[Obstructive sleep apnea syndrome, arterial hypertension, and obesity: clinical and functional aspects]
Abstract:
A total of 196 patients with increased body mass index (BMI) were included in the study designed to elucidate specific features of arterial hypertension (AH) and obstructive sleep apnea syndrome (OSAS). 65 of them did not experience OSAS episodes. All the patients were examined using 24-hour ECG and respiration monitoring combined with veloergometry (VEM). It was shown that OSAS alone in the absence of AH was associated with a 1.17-fold decrease of the physical load threshold compared with the respective control values. In the patients suffering AH and having high BMI, this parameter further decreased (by 1.22 and 1.35 times, respectively). In addition, they experienced changes in the period of recovery from veloergometry when their heart rate decreased but insignificantly by the end of the first minute after the termination of exercises. It is concluded that OSAS and AH influence tolerability, of physical exercises especially in the patients with elevated BMI.
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