High-intensity interval training combined with resistance training improved apnea-hypopnea index but did not modify oxygen desaturation index and oxygen saturation nadir in obese children with obstructive sleep apnea

Longlalerng, Khomkrip; Sonsuwan, Nuntigar; Uthaikhup, Sureeporn; Kietwatanachareon, Suchart; Kamsaiyai, Warunee; Panyasak, Duanpen; Pratanaphon, Sainatee

doi:10.1007/s11325-019-01899-z

Cited by 6 publications

(9 citation statements)

References 29 publications

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“…Similarly, in a recent study in obese children with SDB, neither 8-weeks nor 16-weeks of exercise (24 min of HIIT plus 20 min of resistance training) influenced the SRBD scale or subscales. 19 Consistent with these findings, a previous study in adolescents with obesity observed that apnea-hypopnea index (AHI, measured with polysomnography), an index used to indicate the severity of sleep apnea, was not changed after a 12-week exercise program (180 min/week). 15 Likewise, Roche et al found that a combination of 9-months of aerobic exercise and diet had no effect on OSA measured with polysomnography in adolescents with obesity.…”

Section: Chronic Effect Of the Physical Exercise Program On Sleepsupporting

confidence: 68%

“…16,17 In regards to SDB, few studies showed that engaging in at least 20/40 minutes per day of vigorous aerobic exercise appeared to be beneficial in palliating symptoms of SDB in children 7 to 11 year-old with overweight, 18 but not in obese children with SDB. 19 There is a need of RCTs on the effects of exercise on sleep in pediatric obesity.…”

Section: Introductionmentioning

confidence: 99%

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Effects of exercise on sleep in children with overweight/obesity: A randomized clinical trial

Torres-Lopez¹,

Migueles

Cadenas‐Sanchez³

et al. 2022

Preprint

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Objectives: To examine 1) the chronic effects of a 20-week physical exercise program on device-assessed sleep and on sleep-disordered breathing (SDB); and 2) whether attending to a session of the exercise program had effects on device-assessed sleep the subsequent night in children with overweight/obesity. Methods: A total of 99 children with overweight/obesity (n=47 in the exercise group) participated in this secondary analysis of the ActiveBrains randomized clinical trial. The exercise program included a combination of aerobic and resistance exercise training, 3-5 days/week (90 min/session). The control group was asked to maintain usual lifestyle. Sleep outcomes were measured using wrist actigraphy and included: total sleep time, total time in bed, sleep efficiency, and wake after sleep onset (WASO) time. SDB was assessed via the Paediatric Sleep Questionnaire. Results: The ActiveBrains exercise program had a statistically significant effect on WASO time (-10.8 min/day, -0.5 standard deviations (SD), P=0.040). Furthermore, we observed a small non-statistically significant effect on sleep efficiency (+2%, 0.4 SD, P=0.1). No other chronic effects were observed on the other sleep outcomes. The nights (at maximum of 4) after attending the ActiveBrains exercise sessions, children showed higher total sleep time (+8 min, P=0.17), sleep efficiency (+1%, P=0.15), and lower WASO time (-6 min, P=0.18) although did not reach statistical significance. Conclusion: A 20-week physical exercise program reduced WASO time in children with overweight/obesity in comparison with control group peers, yet we did not observe effects on SDB. Future randomized trials that include a clinical sample of children with poor sleep health at baseline are needed to better appreciate the role of exercise in sleep health.

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Section: Chronic Effect Of the Physical Exercise Program On Sleepsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Effects of exercise on sleep in children with overweight/obesity: A randomized clinical trial

Torres-Lopez¹,

Migueles

Cadenas‐Sanchez³

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…For example, some studies used individual aerobic exercises (AE) 7 , AE plus RT 12 , diet and AE combined with RT 10 , home-based combination program for the aging 11 , and lifestyle modification including diet and physical activity 7 , 29 . There were limited studies using a HIIT program for SRBDs patients 19 , 20 . There was only one study examining the effects of the HIIT program in adults with obesity, where the results showed an improvement in sleep indices and EDS 19 .…”

Section: Discussionmentioning

confidence: 99%

“…The exercise program was supervised by a physiotherapist. The HIIT program was adapted based on previous studies 19 , 20 . The HITT intensity began at 85 maximum heart rate (MHR), and MHR was calculated using the formula (220-age) prior to participants performing the 1 st exercise session.…”

