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Activation of the prefrontal cortex is associated with exertional dyspnea in COPD

Research Project

Project/Area Number 23591128
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionKinki University

Principal Investigator

HIGASHIMOTO Yuji  近畿大学, 医学部, 講師 (70316115)

Co-Investigator(Renkei-kenkyūsha) TOHDA Yuji  近畿大学, 医学部, 教授 (50167524)
FUKUDA Kanji  近畿大学, 医学部, 教授 (50201744)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords閉塞性肺疾患 / 脳皮質活動 / 運動負荷 / 近赤外線分光法 / 前頭葉 / 慢性閉塞性肺疾患 / 呼吸困難 / 低酸素血症 / 間質性肺炎 / 前頭葉皮質 / 気管支拡張薬 / COPD / 脳活動 / 前頭前野領域
Research Abstract

Background Exertional dyspnea is the primary symptom that limits exercise for patients with chronic obstructive pulmonary disease (COPD). It is unknown which activated brain area is associated with this symptom in COPD patients.
Objectives To investigate the activation of cortical areas in COPD patients associated with dyspnea during exercise. Methods COPD patients and age-matched controls performed mild intensity constant-work rate cycle exercises for 10 minutes while cerebral hemodynamics and oxygenation were measured by near-infrared spectroscopy (NIRS). Results Oxy-Hb concentration was significantly increased in the prefrontal region during exercise in both groups, but not in temporoparietal regions. Dyspnea scores were positively correlated with changes in oxy-Hb concentrations of the prefrontal regions in both groups. Conclusions Exertional dyspnea was related to activation (oxygenation) of the prefrontal cortex in COPD patients and control subjects.

Report

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

    (41 results)

All 2013 2012 2011

All Journal Article (17 results) (of which Peer Reviewed: 10 results) Presentation (21 results) Book (3 results)

  • [Journal Article] Effect of therapeutic touch on brain activation of preterm infants in response to sensory punctate stimulus : A near-infrared spectroscopy-based study2013

    • Author(s)
      Honda N., Higashimoto Y., Fukuda K, (他4名)
    • Journal Title

      Archives of disease in childhood Fetal and neonatal

      Volume: edition 98

    • URL

      http://adc.bmj.com/

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 【copd-その病態と最新治療】ステロイド薬の使い方(吸入・経口)2013

    • Author(s)
      東本有司,東田有智
    • Journal Title

      カレントテラピー

      Volume: 31 Pages: 513-517

    • URL

      http://www.lifemedicom.co.jp/

    • Related Report
      2013 Final Research Report
  • [Journal Article] Effect of therapeutic touch on brain activation of preterm infants in response to sensory punctate stimulus: A near-infrared spectroscopy-based study.2013

    • Author(s)
      Honda N, Ohgi S, Wada N, Loo KK, Higashimoto Y, Fukuda, K
    • Journal Title

      Archives of disease in childhood Fetal and neonatal edition

      Volume: 98

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 【COPD-その病態と最新治療】 ステロイド薬の使い方(吸入・経口)2013

    • Author(s)
      東本 有司, 東田 有智
    • Journal Title

      カレントテラピー

      Volume: 31 Pages: 513-517

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 【COPDの上手な診療】喘息を合併したcopdの治療2012

    • Author(s)
      東本有司,東田有智
    • Journal Title

      臨牀と研究

      Volume: 89 Pages: 1061-1065

    • Related Report
      2013 Final Research Report
  • [Journal Article] 呼吸リハビリテーションと非侵襲的陽圧換気療法が奏効し酸素療法から離脱できた脊椎後側彎症の1例2012

    • Author(s)
      本田憲胤, 東本有司, 東田有智, (他8名)
    • Journal Title

      総合リハビリテーション

      Volume: 40 Pages: 1447-1451

    • URL

      http://www.igaku-shoin.co.jp/

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 低酸素血症によるせん妄の可能性2012

    • Author(s)
      東田 有智, 東本有司:
    • Journal Title

      日本医事新報

      Volume: 4619 Pages: 53-55

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 【copdの上手な診療】 喘息を合併したcopdの治療2012

    • Author(s)
      東本有司, 東田 有智
    • Journal Title

      臨牀と研究

      Volume: 89 Pages: 1061-1065

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of therapeutic touch on brain activation of preterm infants in response to sensory punctate stimulus2012

    • Author(s)
      Honda N, Ohgi S, Wada N, Loo KK, Higashimoto Y, Fukuda K
    • Journal Title

