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Effect of inspiratory muscle training in patients with heart failure with preserved ejection fraction

Research Project

Project/Area Number 26350566
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Kinugasa Yoshiharu  鳥取大学, 医学部, 助教 (60598944)

Co-Investigator(Kenkyū-buntansha) 加藤 雅彦  鳥取大学, 医学部, 准教授 (40362884)
山本 一博  鳥取大学, 医学部, 教授 (90303966)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords呼吸筋 / HFpEF / 拡張不全
Outline of Final Research Achievements

We examined the relationship between inspiratory muscle weakness (IMW) and exercise intolerance in 40 patients with Heart failure with preserved ejection fraction (HFpEF). IMW was prevalent in 27.5% of patients. Patients with IMW had significantly lower percent vital capacity to normal predicted values (%VC), lower percent knee extensor muscle strength to body weight (%KEMS), and shorter 6-minute walk distance (6-MWD) compared with patients without IMW (all p<0.05). Subgroup analysis showed that IMW was accompanied by a further decrease in 6-MWD in patients with restrictive pulmonary dysfunction (%VC <80%) or lower-limb muscle weakness (median value: %KEMS <30%) (all p<0.05). We concluded that IMW was an additional factor implicated in exercise intolerance in patients with HFpEF, and respiratory muscle training is a potential beneficial intervention in those patients.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (7 results)

All 2017 2016 2015 2014

All Journal Article (2 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 2 results) Presentation (5 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] The challenge of frailty and sarcopenia in heart failure with preserved ejection fraction.2017

    • Author(s)
      Kinugasa Y, Yamamoto K.
    • Journal Title

      Heart.

      Volume: 3 Issue: 3 Pages: 184-189

    • DOI

      10.1136/heartjnl-2016-309995

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Inspiratory muscle weakness is associated with exercise intolerance in patients with heart failure with preserved ejection fraction: A preliminary study2016

    • Author(s)
      山田健作
    • Journal Title

      J Card Fail

      Volume: 22 Issue: 1 Pages: 38-47

    • DOI

      10.1016/j.cardfail.2015.10.010

    • Related Report
      2016 Annual Research Report 2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] 心不全におけるフレイルの影響2016

    • Author(s)
      衣笠良治
    • Organizer
      日本心不全学会
    • Place of Presentation
      ロイトン札幌(北海道 札幌)
    • Year and Date
      2016-10-07
    • Related Report
      2016 Annual Research Report
  • [Presentation] Reduced diaphragm muscle thickness is associated with exercise intolerance in patients with heart failure2016

    • Author(s)
      衣笠良治
    • Organizer
      欧州心臓病学会
    • Place of Presentation
      Fiera di Roma (イタリア ローマ)
    • Year and Date
      2016-08-27
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 心不全患者の新しい呼吸筋評価-横隔膜エコーの有用性-2016

    • Author(s)
      衣笠良治
    • Organizer
      日本心臓リハビリテーション学会
    • Place of Presentation
      東京国際フォーラム(東京都)
    • Year and Date
      2016-07-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] Inspiratory muscle weakness is associated with exercise intolerance in patients with heart failure with preserved ejection fraction2015

    • Author(s)
      衣笠良治
    • Organizer
      欧州心臓病学会
    • Place of Presentation
      ロンドン(イギリス)
    • Year and Date
      2015-08-29
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Respiratory muscle weakness in patients with heart failure with preserved ejection fraction2014

    • Author(s)
      衣笠良治
    • Organizer
      第18回日本心不全学会学術集会
    • Place of Presentation
      大阪国際会議場 (グランキューブ大阪) 大阪市北区中之島5-3-51
    • Year and Date
      2014-10-10
    • Related Report
      2014 Research-status Report
    • Invited

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Published: 2014-04-04   Modified: 2018-03-22  

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