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

Nenhuma Miniatura disponível
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Dimensions
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER HEIDELBERG
Autores
FRANGE, Cristina
SIENGSUKON, Catherine
COELHO, Fernando Morgadinho Santos
Citação
SLEEP AND BREATHING, v.27, n.4, p.1343-1350, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose 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.
Palavras-chave
Sleep, Obstructive sleep apnea, Physical activity, Stroke, Nocturnal rostral fluid shift
URI
https://observatorio.fm.usp.br/handle/OPI/59209
Referências
  1. ABBOTT RD, 1994, AM J EPIDEMIOL, V139, P881, DOI 10.1093/oxfordjournals.aje.a117094
  2. ADAMS HP, 1993, STROKE, V24, P35, DOI 10.1161/01.STR.24.1.35
  3. Alexiev F, 2018, J THORAC DIS, V10, pS4244, DOI 10.21037/jtd.2018.12.66
  4. Baillieul S, 2022, LANCET NEUROL, V21, P78, DOI 10.1016/S1474-4422(21)00321-5
  5. Bassetti CLA, 2020, EUR J NEUROL, V27, P1117, DOI 10.1111/ene.14201
  6. Benjafield AV, 2019, LANCET RESP MED, V7, P687, DOI 10.1016/S2213-2600(19)30198-5
  7. Berry R. B., 2012, The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications
  8. Berry RB, 2012, J CLIN SLEEP MED, V8, P597, DOI 10.5664/jcsm.2172
  9. Billinger SA, 2014, STROKE, V45, P2532, DOI 10.1161/STR.0000000000000022
  10. Brown DL, 2021, STROKE, V52, P3176, DOI 10.1161/STROKEAHA.120.032688
  11. Cincura C, 2009, CEREBROVASC DIS, V27, P119, DOI 10.1159/000177918
  12. Johnson KG, 2010, J CLIN SLEEP MED, V6, P131
  13. Kline CE, 2012, J CLIN SLEEP MED, V8, P357, DOI 10.5664/jcsm.2022
  14. Kredlow MA, 2015, J BEHAV MED, V38, P427, DOI 10.1007/s10865-015-9617-6
  15. Lins OL, 2020, SLEEP MED, V69, P1, DOI 10.1016/j.sleep.2019.12.022
  16. Mendelson M, 2016, EUR RESPIR J, V48, P142, DOI 10.1183/13993003.01897-2015
  17. Quan SF, 2007, SLEEP BREATH, V11, P149, DOI 10.1007/s11325-006-0095-5
  18. Redolfi S, 2015, AM J RESP CRIT CARE, V191, P856, DOI 10.1164/rccm.201412-2192LE
  19. Redolfi S, 2011, RESP PHYSIOL NEUROBI, V175, P390, DOI 10.1016/j.resp.2011.01.001
  20. Ruehland WR, 2009, SLEEP, V32, P150, DOI 10.1093/sleep/32.2.150
  21. Silva BC, 2017, FRONT MED-LAUSANNE, V4, DOI 10.3389/fmed.2017.00057
  22. Simoes MR., 2008, MONTREAL COGNITIVE A
  23. Singh B, 2017, RESP PHYSIOL NEUROBI, V240, P1, DOI 10.1016/j.resp.2017.02.008
  24. STICK C, 1989, EUR J APPL PHYSIOL O, V59, P39, DOI 10.1007/BF02396578
  25. Stranden E, 2000, ERGONOMICS, V43, P421, DOI 10.1080/001401300184503
  26. SUGITA Y, 1985, ELECTROEN CLIN NEURO, V60, P214, DOI 10.1016/0013-4694(85)90033-1
  27. Tieges Z, 2015, ARCH PHYS MED REHAB, V96, P15, DOI 10.1016/j.apmr.2014.08.015
  28. Torres-Castro R, 2021, CLOCKS SLEEP, V3, P227, DOI 10.3390/clockssleep3010013
  29. White LH, 2013, J PHYSIOL-LONDON, V591, P1179, DOI 10.1113/jphysiol.2012.245159
  30. Yadollahi A, 2019, J APPL PHYSIOL, V126, P1259, DOI 10.1152/japplphysiol.00926.2018

Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC