循環器ジャーナル71巻3号

2023年07月発行

特集 心臓リハビリテーションのエビデンスを極める Ⅲ.各分野のトピックスを知る

新しいバイオセンサを活用した心臓リハビリテーション

著者： 勝俣良紀¹ 中島大輔²

所属機関： ¹慶應義塾大学医学部スポーツ医学総合センター ²慶應義塾大学医学部整形外科

ページ範囲：P.452 - P.456

POINT
・汗乳酸センサを用いて，漸増負荷検査中の汗乳酸値を簡便かつリアルタイムに測定可能である．
・漸増負荷検査中の汗乳酸値の変曲点（汗乳酸性作業閾値）が嫌気性代謝閾値と一致する．

参考文献

1）Kamiya K, Sato Y, Takahashi T, et al. Multidisciplinary Cardiac Rehabilitation and Long-Term Prognosis in Patients With Heart Failure. Circ Heart Fail 2020 ; 13 : e006798.

2）Hughson RL, Green HJ, Sharratt MT. Gas exchange, blood lactate, and plasma catecholamines during incremental exercise in hypoxia and normoxia. J Appl Physiol（1985）1995 ; 79 : 1134-41．

3）Corrà U, Giordano A, Bosimini E, et al. Oscillatory ventilation during exercise in patients with chronic heart failure : clinical correlates and prognostic implications. Chest 2002 ; 121 : 1572-80.

4）Binder RK, Wonisch M, Corra U, et al. Methodological approach to the first and second lactate threshold in incremental cardiopulmonary exercise testing. Eur J Cardiovasc Prev Rehabil 2008 ; 15 : 726-34.

5）Derbyshire PJ, Barr H, Davis F, et al. Lactate in human sweat : a critical review of research to the present day. J Physiol Sci 2012 ; 62 : 429-40.

6）Seki Y, Nakashima D, Shiraishi Y, et al. A novel device for detecting anaerobic threshold using sweat lactate during exercise. Sci Rep 2021 ; 11 : 4929.

7）Kim DH, Ghaffari R, Lu N, et al. Flexible and stretchable electronics for biointegrated devices. Annu Rev Biomed Eng 2012 ; 14 : 113-28.

8）Patterson MJ, Galloway SD, Nimmo MA. Variations in regional sweat composition in normal human males. Exp Physiol 2000 ; 85 : 869-75.

9）Takeuchi J, Yamanishi K. A unifying framework for detecting outliers and change points from time series. IEEE Trans Knowl Data Eng 2006 ; 18 : 482-92.

10）Faude O, Kindermann W, Meyer T. Lactate threshold concepts : how valid are they? Sports Med 2009 ; 39 : 469-90.

11）Green JM, Bishop PA, Muir IH, et al. Effects of high and low blood lactate concentrations on sweat lactate response. Int J Sports Med 2000 ; 21 : 556-60.

12）Shiraishi Y, Katsumata Y, Sadahiro T, et al. Real-Time Analysis of the Heart Rate Variability During Incremental Exercise for the Detection of the Ventilatory Threshold. J Am Heart Assoc 2018 ; 7 : e006612.

13）Baker LB. Sweating Rate and Sweat Sodium Concentration in Athletes : A Review of Methodology and Intra/Interindividual Variability. Sports Med 2017 ; 47 : 111-28.