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Development of the supporting system for the patients with multiple risk factors by exercise therapy

Research Project

Project/Area Number 16500445
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Applied health science
Research InstitutionSaga University

Principal Investigator

SHONO Naoko  SAGA UNIVERSITY, MEDICINE, LECTURER, 医学部, 非常勤講師 (60223674)

Co-Investigator(Kenkyū-buntansha) NODE Koichi  , 非常勤講師・教授 (80359950)
TANAKA Hiroaki  FUKUOKA UNIVERSITY, SPORTS SCI, PROFESSOR, スポーツ科学部, 教授 (00078544)
KIYONAGA Akira  FUKUOKA UNIVERSITY, SPORTS SCI, PROFESSOR, スポーツ科学部, 教授 (70177955)
SHINDO Munehiro  FUKUOKA UNIVERSITY, SPORTS SCI, PROFESSOR, スポーツ科学部, 教授 (30078539)
田中 恵太郎  佐賀大学, 医学部, 教授 (50217022)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2004: ¥1,600,000 (Direct Cost: ¥1,600,000)
KeywordsMultiple risk factor / Exercise therapy / Lactate threshold / Exercise prescription / Metabolic Syndrome / Postprandial metabolism / Metabolic Sx / 継続支援 / 肥満 / Multiple risk factor / 乳酸閾値 / 変形性膝関節症 / 高感度CRP
Research Abstract

1) Postprandial glucose and lipid metabolism and exercise therapy
High sensitive C-reactive protein may be a predictive marker in high risk obese women, because it is independently associated with both fasting and postprandial free fatty acid and postprandial insulin level. Mild intensity exercise therapy improves postprandial blood profiles even after normal fat meal in obese subjects.
2) Determination of the optimal exercise intensity
The work rate at the Lactate threshold (LT) showed significant correlation with the number of risk fatocrs. LT is a safe intensity where ST segment depression has not occurred. Insulin resistance may involve the pathological ST depression during exercise.
The estimated target heart rate during exercise has been determined from age, however we suggest that their risk factors should be taken into consideration. Futhermore, careful modification in the prescribed exercise regimen is needed according to improvement in the fitness and in risk factors.
The breaking point in double product (DPBP) could be successfully detected in men and women with or without metabolic syndrome. The %BW at the DPBP was suggested to be a useful and reliable index for both an appropriate exercise prescription on a cycle ergometer as well as tracking the temporal trends in physical and metabolic fitness.
The exercise prescription in the patients with both osteoarthritis of the knee and multiple risk factors should be lower than that for the patients without osteoarthritis.
3) Mechanism and process of impairment and improvement in multiple risk factors by physical fitness.
The change in the monocyte and neutrophil counts are associated with the inprovement in both fasting and postprandial triglyceride and aerobic capacity. In the process of the change in the risk factors in obese subjects, the improvement in the fitness and metabolic conditions precede to the changes in body weight.

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • Research Products

    (29 results)

All 2007 2006 2005

All Journal Article (29 results)

  • [Journal Article] Association between a silent ST segment depression in exercise ECG and insulin resistance in obese subjects2007

    • Author(s)
      Michishita R et al.
    • Journal Title

      J Cardiology 49・5

      Pages: 231-239

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Have a Slow Time (5) おまかせのワナ2007

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・7

      Pages: 116-119

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Have a Slow Time (5) メタボ狂騒曲2007

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・8

      Pages: 297-300

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 肥満症の運動療法2007

    • Author(s)
      庄野菜穂子
    • Journal Title

      Life Style Medicine 1・1

      Pages: 86-93

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Association between a silent ST segment depression in exercise ECG and insulin resistance in obese subjects.2007

    • Author(s)
      Michishita R et al.
    • Journal Title

      Journal of Cardiology 49・5

      Pages: 231-239

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Association between a silent ST segment depression in exercise ECG and insulin resisitance in obese subjects2007

    • Author(s)
      Michishita R, Shono N, Inoue T, Noda K etal
    • Journal Title

      J. Cardiology (in press)

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Evaluation of exercise prescription based on the heart rate and work rate at the lactate threshold in obese subjects with and without hypertension.2006

    • Author(s)
      Shono N et al.
    • Journal Title

      Jpn J Phys Fit Sports Med 55

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Multiple Risk Factor保有女性における変形性膝関節症の有無と肥満度ならびに有酸素性作業能力との関係2006

    • Author(s)
      道下竜馬ら
    • Journal Title

      日本臨床スポーツ医学雑誌 14・3

      Pages: 384-390

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Have a Slow Time (1) 働きすぎにご用心2006

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・3

      Pages: 508-510

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Have a Slow Time (2) 不眠と肥満の微妙な関係2006

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・4

      Pages: 644-646

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Have a Slow Time (3) 思いこみの落とし穴2006

