تأثیر تمرین هوازی تناوبی بر شاخص آپنه – هایپوپنه(AHI )، BMI و کیفیت زندگی مردان میانسال مبتلا به سندروم آپنه انسدادی خواب

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه تربیت بدنی و علوم ورزشی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران

2 استادیار گروه تربیت بدنی و علوم ورزشی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران

3 دانشیار گروه مغز و اعصاب، دانشگاه علوم پزشکی مشهد، مشهد، ایران

4 دانشیار گروه تربیت بدنی و علوم ورزشی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران

چکیده

مقدمه: آپنه انسدادی خواب،یکی از مهمترین شرایط پزشکی طی دهه‌های اخیر است و با عواملی مانند کم‌تحرکی، چاقی، هایپرتانسیون و دیابت در ارتباط است. هدف از این پژوهش بررسی تأثیر هشت هفته تمرین هوازی تناوبی برAHI ، BMI و کیفیت زندگی مردان میانسال مبتلا به OSA می باشد.
روش کار: دراین پژوهش نیمه تجربی 24 شرکت کننده با 4/4±5/47= سن، 4/21±2/41= AHI و 8/1±5/27= BMI به طور تصادفی در دو گروه تمرین و کنترل قرار گرفتند. گروه تمرین، برنامه تمرین هوازی تناوبی منتخب را با شدت 65 تا70 درصد حداکثر ضربان قلب در هفته اول شروع کردند و در هفته آخر با شدت 80 تا85 درصد حداکثر ضربان قلب به پایان رساندند. گروه کنترل برنامه تمرینی نداشتند. AHI به وسیله دستگاه پلی‌سومنوگرافی، BMI به وسیله دستگاه Inbody270 وکیفیت زندگی به وسیله پرسشنامه SF-36 اندازه‌گیری شد. برای بررسی داده‌ها از آزمون t مستقل در نرم‌افزار SPSS نسخه 26 استفاده شد.
نتایج: در ارزیابی اختلاف میانگین‌ها برای متغیر AHI مقدار 31/0= p به‌ دست آمد که تغییر معناداری وجود نداشت. برای متغیر BMI مقدار 24/0= p به دست آمد که تغییر معناداری مشاهده نشد و برای متغیر کیفیت زندگی مقدار 0001/0= p به دست آمد که تفاوت معناداری بین دو گروه مورد مطالعه مشاهده شد.
نتیجه‌گیری: این پژوهش نشان داد با انجام هشت هفته تمرین هوازی تناوبی تغییر معناداری در AHI و BMI دیده نشد ولی بهبود معناداری در کیفیت زندگی بیماران مشاهده گردید.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of interval aerobic exercise on apnea/hypopnea index (AHI), BMI and life quality in middle aged men with obstructive sleep apnea syndrome

نویسندگان [English]

  • mohammad matboo 1
  • Rambod Khajei 2
  • Fariborz Rezaeitalab 3
  • mohammad reza Ramezanpour 4
1 Phd student, department of physical education and sport sciences, neyshabur branch, islamic azad university, neyshabur, iran
2 Associate Professor, Depatrment of Physical Education and Sport Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran
3 Associate Professor, Department of Neurology, Mashhad University of Medical Sciences, Mashhad, Iran
4 Associate Professor, Depatrment of Physical Education and Sport Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran
چکیده [English]

Introduction: Obstructive sleep Apnea (OSA) is one of the most important medical events in recent decades and is related to sedentary, obesity, hypertension and diabetes. The main aim of this research is studying the effect of eight weeks interval aerobic exercise on AHI, BMI and life quality of middle-aged men who are affected by OSA.
Materials and Methods: In this quasi-experimental research, 24 participants 47.5 ± 4.4 aged, AHI= 41.2 ± 21.4 and BMI= 27.5 ± 1.8 were studied in two groups of training and controlling randomly. The training group started the selected interval aerobic exercise program with the intensity of 65% up to 70% MHR in first week and finished it with the intensity of 80% up to 85% MHR. The controlling group had no exercise program. AHI was measured with polysomnography set, BMI was measured with Inbody 270 set and quality of life was measured with SF-36 questionnaire. For studying the data of independent t test in SPSS software, version 26 was used.
Results: In evaluating mean difference for AHI, p= 0.31 was calculated so that there was no meaningful change. For BMI, p= 0.24 was calculated so that there was no meaningful change, and for the quality of life p=0.0001 was calculated so that there was a meaningful difference between those studied groups.
Conclusion: This research determined that doing eight weeks of interval aerobic exercise has no effect on making a meaningful change in AHI and BMI but a meaningful improvement was seen in the quality of lives of patients.

