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Usefulness of central arterial presure response to dynamic exercise for the assessment of vascular endotherial function

Research Project

Project/Area Number 23500840
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Applied health science
Research InstitutionWakayama Medical University

Principal Investigator

MIYAI Nobuyuki  和歌山県立医科大学, 保健看護学部, 教授 (40295811)

Co-Investigator(Renkei-kenkyūsha) ARITA Mikio  和歌山県立医科大学, 保健看護学部, 教授 (40168018)
MIYASHITA Kazuhisa  和歌山県立医科大学, 医学部, 教授 (50124889)
MORIOKA Ikuharu  和歌山県立医科大学, 保健看護部, 教授 (70264877)
TERADA Kazufumi  天理大学, 体育学部, 准教授 (40454798)
UTSUMI Miyoko  和歌山県立医科大学, 保健看護部, 教授 (00232877)
Research Collaborator TOMIDA Kotaro  和歌山大学, 経済学部, 准教授 (50197935)
HATTORI Sonomi  和歌山県立医科大学, 保健看護部, 准教授 (00438285)
MURE Kanae  和歌山県立医科大学, 医学部, 講師 (90268491)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2013: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords運動負荷試験 / 中心動脈圧波 / 動脈伸展性 / 血管内皮機能 / 動脈硬化 / 反射指標 / 反射指数
Research Abstract

In this study, we have demonstrated that the exaggerated responses of central arterial pressure and wave reflection markers during dynamic exercise are related to a state of structural and functional impairments of the vasculature in the early stages of hypertension. These results suggest that subclinical atherosclerosis may have a greater influence on vascular reactivity than on basal tone and hence could potentially be identified by an abnormal response of central arterial pressure to exercise even before clinical manifestation of atherosclerosis. In addition, an amplified wave reflection from periphery due to the vascular alterations, such as increased arterial stiffness and endothelial dysfunction, induces greater central aortic pressure and leads to the increase in overall left ventricular afterload. Thus, the central arterial pressure response to exercise may also be useful as an evaluation of hypertension-related risks of cardiovascular complications.

Report

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

    (13 results)

All 2014 2013 2012 2011 Other

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (11 results)

  • [Journal Article] Increased mean arterial pressure response to dynamic exercise in normotensive subjects with multiple metabolic risk factors2013

    • Author(s)
      Miyai N, Shiozaki M, Yabu M, Utsumi M, Morioka I, Miyashita K, Arita M
    • Journal Title

      Hypertens Res

      Volume: 36 Pages: 534-539

    • NAID

      10031189658

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Increased mean arterial pressure response to dynamic exercise in normotensive subjects with multiple metabolic risk factors2013

    • Author(s)
      Miyai N, Shiozaki M, Yabu M, Utsumi M, Morioka I, Miyashita K, Arita M
    • Journal Title

      Hypertension Research

      Volume: 24 Issue: 6 Pages: 534-539

    • DOI

      10.1038/hr.2012.215

    • NAID

      10031189658

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Mean arterial pressure during submaximal exercise is associated with makers of subclinical atherosclerosis in prehypertension2014

    • Author(s)
      Miyai N, Shiozaki M, Uchikawa Y, Terada K, Tomida K, Utsumi M, Hattori S, Miyashita K, Arita M
    • Organizer
      Joint Meeting of the 24th European Society of Hypertension& the 25th International Society of Hypertension
    • Place of Presentation
      Athens, Greece
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] 運動負荷に伴う中心動脈圧波の反射波成分の変化と左室壁肥厚との関連2014

    • Author(s)
      宮井信行、塩崎万起、寺田和史、冨田耕太郎、内川友起子、内海みよ子、服部園美、森岡郁晴、有田幹雄、宮下和久
    • Organizer
      第87回日本産業衛生学会
    • Place of Presentation
      岡山市
    • Related Report
      2013 Annual Research Report
  • [Presentation] Central arterial blood pressure response to dynamic exercise is a useful marker of peripheral vasodilatory function in early stages of hypertension2013

