阻塞性睡眠呼吸暂停的身体活动模式及其与嗜睡的关联
By Jack Callum1, Yu Sun Bin2, Kate Sutherland2
1Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Reserve Rd, St Leonards, NSW, 2065, Australia.
Sleep & breathing = Schlaf & Atmung
|April 4, 2025
概括
整体而言,在阻塞性睡眠呼吸暂停 (OSA) 患者中,身体活动水平与过度的白天嗜睡没有相关性. 然而,更高的活动与严重的OSA妇女的睡眠增加有关.
科学领域:
- 睡眠医学 睡眠医学
- 心血管健康 呼吸系统健康
- 疾病中的生活方式因素.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 经常与过度的白天嗜睡 (EDS) 相联系.
- 众所周知,体力活动 (PA) 影响着OSA和EDS,但确切的关系尚不清楚.
- 了解OSA患者的PA模式对于管理EDS等症状至关重要.
研究的目的:
- 为了调查被诊断患有阻塞性睡眠呼吸暂停 (OSA) 的患者的体力活动 (PA) 模式.
- 检查不同程度的身体活动与OSA患者过度白天嗜睡 (EDS) 的严重程度之间的关联.
主要方法:
- 来自悉尼睡眠生物库 (2018年8月 - 2022年6月) 的横截面数据的回顾性分析.
- 纳入标准:未经治疗的OSA的成年人 (>18岁);排除标准:其他睡眠障碍或混药物/工作时间表.
- 使用国际体力活动问卷 (IPAQ) 评估的体力活动,并用代谢等效任务 (MET) 量化;白天的嗜睡程度用爱普沃思嗜睡量表 (ESS) 测量.
主要成果:
- 在487名OSA患者中,47%的人报告了高水平的PA (≥3000MET-min/week).
- 在对共变量进行调整后,ESS得分与整体体力活动水平或OSA严重程度之间没有发现显著的关联.
- 亚组分析显示,患有严重OSA和中高水平PA的女性报告ESS得分更高.
结论:
- 增加的体力活动与更大的白天嗜睡有关,特别是在患有OSA的女性中,但不是在男性中.
- 需要进一步的研究以使用客观的PA测量来验证这些发现.
- 在OSA中,PA对白天症状的直接影响需要进一步的研究,而不仅仅是睡眠.
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