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・5

      Pages: 805-807

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Have a Slow Time (4) 我がふりなおして,人のふりをみる.2006

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・6

      Pages: 980-982

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Heart rate and work rate at the lactate threshold in women with impaired glucose tolerance.2006

    • Author(s)
      Shono N et al.
    • Journal Title

      Journal of Japan Diabetes Society (in Japanese) 48・6

      Pages: 423-428

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Evaluation of exercise prescription based on the heart rate and work rate at the lactate threshold in obese subjects with and without hypertension.2006

    • Author(s)
      Shono N et al.
    • Journal Title

      Japanese Journal of Physical Fitness and Sports Medicine 55

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Association of osteoarthritis of the knee with the obesity indices and aerobic capacity in women with multiple risk factors.2006

    • Author(s)
      Michishita R, et al.
    • Journal Title

      Japanese Journal of Clinical Sports Medicine (in Japanese) 14・3

      Pages: 384-390

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Evaluation of Exercise Prescription Based on the Heart Rate and Work Rate at the Lactate Threshold in Obese Subjects with and without Hypertension.2006

    • Author(s)
      Shono N, Michishita R, Tsuruta T
    • Journal Title

      Jpn J Phys Fit Sports Med 55

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Multiple Risk Factor保有女性における変形性膝関節症の有無と肥満度ならびに有酸素性作業能力との関係2006

    • Author(s)
      道下竜馬, 庄野菜穂子, 笠原貴紀, 鶴田達幸
    • Journal Title

      日本臨床スポーツ医学雑誌 14・3

      Pages: 384-390

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Have a Slow Time (4) 我がふりなおして、人のふりをみる2006

    • Author(s)
      庄野菜穂子
    • Journal Title

      肥満と糖尿病 5・6

      Pages: 980-982

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 肥満女性における高感度CRPと食後糖脂質代謝との関連2005

    • Author(s)
      庄野菜穂子ら
    • Journal Title

      肥満研究 11・1

      Pages: 52-57

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Multiple risk factor保有者の運動負荷心電図ST下降負荷強度、乳酸閾値および冠鉱脈疾患危険因子との関係2005

    • Author(s)
      道下竜馬ら
    • Journal Title

      日本臨床スポーツ医学会誌 13・2

      Pages: 226-233

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 耐糖能異常の女性における血中乳酸閾値の心拍数と自転車仕事率2005

    • Author(s)
      庄野菜穂子ら
    • Journal Title

      糖尿病 48・6

      Pages: 423-428

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Relationships between high sensitive C-reactive protein and postprandial glucose and lipid metabolism in obese women.2005

    • Author(s)
      Shono N, et al.
    • Journal Title

      Journal of Japan Society for the Study of Obesity (in Japanese) 11・1

      Pages: 52-57

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Association between exercise intensity at ST segment depression and lactate threshold, and risk factors for coronary heart disease in patients with multiple risk factors.2005

    • Author(s)
      Michishita R, et al.
    • Journal Title

      Japanese Journal of Clinical Sports Medicine (in Japanese) 13・2

      Pages: 226-233

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 肥満女性における高感度CRPと食後糖脂質代謝との関連2005

    • Author(s)
      庄野菜穂子, 道下竜馬, 鶴田敏幸, 野出孝一
    • Journal Title

      肥満研究 11

      Pages: 52-57

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Multiple risk factor保有者の運動負荷心電図ST下降負荷強度、乳酸閾値および冠動脈疾患2005

    • Author(s)
      道下竜馬, 庄野菜穂子, 笠原貴紀, 鶴田敏幸
    • Journal Title

      日本臨床スポーツ医学会誌 13

      Pages: 226-233

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 耐糖能異常の女性における血中乳酸閾値の心拍数と自転車仕事率2005

    • Author(s)
      庄野菜穂子, 道下竜馬, 笠原貴紀, 鶴田敏幸
    • Journal Title

      糖尿病 48

      Pages: 423-428

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 肥満女性における高感度CRPと食後糖脂質代謝との関連2005

    • Author(s)
      庄野菜穂子, 道下竜馬, 鶴田敏幸, 野出孝一
    • Journal Title

      肥満研究 (印刷中)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Multiple risk factor保有者の運動負荷心電図ST下降負荷強度、乳酸閾値および冠鉱脈疾患危険因子との関係2005

    • Author(s)
      道下竜馬, 庄野菜穂子, 笠原貴紀, 鶴田敏幸
    • Journal Title

      日本臨床スポーツ医学会誌 (印刷中)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 耐糖能異常の女性における血中乳酸閾値の心拍数と自転車仕事率2005

    • Author(s)
      庄野菜穂子, 道下竜馬, 笠原貴紀, 鶴田敏幸
    • Journal Title

      糖尿病 (印刷中)

    • Related Report
      2004 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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