    • Author(s)
      Miyai N, Shiozaki M, Uchikawa Y, Utsumi M, Tomida K, Hashizume T, Miyashita K, Arita M
    • Organizer
      23th Scientific Meeting of the European Society of Hypertension
    • Place of Presentation
      Milan, Italy
    • Related Report
      2013 Annual Research Report 2013 Final Research Report 2012 Research-status Report
  • [Presentation] Exaggerated Blood Pressure Response and Delayed Blood Pressure Recovery Are Associated with Arterial Stiffness in Prehypertensive Subjects2013

    • Author(s)
      Miyai N, Idoue A, Hirata C, Takahashi M, Nagano S, Iwahara A, Hattori S, Buyo M, Hashizume T, Uematsu Y, Utsumi M, Shiba M, Miyashita K, Arita M
    • 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 2012 Research-status Report
  • [Presentation] 運動負荷試験による血圧変化に及ぼす動脈伸展性の低下の影響2012

    • Author(s)
      宮井信行, 塩崎万起, 内海みよ子, 内川友起子, 福元仁, 森岡郁晴, 有田幹雄, 武田眞太郎, 宮下和久
    • Organizer
      第85回日本産業衛生学会
    • Place of Presentation
      名古屋
    • Related Report
      2013 Final Research Report
  • [Presentation] Central blood pressure response to exercise as an evaluation of left ventricular afterload in early stages of hypertension2012

    • Author(s)
      Miyai N, Shiozaki M, Kinjo Y, Uchikawa Y, Fukumoto J, Terada K, Tomida K, Miyashita K, Arita M
    • Organizer
      22nd Scientific Meeting of the European Society of Hypertension
    • Place of Presentation
      London, UK
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 運動負荷試験による血圧変化に及ぼす動脈伸展性の低下の影響2012

    • Author(s)
      宮井信行、塩崎万起、内海みよ子、内川友起子、福元 仁、森岡郁晴、有田幹雄、武田眞太郎、宮下和久
    • Organizer
      第85回日本産業衛生学会、名古屋(名古屋国際会議場)、2012年5月31日
    • Place of Presentation
      名古屋
    • Related Report
      2012 Research-status Report
  • [Presentation] 高血圧者における運動負荷時の橈骨動脈-大動脈脈圧比の変化と左室ストレスの評価2011

    • Author(s)
      宮井信行, 塩崎万起, 内川友起子, 藪 真悠子, 内海みよ子, 森岡郁晴, 宮下和久, 有田幹雄
    • Organizer
      第34回日本高血圧学会
    • Place of Presentation
      栃木
    • Related Report
      2013 Final Research Report
  • [Presentation] Relationship of blood pressure response to exercise with arterial stiffness and urinary albumin excretion in normal and early stages of hypertension2011

    • Author(s)
      Miyai N, Shiozaki M, Utsumi M, Morioka I, Miyashita K, Arita M
    • Organizer
      American College of Cardiology 60th Annual Scientific Session
    • Place of Presentation
      New Orleans, USA
    • Related Report
      2013 Final Research Report
  • [Presentation] Relationship of Blood Pressure Response to Exercise with Arterial Stiffness and Urinary Albumin Excretion in Normal and Early Stages of Hypertension

    • Author(s)
      Nobuyuki Miyai
    • Organizer
      第60回米国心臓学会
    • Place of Presentation
      アメリカ・ニューオリンズ
    • Related Report
      2011 Research-status Report
  • [Presentation] 高血圧者における運動負荷時の橈骨動脈-大動脈脈圧比の変化と左室ストレスの評価

    • Author(s)
      宮井信行
    • Organizer
      第回日本高血圧学会総会
    • Place of Presentation
      栃木・宇都宮
    • Related Report
      2011 Research-status Report

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

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