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Título

THE EFFECTIVENESS OF A LIFESTYLE MODIFICATION PROGRAM ON THE OBSTRUCTIVE SLEEP APNEA AND SLEEP QUALITY: A PILOT CONTROLLED STUDY

Introdução

Physical exercises considered an alternative, complementary treatment for obstructive sleep apnea (OSA).

Objetivo

To evaluate the efficacy of a 10-week exercise-training program in reducing the severity of OSA and improving sleep quality

Métodos

The impact of an existing supervised-exercise protocol on patients with OSA was investigated in a prospective study with a selected sample of 10 sedentary and overweight/obese adults subjects older than 35 yrs (52 ± 10.3 yrs, 60% men) with OSA (AHI ≥ 5 at screening). After a baseline assessment, the participants were submitted to a 10-week program of combined exercise training . The combined exercise protocol was composed by daily sessions (90 min), 3-5x/wk, including warm up/stretching (10min), 30 min walking (60%-70% FC max), 40min strength in academy (3x 8-12 rep, 60%-70% 1RM) and stretching and cool down (10min). OSA severity was assessed with one night of laboratory polysomnography (PSG) before and following the 10-week intervention. Anthropometry, 6-minute walk test, Pittsburgh Sleep Quality Index (PSQI), Excessive Daytime Sleepiness (Epworth ESS) and Quality of life standard (Sf-36) were also searched.Statistical comparisons between baseline and after-intervention data were made for (p=0.05).

Resultados


Physical conditioning effects were detected in the increased walking steps of 6MWT and in waist circumference reduction. Additionally, there was a Apnea-index reduction 7.3 ± 11.6 vs. 0.9 ± 1.2, improved sleep quality 9.0 ± 3.02 vs. 4.3 ± 2.06; and in the ESS scale 9.0 ± 3.02 vs. 4.3 ± 2.06, ending up with an increase sf-36 423.8 ±164.1 vs. 577.3 ± 105.1. with effective contribution of the improvements in the domains of functional capacity, emotional aspects and vigor-vitality. The observed values ​​of functional capacity correlated negatively with AHI (r=-0,725; p=0,02).

Conclusões

The present protocol improved the expected fitness and body fatness along with reducing the apnea, daylight drowsiness and improved the quality of sleep and life of patients with OSAS.
financial support : CAPES

Palavras-chave

obstructive sleep apnea, exercise training, Sleep Medicine Specialty, Daytime Sleepiness, Indicators of Quality of Life.

Área

Área Clínica

Autores

Ana Crolina Malacize Escorce, Mariana Santoro Nakagaki, Hugo Tadashi Kano, José Eduardo Corrente, Rodrigo Gibin Jaldin , jeferson Luis Barros, Roberto Carlos Burini, Antonio Carlos Marão, Silke Anna Theresa Weber