Turgut TOPAL, Ömer DENİZ, Ercan GÖÇGELDİ, Seyfettin GÜMÜŞ, Hayati BİLGİÇ

Bir aylık temel askerlik eğitiminin solunum fonksiyonlarına etkisi

Özet: Bu çalışmanın amacı Türk Silahlı Kuvvetleri’nde, askeri tıp fakültesine alınan öğrencilere uygulanan bir aylık temel askerlik eğitiminin solunum fonksiyonlarına etkisini araştırmaktı. Çalışmaya askeri tıp fakültesine yeni başlayan, 79 sağlıklı öğrenci alındı. Eğitim öncesi ve sonrasında spirometri yapılarak FVC (Litre=L), FVC (%), FEV1 (L), FEV1 (%9, FEV1/FVC (L), FEV1/FVC (%), FEF25-75 (L), FEF25-75 (%), FEF25 (L), FEF25 (%), FEF50 (L), FEF50 (%), FEF75 (L), FEF75 (%), PEF (L), PEF (%) parametreleri değerlendirildi. Bununla birlikte dakikadaki nabız sayılarına bakıldı ve sigara alışkanlıkları sorgulandı. Eğitim sonrasında, FEV1/FVC (L) ‘de artış, (p

Anahtar Kelimeler:

Solunum fonksiyon testleri, Spirometri, Askeri personel, Egzersiz, Vücut ağırlıkları ve ölçüleri

The effect of one month basic military training on pulmonary function

Abstract: The aim of this study was to investigate the effect of one month basic military training practiced by military medical faculty students on pulmonary function in Turkish Armed Forces. 79 students beginning to Military Medical Faculty were included into the study. A spirometry was performed before and after basic military training and FVC (Liters=L), (%)FVC, FEV1 (L), (%)FEV1, FEV1/FVC (L), (%)FEV1/FVC , FEF25-75 (L), (%)FEF25-75, FEF25 (L), (%)FEF25, FEF50 (L), (%)FEF50, FEF75 (L), (%)FEF75, PEF (L), (%)PEF parameters were evaluated. Pulse rates per minute and smoking status were also recorded. After basic military training, significant increases in FEV1/FVC (L) (p<0.0001), in FEF25-75 (L) (p<0.001), in FEF50 (L) (p=0.004), in FEF50 (%) (p=0.003) ,in FEF75 (%)(p<0.001) and a significant decrease in FVC (p=0,0001) were detected. While the mean pulse rate was 86 ± 10 before basic military training, it was 76 ± 11 after basic military training (p<0.0001). An increase in smoking rate of the subjects from 2.5% to 5.1% was observed. This study suggests that one month basic military training might have some effects on pulmonary function and circulation and the most significant indicators of this effect might be an increase in FEF25-75 and a decrease in pulse rate.

Keywords:

Respiratory Function Tests, Spirometry, Military Personnel, Exercise, Body Weights and Measures,

PDF

___

1. Pierce R. Spirometry: an essential clinical measurement. Shortness of Breath. 2005; 34(7): 535-39.
2. Piantadosi CA, Huang YCT. Respiratory Fonctions of the Lung. Ed.: Baum GL. In: Baum's Textbook of Pulmonary Diseases. 7th edition. Lippincott Williams and Wilkins Publishers; 2003. p. 12-87.
3. Grippi MA, Bellini LM. The Pulmonary Fonctions and Cardiopulmonary Exercise Testing. Ed:
4. Dales RE, Vandemheen KL, Clinch J, Aaron SD. Spirometry in the Primary Care Setting, Influence on Clinical Diagnosis and Management of Airflow Obstruction. Chest. 2005; 128: 2443-47
5. Santana AN, Souza R, Martins AP, Macedo F, Rascovski A, Salge JM. The effect of massive weight loss on pulmonary function of morbid obese patients. Respir Med. 2006; 100(6):1100-4.
6. Guyton AC, Hall JE. Textbook of Medical Physiology. In: Sports Physiology. 10th edition. Philadelphia, WB Saunders Company; 2000. p. 968-77.
7. Makras P, Koukoulis GN, Bourıkas G, Papatheodorou G, Bedevis K, Menounos P, et al. Effect of 4 weeks of basic military training on peripheral blood leucocytes and urinary excretion of catecholamines and cortisol. Journal of Sports Sciences. 2005; 23(8): 825-34.
8. Booker R. Best practice in the use of spirometry. Art and Science Respiratory Disorders. 2005; 19 (48): 49-54.
9. Wang LY, Cerny FJ. Ventilatory response to exercise in simulated obesity by chest loading. Med Sci Sports Exerc. 2004; 36(5): 780-6.
10. Tønn Lesen P, Carrozzi L, Fagerström KO, Gratziou C, Jimenez-Ruiz C, Nardinie S, et al. Smoking cessation in patients with respiratory diseases: a high priority, integral component of therapy. Eur Respir J 2007; 29: 390-417.
11. Gorecka D, Bednarek M, Nowinski A, et al. Diagnosis of airflow limitation combined with smoking cessation advice increases stop-smoking rate. Chest. 2003; 123:1916-23.