      Archives of disease in childhood Fetal and neonatal edition

      Volume: in press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical and inflammatory factors associated with body mass index in elderly patients with chronic obstructive pulmonary disease2011

    • Author(s)
      Higashimoto Y(他8名)., Honda N, Tohda Y
    • Journal Title

      Geriatr Gerontol Int

      Volume: 11 Pages: 32-38

    • NAID

      10027913481

    • URL

      http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1447-0594

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Activation of the prefrontal cortex is associated with exertional dyspnea in chronic obstructive pulmonary disease2011

    • Author(s)
      Higashimoto Y.(他13名)
    • Journal Title

      Respiration

      Volume: 82 Pages: 492-500

    • URL

      http://www.karger.com/Journal/Home/224278

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 【copdの治療・管理update】増悪期の管理増悪時の薬物療法2011

    • Author(s)
      東本有司,東田有智
    • Journal Title

      日本胸部臨床

      Volume: 70

    • URL

      http://www.kokuseido.co.jp/

    • Related Report
      2013 Final Research Report
  • [Journal Article] 三宅式記銘力検査における得点と脳血流の変化2011

    • Author(s)
      杉谷竜司,東本有司
    • Journal Title

      理学療法科学

      Volume: 26 Pages: 537-540

    • NAID

      10029619193

    • URL

      http://spts.jpn.com/

    • Related Report
      2013 Final Research Report
  • [Journal Article] 健常若年者および高齢者における労作時呼吸困難と大脳皮質ヘモグロビン濃度の関係2011

    • Author(s)
      本田憲胤,東本有司,東田有智, (他7名)
    • Journal Title

      日本呼吸ケア・リハ学会誌

      Volume: 21 Pages: 142-147

    • NAID

      130005164141

    • URL

      http://www.jsrcr.jp/

    • Related Report
      2013 Final Research Report
  • [Journal Article] 慢性閉塞性肺疾患患者における前頭葉機能の検討frontal assessment batteryを用いて2011

    • Author(s)
      岡島聡, 東本有司, 本田憲胤, 東田有智, 他4名
    • Journal Title

      日本呼吸ケア・リハ学会誌

      Volume: 21 Pages: 138-141

    • NAID

      130005164140

    • URL

      http://www.jsrcr.jp/

    • Related Report
      2013 Final Research Report
  • [Journal Article] Activation of the prefrontal cortex is associated with exertional dyspnea in chronic obstructive pulmonary disease.2011

    • Author(s)
      Higashimoto Y
    • Journal Title

      Respiration

      Volume: 82 Pages: 492-500

    • URL

      http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=21474913

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical and inflammatory factors associated with body mass index in elderly patients with chronic obstructive pulmonary disease.2011

    • Author(s)
      Higashimoto Y
    • Journal Title

      Geriatr Gerontol Int

      Volume: 11 Pages: 32-38

    • NAID

      10027913481

    • URL

      http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=20609004

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] Localization Of Brain Activation Associated With Dyspnea During Exercise With Respiratory Resistance : A Study Using BOLD fMRI, [Publication Page : A4907]2013

    • Author(s)
      N. Honda, Y. Higashimoto, R. Okada, M. Onoda, K. Maeda, M. Shiraishi, R. Sugiya, S. Okajima, T. Yamagata, K. Terada, Y. Tohda, K. Fukuda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Pennsylvania Convention Center, Philadelphia, Pennsylvania, USA
    • Year and Date
      2013-05-21
    • Related Report
      2013 Final Research Report
  • [Presentation] Changes In Physical Activity After Lung Resection For Lung Cancer And Postoperative Pulmonary Rehabilitation, [Publication Page : A1806]2013

    • Author(s)
      K. Maeda, , Y. Higashimoto, , N. Honda,, M. Shiraishi, T. Hirohata, K. Minami, T. Iwasaki, T. Yamagata, K. Terada, Y. Matsuo, Y. Tohda, K. Fukuda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Pennsylvania Convention Center, Philadelphia, Pennsylvania, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Involvement Of G Proteins In The Synergistic Effects Between Anticholinergic Agents And Beta2-Adrenoceptor Agonists In Airway Smooth Muscle, [Publication Page : A1996]2013

    • Author(s)
      H. Kume, S. Imbe, O. Nishiyama, T. Iwanaga, Y. Higashimoto, H. Nakajima, Y. Tohda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Pennsylvania Convention Center, Philadelphia, Pennsylvania, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Changes In Physical Activity After Lung Resection For Lung Cancer And Postoperative Pulmonary Rehabilitation,2013

