Diet and exercise in the management of obstructive sleep apnoea and cardiovascular disease risk

Dobrosielski, Devon A.; Papandreou, Christopher; Patil, Susheel P.; Salas‐Salvadó, Jordi

doi:10.1183/16000617.0110-2016

Cited by 85 publications

(57 citation statements)

References 102 publications

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“…Finally the house con nement imposed by quarantine could be associated to the decreased intake of fresh food, as fruit, vegetables and sh, all food rich in vitamins (including vitamin C, beta-carotene, and vitamin D), minerals (including selenium and zinc) and omega 3 fatty acids with anti-in ammatory and antioxidants activities. The low consumption of these micronutrients is associated with both obesity and sleep disturbance [54][55][56]; in particular, vitamin D plays a key role in the relationship between obesity and sleep disturbances [57][58][59][60].…”

Section: Sleep Qualitymentioning

confidence: 99%

Does Sars-Cov-2 threaten our dreams? Effect of Quarantine on Sleep Quality and Body Mass Index

Barrea

Pugliese

Framondi

et al. 2020

Preprint

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Background: COVID 19- related quarantine led to a sudden and radical lifestyle changes, in particular in eating habits. Objectives of the study were to investigate the effect of quarantine on sleep quality (SQ) and body mass index (BMI), and if change in SQ was related to working modalities.Materials: We enrolled 121 adults (age 44.9±13.3 years and 35.5% males). Anthropometric parameters, working modalities and physical activity were studied. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) questionnaire. At baseline, the enrolled subjects were assessed in outpatient clinic and after 40 days of quarantine/lockdown by phone interview. Results: Overall, 49.6% of the subjects were good sleepers (PSQI < 5) at the baseline and significantly decreased after quarantine (p<0.001). In detail, sleep onset latency (p<0.001), sleep efficiency (p=0.03), sleep disturbances (p<0.001), and daytime dysfunction (p<0.001) significantly worsened. There was also a significant increase in BMI values in normal weight (p=0.023), in subjects grade I (p=0.027) and II obesity (p=0.020). In all cohort, physical activity was significantly decreased (p=0.004). However, analyzing the data according gender difference, males significantly decreased physical activity as well as females in which there was only a trend without reaching statistical significance (53.5% vs 25.6%; p=0.015 and 50.0% vs 35.9%, p=0.106; in males and females, respectively). In addition, smart working activity resulted in a significant worsening of SQ, particularly in males (p<0.001). Conclusions: Quarantine was associated to a worsening of SQ, particularly in males doing smart working, and to an increase in BMI values.

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Section: Sleep Qualitymentioning

confidence: 99%

Does Sars-Cov-2 threaten our dreams? Effect of Quarantine on Sleep Quality and Body Mass Index

Barrea

Pugliese

Framondi

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…It is clear that future studies are needed to better understand this relationship [24]. According to these findings, one of the most important interventions in the treatment of OSA is the nutrition program, implemented to obtain weight loss in order to reduce the apnea-hypopnea index and the severity of OSA and, inselected cases with associated craniofacial deformities,early orthodontic treatment could be beneficial [25][26][27].…”

Section: Resultsmentioning

confidence: 99%

Nocturnal Hypoxemia, a Key Parameter in Overlap Syndrome

Budin¹,

Maierean²,

Ianoși³

et al. 2019

Rev. Chim.

