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Effect of Cardiac Rehabilitation after Open Heart Surgery on the System of Cellular Immunity

Research Project

Project/Area Number 17500369
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionSaitama Medical University

Principal Investigator

MAKITA Shigeru  Saitama Medical University, Faculty of Medicine, Associate Professor (40316708)

Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥2,950,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥150,000)
Fiscal Year 2007: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥1,500,000 (Direct Cost: ¥1,500,000)
Keywordscardiac rehabilitation / open heart suraery / cellular immunit / サイトカイン / 運動耐容能 / LVAS
Research Abstract

It is widely recognized that cardiac rehabilitation improves exercise capacity, various coronary risk factors, anxiety and prognosis of cardiac patients. But little is known about effect of cardiac rehabilitation on cellular immunity. The purpose of this study was to reveal the influence of cardiac rehabilitation on cellular immunity.
[Subjects and Methods] 9 male patients(average 63.4 years old)after coronary artery bypass grafting or acute myocardial infarction participated in out-patient cardiac rehabilitation once a week in institutional formal program and 5 times a week home-based working program for 3 months. We measured exercise capacity and activities of NK(natural killer)cell and soluble TNF receptor1 by taking venous blood before and after rehabilitation.
[Results] Peak. VO2 increased significantly form 16.8±2.7 to 19.4±2.2mL/kg/min(p=0.008) and HDL cholesterol levels showed also increased from 42.0±10.9 to 49.0±10.4mg/dL(p=0.028). But NK cell activities showed no significant changes between 49.4±14. 7 and 50.2±11.2% and there was a tendency of decrease in soluble TNF receptor1 between 1283±634 and 915±102pg/mL(p=0.051).
[Conclusion] Out-patient cardiac rehabilitation system in recovery phase should be brought into Japan. This system is safe and effective and shows no worse effects on cellular immunity.

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (26 results)

All 2008 2007 2006 2005

All Journal Article (14 results) Presentation (12 results)

  • [Journal Article] 心疾患のリハビリテーション2008

    • Author(s)
      牧田 茂
    • Journal Title

      保健の科学 50(2)

      Pages: 110-115

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Journal Article] 心臓リハビリテーションの実際と効果2008

    • Author(s)
      牧田 茂
    • Journal Title

      Jpn J Rebabil Med 45(3)

      Pages: 163-168

    • NAID

      110006633369

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Cardiac rehabilitation2008

    • Author(s)
      Shigeru, Makita
    • Journal Title

      Health Care 50(2)

      Pages: 110-115

    • NAID

      130001351229

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Practice and effects of cardiac rehabilitation2008

    • Author(s)
      Shigeru, Makita
    • Journal Title

      Jpn J Rehabil Med 45(3)

      Pages: 163-168

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 心臓リハビリテーションの実際と効果2008

    • Author(s)
      牧田 茂
    • Journal Title

      Jpn J Rehabil Med 45(3)

      Pages: 163-168

    • NAID

      110006633369

    • Related Report
      2007 Annual Research Report
  • [Journal Article] 虚血性心疾患患者に身体活動はどこまで許されるか2007

    • Author(s)
      牧田 茂
    • Journal Title

      臨床スポーツ医学 臨時増刊号 24

      Pages: 152-162

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Physical activity of patients with ischemic heart disease2007

    • Author(s)
      Shigeru, Makita
    • Journal Title

      Clinical Sports Medicine 24

      Pages: 152-162

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 虚血性心疾患患者に身体活動はどこまで許されるか2007

    • Author(s)
      牧田 茂
    • Journal Title

      臨床スポーツ医学 臨時増刑号 24

      Pages: 152-162

    • Related Report
      2007 Annual Research Report
  • [Journal Article] 心不全2006

    • Author(s)
      牧田 茂
    • Journal Title

      総合リハビリテーション 34(5)

      Pages: 435-439

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] スポーツ・リハビリテーションにおける血中乳酸濃度活用法の更なる展開2006

    • Author(s)
      牧田 茂
    • Journal Title

      臨床病理レビュー特集「スポーツと臨床検査」 137号

      Pages: 174-181

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Heart failure2006

    • Author(s)
      Shigeru, Makita
    • Journal Title

      Sogo Reha 34(5)

      Pages: 435-439

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Clinical application for blood lactate measurement in the field of sports rehabilitation2006

