Ali ERDOĞAN, Metin Lütfi BAYDAR, Cem ÇETİN, Mustafa YOLCU

Metabolik holter ile fizik tedavi ve rehabilitasyon bölümü öğrencilerinin günlük fiziksel aktivitesinin ölçülmesi

Amaç; Pratik uygulamaların fizik tedavi ve rehabilitasyon bölümü öğrencilerinin günlük fiziksel aktivite seviyesi üzerine etkisinin incelenmesi ve günlük fiziksel aktivite düzeyi ile aerobik dayanıklılık göstergeleri ve alt ekstremite izokinetik kuvvetleri arasındaki ilişki düzeyinin araştırılmasıdır. Gereç ve Yöntem; Araştırmaya 42 öğrenci katılmıştır. Günlük fiziksel aktivitenin ölçülmesinde metabolik holter kullanılmış ve deneklerin 3 gün süreyle toplam enerji tüketimi (TEE), istirahat enerji tüketimi (REE), toplam adım sayısı (STEP), aktif enerji tüketimi hesaplanmıştır (AEE). Ayrı bir zamanda egzersiz testi yapılmış, günlük fiziksel aktivite düzeyleri ile zirve oksijen tüketimi, solunumsal eşik değerleri arasındaki ilişki araştırılmıştır. Ayrıca izokinetik kuvvet ile fiziksel aktivite düzeyleri arasındaki ilişkiler değerlendirilmiştir. Bulgular; İkinci sınıf ve dördüncü sınıf öğrencileri arasında enerji tüketim parametreleri (TEE, AEE, REE, STEP) ile egzersiz testleri değerleri (VO2peak, VT) ve izokinetik test değerlerinde (PT Ex, PT Flex) anlamlı farklılık saptanmamıştır. Tüm deneklerin TEE ile izokinetik kuvvet değerleri arasında yüksek korelasyon (r=0,61; 0,64), REE ile izokinetik kuvvet değerleri arasında çok yüksek korelasyon (r=0,80; 0,79), yağsız vücut kitlesi (FFM) ile aerobik dayanıklılık arasında düşük korelasyon (r=0,43; 0,34), izokinetik kuvvet değerleri arasında çok yüksek korelasyon (r=0,81; 0,81) saptanmıştır Sonuç; Hasta başı uygulamaların, öğrencilerin günlük fiziksel aktivite seviyelerinde artış oluşturmadığı, günlük fiziksel aktivite düzeyi ile fiziksel uygunluk parametreleri, aerobik dayanıklılık göstergeleri ve alt ekstremite izokinetik kuvvetleri arasında anlamlı ilişkiler olduğu gösterilmiştir.

Measuring daily phsical avtivity of physical therapy students using metabolic armband

Objectives: To investigate the influence of practical clinical applications on physical activity levels of physical therapy students and to reveal the relationships between daily physical activity levels and aerobic endurance indices as well as isokinetic strength. Methods: Forty-two subjects were recruited for the study. Total energy expenditure (TEE), resting energy expenditure (REE), active energy expenditure (AEE) and the total number of steps were measured over a 3-d period with using a portable armband. In a second experiment subjects performed a maximal exercise test. Relationships between the energy expenditure levels and the respiratory indices such as peak oxygen uptake and ventilatory threshold and isokinetic strength were examined. Results: No significant differences were found in the energy expenditure measurements, ventilatory indices and isokinetic test results between junior and intern student groups. Isokinetic strength was highly correlated both with TEE (r=0,61; 0,64) and REE (r=0,80; 0,79). Correlation between fat free mass (FFM) and aerobic endurance indices were poor (r=0,43; 0,34), although there was a high level association between isokinetic strength and FFM (r=0,81; 0,81). Conclusion: Patient-side clinical practice does not lead to an improvement in physical activity levels of students. There are significant relationships between daily physical activity, aerobic endurance indices and lower extremity isokinetic strength.

