Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial

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 oropharyngea...

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Autores: Torres Castro, Rodrigo, Vilaro, Jordi, Martí, Joan-Daniel, Garmendia, Onintza, Gimeno-Santos, Elena, Romano-Andrioni, Bárbara, Embid, Cristina, Montserrat Canal, José Ma
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.14342/746
Acceso en línea:http://hdl.handle.net/20.500.14342/746
https://dx.doi.org/10.3390/jcm8030361
Access Level:acceso abierto
Palabra clave:Síndromes d'apnea del son -- Tractament
Exercicis respiratoris
616.2
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spelling Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trialTorres Castro, RodrigoVilaro, JordiMartí, Joan-DanielGarmendia, OnintzaGimeno-Santos, ElenaRomano-Andrioni, BárbaraEmbid, CristinaMontserrat Canal, José MaSíndromes d'apnea del son -- TractamentExercicis respiratoris616.2Physical 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 (n = 6) a reduction of the apnea-hypopnea index from 29.5 (21.8–48.3) to 15.5 (11–34) events/h (p = 0.028) was observed. While a comprehensive multimodal program does not modify the apnea-hypopnea index, it could reduce body weight and increase the walking distance of patients with moderate to severe obstructive sleep apnea. Patients younger than 60 may also present a decreased apnea-hypopnea index after intervention.MDPIUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion13 p.http://hdl.handle.net/20.500.14342/746https://dx.doi.org/10.3390/jcm8030361reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJournal of Clinical Medicine, 2019, vol. 8, núm. 3Attribution 4.0 International© L'autor/ahttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.14342/7462026-05-29T05:05:01Z
dc.title.none.fl_str_mv Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
title Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
spellingShingle Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
Torres Castro, Rodrigo
Síndromes d'apnea del son -- Tractament
Exercicis respiratoris
616.2
title_short Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
title_full Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
title_fullStr Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
title_full_unstemmed Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
title_sort Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial
dc.creator.none.fl_str_mv Torres Castro, Rodrigo
Vilaro, Jordi
Martí, Joan-Daniel
Garmendia, Onintza
Gimeno-Santos, Elena
Romano-Andrioni, Bárbara
Embid, Cristina
Montserrat Canal, José Ma
author Torres Castro, Rodrigo
author_facet Torres Castro, Rodrigo
Vilaro, Jordi
Martí, Joan-Daniel
Garmendia, Onintza
Gimeno-Santos, Elena
Romano-Andrioni, Bárbara
Embid, Cristina
Montserrat Canal, José Ma
author_role author
author2 Vilaro, Jordi
Martí, Joan-Daniel
Garmendia, Onintza
Gimeno-Santos, Elena
Romano-Andrioni, Bárbara
Embid, Cristina
Montserrat Canal, José Ma
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.subject.none.fl_str_mv Síndromes d'apnea del son -- Tractament
Exercicis respiratoris
616.2
topic Síndromes d'apnea del son -- Tractament
Exercicis respiratoris
616.2
description 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 (n = 6) a reduction of the apnea-hypopnea index from 29.5 (21.8–48.3) to 15.5 (11–34) events/h (p = 0.028) was observed. While a comprehensive multimodal program does not modify the apnea-hypopnea index, it could reduce body weight and increase the walking distance of patients with moderate to severe obstructive sleep apnea. Patients younger than 60 may also present a decreased apnea-hypopnea index after intervention.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/746
https://dx.doi.org/10.3390/jcm8030361
url http://hdl.handle.net/20.500.14342/746
https://dx.doi.org/10.3390/jcm8030361
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine, 2019, vol. 8, núm. 3
dc.rights.none.fl_str_mv Attribution 4.0 International
© L'autor/a
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
© L'autor/a
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13 p.
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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