Analysis of the Chest Expansion and Pulmonary Function in the 20s men Obesity according to Position Change

20대 남성 비만인의 자세에 따른 가슴우리 확장과 폐기능 특성분석

  • Kim, Hyeun-Ae (Department of Physical Therapy, Pohang University) ;
  • Seo, Kyo-Chul (Department of Physical Therapy, Deagu University) ;
  • Yim, Sang-Yoan (Department of Physical Therapy, Pohang University) ;
  • Kim, Hee-Tak (Department of Physical Therapy, Pohang University) ;
  • Kim, Kyoung (Department of Physical Therapy, Deagu University)
  • 김현애 (포항대학교 물리치료과) ;
  • 서교철 (대구대학교 물리치료학과) ;
  • 임상완 (포항대학교 물리치료과) ;
  • 김희탁 (포항대학교 물리치료과) ;
  • 김경 (대구대학교 물리치료학과)
  • Received : 2011.05.12
  • Accepted : 2011.07.17
  • Published : 2011.08.31
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Abstract

Purpose : The purpose of this study were to determine whether changes of position might effect the chest expansion and pulmonary function of the 20s men obesity. Methods : Thirty subjects with obesity(M:30, % fat>25.0) and thirty normal subjects(M:30, % fat<24.9) were participated in experiment. Subjects were assessed according to position changes(supine position, $45^{\circ}$ lean sitting position, $90^{\circ}$ sitting position) using chest length(chest length for resting, chest expansion) and pulmonary function (Tidal volume, Inspiratory capacity, Vital capacity, Inspiratory reserve volume, Expiratory reserve volume) by the CardioTouch 3000S(BIONET, USA). Repeated measure ANOVA was used to compare each region data of chest length and pulmonary function according to changes of position with obesity and normal subjects. Results : These findings suggest that the obesity can be appear to low chest expansion and pulmonary function than normal subjects on position method. In comparison of three experimental position, supine position was more low. Conclusion : This study showed position of the obesity appear low chest expansion and function of pulmonary volume than normal subjects, and thus it indicates that the pulmonary function of the obesity will be suggest objective respiratory data through the exercise program.