PDF

___

1.Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. JAMA 1995; 273: 402-407.
2.Franklin BA, Whaley MH, Howley ET. Benefits and Risk Associated with Exercise. In: Franklin BA, Whaley MH, Howley ET, editors. ACSM's Guidelines for Exercise Testing and Prescription. 6th ed. Philadelphia: LWW; 2000. p.3-21.
3.McArdle WD, Katch FI, Katch VL. Physical Activity, Health, and Aging. In: McArdle WD, Katch FI, Katch VL, editors. Exercise Physiology. 4th ed. Philadelphia: LWW; 1996. p.635-668.
4.Kujala UM, Viljanen T, Taimela S, Vi-itasalo JT. Physical activity, VO2max and jumping height in an urban population. Med Sci Sports Exerc 1994;26:889-895.
5.Eaton CB, Lapane KL, Garber CE, Assaf AR, Lasate TM, Carleton RA. Physical activity, physical fitness, and coronary heart disease risk factors. Med Sci Sports Exerc 1995; 27:340-346.
6.Jackson AS, Beard EF, Wire LT, Ross RM, Stuteville JE, Blair ST. Changes in aerobic power of men, ages 25-70 yr. Med Sci Sports Exerc 1995;27:113-120.
7.Jackson AS, Wire LT, Ayers GW, Beard EF, Stuteville JE, Blair ST. Changes in aerobic power of women,ages 20-64 yr. Med Sci Sports Exerc 1996;28:884-891. 8 Tager IB, Hollenberg M, Satariano WA. Association between self-reported leisure-time physical activity and measures of cardiorespiratory fitness in an elderly population. Am J Epidemiol 1998;147:921-931. o Zhang JG, Ohta T, Ishikawa-Takata K, Tabata I, Miyashita M. Effects of daily activity recorded by pedometer on peak oxygen consumption (VO2pe-ak), ventilatory threshold and leg extension power in 30- to 69-year-old Japanese without exercise habit. Eur J Appl Physiol 2003; 90:109-113. 10.Singh NP, Fraser GE, Knutsen SF, Lindsted KD, Bennett HW Validity of a physical activity questionnaire among african-american seventh-day adventists. Med Sci Sports Exerc 2001;33:468-475.
11.Montoye HJ, Kemper HCG, Saris WHM, Washburn RA. Measuring Physical Activity and Energy Expenditure. In: Montoye HJ, Kemper HCG, Saris WHM, Washburn RA, eds. Champaign: Human Kinetics; 1996. p.3-59.
12.Baumgartner TA, Jackson AS Mahar, MT Rowe, DA. In: Baumgartner TA, Jackson AS Mahar, MT Rowe, DA, eds. Measurement For Evaluation in Physical Education and Exercise Science. Boston: Mcgraw Hill; 2003. pp. 14-79, 371-384.
13.Melby CL, Ho RC, Hill JO. Assessment Of Human Energy Expenditure. In: Bouchard C, editor. Physical Activity and Obesity. Champaign: Human Kinetics Publishers; 2000. p. 104-121.
14.Ceesay BM, Prentice AM, Day KC, Murgatroyd PR, Goldberg GR, Scott W. The use of heart rate monitoring in the estimation of energy expenditures validation study using indirect whole-body calorimety. Br J Nutrition 1989;6l:175-186.
15.Laporte RE, Montoye HJ, Caspersen CJ. Assessment of physical activity in epidemiologic research; Problems and Prospects. Public Health Report 1985;100:131-l45.
16.Goran MI, Poehlman ET, Johnson RK. Energy requirements across the life span; new findings based on measurement of total energy expenditure with doubly labelled water. Nutrition Research 1995;15:115-150.
17.Schuit AJ, Schouten EG, Wester-terp KR, Saris AHM. Validity of the physical activity scale for the elderly (pase); according to energy expenditure assessed by the doubly labelled water method. J Chn Epidemiol 1997;50:54l-546.
18.Strath SJ, Swartz AM, Bassett DR. Evaluation of heart rate as a method for assessing moderate intensity physical activity. Med Sci Sports Exerc.2000;32:S465-S470.
19.Ravussin E, Rising R. Daily Energy Expenditure in Humans; Measurements in A Respiratory Chamber and By Doubly Labelled Water. In; Kin-ney JM, Tucker HN, editors. Energy Metabolism; Tissue Determinants and Cellular Corollaries. New York: Raven Press; 1992. p: 81-96.
20.Campbell KL, Crocker PR, Mckenzie DC. Field evaluation of energy expenditure in women using tritrac ac-celerometers. Med Sci Sports Exerc. 2002;34:1667-74.
21.King GA, Torres N, Potter C, Brooks TJ, Coleman KJ. Comparison of activity monitors to estimate energy cost of treadmill exercise. Med Sci Sports Exerc. 2004;6:1244-51.
22.Welk GJ, Schaben JA, Morrow JR Jr. Reliability of accel-erometry-based activity monitors; a generalizabi-lity study. Med Sci Sports Exerc. 2004;36:1637-45.
23.Fruin ML, Rankin JW Validity of a Multi-Sensor Armband in estima- ting rest and exercise energy expenditure. Med Sci Sports Exerc. 2004;36:1063-9.
24.Jakicic JM, Marcus M, Gallagher KI, Et Al. Evaluation of the sensewear pro armband to assess energy expenditure during exercise. Med Sci Sports Exerc. 2004; 36:897-904.
25.Westerterp KR. Energy metabolism and body composition; General principles. Eur Respir Mon 2003;24:l-10.
26.Beaver WL, Wasserman K, Whipp BJ. A new method for detecting anaerobic threshold by gas exchange. J Appl Physiol 1986; 60:2020-2027.
27.Bouchard C, Daw EW, Rice T, et al. Familial resemblance for VO2 max in the sedanter state: the HERITAGE family study. Med Sci Sports Exerc. 1998;30:252-258.
28.American College of Sports Medicine Position Stand: The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998;30:975-991.
29.Blair SN, Cheng Y, Holder JS. Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc. 2001;33:379-399.
30.Paffenbarger RS, Blair SN, Lee IM, et al. Measurement of physical activity to assess health effects free-living populations. Med Sci Sports Exerc. 1993;25:60-70.
31.St-Onge M, Mignault D, Allison DB, Rabasa-Lhoret R. Evaluation of a portable device to measure daily energy expenditure in free-living adults. Am J Clin Nutr 2007;85:742-9.
32.Fruin ML, Rankin JW Validity of a multi-sensor armband in estimating rest and exercise energy expenditure. Med Sci Sports Exerc 2004;36:1063-9-