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Effects of an individualized exercise training program on severity markers of obstructive sleep apnea syndrome: a randomised controlled trial.
Sleep Medicine ( IF 4.8 ) Pub Date : 2020-02-18 , DOI: 10.1016/j.sleep.2020.02.008 F Bughin 1 , M Desplan 2 , C Mestejanot 3 , M C Picot 4 , F Roubille 5 , D Jaffuel 6 , J Mercier 1 , I Jaussent 7 , Y Dauvilliers 8
Sleep Medicine ( IF 4.8 ) Pub Date : 2020-02-18 , DOI: 10.1016/j.sleep.2020.02.008 F Bughin 1 , M Desplan 2 , C Mestejanot 3 , M C Picot 4 , F Roubille 5 , D Jaffuel 6 , J Mercier 1 , I Jaussent 7 , Y Dauvilliers 8
Affiliation
OBJECTIVE
Obstructive sleep apnea (OSA) is a high prevalent disorder with severe consequences including sleepiness, metabolic, and cardiovascular disorders. The aim of this study was to assess the effect of an individualized exercise-training (IET) program with educational sessions vs educational sessions alone on severity markers of OSA over an eight-week duration.
METHODS
This was a randomised, controlled, parallel-design study. In sum, 64 patients with moderate-to-severe OSA (apnea-hypopnea index AHI 15-45/hour), low physical activity level (Voorrips<9), body-mass index (BMI) <40 kg/m2 were included in intervention group (IG) or control group (CG), and 54 patients finished the study. All underwent polysomnography (PSG), multiple sleep latency test (MSLT), constant workload exercise test, blood samples and fulfilled questionnaires twice. The primary endpoint was the change in apnea-hypopnea (AHI) at eight weeks from baseline. Main secondary endpoints were daytime sleepiness assessed by questionnaire and objective tests.
RESULTS
No significant between-group differences were found for changes in AHI. A reduction in AHI was found in IG only (p = 0.005). Compared to CG, exercise training leads to a greater decrease in AHI during REM sleep (p = 0.0004), with a significant increase in mean daytime sleep latency (p = 0.02). Between-group differences were significant for weight reduction, severity of fatigue, insomnia and depressive symptoms with trend for sleepiness symptoms.
CONCLUSIONS
In adult patients with moderate-to-severe OSA, IET did not decrease AHI compared to the control group but improved markers of severity of OSA, in particular AHI in rapid eye movement (REM) sleep and objective daytime sleepiness. Adding personalized exercise training to the management of patients with OSA should be considered. CLINICALTRIALS.
GOV IDENTIFIER
NCT01256307.
中文翻译:
个性化运动训练计划对阻塞性睡眠呼吸暂停综合症严重程度指标的影响:一项随机对照试验。
目的阻塞性睡眠呼吸暂停(OSA)是一种高度流行的疾病,其严重后果包括嗜睡,代谢和心血管疾病。这项研究的目的是评估一个单独的运动训练(IET)计划,在八周的持续时间内,分别针对教育活动和教育活动对OSA严重性指标进行了评估。方法这是一项随机,对照,平行设计的研究。总的来说,包括64例中度至重度OSA(呼吸暂停-呼吸不足指数AHI 15-45 /小时),体力活动水平低(Voorrips <9),身体质量指数(BMI)<40 kg / m2的患者干预组(IG)或对照组(CG),其中54例患者完成了研究。所有患者均接受了多导睡眠监测(PSG),多次睡眠潜伏期测试(MSLT),持续工作量运动测试,血液样本和两次问卷调查。主要终点是从基线开始八周的呼吸暂停低通气(AHI)变化。主要的次要终点是通过问卷调查和客观测试评估的白天嗜睡情况。结果在AHI的变化上没有发现显着的组间差异。仅在IG中发现AHI降低(p = 0.005)。与CG相比,运动训练可使REM睡眠期间的AHI降低更大(p = 0.0004),并且平均白天睡眠潜伏期显着增加(p = 0.02)。两组之间的差异对于减轻体重,疲劳的严重程度,失眠和抑郁症状具有明显的嗜睡症状趋势。结论在中度至重度OSA的成年患者中,与对照组相比,IET并未降低AHI,但改善了OSA严重程度的指标,尤其是快速眼动(REM)睡眠和客观白天嗜睡的AHI。应该考虑在OSA患者的管理中增加个性化运动训练。临床试验。GOV标识符NCT01256307。
更新日期:2020-02-18
中文翻译:
个性化运动训练计划对阻塞性睡眠呼吸暂停综合症严重程度指标的影响:一项随机对照试验。
目的阻塞性睡眠呼吸暂停(OSA)是一种高度流行的疾病,其严重后果包括嗜睡,代谢和心血管疾病。这项研究的目的是评估一个单独的运动训练(IET)计划,在八周的持续时间内,分别针对教育活动和教育活动对OSA严重性指标进行了评估。方法这是一项随机,对照,平行设计的研究。总的来说,包括64例中度至重度OSA(呼吸暂停-呼吸不足指数AHI 15-45 /小时),体力活动水平低(Voorrips <9),身体质量指数(BMI)<40 kg / m2的患者干预组(IG)或对照组(CG),其中54例患者完成了研究。所有患者均接受了多导睡眠监测(PSG),多次睡眠潜伏期测试(MSLT),持续工作量运动测试,血液样本和两次问卷调查。主要终点是从基线开始八周的呼吸暂停低通气(AHI)变化。主要的次要终点是通过问卷调查和客观测试评估的白天嗜睡情况。结果在AHI的变化上没有发现显着的组间差异。仅在IG中发现AHI降低(p = 0.005)。与CG相比,运动训练可使REM睡眠期间的AHI降低更大(p = 0.0004),并且平均白天睡眠潜伏期显着增加(p = 0.02)。两组之间的差异对于减轻体重,疲劳的严重程度,失眠和抑郁症状具有明显的嗜睡症状趋势。结论在中度至重度OSA的成年患者中,与对照组相比,IET并未降低AHI,但改善了OSA严重程度的指标,尤其是快速眼动(REM)睡眠和客观白天嗜睡的AHI。应该考虑在OSA患者的管理中增加个性化运动训练。临床试验。GOV标识符NCT01256307。