کلیدواژه‌ها [English]

  • obstructive sleep apnea
  • AHI
  • BMI
  • interval aerobic exercise

مراجع

1- Farhadi M, Tabatabai P. Respiratory disorders related to sleep, Qalabandi M., Textbook of Sleep Medicine,
Arjmand Kitab Publishing, 2014, pages 122-166. (Persian)
2- Nemati Karimoi F. Clinical Phenomenology, Nemati Karimoui F, Nemati Karimoui H, Sleep and Its
Disorders, Fara Intimish Publication, 2017, pages 104-112. (Persian)
3-Karlsen T, Martens NB, Tjønna AE, Engstrøm M, Støylen A, Steinshamn S. High-intensity interval training
improves obstructive sleep apnoea. BMJ Open Sport Exerc Med 2017;2
4- Aiello KD, Caughey WG, Nelluri B, Sharma A, Mookadam F, Mookadam M. Effect of exercise training on
sleep apnea: a systematic review and meta-analysis. Respiratory medicine 2016 Jul 1;116:85-92.
5- Kline CE, Crowley EP, Ewing GB, Burch JB, Blair SN, Durstine JL, Davis JM, Youngstedt SD. The effect of
exercise training on obstructive sleep apnea and sleep quality: a randomized controlled trial. Sleep 2011 Dec
1;34(12):1631-40
6- Sengul YS, Ozalevli S, Oztura I, Itil O, Baklan B. The effect of exercise on obstructive sleep apnea: a
randomized and controlled trial. Sleep and Breathing 2011 Jan 1;15(1):49-56
7- Mendelson M, Lyons OD, Yadollahi A, Inami T, Oh P, Bradley TD. Effects of exercise training on sleep
apnoea in patients with coronary artery disease: a randomised trial. European respiratory journal 2016 Jul
1;48(1):142-50.
8- Schutz TC, Cunha TC, Moura-Guimaraes T, Luz GP, Ackel-D'Elia C, Alves ED, Pantiga Junior G, Mello
MT, Tufik S, Bittencourt L. Comparison of the effects of continuous positive airway pressure, oral appliance
and exercise training in obstructive sleep apnea syndrome. Clinics 2013;68(8):1168-74.
9- Joyce K, James M. Exercise as a treatment for sleep apnea. Journal of Clinical SleepMedicine
2020;16(7),1005-6
10- Van offenwert E, Virjsen B, Belge C, Troosters T, Buyse B, Testelmans D. Physical activity and exercise in
obstructive sleep apnea. Acta Clin Belg 2019;74(2),92-101
11- Carter III R, Watenpaugh DE. Obesity and obstructive sleep apnea: or is it OSA and obesity?
Pathophysiology 2008 Aug 1;15(2):71-7.
12- Norman JF, Von Essen SG, Fuchs RH, McElligott M. Exercise training effect on obstructive sleep apnea
syndrome. Sleep Res Online 2000 Jan 1;3(3):121-9.
13- Torres-castro R, Vilaro J, Marti JD, Garmendia O, Gimeno-santos E. Effects of a Combined Community
Exercise Program in Obstructive Sleep Apnea Syndrome: A Randomized Clinical Trial. Journal of clinical
medicine 2019; 8(3),361
14- Giebelhaus V, strohl KP, Lormes W, Lehmann M, Netzer N. Physical exercise as an adjunct therapy in sleep
apnea-an open trial. Sleep Breath 2000; 4(4),173-76
15- Mendelson M, Bailly S. Marillier M, Flore P, Borel J.C, Vivodtzev I, Doutreleau S, Verges S, Tamisier
R, Pépin J L. Obstructive Sleep Apnea Syndrome, Objectively Measured Physical Activity and Exercise
Training Interventions: A Systematic Review and Meta-Analysis. Front. Neurology 2018;9, 73.
16- Bughin F, Desplan M, Mestejanot C, et al. Effects of an individualized exercise training program on severity
markers of obstructive sleep apnea syndrome: a randomised controlled trial. Sleep Medicine 2020;70,33-42.
17- Servantes DM, Pelcerman A, Salvetti XM, Salles AF, de Albuquerque PF, de Salles FC, et al. Effects of
home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison
of two different programmes. Clin Rehabil 2012; 26(1),45-57
18- Engleman HM, Kingshott RN, Wraith PK, Mackay TW, Deary IJ, Douglas NJ . Randomized
placebocontroll ed c rossove r tri a l of continuous positive airway pressure for mild sleep Apnea/Hypopnea
syndrome. Am J Respir Crit Care Med 1999; 159(2):461-467.
19- Lins-filho OL, Pedrosa RP, Gomes JML, et al. Effect of exercise training on subjective parameters in
patients with obstructive sleep apnea: a systematic review and meta-analysis. Sleep Medicine 2020; 69,1-7
20- Gall R, Isaac L, Kryger M. Quality of life in mild obstructive sleep apnea. Sleep 1993 16 : 59-61.
21- Yang EH, Hla KM, McHorney CA, Havighurst T, Badr MS, Weber S . Sleep apnea and quality of life.
Sleep 2000; 23(4):535-541.
22- Glebocka A, Kossowska A, Bednarek M . Obstructive sleep apnea and the quality of life.
J Physiol Pharmacol 2006;57 Suppl 4:111-117.
23- Barnes M, Goldsworthy UR, Cary BA, Hill CJ. A diet and exercise program to improve clinical outcomes in
patients with obstructive sleep apnea–a feasibility study. Journal of Clinical Sleep Medicine 2009 Oct
15;5(5):409-15
24- Montazeri Ali, Ghstasbi Azita, Vahdaniya Maryamsadat. Translation, determining the reliability and validity
of the Persian version of the SF-36 standard instrument. Paish Quarterly. fifth year First issue, 2014. Pages 56-
49.(Persian)
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 65، شماره 3
مرداد-شهریور1401
مرداد و شهریور 1401
صفحه 1417-1430

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