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2013 Fiscal Year Final Research Report

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

Research Project

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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
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
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.

  • Research Products

    (19 results)

All 2013 2012 2011

All Journal Article (10 results) (of which Peer Reviewed: 4 results) Presentation (7 results) Book (2 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 Pages: F244-248

    • URL

      http://adc.bmj.com/

    • 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/

  • [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

  • [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/

    • 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

    • URL

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

    • 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

    • 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 Pages: S192-S197

    • URL

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

  • [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

    • URL

      http://spts.jpn.com/

  • [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

    • URL

      http://www.jsrcr.jp/

  • [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

    • URL

      http://www.jsrcr.jp/

  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
    • Total Pages
      98-100
    • Publisher
      医療ジャーナル社

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Published: 2015-07-16  

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