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The overlap syndrome (OS) is defined as a synergic relation between obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD). Patients with overlap syndrome present the clinical features of each disorder to a greater or a lesser extend depending on the predominant disease. We assessed the main differences between patients with OS and patients with OSA and we highlight the importance of nocturnal hypoxemia on clinical status and management of the patients with overlap syndrome, in order to simplify OSA screening tests in patients with COPD. The study population included 62 selected patients divided in two groups: the first group � subjects diagnosed with OS and the second group - subjects with OSA, without the diagnostic of COPD. The majority of the patients were male, with a mean age of 55�9.84 years in the OSA group and 65.5�10.32 years in the OS group. The nocturnal hypoxemia was more important in the OS grup, with 276.83 minutes spent at a SpO2 below 90% versus 132.98 minutes in the OSA group. The mean AHI was 57.7�29.244 events/hour of sleep in the OS group and 50.7�26.01 events/hour of sleep in the OSA group. At the diagnosis, the mean daytime SpO2 was 90.9�3.59% in the OS group and 95.9�1.57 % in the OSA group. There were statistically significant differences between the two groups concerning age, AHI, Epworth Slepiness Scale, nocturnal desaturation, medium and minimum SpO2 during sleep, daytime SpO2 at the diagnosis and at 1-year follow-up, the presence of cardiovascular comorbidities such as pulmonary hypertension and heart failure. Our study showed that patients with COPD have OSA predictors that differ from those usually recognise in the general population. In OS patients, the most important parameter is the nocturnal hypoxemia. So, it is very useful that the clinicians be trained to include in the management of selected obese COPD patients, comprehensive sleep history, sleep hygiene and OSA screening because, in clinical practice, OSA is quite often underdiagnosed in these patients.

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“…In agreement, an increase in blood pressure during aerobic exercise was reported previously (PALATINE et al, 1998). Exercise induces a great number of beneficial physiological responses namely for people suffering from cardiovascular disease (DOS SANTOS et al, 2015;DOBROSIELSKI et al, 2017;RIBEIRO et al, 2016). The increase in BP is, however, an unwanted response for people with hypertension therefore a short session of sauna prior aerobic exercise might help to control BP during exercise.…”

Section: Discussionmentioning

confidence: 99%

The Physiology Effects of a Finnish Sauna on Aerobic Exercise in College-Aged Individuals

Bogdanich¹,

Kiger²,

Santos³

2019

Rev. Cont. Saúde

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Sauna baths acutely increases vasodilation, heart rate (HR) and muscle relaxation; therefore sessions of sauna have been tested as a therapeutic treatment for cardiovascular diseases and psychological diseases. When combined with exercise, sauna baths have been performed to accelerate exercise recovery, with the sauna being done post workout the majority of times. The aim of this study was to determine the effects of the sauna used prior to a bout of moderate intensity aerobic exercise. Eight volunteer performed a 20-minute treadmill aerobic exercise (running) 70% of maximal VO2 with and without a visit to the sauna. Systolic and diastolic blood pressure (BP), HR, and Rate of Perceived Exertion (RPE) were recorded before, halfway at 10 minutes, and after the aerobic exercise. Systolic BP, assessed before exercise, was not different when subjects performed prior sauna (124.8 ± 10.8 vs. 125± 11 mm/Hg no sauna and sauna, respectively). However, diastolic BP was lower in no-sauna condition vs. sauna condition while HR and RPE (73± 5 vs 80± 4.5 mm/Hg BP, 90±13 vs. 101±11 beats/min and 6 vs. 7 RPE no sauna and sauna, respectively). When the comparison was made within the experimental condition exercise, sauna attenuated the increase in systolic and diastolic BP induced by exercise without affecting HR and RPE. Extreme high temperatures experienced in sauna modulate cardiovascular system responses by increasing HR and diastolic blood pressure. Moderate exercise increases systolic and diastolic BP, which might be attenuated when sauna is performed prior to exercise. A Sauna session might be used to modulate the response of exercise towards BP.

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Diet and exercise in the management of obstructive sleep apnoea and cardiovascular disease risk

Cited by 85 publications

References 102 publications

Does Sars-Cov-2 threaten our dreams? Effect of Quarantine on Sleep Quality and Body Mass Index

Does Sars-Cov-2 threaten our dreams? Effect of Quarantine on Sleep Quality and Body Mass Index

Nocturnal Hypoxemia, a Key Parameter in Overlap Syndrome

The Physiology Effects of a Finnish Sauna on Aerobic Exercise in College-Aged Individuals

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