Physical activity and perception of energy and fatigue in obstructive sleep apnea

Physical activity and perception of energy and fatigue in obstructive sleep apnea
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DOI:
10.1249/01.mss.0000074566.94791.24
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发表时间:
2003-07-01
期刊:
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子:
--
通讯作者:
Dimsdale, JE
Dimsdale, JE
中科院分区:
其他
文献类型:
--
作者:
Hong, S;Dimsdale, JE

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阻塞性睡眠呼吸暂停患者的体力活动与能量和疲劳的感知。医学科学体育锻炼,第35卷,第7期,第100页。1088-1092,2003。目的:本研究旨在探讨阻塞性睡眠呼吸暂停(OSA)患者呼吸暂停严重程度、体力活动水平和心理健康之间的关系。方法:对参与者的睡眠、心理健康的主观报告和身体活动水平进行评估。38例睡眠呼吸暂停患者(平均年龄49.0 ± 8.9岁;平均体重指数(BMI)30.1 ± 4.9(kg(.)m(-2)),呼吸紊乱指数[RDI] ≥ 10。睡眠结构,主观幸福感和自我报告的习惯性体力活动进行了测量。结果:睡眠呼吸暂停严重程度(由RDI确定)与主观自我报告的幸福感无关。另一方面,规律的体力活动与较高的SF-36活力(r(s)= 0.54)、较高的心境状态活力(r(s)= 0.41)和较低的疲劳(r(s)= -0.46)显著相关。即使在控制RDI或BMI之后,身体活动和主观幸福感之间的关联仍然显着。在这组患有睡眠呼吸暂停的受试者中,体力活动水平优于睡眠呼吸暂停严重程度(即,RDI)预测能量和疲劳的感知。结论:促进有规律的体力活动或运动训练作为OSA辅助治疗的临床意义需要进一步研究。
Physical Activity and Perception of Energy and Fatigue in Obstructive Sleep Apnea. Med. Sci. Sports Exerc., Vol. 35, No. 7, pp. 1088-1092, 2003. Purpose: This study was designed to examine the relationship between apnea severity, physical activity level, and psychological well being in patients with obstructive sleep apnea (OSA). Methods: Participants' sleep, subjective report of psychological well-being, and physical activity level were assessed. Thirty-eight patients with sleep apnea (mean age 49.0 +/- 8.9 yr; mean body mass index (BMI) 30.1 +/- 4.9 (kg(.)m(-2)) with respiratory disturbance index [RDI] = greater than or equal to 10 were admitted to the study. Sleep architecture, subjective well-being, and self-reported habitual physical activity were measured. Results: Sleep apnea severity (determined by RDI) was unrelated to subjective self-report of well-being. On the other hand, regular physical activity was significantly correlated with higher SF-36 vitality (r(s) = 0.54), higher Profile of Mood States vigor (r(s) = 0.41), and less fatigue (r(s) = -0.46). The association between physical activity and subjective well being remained significant even after controlling for RDI or BMI. In this group of subjects with sleep apnea, physical activity level was better than sleep apnea severity (i.e., RDI) in predicting perceptions of energy and fatigue. Conclusion: The clinical significance of promoting regular physical activity or exercise training as an adjuvant treatment for OSA needs to be further investigated.