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Lins-Filho O, Germano-Soares AH, Aguiar JLP, de Almedia JRV, Felinto EC, Lyra MJ, Leite DB, Moura MAS, Kline CE, Pedrosa RP. Effect of high-intensity interval training on obstructive sleep apnea severity: A randomized controlled trial. Sleep Med 2023; 112:316-321. [PMID: 37952480 DOI: 10.1016/j.sleep.2023.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 10/26/2023] [Accepted: 11/03/2023] [Indexed: 11/14/2023]
Abstract
Vigorous physical activity has been associated with a reduced risk of developing obstructive sleep apnea (OSA). However, whether high-intensity interval training (HIIT) reduces OSA severity remains unclear. Thus, this study aimed to investigate the impact of 12 weeks of HIIT on the apnea-hypopnea index (AHI) and sleep parameters in participants with moderate-severe OSA. In this randomized controlled trial, 36 adults (19 males; 52.2 ± 9.8 years; body mass index = 34.2 ± 5.8) with moderate to severe OSA (AHI = 42.0 ± 22.9 e/h) were randomly assigned to HIIT [5 periods of 4 min of walking or running on a treadmill at 90-95 % of maximum heart rate (HRmax) interspersed with 3 min of walking at 50-55 % of HRmax performed three times per week for 12 weeks] or a control group (CG; stretching exercises performed two times per week for 12 weeks). Sleep parameters were assessed at baseline and after 12 weeks through overnight polysomnography. Generalized estimated equations assessed differences between groups over time. There was not group × time interaction for body mass index between groups (p = 0.074). However, significant group × time interactions were observed for AHI (CG change = 8.2 ± 3.7, HIIT change = -8.6 ± 4.8; p = 0.005), SaO2 minimum (CG change = -1.6 ± 1.6 %, HIIT change = 0.4 ± 2.3 %; p = 0.030), total sleep time (CG change = -31.5 ± 19.5 min, HIIT change = 33.7 ± 19.3 min; p = 0.049), and sleep efficiency (CG change = -3.2 ± 4.4 %, HIIT change = 9.9 ± 3.5 %; p = 0.026). Moreover, there was a significant time × group interaction for maximum oxygen consumption (VO2max; CG change = -1.1 ± 1.0 mL/kg/min, HIIT change = 4.8 ± 0.9 mL/kg/min; p < 0.001)]. However, In patients with OSA, 12 weeks of HIIT decreases sleep apnea severity, improves sleep quality, and cardiorespiratory fitness. CLINICAL TRIAL REGISTRATION: (Registro Brasileiro de Ensaios Clínicos [ReBec]): # RBR-98jdt3.
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Affiliation(s)
- Ozeas Lins-Filho
- Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil; Department of Physical Education, Federal University of Pernambuco, Recife, Brazil; Faculdade Pernambucana de Saúde, Recife, Brazil.
| | - Antonio H Germano-Soares
- Centro Acadêmico de Vitória (CAV), Federal University of Pernambuco, Recife, Brazil; Faculdade Pernambucana de Saúde, Recife, Brazil
| | - José Lucas P Aguiar
- Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil
| | - José Ricardo V de Almedia
- Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil
| | - Elton C Felinto
- Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil
| | | | - Danielle B Leite
- Department of Ergometry, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil
| | - Marcos André S Moura
- Post-graduate Program in Physical Education, University of Pernambuco, Recife, Brazil
| | | | - Rodrigo P Pedrosa
- Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil; Post-graduate Program in Health Sciences, University of Pernambuco, Recife, Brazil
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Santiago LCS, Lyra MJ, Germano-Soares AH, Lins-Filho OL, Queiroz DR, Prazeres TMP, Mello MT, Pedrosa RP, Falcão APST, Santos MAM. Effects of Strength Training on Sleep Parameters of Adolescents: A Randomized Controlled Trial. J Strength Cond Res 2020; 36:1222-1227. [PMID: 32379244 DOI: 10.1519/jsc.0000000000003629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Santiago, LCS, Lyra, MJ, Germano-Soares, AH, Lins-Filho, OL, Queiroz, DR, Prazeres, TMP, Mello, MT, Pedrosa, RP, Falcão, APST, and Santos, MAM. Effects of strength training on sleep parameters of adolescents: a randomized controlled trial. J Strength Cond Res XX(X): 000-000, 2020-This study aimed to examine the effects of 12-weeks of strength training (ST) on sleep quality and daytime sleepiness in adolescents with sleep complaints. Thirty adolescents were randomly assigned to 2 groups: ST group (ST, n = 18) and control group (CG, n = 12). Anthropometric, body composition, one-repetition maximum test, and sleep parameters (Pittsburgh Sleep Quality Index [PSQI] and Epworth Sleepiness Scale [ESS]) were evaluated. Training consisted of 55 min·d (3 times a week, for 12-weeks), 3 sets of 10-12 repetitions with a 1-minute rest interval between sets and exercises. Baseline and postintervention differences were analyzed using Generalized Estimating Equations and the effect size (ES) with Cohen's d coefficient. Significance was set at (p < 0.05). After 12-weeks of ST, a significant decrease in the PSQI score (7.3 ± 0.7 vs. 5.1 ± 0.6; ES = 4.10) was observed in the ST group, but not in the CG (6.3 ± 0.8 vs. 7.4 ± 0.7; ES = 1.53). A significant decrease in ESS score was found in the ST group (10.1 ± 0.7 vs. 8.2 ± 0.7; ES = 3.08), without differences in the CG (10.7 ± 0.8 vs. 11.0 ± 0.7; ES = 0.56). The ST group presented increased total sleep duration (h·min) (6.2 ± 0.2 vs. 6.9 ± 0.2; ES = 3.60), but not the CG (7.0 ± 0.2 vs. 6.8 ± 0.1; ES = 1.32). Individual analyses showed ≈67% of adolescents experienced a reduction in PSQI (8.3; confidence interval [CI] 95% 6.8-10.1) and ESS (8.3; CI 95% 6.7-9.9) scores after ST, whereas only ≈17% of control participants presented reduced scores (PSQI [11.1; CI 95% 9.5-12.9] and ESS [11.0; CI 95% 9.4-12.6]). Strength training improved sleep quality and increased total sleep duration.
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Affiliation(s)
- Ladyodeyse C S Santiago
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Brazil
| | - Maria J Lyra
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Brazil
| | - Antônio H Germano-Soares
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Brazil
| | - Ozeas L Lins-Filho
- Graduate Program in Health Sciences, University of Pernambuco, Recife, Brazil.,Sleep and Heart Laboratory, Cardiovascular Emergency Room of Pernambuco, University of Pernambuco, Recife, Brazil
| | - Daniel R Queiroz
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Brazil
| | - Thaliane M P Prazeres
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Brazil
| | - Marco T Mello
- Department of Sports Science, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Rodrigo P Pedrosa
- Graduate Program in Health Sciences, University of Pernambuco, Recife, Brazil.,Sleep and Heart Laboratory, Cardiovascular Emergency Room of Pernambuco, University of Pernambuco, Recife, Brazil
| | - Ana P S T Falcão
- Department of Physical Education, Group Research in Education, Health and Environment, Vitoria de Santo Antao (IFPE), Vitória, PE, Brazil
| | - Marcos A M Santos
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Brazil.,Sleep and Heart Laboratory, Cardiovascular Emergency Room of Pernambuco, University of Pernambuco, Recife, Brazil
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