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A novel intervention of phase II cardiac rehabilitation for patients with multiple complications to advance their social reintegration

Research Project

Project/Area Number 23500612
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKitasato University

Principal Investigator

MASUDA TAKASHI  北里大学, 医療衛生学部, 教授 (30165716)

Co-Investigator(Kenkyū-buntansha) NODA Chiharu  北里大学, 医学部, 助教 (80365080)
OGURA Misao  北里大学, 医療衛生学部, 助教 (10337991)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords心臓 / リハビリテーション / 自律神経活動 / 多疾患有病者 / 運動療法 / 心臓リハビリテーション / 高齢者 / 身体機能 / 下肢筋力 / 社会福祉サービス / 身体活動
Research Abstract

Increased insulin resistance is closely correlated with exercise capacity in patients with hypertension (HT) and/or dyslipidemia (DL), because it is known to impair the energy metabolism in skeletal muscles. The aim of this study was to investigate the influence of insulin resistance on exercise capacity in patients with HT and/or DL.
Homeostasis model assessment ratio (HOMA-R) was assessed and oxygen uptake (VO2) at anaerobic threshold (VO2 AT) and peak VO2 were measured by cardiopulmonary exercise testing. The exercise capacity was assessed using ratios of measured VO2 to predicted VO2 AT and predicted peak VO2 (%VO2 AT and %peak VO2, respectively).
The %VO2 AT and %peak VO2 were significantly lower in the high HOMA-R group than in the low HOMA-R group (P<0.05, respectively), and negatively correlated with HOMA-R (r=0.339, P<0.05 and r=0.522, P<0.05, respectively). The present study showed that increased insulin resistance decreased exercise capacity in patients with HT and/or DL.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (37 results)

All 2014 2013 2012 2011

All Journal Article (24 results) (of which Peer Reviewed: 14 results) Presentation (8 results) Book (5 results)

  • [Journal Article] Hippotherapy improves muscle hypertonia caused by an autonomic imbalance in children with spastic cerebral palsy2013

    • Author(s)
      Misako Yokoyama, Takeshi Kaname, Minoru Tabata, Kazuki Hotta, Ryosuke Shimizu, Kentaro Kamiya, Daisuke Kamekawa, Michitaka Kato, Ayako Akiyama, Mitsuaki Ohta, Takashi Masuda
    • Journal Title

      Kitasato Medical Journal

      Volume: 43(1) Pages: 67-73

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Journal Article] ペットを飼育する急性心筋梗塞患者における周波数領域・非線形領域解析を用いた心拍変動に関する検討2013

    • Author(s)
      饗庭 尚子, 堀田 一樹, 田 畑 稔, 横山美佐子, 神谷健太郎, 清水良祐, 亀川大輔, 加藤倫卓, 中村賢, 増田卓
    • Journal Title

      ストレス科学

      Volume: 27(4) Pages: 410-418

    • Related Report
      2013 Final Research Report
  • [Journal Article] Stretching Exercises Enhance Vascular Endothelial Function and Improve Peripheral Circulation in Patients With Acute Myocardial Infarction2013

    • Author(s)
      Kazuki Hotta, Kentaro Kamiya, Ryosuke Shimizu, Misako Yokoyama, Misao Nakamura-Ogura, Minoru Tabata, Daisuke Kamekawa, Ayako Akiyama, Michitaka Kato, Chiharu Noda, Atsuhiko Matsunaga, Takashi Masuda
    • Journal Title

      International Heart Journal

      Volume: 54 (2) Pages: 59-63

    • NAID

      130003364447

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Journal Article] 冠動脈疾患およびその高リスク患者において, 血中Pentraxin3(PTX3)濃度はLDL/HDL比と関連する2013

    • Author(s)
      亀田良, 東條美奈子, 若梅一樹, 根本慎司, 北里梨紗, 吉田友紀, 東條大輝, 町田陽二, 饗庭尚子, 増田卓, 和泉徹
    • Journal Title

      日循予防誌

      Volume: 48(1) Pages: 9-16

    • Related Report
      2013 Final Research Report
  • [Journal Article] ペットを飼育する急性心筋梗塞患者における周波数領域・非線形領域解析を用いた心拍変動に関する検討2013

    • Author(s)
      饗庭 尚子,堀田 一樹,田畑 稔,横山美佐子,神谷健太郎,清水良祐,亀川大輔,加藤倫卓,中村 賢,増田 卓
    • Journal Title