Section: Methodsmentioning

confidence: 99%

Effects of six weeks high-intensity interval training and resistance training in adults with obesity and sleep related breathing disorders

Longlalerng¹,

Nakeaw²,

Charawae³

et al. 2021

Sleep Sci

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Introduction:The effects of high-intensity interval training (HIIT) combined with resistance training (RT) in adults with obesity and sleep-related breathing disorders (SRBDs) is limited.Objective: This study aimed to examine the effects of HIIT combined with RT on subjective sleep disorders in adults with obesity and SRBDs. Material and Methods: This study was a pre-and post-test design. Seventeen adults with obesity and SRBDs were recruited into the study. They received 24 minutes of HIIT and 30 minutes of RT, 3 times/week for 6 weeks. The Epworth sleepiness scale (daytime sleepiness), Berlin questionnaire (snoring and daytime sleepiness category), estimated maximum oxygen consumption (VO 2 max), muscle strength using 1-repetition maximum, anthropometric variables, and blood biomarkers were examined at baseline and after 6 weeks of training. Results: The Epworth sleepiness scale, Berlin questionnaire (daytime sleepiness category), and the number of risks associated with sleep apnea using the Berlin questionnaire were significantly decreased after 6 weeks of training (all p<0.01). The estimated VO 2 max and muscle strength were significantly increased at Week 6 (all p<0.05). Body weight, body mass index, % body fat, and hip circumference were significantly decreased at Week 6 (all p<0.05). No significant changes were observed in blood biomarkers, except for fasting blood glucose (p<0.01). Conclusion: Six weeks of HIIT combined with RT has beneficial effects on subjective sleep disorders, estimated VO 2 max, muscle strength, and most anthropometric variables in adults with obesity and SRBDs.

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“…Figure 4 shows a forest plot of each individual study. These articles [21,26,[29][30][31]33,38,40] included 383 participants while only three of them provided subscale scores. Overall, HIIT has large beneficial effects on sleep quality reflected by PSQI global scores [WMD = −0.90, 95%CI (−1.72, −0.07), p = 0.03, n = 8].…”

Section: Primary Outcomesmentioning

confidence: 99%

Effects of High-Intensity Interval Training on Sleep: A Systematic Review and Meta-Analysis

Min

Wang

You

et al. 2021

IJERPH

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Objectives: To use a quantitative approach to examine the effects of high-intensity interval training (HIIT) interventions on sleep for adults. Methods: PubMed, Ebsco, Web of Science, Cochrane Central Register of Controlled Trials, the China National Knowledge Infrastructure, and Wanfang Data were searched from their inception to December 2020. Intervention studies with a control group that examined the effects of HIIT interventions on sleep were included in this meta-analysis. The risk of bias was assessed using the tool provided by the Cochrane Handbook for Systematic Reviews of Interventions. Effect sizes (ESs), calculated as weighted mean difference (WMD) and standardized mean difference (SMD), were used to examine the effects of objective outcomes and subjective outcomes separately. Results: A large increase in sleep quality (SQ) reflected by the Pittsburgh Sleep Quality Index global scores [WMD = −0.90, 95%CI (−1.72, −0.07), p = 0.03, n = 8] and a small-to-medium favorable effect on sleep efficiency (SE) [SMD = 0.43, 95%CI (0.20, 0.65), p = 0.0002, n = 10] were found after HIIT intervention. In addition, sub-analyses results suggest that ESs were moderated by the type, duration and frequency, as well as the length of the HIIT intervention. Conclusions: HIIT may be a promising way to improve overall subjective SQ and objective SE. PROSPERO, protocol registration number: CRD42021241734.

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High-intensity interval training combined with resistance training improved apnea-hypopnea index but did not modify oxygen desaturation index and oxygen saturation nadir in obese children with obstructive sleep apnea

Cited by 6 publications

References 29 publications

Effects of exercise on sleep in children with overweight/obesity: A randomized clinical trial

Effects of exercise on sleep in children with overweight/obesity: A randomized clinical trial

Effects of six weeks high-intensity interval training and resistance training in adults with obesity and sleep related breathing disorders

Effects of High-Intensity Interval Training on Sleep: A Systematic Review and Meta-Analysis

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