2023 Fiscal Year Final Research Report
Waon-therapy combined with cardiac rehabilitation for patients with chronic heart failure
| Project/Area Number |
21K11332
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 59010:Rehabilitation science-related
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| Research Institution | National Cardiovascular Center Research Institute |
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Principal Investigator |
YOKOTA CHIAKI 国立研究開発法人国立循環器病研究センター, 病院, 医長 (80300979)
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| Co-Investigator(Kenkyū-buntansha) |
青木 竜男 国立研究開発法人国立循環器病研究センター, 病院, 医師 (00749765)
三浦 弘之 国立研究開発法人国立循環器病研究センター, 病院, 医師 (70816834)
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| Project Period (FY) |
2021-04-01 – 2024-03-31
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| Keywords | 慢性心不全 / 和温療法 / 心臓リハビリテーション / 運動耐容能 |
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| Outline of Final Research Achievements |
Increasing number of older patients with heart failure (HF) constitutes a critical health problem. As the cardiac rehabilitation (CR) is associated with improvement of exercise capacity and health-related quality of life, establishment of the optimal in-hospital CR program for HF patients is an important issue. HF patients with reduced physical performance underwent the exercise-based (conventional) CR combined with a far infrared-rat dry sauna (Waon therpy), or the conventional CR alone. Of a total of 41 patients (men 17; mean age, 80 years), 23 patients were included in the combination group and 18 in the conventional group. All patients underwent 5 times of CR during the hospital stay. The 6-minute walk distance after completion of the program was longer in the combination group than the conventional group (387±123 vs. 294±109m, p=0.014). Waon therapy in addition to the conventional CR could be effective on the exercise capacity in HF patients with reduced physical performance.
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| Free Research Field |
循環器病リハビリテーション
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| Academic Significance and Societal Importance of the Research Achievements |
高齢化で増加の一途を辿る慢性心不全は、増悪改善を繰り返しながら、徐々に悪化する進行性の疾患として社会問題となっている。慢性心不全患者は、健常者と比較して介護発生率は2倍との報告もある。慢性心不全患者の運動能力の低下は、心機能よりもむしろ骨格筋異常との関連が指摘されている。本研究では、入院した慢性心不全患者に対する心臓リハビリテーション方法として、通常のレジスタンス運動等に加えて和温療法を併用することが身体機能改善効果に優れている可能性を示した。
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