Inomoto Atsushi, Fukuda Rika, Deguchi Phn Junko, Kato Gohei, Kanzaki Rpt Ryoko, Hiroshige Rpt Keiichi, Nakamura Kouichi, Nakano Rpt Keisuke, Toyonaga Toshihiro
Faculty of Rehabilitation, Kyushu Nutrition Welfare University, Japan.
Research Center for the Health Promotion and Employment Support, Kyushu Rosai Hospital, Japan.
J Phys Ther Sci. 2016 Oct;28(10):2883-2889. doi: 10.1589/jpts.28.2883. Epub 2016 Oct 28.
[Purpose] The purpose of this study was to identify factors related to physical characteristics and lifestyle that affect pulmonary function. [Subjects and Methods] Ninety seven healthy male workers were recruited for this study, and basic information and details about lifestyle were collected. Body composition analyzer and visceral fat measuring device were conducted as measurements. Pulmonary function was measured using spirometer. A multiple stepwise linear regression analysis was performed with pulmonary function as the dependent variable. Variables with a significant association with pulmonary function on univariate analysis were imputed as independent variables. [Results] Height, fat free mass, upper extremity muscle mass, lower extremity muscle mass, and trunk muscle mass had significant positive correlations with FEV1 and FVC. Age, percentage of body fat, and visceral fat area were negatively correlated with FEV1 and FVC. Regarding the association between pulmonary function and lifestyle, a significant difference was found between the smoking index and the presence or absence of metabolic syndrome risk factors and both FEV1 and FVC. The multiple stepwise linear regression analysis with FEV1 as the dependent variable, adjusted for age and height, revealed that visceral fat area and fat free mass were significantly associated with FEV1. A similar analysis, FVC as the dependent variable identified visceral fat area. [Conclusion] FEV1 was independently associated with visceral fat area and fat free mass. FVC was independently associated with visceral fat area. These results may be valuable in preventing the decrease in respiratory function and, hence, in further preventing the onset of COPD.
[目的]本研究旨在确定与影响肺功能的身体特征和生活方式相关的因素。[对象与方法]本研究招募了97名健康男性工人,收集了他们的基本信息和生活方式细节。使用身体成分分析仪和内脏脂肪测量装置进行测量。使用肺活量计测量肺功能。以肺功能为因变量进行多元逐步线性回归分析。单因素分析中与肺功能有显著关联的变量被作为自变量输入。[结果]身高、去脂体重、上肢肌肉量、下肢肌肉量和躯干肌肉量与第一秒用力呼气容积(FEV1)和用力肺活量(FVC)呈显著正相关。年龄、体脂百分比和内脏脂肪面积与FEV1和FVC呈负相关。关于肺功能与生活方式之间的关联,吸烟指数以及代谢综合征危险因素的有无与FEV1和FVC之间均存在显著差异。以FEV1为因变量、对年龄和身高进行校正的多元逐步线性回归分析显示,内脏脂肪面积和去脂体重与FEV1显著相关。以FVC为因变量进行的类似分析确定了内脏脂肪面积。[结论]FEV1与内脏脂肪面积和去脂体重独立相关。FVC与内脏脂肪面积独立相关。这些结果对于预防呼吸功能下降以及进而预防慢性阻塞性肺疾病(COPD)的发病可能具有重要价值。