Exercise Interventions in Obstructive Sleep Apnea: Program Features and Clinical Benefits
摘要
The purpose of the present study was to synthesize the characteristics of exercise programs and their effectiveness in reducing apnea-hypopnea index (AHI) in patients with obstructive sleep apnea.
Recent FindingsA narrative review was conducted in PubMed and Web of Science, including 27 studies. Inclusion criteria were: adults with OSA; study design as clinical, randomized, or crossover trial; exercise interventions compared with a control group or another intervention; outcome measure of AHI.
Summary(i) The analyzed studies comparing an exercise-based group with a control group (no intervention) generally included between 25 and 50 participants; (ii) no study was conducted exclusively in women; (iii) the most common structure was programs lasting 12 weeks with three weekly sessions of 60 min; (iv) the exercise programs were primarily based on aerobic exercise, either alone or combined with resistance training (concurrent exercise); (v) the prescription of exercise intensity was poorly detailed, with virtually no control of training load, which would hinder study replicability; (vi) exercise programs achieved reductions in AHI, in some cases even without changes in BMI. However, although 83% of the studies achieved a reduction in AHI, the magnitude of this decrease was highly heterogeneous (ranging from 13% to 92%).