مقایسه پاسخ برونکواسپاسم به هوای معتدل و سرد به دنبال اجرای فعالیت ورزشی زیر بیشینه توسط ایمپالس اوسیلومتر

نوع مقاله : علمی - پژوهشی

نویسندگان

1 دانشگاه محقق اردبیلی

2 محقق اردبیلی

3 دانشگاه شهید بهشتی

چکیده

هدف: ایمپالس اوسیلومتر به عنوان روشی غیرمستقیم در ارزیابی تغییرات راه­های تنفسی ناشی از ورزش، در مقایسه با اسپیرومتر، کمتر مورد توجه قرار گرفته است. هدف مطالعه حاضر، مقایسه پاسخ راه­های هوائی به یک جلسه فعالیت ورزشی زیربیشینه در هوای معتدل و سرد  و رابطه داده­های ایمپالس اوسیلومتر با اسپیرومتر می­باشد. روش­شناسی : 18 مرد با فعالیت جسمانی طبیعی و شاخص توده بدنی کمتر یا مساوی 25 و مستعد برونکواسپاسم ناشی از ورزش ، برای این مطالعه انتخاب شدند. پروتکل تحقیق شامل 6 دقیقه فعالیت زیربیشینه با 80 تا 90 درصد حداکثر ضربان قلب، روی ترمیل و در هوای 4  و25 درجه سانتیگراد آزمایشگاه بود. برای مقایسه داده­های هوای سرد، به فاصله 48 ساعت، تست یکسان در هوای 22 درجه آزمایشگاه نیز از آزمودنی­ها بعمل آمد. نتایج: میان داده­های اسپیرومتریک و اوسیلومتریک فعالیت ورزشی در هوای سرد و معتدل، رابطه معناداری مشاهده شد. داده­های اسپیرومتری اختلاف معناداری را در مرحله پس از ورزش، در دو محیط سرد و معتدل نشان داد (p <0.05). اندازه­گیری مقاومت تنفسی توسط ایمپالس اوسیلومتر  اختلاف معناداری را در حداکثر کاهش شاخص راه­های هوائی در هردو محیط شناسائی کرد. بحث و نتیجه­گیری: رابطه معنادار میان داده­ها، کارآمدی اوسیلومتری در اندازه­گیری پاسخ راه­های هوائی به ورزش را نشان داد. نتایج نشان داد که هردو محیط می­توانند با مکانیسم مشترک بیش­پاسخی و خشک­شدن راه هوائی، باعث بروز برونکواسپاسم ناشی از ورزش شوند. 

عنوان مقاله [English]

Comparison of airway narrowing to moderate and cold temperature following a sub-maximal physical challenge evaluated by Impulse oscillometry

نویسندگان [English]

  • farhad azimi 1
  • mostafa moradi 2
  • mojtaba moradi 3
1 , University of Mohaghegh Ardabili
2 , University of Mohaghegh Ardabili
3 University of shahid beheshti
چکیده [English]

Purpose: The efficacy of impulse oscillometry as an indirect measure of exercise-induced airway changes, compared to spirometry has not been comprehensively appreciated. The objective was to compare airway responses to cold temperature exercise and to recognize whether impulse oscillometry parameters relate to spirometry parameters.Methods: 18 physically active men with probable Exercise-Induced Bronchospasm (Body Mass Index ≤25) were screened for this study. The exercise protocol was two 6-min sub-maximal exercises of running on the treadmill with 80-90% Peak Heart Rate in either cold (4.0 ◦C) or moderate (25.0 ◦C) temperature. 48 h was observed between these two challenges. Results: Strong correlations were found between cold and moderate temperature data for impulse oscillometry and spirometry. Spirometry revealed post-challenge significant difference in cold and moderate temperatures (p

کلیدواژه‌ها [English]

  • : Exercise
  • Induced Bronchospasm
  • cold temperature
  • exercise
  • impulse oscillometry
  • spirometry

