Efeito de programa para mudança do estilo de vida em pacientes com síndrome de apneia obstrutiva do sono
Carregando...
Arquivos
Data
2021-08-23
Autores
Escorce, Ana Carolina Malacize
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
Os possíveis efeitos do exercício físico sobre a síndrome da apneia obstrutiva do sono (SAOS) ainda carecem de comprovação cientifica. Objetivo: Avaliar a eficácia de um programa de treinamento físico de 10 semanas para reduzir a gravidade da apneia obstrutiva do sono (AOS) e melhorar a qualidade do sono, a sonolência diurna e a qualidade de vida. Métodos: O impacto de um protocolo de exercício supervisionado em pacientes com AOS foi investigado em um estudo prospectivo com uma amostra selecionada de 10 indivíduos adultos sedentários e com sobrepeso / obesidade com mais de 35 anos (52 ± 10,3 anos, 60% homens) com AOS (IAH ≥ 5 na triagem). Após uma avaliação inicial, os participantes foram submetidos a um programa de treinamento de exercícios físicos supervisionado e aconselhamento dietético durante 10 semanas. O protocolo de exercício físico foi composto por sessões diárias (90 min), 3-5x / sem, incluindo aquecimento / alongamento (10min), caminhada 30 min (60% -70% FC máx), força 40min na academia (3x 8- 12 repetições, 60% -70% 1RM) e alongamento e resfriamento (10min). A gravidade da AOS foi avaliada com uma noite de polissonografia laboratorial (PSG) antes e após a intervenção de 10 semanas. Antropometria, teste de caminhada de 6 minutos, Índice de Qualidade do Sono de Pittsburgh (PSQI), Sonolência Diurna Excessiva (Epworth ESS) e Padrão de Qualidade de Vida (Sf-36) também foram avaliados. Comparações estatísticas entre os dados basais e pós-intervenção foram feitas para (p=0,05). Resultados: Após a intervenção, a PSG mostrou redução significativa do índice de apneia (7,3 ± 11,6 vs. 0,9 ± 1,2 eventos/h) ocorreu redução na Circunferência Abdominal (103,6 ± 24,9 vs. 101,9 ± 24,3) aumento do número de passos no TC6 (726,7 ± 65,4 vs.769,9 ± 75,1), melhora do Índice de Qualidade do Sono (9,0 ± 3,02 vs. 4,3 ± 2,06) e da escala de sonolência de Epworth (12,7± 5,7 vs. 4,9 ± 1,66), além da melhora da qualidade de vida Sf-36 (423,8 ± 164,1 vs. 577,3 ± 105). Conclusão: O efeito de MEV sobre esta amostra piloto de pacientes com SAOS apontou evidências positivas no índice de apneia, de qualidade de sono, de sonolência diurna e de qualidade de vida destes pacientes.
The possible effects of physical exercise on obstructive sleep apnea syndrome (OSAS) still lack scientific proof. Objective: To evaluate the efficacy of a 10-week exercise training program for reducing obstructive sleep apnea (OSA) severity and for improving sleep quality, daytime sleepiness and QoL. Method: 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 supervised physical exercises training and dietary counseling. The physical 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). Results: 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). Conclusions: The present protocol improved the expected fitness and body fatness along with reducing the apnea, daylight drowsiness and quality of life of the OSA patients.
The possible effects of physical exercise on obstructive sleep apnea syndrome (OSAS) still lack scientific proof. Objective: To evaluate the efficacy of a 10-week exercise training program for reducing obstructive sleep apnea (OSA) severity and for improving sleep quality, daytime sleepiness and QoL. Method: 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 supervised physical exercises training and dietary counseling. The physical 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). Results: 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). Conclusions: The present protocol improved the expected fitness and body fatness along with reducing the apnea, daylight drowsiness and quality of life of the OSA patients.
Descrição
Palavras-chave
Apneia obstrutiva do sono, Medicina do sono, Exercício físico, Sonolência diurna, Indicadores de qualidade de vida, Obstructive sleep apnea, Exercise training, Sleep medicine specialty, Daytime sleepiness, Indicators of quality of life