Effects of a Combined Community Exercise Program in Obstructive Sleep Apnea Syndrome: A Randomized Clinical Trial.

apnea-hypopnea syndrome oropharyngeal exercises physical training urban-walking program

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
14 Mar 2019
Historique:
received: 23 01 2019
revised: 09 03 2019
accepted: 10 03 2019
entrez: 17 3 2019
pubmed: 17 3 2019
medline: 17 3 2019
Statut: epublish

Résumé

Physical activity is associated with a decreased prevalence of obstructive sleep apnea and improved sleep efficiency. Studies on the effects of a comprehensive exercise program in a community setting remain limited. Our objective was to investigate the effects of a combined physical and oropharyngeal exercise program on the apnea-hypopnea index in patients with moderate to severe obstructive sleep apnea. This was a randomized clinical trial where the intervention group followed an eight-week urban-walking program, oropharyngeal exercises, and diet and sleep recommendations. The control group followed diet and sleep recommendations. A total of 33 patients were enrolled and randomized and, finally, 27 patients were included in the study (IG, 14; CG, 13) Obstructive sleep apnea patients were analyzed with a median age of 67 (52⁻74) and median apnea-hypopnea index of 32 events/h (25⁻41). The apnea-hypopnea index did not differ between groups pre- and post-intervention. However, in intervention patients younger than 60 (

Identifiants

pubmed: 30875753
pii: jcm8030361
doi: 10.3390/jcm8030361
pmc: PMC6463021
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Sociedad Española de Neumología y Cirugía Torácica
ID : 01-2014

Références

Eur Respir J. 1999 Aug;14(2):270-4
pubmed: 10515400
Arch Bronconeumol. 1999 Oct;35(9):422-7
pubmed: 10596338
JAMA. 2000 Dec 20;284(23):3015-21
pubmed: 11122588
Sleep Res Online. 2000;3(3):121-9
pubmed: 11382910
Scand J Med Sci Sports. 2003 Feb;13(1):40-7
pubmed: 12535316
Gen Hosp Psychiatry. 2003 Jul-Aug;25(4):277-83
pubmed: 12850660
Sleep Med Rev. 2000 Oct;4(5):411-33
pubmed: 17210275
Dysphagia. 2007 Jul;22(3):251-65
pubmed: 17457549
Aging Clin Exp Res. 2007 Aug;19(4):310-5
pubmed: 17726362
Am J Respir Crit Care Med. 2009 Feb 1;179(3):241-6
pubmed: 19011149
Am J Respir Crit Care Med. 2009 May 15;179(10):962-6
pubmed: 19234106
Sleep Breath. 2011 Jan;15(1):49-56
pubmed: 19898884
J Clin Sleep Med. 2009 Jun 15;5(3):263-76
pubmed: 19960649
J Clin Sleep Med. 2009 Oct 15;5(5):409-15
pubmed: 19961023
Sleep. 2011 Dec 01;34(12):1631-40
pubmed: 22131599
Arch Bronconeumol. 2012 Apr;48(4):107-13
pubmed: 22209160
Sleep Breath. 2013 Sep;17(3):925-35
pubmed: 23361137
Am J Respir Crit Care Med. 2013 Jun 1;187(11):1259-66
pubmed: 23725615
Lung. 2014 Feb;192(1):175-84
pubmed: 24077936
Lancet Respir Med. 2013 Mar;1(1):61-72
pubmed: 24321805
Sleep Med. 2014 Aug;15(8):906-12
pubmed: 24947878
Sleep. 2014 Jul 01;37(7):1227-36
pubmed: 25061251
PLoS One. 2014 Aug 11;9(8):e104572
pubmed: 25111799
Chest. 2015 Sep;148(3):683-691
pubmed: 25950418
J Clin Sleep Med. 2015 Nov 15;11(11):1253-4
pubmed: 26446251
J Zhejiang Univ Sci B. 2015 Nov;16(11):931-9
pubmed: 26537211
PLoS One. 2016 Jan 14;11(1):e0146705
pubmed: 26766184
Respir Med. 2016 Jul;116:85-92
pubmed: 27296826
Sleep Med Rev. 2017 Aug;34:70-81
pubmed: 27568340
N Engl J Med. 2016 Sep 8;375(10):919-31
pubmed: 27571048
Acta Otorhinolaryngol Ital. 2017 Dec;37(6):447-453
pubmed: 28663598
Front Neurol. 2018 Feb 22;9:73
pubmed: 29520251
Chest. 2018 Oct;154(4):754-759
pubmed: 29548630
Australas J Ageing. 2018 Sep;37(3):169-183
pubmed: 29638028
Expert Rev Respir Med. 2018 Nov;12(11):919-929
pubmed: 30204000
Sleep Med. 2018 Dec;52:92-97
pubmed: 30292081

Auteurs

Rodrigo Torres-Castro (R)

Servicio de Neumología, Unidad del Sueño, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. klgorodrigotorres@gmail.com.
Departamento de Kinesiología, Facultad de Medicina, Universidad de Chile, 8380453 Santiago, Chile. klgorodrigotorres@gmail.com.

Jordi Vilaró (J)

Facultad de Ciencias de la Salud Blanquerna. Global Research on Wellbeing (GRoW)), Universitat Ramon Llull, 08025 Barcelona, Spain. jordivc@blanquerna.url.edu.

Joan-Daniel Martí (JD)

Unidad de Cuidados Intensivos en Cirugía Cardiovascular, Instituto Clínico Cardiovascular, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. jdmartibcn@gmail.com.

Onintza Garmendia (O)

Servicio de Neumología, Unidad del Sueño, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. onintzag@gmail.com.

Elena Gimeno-Santos (E)

Respiratory Institute, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. elenagimeno@gmail.com.
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, Spain. elenagimeno@gmail.com.

Bárbara Romano-Andrioni (B)

Servicio de Endocrinología y Nutrición, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. bromano@clinic.cat.

Cristina Embid (C)

Servicio de Neumología, Unidad del Sueño, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. cembid@clinic.cat.

Josep M Montserrat (JM)

Servicio de Neumología, Unidad del Sueño, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. jmmontserrat2@gmail.com.

Classifications MeSH