مراجع

  1. Anderson, S.D. and Holzer, K. Exercise-induced asthma: is it the right diagnosis in elite athletes?. J Allergy Clin Immunol. 2000; 106: 419–428
  2. McFadden, E.R. Jr. and Gilbert, I.A. Exercise-induced asthma. N Engl J Med. 1994; 330: 1362–1367
  3. Beck, K.C., Offord, K.P., and Scanlon, P.D. Bronchoconstriction occurring during exercise in asthmatic subjects. Am J Respir Crit Care Med. 1994; 149: 352–357
  4. Rundell, K.W., Spiering, B.A., Judelson, D.A., and Wilson, M.H. Bronchoconstriction during cross-country skiing: is there really a refractory period?. Med Sci Sports Exerc. 2003; 35: 18–26
  5. Anderson, S.D., Connolly, N.M., and Godfrey, S. Comparison of bronchoconstriction induced by cycling and running. Thorax. 1971; 26: 396–401
  6. Fitch, K.D. and Morton, A.R. Specificity of exercise in exercise-induced asthma. BMJ. 1971; 4: 577–581
  7. Provost-Craig, M.A., Arbour, K.S., Sestili, D.C., Chabalko, J.J., and Ekinci, E. The incidence of exercise-induced bronchospasm in competitive figure skaters. J Asthma. 1996; 33: 67–71
  8. Wilber, R.L., Rundell, K.W., Szmedra, L., Jenkinson, D.M., Im, J., and Drake, S.D. Incidence of exercise-induced bronchospasm in Olympic winter sport athletes. Med Sci Sports Exerc. 2000; 32: 732–737
  9. Rundell, K.W., Im, J., Mayers, L.B., Wilber, R.L., Szmedra, L., and Schmitz, H.R. Self-reported symptoms and exercise-induced asthma in the elite athlete. Med Sci Sports Exerc. 2001; 33: 208–213
  10. Rundell, K.W. and Jenkinson, D.M. Exercise-induced bronchospasm in the elite athlete. Sports Med. 2002; 32: 583–600
  11. Evans TM, Rundell KW, Beck KC, et al. Airway narrowing measured by spirometry and impulse oscillometry following room temperature exercise. Chest 2005; 128:2412-19.
  12. Anderson SD, Daviskas E. The mechanism of exercise- induced asthma is. . . J Allergy Clin Immunol 2000; 106:453– 459
  13. Anderson SD, Argyros GJ, Magnussen H, et al. Provocation by eucapnic voluntary hyperpnea to identify exercise induced bronchoconstriction. Br J Sports Med 2001; 35:344–347
  14. Anderson SD, Holzer K. Exercise-induced asthma: is it the right diagnosis in elite athletes? J Allergy Clin Immunol 2000; 106:419–448
  15. Carvalhaes-Neto N, Lorino H, Gallinari C, et al. Cognitive function and assessment of lung function in the elderly. Am J Respir Crit Care Med 1995; 152:1611–1615
  16. Smith H.J, Reinold P, Goldman M.D. Forced oscillation technique and impulse oscillometry. Eur Respir Mon, 2005; 31: 72-105.
  17. Ortiz G, Menendez R. The effects of inhaled albuterol and salmeterol in 2- to 5- year-old asthmatic children as measured by impulse oscillometry. J Asthma 2002; 39:531–536
  18. Bisgaard H, Klug B. Lung function measurement in awake young children. Eur Respir J 1995; 8:2067–2075
  19. Zerah F, Lorino A, Lorino H, et al. Forced oscillation technique vs spirometry to assess bronchodilation in patients with asthma and COPD. Chest 1995; 108:41–47
  20. Klug B, Bisgaard H. Specific airway resistance, interrupter resistance, and respiratory impedance in healthy children aged 2–7 years. Pediatr Pulmonol 1998; 25:322–331
  21. Buhr W, Jorres R, Berdel D, et al. Correspondence between forced oscillometry and body plethysmography during bron- choprovocation with carbachol in children. Pediatr Pulmonol 1990; 8:280–288
  22. Beck KC, Hyatt RE, Mpougas P, et al. Evaluation of pulmo- nary resistance and maximal expiratory flow measurements during exercise in humans. J Appl Physiol 1999; 86:1388– 1395
  23. Argyros GJ, Roach JM, Hurwitz KM, et al. Eucapnic volun- tary hyperventilation as a bronchoprovocation technique: development of a standardized dosing schedule in asthmatics. Chest 1996; 109:1520–1524
  24. Enright PL. How to make sure your spirometry tests are of good quality. Respir Care 2003; 48:773–776
  25. Anderson SD, Brannan JD. Methods for ‘indirect’ challenge tests including exercise, eucapnic voluntary hyperpnea, and hypertonic aerosols. Clin Rev Allergy Immunol 2003; 24: 27–54
  26. Rundell KW, Anderson SD, Spiering BA, et al. Field exercise vs laboratory eucapnic voluntary hyperventilation to identify airway hyperresponsiveness in elite cold weather athletes. Chest 2004; 125:909–915
  27. Rundell KW, Spiering BA, Evans TM, et al. Baseline lung function, exercise-induced bronchoconstriction, and asthma- like symptoms in elite women ice hockey players. Med Sci Sports Exerc 2004; 36:405–410
  28. Delacourt C, Lorino H, Herve-Guillot M, et al. Use of the forced oscillation technique to assess airway obstruction and reversibility in children. Am J Respir Crit Care Med 2000; 161:730–736
  29. Duiverman EJ, Neijens HJ, Van der Snee-Van Smaalen M, et al. Comparison of forced oscillometry and forced expirations for measuring dose-related responses to inhaled methacho- line in asthmatic children. Bull Eur Physiopathol Respir 1986; 22:433–436
  30. Delacourt C, Lorino H, Fuhrman C, et al. Comparison of the forced oscillation technique and the interrupter technique for assessing airway obstruction and its reversibility in children. Am J Respir Crit Care Med 2001; 164:965–972
  31. Goldman MD, Carter R, Klein R, et al. Within- and between- day variability of respiratory impedance, using impulse oscil- lometry in adolescent asthmatics. Pediatr Pulmonol 2002; 34:312–319
  32. Zeitoun M, Wilk B, Matsuzaka NH, et al. Facial cooling enhances exercise-induced bronchoconstriction in asthmatic children Med Sci Sports Exerc 2004; 36:767–771

فایل ها

سابقه مقاله

  • تاریخ دریافت: 12 خرداد 1396
  • تاریخ بازنگری: 19 بهمن 1399
  • تاریخ پذیرش: 11 دی 1399
  • تاریخ اولین انتشار: 11 دی 1399
  • تاریخ انتشار: 01 اسفند 1397

هم رسانی

ارجاع به این مقاله

آمار