Comparison of physical activity and quality of life between obese individuals with obstructive sleep apnea syndrome and individuals with obesity hypoventilation syndrome.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-12-01 Epub Date: 2024-08-20 DOI:10.1007/s11325-024-03148-4

Aliki Karkala, Antonios Baxevanidis, Anastasia Chasiotou, Dimitra Siopi, Dimitra Mameletzi, Evangelia Kouidi, Diamantis Chloros, Georgia Pitsiou, Afroditi K Boutou

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Abstract

Purpose: Obstructive Sleep Apnea Syndrome (OSAS) and Obesity Hypoventilation Syndrome (OHS) share common causal factors and comorbidities but may have a variable effect on physical activity and associated quality of life, due to differences in pathophysiology. The aim of this study was to compare the levels of physical activity, mental health and quality of life between matched obese patients with either OSAS or OHS, aiming to identify which of the two syndromes may impose the most severe impact on these variables, for the first time in literature.

Methods: A total of 76 obese patients (OSAS: Ν1 = 48, OHS: N2 = 26) of similar age (58.2 ± 12.2 vs. 63.6 ± 9.8; p > 0.05), BMI (37.2 ± 6.2 vs. 40.3 ± 7.3; p > 0.05), and Apnea-Hypopnea Index (AHI) under non-invasive ventilation, completed International Physical Activity Questionnaire (IPAQ), Short-Form Health Questionnaire (SF-36), Personal Well-Being (PWB) Scale and Hospital Anxiety and Depression Scale (HADS-A and HADS-D), in this cross-sectional study.

Results: Both groups had similar scores in SF-36, HADS-A and HADS-D, while prevalence of clinical cases of anxiety (HADS-A > 8) and depression (HADS-D > 8) were also similar. OSAS patients scored significantly higher in physical activity [absolute IPAQ values 1100.75(7753.5) for OSAS vs. 518(3806) for OHS; p = 0.029]. Group comparisons yielded significant differences in physical functioning (p < 0.05) and general health perceptions (p < 0.05), in favor of the OSAS group.

Conclusion: Both syndromes significantly affect patients' quality of life and physical activity, with the burden being heavier for OHS patients. Daily physical activity seems to be more impaired among obese OHS patients perhaps due to daytime hypercapnia.

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患有阻塞性睡眠呼吸暂停综合征的肥胖者与患有肥胖低通气综合征的肥胖者在体育活动和生活质量方面的比较。

目的：阻塞性睡眠呼吸暂停综合征（OSAS）和肥胖低通气综合征（OHS）有共同的致病因素和并发症，但由于病理生理学的不同，它们对体育锻炼和相关生活质量的影响可能各不相同。本研究的目的是比较患有 OSAS 或 OHS 的配对肥胖患者的体力活动水平、心理健康和生活质量，旨在确定这两种综合征中哪一种对这些变量的影响最严重，这在文献中尚属首次：共有 76 名年龄（58.2 ± 12.2 vs. 63.6 ± 9.8; p > 0.05）、体重指数（37.2 ± 6.2 vs. 40.3 ± 7.3; p > 0.在这项横断面研究中，两组患者均完成了国际体力活动问卷（IPAQ）、短式健康问卷（SF-36）、个人幸福感量表（PWB）和医院焦虑抑郁量表（HADS-A 和 HADS-D）：结果：两组患者的 SF-36、HADS-A 和 HADS-D 评分相似，焦虑（HADS-A > 8）和抑郁（HADS-D > 8）的临床病例发生率也相似。OSAS 患者的体力活动得分明显更高[IPAQ 绝对值 OSAS 为 1100.75(7753.5) vs. OHS 为 518(3806); p = 0.029]。组间比较显示，患者的身体功能存在显著差异（p 结论：OSAS 和 OHS 对患者的身体功能均有显著影响：两种综合征都会严重影响患者的生活质量和体力活动，而 OHS 患者的负担更重。肥胖 OHS 患者的日常体力活动似乎受到更大影响，这可能是由于日间高碳酸血症所致。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.