Document Detail


Exercise is associated with a reduced incidence of sleep-disordered breathing.
MedLine Citation:
PMID:  22482846     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The effect of exercise on sleep-disordered breathing is unknown. While diet and weight loss have been shown to reduce the severity of sleep-disordered breathing, it is unclear whether exercise has an independent effect.
METHODS: A population-based longitudinal epidemiologic study of adults measured the association between exercise and incidence and severity of sleep-disordered breathing. Hours of weekly exercise were assessed by 2 mailed surveys (1988 and 2000). Sleep-disordered breathing was assessed by 18-channel in-laboratory polysomnography at baseline and at follow-up.
RESULTS: Associations were modeled using linear and logistic regression, adjusting for body mass index, age, sex, and other covariates. Hours of exercise were associated with reduced incidence of mild (odds ratio 0.76, P=.011) and moderate (odds ratio 0.67, P=.002) sleep-disordered breathing. A decrease in exercise duration also was associated with worsening sleep-disordered breathing, as measured by the apnea-hypopnea index (β=2.368, P=.048). Adjustment for body mass index attenuated these effects.
CONCLUSIONS: Exercise is associated with a reduced incidence of mild and moderate sleep-disordered breathing, and decreasing exercise is associated with worsening of sleep-disordered breathing. The effect of exercise on sleep-disordered breathing appears to be largely, but perhaps not entirely, mediated by changes in body habitus.
Authors:
Karim M Awad; Atul Malhotra; Jodi H Barnet; Stuart F Quan; Paul E Peppard
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American journal of medicine     Volume:  125     ISSN:  1555-7162     ISO Abbreviation:  Am. J. Med.     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-09     Completed Date:  2012-05-28     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  485-90     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Division of Sleep Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. kmawad@partners.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Exercise / physiology*
Female
Humans
Incidence
Linear Models
Logistic Models
Longitudinal Studies
Male
Middle Aged
Odds Ratio
Risk Factors
Sleep Apnea Syndromes / epidemiology*
Grant Support
ID/Acronym/Agency:
1UL1RR025011/RR/NCRR NIH HHS; K24 HL093218/HL/NHLBI NIH HHS; P01 HL095491/HL/NHLBI NIH HHS; R01 HL062252-12/HL/NHLBI NIH HHS; R01 HL085188/HL/NHLBI NIH HHS; R01 HL090897/HL/NHLBI NIH HHS; R01HL62252/HL/NHLBI NIH HHS; UL1 RR025011-05/RR/NCRR NIH HHS
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