      ストレス科学

      Volume: 27 Pages: 410-418

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 冠動脈疾患およびその高リスク患者において、血中Pentraxin 3 (PTX3)濃度はLDL/HDL比と関連する2013

    • Author(s)
      亀田良、東條美奈子、若梅一樹、根本慎司、北里梨紗、吉田友紀、東條大輝、町田陽二、饗庭尚子、増田 卓、和泉 徹
    • Journal Title

      日循予防誌

      Volume: 48 Pages: 9-16

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Stretching Exercises Enhance Vascular Endothelial Function and Improve Peripheral Circulation in Patients With Acute Myocardial Infarction.2013

    • Author(s)
      Kazuki Hotta, Takashi Masuda
    • Journal Title

      International Heart Journal

      Volume: 54 Pages: 59-63

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hippotherapy improves muscle hypertonia caused by an autonomic imbalance in children with spastic cerebral palsy.2013

    • Author(s)
      Misako Yokoyama, Takashi Masuda
    • Journal Title

      Kitasato Medical Journal

      Volume: 43

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efects of electrical muscle stimulation in a left ventricular assist device patient2012

    • Author(s)
      Kentaro Kamiya, Alessandro Mezzani, Takashi Masuda, Atsuhiko Matsunaga, Pantaleo Giannuzzi
    • Journal Title

      International Journal of Cardiology

      Volume: 160(3)

    • Related Report
      2013 Final Research Report
  • [Journal Article] Walking speed in patients with first acute myocardial infarction who participated in a supervised cardiac rehabilitation program after coronary intervention2012

    • Author(s)
      Shuhei Yamamoto, Atsuhiko Matsunaga, Kentaro Kamiya, Kazumasa Miida, Yukari Ebina, Kazuki Hotta, Ryosuke Shimizu, Ryota Matsuzawa, Yoshifumi Abe, Masahiko Kimura, Shinobu Shimizu, Hiroyuki Watanabe, Chiharu Noda, Minako Yamaoka-Tojo, Takashi Masuda, Tohru Izumi
    • Journal Title

      International Heart Journal

      Volume: 53(6) Pages: 347-352

    • NAID

      130002528810

    • Related Report
      2013 Final Research Report
  • [Journal Article] Arterial pulsation on a human patient simulator improved students' pulse assessment2012

    • Author(s)
      Akihiro Takeuchi, Tomomi Kobayashi, Minoru Hirose, Takashi Masuda, Toshiro Sato, Noriaki Ikeda
    • Journal Title

      Journal of Biomedical Science and Engineering

      Volume: 5 Pages: 285-289

    • Related Report
      2013 Final Research Report
  • [Journal Article] Excessive fall of blood pressure during maintenance hemodialysis in patients with chronic renal failure is induced by vascular malfunction and imbalance of autonomic nervous activity2012

    • Author(s)
      Kazuya Yamamoto, Naoyuki Kobayashi, Toshiki Kutsuna, Akira Ishii, Takuya Matsumoto, Miyako Hara, Naoko Aiba, Minoru Tabata, Naonobu Takahira, Takashi Masuda
    • Journal Title

      Therapeutic Apheresis and Dialysis

      Volume: 16(3) Pages: 219-25

    • Related Report
      2013 Final Research Report
  • [Journal Article] Usefulness of pet ownership as a modulator of cardiac autonomic imbalance in patients with diabetes mellitus, hypertension and/or hyperlipidemia2012

    • Author(s)
      Naoko Aiba, Kazuki Hotta, Misako Yokoyama, Guoqin Wang, Minoru Tabata, Kentaro Kamiya, Ryousuke Shimizu, Daisuke Kamekawa, Keika Hoshi, Minako Yamaoka-Tojo, Takashi Masuda
    • Journal Title

      American Journal of Cardiology

      Volume: 109 Pages: 1164-70

    • Related Report
      2013 Final Research Report 2011 Research-status Report
  • [Journal Article] Cardioprotective effects of sarcolemmal and mitochondrial K-ATP channel openers in an experimental model of autoimmune myocarditis2012

    • Author(s)
      Niwano S, Hirasawa S, Niwano H, Sasaki S, Masuda R, Sato K, Masuda T, Izumi T
    • Journal Title

      Role of the reduction in calcium overload during acute heart failure- International Heart Journal

      Volume: 53 Pages: 139-145

    • Related Report
      2013 Final Research Report
  • [Journal Article] Walking speed in patients with first acute myocardial infarction who participated in a supervised cardiac rehabilitation program after coronary intervention.2012