    • Author(s)
      K Maeda, Y Higashimoto, N Honda, M Shiraishi, T Hirohata, K Minami, T Iwasaki, T Yamagata, K Terada, Y Matsuo, Y Tohda, K Fukuda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Philadelphia, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Prefrontal Cortex Activation Is Associated With Dyspnea During Methacholine Bronchial Provocation Tests,2013

    • Author(s)
      Y Higashimoto, N Okimoto, N Honda, T Yamagata, R Yamazaki, Y Fukai, S Innbe, H Miyajima, H Santoh, A Sano, Y Makino, R Satoh, O Nishiyama, H Sano, T Iwanaga, H Nakajima, H Kume, Y Tohda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Philadelphia, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Localization Of Brain Activation Associated With Dyspnea During Exercise With Respiratory Resistance: A Study Using BOLD fMRI,2013

    • Author(s)
      N Honda, Y Higashimoto, R Okada, M Onoda, K Maeda, M Shiraishi, R Sugiya, S Okajima, T Yamagata, K Terada, Y Tohda, K Fukuda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Philadelphia, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Involvement Of G Proteins In The Synergistic Effects Between Anticholinergic Agents And Beta2-Adrenoceptor Agonists In Airway Smooth Muscle,2013

    • Author(s)
      H Kume, S Imbe, O Nishiyama, T Iwanaga, Y Higashimoto, H Nakajima, Y Tohda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      iladelphia, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Effect Of Protcaterol "Assist Use" On Quality Of Life And Exercise Capacity In Patients With Chronic Obstructive Pulmonary Disease, [Publication Page : A5792]2012

    • Author(s)
      Y. Higashimoto, H. Miyajima, H. Ichihashi, A. Sano, R. Satoh, O. Nishiyama, H. Sano, T. Yamagata, T. Iwanaga, H. Nakajima, K. Tomita, , H. Kume
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Moscone Center, San Francisco, California, USA
    • Year and Date
      2012-05-23
    • Related Report
      2013 Final Research Report
  • [Presentation] Cerebral Oxygenation During Exercise In COPD Patients With And Without Exertional Desaturation, [Publication Page : A6399]2012

    • Author(s)
      Y. Higashimoto, N. Honda, T. Yamagata, O. Nishiyama, H. Miyajima, A. Sano, H. Ichihashi, R. Satoh, H. Sano, T. Iwanaga, H. Nakajima, K. Tomita, H. Kume, Y. Tohda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Moscone Center, San Francisco, California, USA
    • Year and Date
      2012-05-23
    • Related Report
      2013 Final Research Report
  • [Presentation] Decreased Cortical Activation In COPD Patients During Exercise, [Publication Page : A3991]2012

    • Author(s)
      N. Honda, Y. Higashimoto, K. Maeda, K. Fukuda, Y. Tohda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      Moscone Center, San Francisco, California, USA
    • Year and Date
      2012-05-22
    • Related Report
      2013 Final Research Report
  • [Presentation] Prefrontal Cortex Activation Is Associated With Dyspnea During Methacholine Bronchial Provocation Tests, [Publication Page : A4105]2012

    • Author(s)
      Y. Higashimoto, N. Okimoto, N. Honda, T. Yamagata, R. Yamazaki, Y. Fukai, S. Innbe, H. Miyajima, H. Santoh, A. Sano, Y. Makino, R. Satoh, O. Nishiyama, H. Sano, T. Iwanaga, H. Nakajima, H. Kume, Y
    • Organizer
      Tohda American Thoracic Society International Conference
    • Place of Presentation
      Pennsylvania Convention Center, Philadelphia, Pennsylvania, USA
    • Year and Date
      2012-05-21
    • Related Report
      2013 Final Research Report
  • [Presentation] アレルギー疾患におけるバイオマーカーの最新情報-成人領域2012

    • Author(s)
      東本有司、東田有智
    • Organizer
      第62回 日本アレルギー学会秋季学術大会
    • Place of Presentation
      大阪国際会議場
    • Related Report
      2012 Research-status Report
  • [Presentation] Cerebral Oxygenation During Exercise In COPD Patients With And Without Exertional Desaturation.2012

