Physical activity for obstructive sleep apnea after stroke? A pilot study assessing the contribution of body fluids

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFRANGE, Cristina
dc.contributor.authorELIAS, Rosilene Motta
dc.contributor.authorSIENGSUKON, Catherine
dc.contributor.authorCOELHO, Fernando Morgadinho Santos
dc.date.accessioned2024-04-05T19:39:36Z
dc.date.available2024-04-05T19:39:36Z
dc.date.issued2023
dc.description.abstractPurpose Obstructive sleep apnea (OSA) and physical inactivity are common after stroke. Physical inactivity can lead to/or exacerbate edema following stroke, and the resultant overnight fluid shift may increase the risk of OSA. We aimed to investigate the effect of physical activity on nocturnal rostral fluid shift, sleep pattern, and edematous state of hemiparetic patients. Methods Neck circumference (tape measured) and arms, legs, and trunk fluid volume (bioelectrical impedance spectrum analyzer) were measured before and after 2 polysomnography (PSG) examinations. In the lab, a whole night PSG was performed after the intervention. The intervention consisted of inactivity (lying down and sitting) or activity (standing, performing calf muscle contractions while standing, walking, and climbing stairs) between 13 and 21 h, after the randomization of the participants. With a 7-day interval, participants crossed over to the other group. Results From 126 eligible participants, 8 with hemiparetic post-first-ever ischemic stroke at the subacute phase were recruited (age: 53.2 +/- 16.2; 6 women). Physical activity reduced AHI from 19 to 13 n degrees/h and wake after sleep onset from 76.5 to 60.3 min and increased fluid volume of paretic and non-paretic arms and trunk before sleep compared to inactivity. Conclusion An acute bout of physical activity reduced OSA classification based on AHI (from moderate to mild) and sleep fragmentation. Our results provide preliminary evidence of a possible link between physical activity in patients after stroke as an intervention to counteract OSA severity and improve sleep.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP)
dc.identifier.citationSLEEP AND BREATHING, v.27, n.4, p.1343-1350, 2023
dc.identifier.doi10.1007/s11325-022-02735-7
dc.identifier.eissn1522-1709
dc.identifier.issn1520-9512
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59209
dc.language.isoeng
dc.publisherSPRINGER HEIDELBERGeng
dc.relation.ispartofSleep and Breathing
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGER HEIDELBERGeng
dc.subjectSleepeng
dc.subjectObstructive sleep apneaeng
dc.subjectPhysical activityeng
dc.subjectStrokeeng
dc.subjectNocturnal rostral fluid shifteng
dc.subject.otherischemic-strokeeng
dc.subject.otherexerciseeng
dc.subject.othershifteng
dc.subject.wosClinical Neurologyeng
dc.subject.wosRespiratory Systemeng
dc.titlePhysical activity for obstructive sleep apnea after stroke? A pilot study assessing the contribution of body fluidseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalFRANGE, Cristina:Univ Fed Sao Paulo UNIFESP, Neurol & Neurosurg Dept, Sao Paulo, Brazil
hcfmusp.author.externalSIENGSUKON, Catherine:Univ Kansas, Phys Therapy & Rehabil Sci, Med Ctr, Kanasas, KS USA
hcfmusp.author.externalCOELHO, Fernando Morgadinho Santos:Univ Fed Sao Paulo UNIFESP, Neurol & Neurosurg Dept, Sao Paulo, Brazil; Univ Fed Sao Paulo, Psychobiolgy Dept, Sao Paulo, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcROSILENE MOTTA ELIAS
hcfmusp.description.beginpage1343
hcfmusp.description.endpage1350
hcfmusp.description.issue4
hcfmusp.description.volume27
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1152412698
hcfmusp.origem.pubmed36327028
hcfmusp.origem.scopus2-s2.0-85141195139
hcfmusp.origem.wosWOS:000878450500001
hcfmusp.publisher.cityHEIDELBERGeng
hcfmusp.publisher.countryGERMANYeng
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