    • Author(s)
      Shuhei Yamamoto, Takashi Masuda
    • Journal Title

      International Heart Journal

      Volume: 53 Pages: 347-352

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efects of electrical muscle stimulation in a left ventricular assist device patient.2012

    • Author(s)
      Kentaro Kamiya, Takashi Masuda
    • Journal Title

      International Journal of Cardiology

      Volume: 160

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Arterial pulsation on a human patient simulator improved students’ pulse assessment.2012

    • Author(s)
      Akihiro Takeuchi, Takashi Masuda
    • Journal Title

      Journal of Biomedical Science and Engineering

      Volume: 5 Pages: 285-289

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Excessive fall of blood pressure during maintenance hemodialysis in patients with chronic renal failure is induced by vascular malfunction and imbalance of autonomic nervous activity.2012

    • Author(s)
      Kazuya Yamamoto, Takashi Masuda
    • Journal Title

      Therapeutic Apheresis and Dialysis

      Volume: 16 Pages: 219-225

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Usefulness of pet ownership as a modulator of cardiac autonomic imbalance in patients with diabetes mellitus, hypertension and/or hyperlipidemia.2012

    • Author(s)
      Naoko Aiba, Takashi Masuda
    • Journal Title

      American Journal of Cardiology

      Volume: 109 Pages: 1164-1170

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Cardioprotective effects of sarcolemmal and mitochondrial K-ATP channel openers in an experimental model of autoimmune myocarditis. -Role of the reduction in calcium overload during acute heart failure-2012

    • Author(s)
      Shinichi Niwano, Takashi Masuda
    • Journal Title

      International Heart Journal

      Volume: 53 Pages: 139-145

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 高齢虚血性心疾患患者の退院後の身体活動強度は下肢筋力だけでなくバランス機能の影響を受ける2012

    • Author(s)
      根本慎司,松永篤彦,山本周平,亀川大輔,松沢良太,阿部義史,高橋佑太,林 祐介,室内直樹,若梅一樹,木村雅彦,神谷健太郎,見井田和正,野田千春,東條美奈子,増田 卓,和泉 徹
    • Journal Title

      心臓リハビリテーション

      Volume: 17 Pages: 98-102

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 急性心筋梗塞患者に対する禁煙指導後の体重増加が冠危険因子に与える影響2011

    • Author(s)
      加藤倫卓,松永篤彦,内藤裕治,町田ゆり子,緒方陽子,山本周平,木村雅彦,増田 卓,小鹿野道雄,真鍋宏美,田邊潤,梅本琢也
    • Journal Title

      心臓

      Volume: 43 Pages: 174-180

    • NAID

      130002146641

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Beneficial effects of L- and N- type calcium channel blocker on glucose and lipid metabolism and renal function in Patients with Hypertension and Type II Diabetes Mellitus2011

    • Author(s)
      Takashi Masuda, Misao N Ogura, Tatsumi Moriya, Naonobu Takahira, Takuya Matsumoto, Toshiki Kutsuna, Miyako Hara, Naoko Aiba, Chiharu Noda, Tohru Izumi
    • Journal Title

      Cardiovascular Therapeutics

      Volume: 29 Pages: 46-53

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effects of prolonged expiration breathing on cardiopulmonary responses during incremental exercise2011

    • Author(s)
      Takuya Matsumoto, Takashi Masuda, Kazuki Hotta, Ryosuke Shimizu, Akira Ishii, Toshiki Kutsuna, Kazuya Yamamoto, Miyako Hara, Naonobu Takahira, Atsuhiko Matsunaga
    • Journal Title

      Respiratory Physiology & Neurobiology

      Volume: 178 Pages: 275-282

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] Preventive effects of phase II cardiac rehabilitation against the rehospitalization in middle-aged patients with chronic heart failure2013

    • Author(s)
      Takashi Masuda, Minoru Tabata, Kentaro Kamiya, Shuhei Yamamoto, Minako Yamaoka-Tojo, Tohru Izumi
    • Organizer
      6th ICOH International Conference on Work Environment and Cardiovascular Diseases
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
  • [Presentation] Peripheral Arterial Disease with Fontaine Stage 1 is an Independent Predictor of Reduced Exercise Capacity in Coronary Artery Disease Patients2013

    • Author(s)
      Kazuki Hotta, Kentaro Kamiya, Shuhei Yamamoto, Mari Kawano, Yukari Ebina, Minoru Tabata, Chiharu Noda, Takashi Masuda
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
  • [Presentation] Muscle Stretching Enhances Nitric Oxide-dependent Vasodilation in Skeletal Muscle Arterioles of Aged Rats2013