    • Author(s)
      Higashimoto Y, Honda N, Yamagata T,Nishiyama O, Miyajima H, Sano A, Ichihashi H, Satoh R, Sano H, Iwanaga T, Nakajima H, Tomita K, Kume H, Tohda Y
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      アメリカ合衆国 サンフランシスコ
    • Related Report
      2012 Research-status Report
  • [Presentation] Effect Of Protcaterol "Assist Use" On Quality Of Life And Exercise Capacity In Patients With Chronic Obstructive Pulmonary Disease.2012

    • Author(s)
      49. Higashimoto Y, Miyajima H, Ichihashi H, Sano A, Satoh R,Nishiyama O, Sano H, Yamagata T, Iwanaga T, Nakajima H, Tomita K, Kume H, Tohda
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      アメリカ合衆国 サンフランシスコ
    • Related Report
      2012 Research-status Report
  • [Presentation] 高齢COPD患者の労作時脳皮質酸素化2012

    • Author(s)
      東本有司
    • Organizer
      日本老年医学会年次学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2012 Research-status Report
  • [Presentation] 運動時低酸素をきたすcopd患者の運動時脳皮質酸素化ヘモグロビン濃度の観察2012

    • Author(s)
      東本 有司, 山縣 俊之, 西山 理, 宮嶋 宏之, 市橋 秀夫, 佐野 安希子, 佐藤 隆司, 佐野 博幸, 岩永 賢司, 中島 宏和, 冨田 桂公, 久米 裕昭, 東田 有智
    • Organizer
      日本呼吸器学会学術講演会
    • Place of Presentation
      神戸国際会議場
    • Related Report
      2012 Research-status Report
  • [Presentation] 特発性間質性肺炎患者の労作時呼吸困難と関連する脳皮質領域の検索2012

    • Author(s)
      東本 有司, 本田 憲胤, 沖本 奈美, 前田 和成, 西山 理, 山縣 俊之, 中島 宏和, 久米 裕昭, 福田 寛二, 東田 有智
    • Organizer
      日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井県 福井フェニックス・プラザ
    • Related Report
      2012 Research-status Report
  • [Presentation] 運動時低酸素をきたすCOPD患者の脳皮質酸素化ヘモグロビン濃度2012

    • Author(s)
      東本有司
    • Organizer
      第4回 呼吸機能イメージング研究会学術集会
    • Place of Presentation
      滋賀県大津市ピアザ淡海 滋賀県立県民交流センター
    • Related Report
      2011 Research-status Report
  • [Presentation] 慢性閉塞性肺疾患の労作時呼吸困難と前頭葉皮質脳活動との関係2011

    • Author(s)
      東本有司
    • Organizer
      日本光脳機能イメージング研究会
    • Place of Presentation
      東京都千代田区星陵会館
    • Related Report
      2011 Research-status Report
  • [Presentation] 高齢慢性閉塞性肺疾患患者の呼吸リハビリテーションとその問題点2011

    • Author(s)
      東本有司
    • Organizer
      第79回和歌山医学会総会(招待講演)
    • Place of Presentation
      和歌山市和歌山県立医科大学
    • Related Report
      2011 Research-status Report
  • [Presentation] 運動時低酸素をきたすCOPD患者脳皮質酸素化ヘモグロビン濃度の観察2011

    • Author(s)
      東本有司
    • Organizer
      第21回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      長野県松本文化会館
    • Related Report
      2011 Research-status Report
  • [Book] 包括的呼吸リハビリテーションポケットマニュアル2013

    • Author(s)
      東本有司他31名、上月正博、海老原覚編
    • Total Pages
      264
    • Publisher
      診断と治療社
    • Related Report
      2013 Final Research Report
  • [Book] 包括的呼吸リハビリテーションポケットマニュアル2013

    • Author(s)
      上月正博、海老原覚、東本有司、渡邉裕志、髙橋純子,矢内 勝、三塚由佳、矢満田慎介、平井豊博、戸田正夫、石川悠加、須藤英一、飯島弘晃、浅田成紀、岡崎達馬、中村 豊、柏崎尚大、山縣俊之、後藤葉子、國枝顕二郎、他21名
    • Total Pages
      264
    • Publisher
      診断と治療社
    • Related Report
      2013 Annual Research Report
  • [Book] プライマリケアのための喘息治療―外来マネジメント2011

    • Author(s)
      東本有司、東田有智、久米裕昭、佐野博幸、村木正人、岩永賢司、冨田桂公、市橋秀夫、佐藤隆司、牧野靖、佐野安希子、山片重良、中島宏和、西山理、宮良高維編
    • Publisher
      医療ジャーナル社
    • Related Report
      2013 Final Research Report

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

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