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oai:recercat.cat:20.500.14342/7462025-05-15T19:20:16Zcom_2072_482405com_2072_183628col_2072_482409

Effects of a combined community exercise program in obstructive sleep apnea syndrome : a randomized clinical trial Torres Castro, Rodrigo Vilaro, Jordi Martí, Joan-Daniel Garmendia, Onintza Gimeno-Santos, Elena Romano-Andrioni, Bárbara Embid, Cristina Montserrat Canal, José Ma Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna Síndromes d'apnea del son -- Tractament Exercicis respiratoris 616.2 Physical activity is associated with a decreased prevalence of obstructive sleep apnea and improved sleep efficiency. Studies on the effects of a comprehensive exercise program in a community setting remain limited. Our objective was to investigate the effects of a combined physical and oropharyngeal exercise program on the apnea-hypopnea index in patients with moderate to severe obstructive sleep apnea. This was a randomized clinical trial where the intervention group followed an eight-week urban-walking program, oropharyngeal exercises, and diet and sleep recommendations. The control group followed diet and sleep recommendations. A total of 33 patients were enrolled and randomized and, finally, 27 patients were included in the study (IG, 14; CG, 13) Obstructive sleep apnea patients were analyzed with a median age of 67 (52–74) and median apnea-hypopnea index of 32 events/h (25–41). The apnea-hypopnea index did not differ between groups pre- and post-intervention. However, in intervention patients younger than 60 (n = 6) a reduction of the apnea-hypopnea index from 29.5 (21.8–48.3) to 15.5 (11–34) events/h (p = 0.028) was observed. While a comprehensive multimodal program does not modify the apnea-hypopnea index, it could reduce body weight and increase the walking distance of patients with moderate to severe obstructive sleep apnea. Patients younger than 60 may also present a decreased apnea-hypopnea index after intervention. 2019-03 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/20.500.14342/746 https://dx.doi.org/10.3390/jcm8030361 eng Journal of Clinical Medicine, 2019, vol. 8, núm. 3 Attribution 4.0 International © L'autor/a http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess 13 p. MDPI