    • Author(s)
      Kazuki Hotta, Payal Ghosh, Bei Chen, Maria A. Rojas, Hae-Sun La, Glenn Sapp, Rhumit Patel, Atsuhiko Matsunaga, Takashi Masuda, Judy M Delp
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
  • [Presentation] The yogic exercise enhanced the parasympathetic nervous activity without the elevation of sympathetic nervous activity in the patients with acute myocardial infarction2013

    • Author(s)
      A.Akiyama, K.Hotta, D.Kamekawa, R.Shimizu, K.Kamiya, M.N Ogura, M. Yokoyama, C.Noda, M.Y Tojo, T.Masuda
    • Organizer
      EuroPRevent
    • Place of Presentation
      イタリア・ローマ Palazzo dei Congressi
    • Related Report
      2013 Annual Research Report
  • [Presentation] Quadriceps strength is an independent predictor of exercise capacity in patients with coronary artery disease2013

    • Author(s)
      K.Kamiya, A.Mezzani, K Hotta, R Shimizu, D Kamekawa, M Tabata, C Noda, M Yamaoka -Tojo, A Matsunaga, T Masuda
    • Organizer
      EuroPRevent
    • Place of Presentation
      イタリア・ローマ Palazzo dei Congressi
    • Related Report
      2013 Annual Research Report
  • [Presentation] Neuromuscular electrical stimulation improves vascular endothelial function and peripheral circulation in patients with acute myocardial infarction2013

    • Author(s)
      S.Tanaka, K.Kamiya,K.Hotta,R.Shimizu,D.Kamekawa,A.Akiyama,Y.Kamada,N.Hamazaki,C.Noda,T.Masuda
    • Organizer
      EuroPRevent
    • Place of Presentation
      イタリア・ローマ Palazzo dei Congressi
    • Related Report
      2013 Annual Research Report
  • [Presentation] Increased physical activity prevents the progress of arteriosclerosis by reducing advanced glycation end products and oxidative stress in patients with diabetes,hypertension, and/or dyslipidemia2013

    • Author(s)
      Y.Kamada, S.Ito, D.Kamekawa, M.Katagiri, H.Ishii, K.Hotta, S.Yamamoto, K.Kamiya, C.Noda, T.Masuda
    • Organizer
      European Sociaaty of Cardiology
    • Place of Presentation
      オランダ・アムステルダム Congress venue
    • Related Report
      2013 Annual Research Report
  • [Presentation] Stretching Exercises Attenuate Oxidative Stress and Vascular Endothelial Function in Heart Failure Patients with Implantable Cardioverter Defibrillator or Cardiac Resynchronization Therapy-defibrillator2013

    • Author(s)
      Michitaka Kato, Takashi Masuda, Michio Ogano, Yuji Mori, Shota Kawase, Toshiyuki Ikedo, Ryosuke Shimizu, Kentaro Kamiya, Daisuke Kamemawa, Ayako Akiyama, Yumi Kamada, Shusuke Ota, Jun Tanabe, Takuya Umemoto
    • Organizer
      American Heart Association
    • Place of Presentation
      アメリカ・ダラス Congress venue
    • Related Report
      2013 Annual Research Report
  • [Book] この症状を見逃さない戦略的循環器疾患の診かた監修 : 和泉徹2014

    • Author(s)
      増田卓
    • Publisher
      南山堂
    • Related Report
      2013 Final Research Report
  • [Book] 今日の治療指針2013年版総編集 : 山口徹, 北原光夫, 福井次矢2013

    • Author(s)
      増田卓
    • Publisher
      医学書院
    • Related Report
      2013 Final Research Report
  • [Book] そうだったんだ!脂肪酸-循環器疾患との深い関係編集 : 伊藤浩2013

    • Author(s)
      増田卓
    • Publisher
      文光堂
    • Related Report
      2013 Final Research Report
  • [Book] 心臓リハビリテーション編集 : 上月正博2013

    • Author(s)
      増田卓
    • Publisher
      医師薬出版
    • Related Report
      2013 Final Research Report
  • [Book] エビデンスに基づく循環器病予防医学監修 : 和泉徹2012

    • Author(s)
      増田卓
    • Publisher
      南山堂
    • Related Report
      2013 Final Research Report

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Published: 2011-08-05   Modified: 2019-07-29  

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