Keywords

References

  1. 강두희. 생리학: 호흡생리. 신광출판사, 1988;97.
  2. 고주연, 구봉오, 권용현 등. 심폐물리치료학: 척수손상. 대학서림, 2007.
  3. 김영일, 김남익, 최건식 등. 중년의 비만여성에서 체지방률이 안정시 호흡기능에 미치는 영향. 한국체육학회지, 2001;40(4):877-86.
  4. 김영일, 김창규, 황수관. 트레드밀 운동프로그램이 비만자의 심폐기능 및 혈액성분에 미치는 영향. 한국체육학회지, 1999;38(4):331-43.
  5. 대한비만학회. 임상 비만학. 고려의학, 1995.
  6. 박래준, 주정열, 오정림. 발성장애가 있는 경직형 뇌성마비아동의 자세조절 호흡운동이 폐활량과 호흡근 근전도 변화에 미치는 영향. 언어치료연구, 2005;14(2):205-16.
  7. 심재훈, 오덕원, 이규완. 흉부 유연성 운동이 척추측만증 환자의 폐활량과 가슴우리확장에 미치는 영향. 한국전문물리치료학회지, 2002;9(2):145-56.
  8. 조동희, 강성웅, 박중현 등. 신경근육계 질환에서 자세에 따른 폐활량의 변화 양상 비교. 대한재활의학회지, 2004;28(5):454-7.
  9. 송지영, 심현보, 구애련 등. 자세에 따른 폐활량의 변화. 한국전문물리치료학회지, 1996.;3(1):40-7.
  10. 한용철. 임상호흡기학 : 일조각, 1996.
  11. 홍완성, 김기원. 흡연자의 폐활량에 관한 조사. 대한물리치료학회지, 2001;13(2):347-57.
  12. Alfred PF. Fishman's Pulmonary Disease and Disorders(3nd ed.). New-York McGraw-Hill. 1998.
  13. Allen SM, Hunt B. Fall in vital capacity with posture. Br J Dis Chest, 1985;79(3):267-71.
  14. Atsuhiro Tsubaki, Seiki Deguchi, Yumi Yoneda. Influence of Posture on Respiratory Function and Respiratory Muscle Strength in Normal Subjects. J Phys Ther. 2009;21(1):71-4. https://doi.org/10.1589/jpts.21.71
  15. Aviva M, Jenniger S, Eugenie J. The Diease Burden Associated With Overweight and Obesity. JAMA. 1999;282(16):1523-9. https://doi.org/10.1001/jama.282.16.1523
  16. Barrett J, Cerny F, Hirsch A et al. (1994). Control of breathing patterns and abdominal muscles during graded loads and tilt. J Appl Physiol, 1994;76(6):2474-80.
  17. Badr C, Elkins MR, Ellis ER. The effect of body position of maximal expiratory pressure and flow. Aust J Physiother, 2002;48(2):95-102.
  18. Brouke SC, Bullock RE. Noninvasive ventilation in ALS. Neurology, 2003;61(2):171-7. https://doi.org/10.1212/01.WNL.0000076182.13137.38
  19. Buskirk ER, Barlett HL. Pulmonary function and obesity. 1980;1(2):401-4.
  20. D'Angelo ED, Agostoni E. Statics of the chest wall. In roussos c, Macklem PT eds. The thorax. 2nd ed., Dekker. New York. 1995;457-93.
  21. Colville P, Ferris BG, Shugg C. Effects of body tilting on respiration machanics. J Appl Physiol. 1956;9(1):19-24.
  22. Cotes JE. Lung function : Assessment and application in medicine. Oxford Blackwell Scientific 4th ed. 1979.
  23. Chen CF. (1990). Respiratory function in patients with spinal cord injuries. Paraplegia. 1990;28(2):81-6 https://doi.org/10.1038/sc.1990.10
  24. Darryl Y. Obesity and pulmonary function, more or less?. Chest. 1997;111(4):844-5. https://doi.org/10.1378/chest.111.4.844
  25. Enzi G, Baggio B, Vianello A et al. Respiratory disturbances in visceral obesity. Int. J. Obes. 1990;14(2):26.
  26. Guilleminault C, Simmons FB, Motta H et al. Obstructive sleep apnea syndrome and racheostomy: long term follow-up-experience. Arch. Intern. Med. 1981;141(8):1228-31.
  27. Jennifer AP, S Ammani P. Physiotherapy for and cardiac problems 3rd. Churchill Livingstone. 2007.
  28. Jenkins S, Suoutar S, Moxham J. The effects of posture on lung volumes in normal subjects and in patients pre and post coronary artery surgery. Physiotherary. 1988;74(10):492-6. https://doi.org/10.1016/S0031-9406(10)63381-0
  29. Kim DH. The effects of health exercise program on cardiovascular function and blood lipids in middle aged woman. J sports medi. 2001;1(1):15-20.
  30. Kisner C, Collby LA. Therapeutic Exercise - Foundations and Techniques (5th ed) Philadelphia, F. A. Davis. 2002.
  31. Lopata M, Onal E. Mass loading, sleep apnea, and the pathogenesis of obesity hypoventilation. Am Rev Respir Dis. 1982;126(4):640-5.
  32. Lazarus R, Sparrow D, Weiss ST. Effects of obesity and fat distribution on ventilatory function: the normative aging study. Chest. 1997;111(4):891-8. https://doi.org/10.1378/chest.111.4.891
  33. Mathieu P, Poirier P, Pibarot P et al. Visceral obesity: the link among inflammationm, hypertension, and cardiovascular disease. Hypertension, 2009;53(4):577-84. https://doi.org/10.1161/HYPERTENSIONAHA.108.110320
  34. Morgan MD, Gourlay AR, Silver JR et al. Contribution of the rib cage to breathing in tetraplegia. Thorax, 1986;40(8):613-7.
  35. Mori RL, Bergsman AE, Holmes MJ et al. Role of the medial medullary reticular formation in relaying vestibular signals to the diaphragm and abdominal muscles. Brain Res. 2001;902(1):82-91. https://doi.org/10.1016/S0006-8993(01)02370-8
  36. Muls E, Vryens C, Michels A. The effect of abdominal fat distribution measured by computed tomography on the respiratory system in nonsmoking obese woman. Int. J. Obes. 1990;14(2):26.
  37. Pierson D, Dick N, Petty T. A comparison of spirometric values with subjects in standing and sitting positions. Chest. 1986;70(1):17-20.
  38. Pyror J, Prasad S. Physiotherapy for respiratory and cardiac problems. Churchill Liningstone, 2002.
  39. Schoenberg JB, Beck GJ, Bouhuys A. Growth and decay of pulmonary function in healthy black and whites. Respir Physiol. 1978;33(3):367-93. https://doi.org/10.1016/0034-5687(78)90063-4
  40. Takeshi Kera, Hitoshi Maruyama. The effect of posture on respiratory activity of th abdominal muscles. Japan Physiol Anthropol Appt Human SCI, 2005;24(4):259-65. https://doi.org/10.2114/jpa.24.259
  41. Townsend MC. Spirometric forced expiratory volumes measured in the standing versus the sitting posture. Am Rev Respir Dis. 1984;130(1):123-4.
  42. Wellman N, Friedberg B. Causes and consequences of adult obesity: health, social and economic impacts in the United States. Asia Pacific J Clin Nutr. 2002;11(17):705-9.
  43. Zerah F, Harf A, Perlemuter L et al. Effect of obesity on respiratory resistance. Chest. 1993;103(5):1470-6. https://doi.org/10.1378/chest.103.5.1470