    • Author(s)
      Shigeru, Shigeru
    • Journal Title

      Rinsho Byori Review 137

      Pages: 174-181

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 廃用による体力低下の病態と治療-心不全2005

    • Author(s)
      牧田 茂
    • Journal Title

      リハビリテーション医学 42(10)

      Pages: 679-684

    • NAID

      110002552773

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Pathology and treatment of disuse atrophy -heart failure-2005

    • Author(s)
      Shigeru, Makita
    • Journal Title

      Jpn J Rahabil Med 42(10)

      Pages: 679-684

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 虚血性心疾患患者の回復期外来通院型心臓リハビリテーションの効果2008

    • Author(s)
      牧田 茂、内田 龍制
    • Organizer
      第39回日本リハビリテーション医学会関東地方会
    • Place of Presentation
      東京
    • Year and Date
      2008-03-08
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Out-patients cardiac rehabilitation in recovery phase2008

    • Author(s)
      Shigeru, Makita, Ryusei, Uchida
    • Organizer
      The 39th Kanto-area Meeting of the Japanese Rehabilitation Medicine
    • Place of Presentation
      Tokyo
    • Year and Date
      2008-03-08
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 冠動脈疾患患者と健常者における運動耐容能と可溶性TNFレセプターとの関連2007

    • Author(s)
      牧田 茂、内田 龍制
    • Organizer
      第55回日本心臓病学会
    • Place of Presentation
      千葉
    • Year and Date
      2007-09-11
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The relationship between exercise tolerance and soluble TNF receptor in coronary patients and healthy adults2007

    • Author(s)
      Shigeru, Makita, Ryusei, Uchida
    • Organizer
      The 55th Annual Scientific Session of the Japanese College of Cardiology
    • Place of Presentation
      Chiba
    • Year and Date
      2007-09-11
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 冠動脈疾患患者の運動耐容能と各種サイトカインとの関連2006

    • Author(s)
      牧田 茂
    • Organizer
      第43回日本臨床生理学会
    • Place of Presentation
      福岡
    • Year and Date
      2006-11-10
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The relationship between exercise tolerance and cytokines in coronary patients2006

    • Author(s)
      Shigeru, Makita
    • Organizer
      The 43th Annual Meeting of Clinical Pathology
    • Place of Presentation
      Fukuoka
    • Year and Date
      2006-11-10
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The relationship between pro-inflammatory cytokines and exercise capacity in patients with coronary heart disease and left ventricularassist device2006

    • Author(s)
      Shigeru Makita, Ryusei Uchida, Shiuji Sato
    • Organizer
      The 13th International Conference of Biochemistry of Exercise
    • Place of Presentation
      Seoul,Korea
    • Year and Date
      2006-10-21
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The relationship between pro-inflammatory cytokines and exercise capacity in patients with coronary heart disease and left ventricular assist device2006

    • Author(s)
      Shigeru, Makita, Ryusei, Uchida, Shinji, Sato
    • Organizer
      The 13th International Conference of Biochemistry of Exercise
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2006-10-21
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Trainabiity of patients with severe heart failure after LVAS implantation2006

    • Author(s)
      Shigeru Makita, Yusuke Hanafusa, Shunei Kyo
    • Organizer
      The 10th Amual Scientific Meeting of the Japanese Heart Failure Society
    • Place of Presentation
      Tokyo
    • Year and Date
      2006-10-15
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Trainability of patients with severe heart failure after LVAS Implantation2006

    • Author(s)
      Shigeru, Makita, Yusuke, Hanafusa, Shunei, Kyo
    • Organizer
      The 10th Annual Scientific Meeting of the Japanese Heart Failure Society
    • Place of Presentation
      Tokyo
    • Year and Date
      2006-10-15
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 心筋梗塞と冠動脈バイパス術ならびに左室補助人工心臓装着患者の炎症性サイトカインと運動耐容能の比較検討2006

    • Author(s)
      牧田 茂、内田 龍制
    • Organizer
      第54回日本心臓病学会
    • Place of Presentation
      鹿児島
    • Year and Date
      2006-09-26
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The comparison between patients with myocardial infarction or coronary artery bypass grafting and patients after implantation of left ventricular assist device about inflamma- tory cytokines and exercise tolerance.2006

    • Author(s)
      Shigeru, Makita, Ryusei, Uchida
    • Organizer
      The 54th Annual Scientific Session of the Japanese College of Cardiology
    • Place of Presentation
      Kagoshima
    • Year and Date
      2006-09-26
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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