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obstructive sleep apnea exercise

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https://www.readbyqxmd.com/read/27817003/obstructive-ventilatory-disorder-in-heart-failure-caused-by-the-heart-or-the-lung
#1
REVIEW
Sergio Caravita, Jean-Luc Vachiéry
Heart failure (HF) is a clinical syndrome frequently associated with airway obstruction, either as a respiratory comorbidity or as a direct consequence of HF pathophysiology. Recognizing the relative contribution of an underlying airway disease as opposed to airway obstruction due to volume overload and left atrial pressure elevation is of importance for the appropriate management of patients affected by HF. This review focuses on "les liaisons dangereuses" between the heart and the lungs, outlying recent advances linking in a vicious circle of chronic obstructive lung disease (COPD) and obstructive sleep apnea (OSA) on one side and HF on the other side...
November 5, 2016: Current Heart Failure Reports
https://www.readbyqxmd.com/read/27790155/exercise-attenuates-intermittent-hypoxia-induced-cardiac-fibrosis-associated-with-sodium-hydrogen-exchanger-1-in-rats
#2
Tsung-I Chen, Wei-Chia Tu
Purpose: To investigate the role of sodium-hydrogen exchanger-1 (NHE-1) and exercise training on intermittent hypoxia-induced cardiac fibrosis in obstructive sleep apnea (OSA), using an animal model mimicking the intermittent hypoxia of OSA. Methods: Eight-week-old male Sprague-Dawley rats were randomly assigned to control (CON), intermittent hypoxia (IH), exercise (EXE), or IH combined with exercise (IHEXE) groups. These groups were randomly assigned to subgroups receiving either a vehicle or the NHE-1 inhibitor cariporide...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27784412/exercise-occupational-activity-and-risk-of-sleep-apnea-a-cross-sectional-study
#3
Roberto P da Silva, Denis Martinez, Martina M Pedroso, Camila G Righi, Emerson F Martins, Leticia M T Silva, Maria do Carmo S Lenz, Cintia Z Fiori
STUDY OBJECTIVE: To investigate whether structured exercise and occupational activity are associated with obstructive sleep apnea (OSA) severity. METHODS: The International Physical Activity Questionnaire was answered by 5,453 individuals who underwent full-night polysomnography. Participants were classified as exercisers or non-exercisers and also as occupationally active or non-active. The apnea-hypopnea index (AHI), minimum oxygen saturation (SaO2min), and time with saturation below 90% (TB90%) during polysomnography were used as indicators of OSA severity...
October 20, 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/27749546/high-prevalence-of-known-and-unknown-pulmonary-diseases-in-patients-with-claudication-during-exercise-oximetry-a-retrospective-analysis
#4
Christophe Colas-Ribas, Isabelle Signolet, Samir Henni, Mathieu Feuillloy, Frédéric Gagnadoux, Pierre Abraham
The prevalence of pulmonary disease in patients with peripheral artery disease (PAD) has not been extensively studied. Recent evidence has shown that ∼20% of the patients have an atypical chest transcutaneous oxygen pressure (TcpO2) pattern during exercise, which suggests walking-induced hypoxemia. The main objectives of this study were to: (1) describe in a retrospective way the characteristics of the patients suffering from claudication, who attended a treadmill testing in our laboratory, (2) assess the prevalence of known or unknown pulmonary disease...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27720461/oral-appliances-in-obstructive-sleep-apnea
#5
Anthony Dioguardi, Moh'd Al-Halawani
Oral appliance therapy (OAT) has become an increasingly popular nonsurgical option for the treatment of obstructive sleep disorders. Recent research supports its efficacy and high levels of compliance for patients with obstructive sleep disorders. Common side effects of OAT include temporomandibular joint-related symptoms, bite changes, and tooth movement. These side effects can be minimized by the use of exercises. The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine have released joint clinical practice guidelines for the treatment of obstructive sleep apnea and snoring with OAT...
October 6, 2016: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/27642150/-pulmonary-complications-of-sickle-cell-disease-in-children
#6
T Pincez, L Calamy, Z Germont, A Lemoine, A-A Lopes, A Massiot, J Tencer, C Thivent, A Hadchouel
Acute and chronic pulmonary complications are frequent in sickle cell disease (SCD), with different spectrum and characteristics in children and adults. Chronic hypoxia is frequent and plays a role in several respiratory complications in SCD. Furthermore, hypoxia has been associated with a higher risk of cerebral ischemia. Despite differing oxygen affinity between hemoglobin A and S, standard pulse oximetry was shown to be accurate in diagnosing hypoxia in SCD patients. Whereas acute hypoxia management is similar to non-SCD patients, chronic hypoxia treatment is mainly based on a transfusion program rather than long-term oxygen therapy...
October 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27562773/can-treatment-with-statins-have-a-negative-influence-on-the-tolerance-of-mandibular-advancement-devices
#7
Mónica González, Emilio Macias-Escalada, Juan Cobo, Maria Pilar Fernández Mondragón, Gerardo Gómez-Moreno, Marian Martínez-Martínez, Felix de Carlos
BACKGROUND: Statins are considered the most effective drugs used in the treatment of dyslipidemias. Some of their adverse effects are related to muscle problems. Myalgias produced by statins appear more often during exercise. Mandibular advancement devices (MAD) force the propulsory and elevatory musculature of the mandible to exercise by making the jaw move forward. The aim of this study is to evaluate the incidence of muscular side effects (referred, spontaneous, or under palpation pain, myofascial pain, mandibular rigidity and fatigue, tension and sensitivity of the masticatory muscles) in a group of patients with a diagnosis of obstructive sleep apnea being treated with MAD...
August 25, 2016: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/27448331/overweight-and-obesity-in-children-and-adolescents-with-down-syndrome-prevalence-determinants-consequences-and-interventions-a-literature-review
#8
REVIEW
Fabio Bertapelli, Ken Pitetti, Stamatis Agiovlasitis, Gil Guerra-Junior
BACKGROUND: Children with Down syndrome (DS) are more likely to be overweight or obese than the general population of youth without DS. AIMS: To review the prevalence of overweight and obesity and their determinants in youth with DS. The health consequences and the effectiveness of interventions were also examined. METHODS AND PROCEDURES: A search using MEDLINE, Embase, Web of Science, Scopus, CINAHL, PsycINFO, SPORTDiscus, LILACS, and COCHRANE was conducted...
October 2016: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/27380998/biomarkers-of-cardiovascular-stress-in-obstructive-sleep-apnea
#9
REVIEW
Micha T Maeder, Christian Mueller, Otto D Schoch, Peter Ammann, Hans Rickli
Obstructive sleep apnea (OSA) is a common sleep-related breathing disorder associated with "cardiovascular stress", i.e. cardiovascular risk factors, cardiovascular diseases, and an increased risk of heart failure, stroke, and death. Experimental and clinical studies have characterized potential underlying mechanisms including biventricular dysfunction, atherosclerosis, and arrhythmia. Assessment of these cardiovascular features of OSA requires a spectrum of clinical tools including ECG, echocardiography, exercise testing, and angiography...
September 1, 2016: Clinica Chimica Acta; International Journal of Clinical Chemistry
https://www.readbyqxmd.com/read/27361210/the-impact-of-obstructive-sleep-apnea-on-cardiovascular-hemodynamics-during-steady-state-exercise-2574-board-97-june-3-9-30-am-11-00-am
#10
Gabrielle E Giersch, Ryan A Martin, Jacob D Ridings, Courtney L Strosnider, Christopher X Womack, Trent A Hargens
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27318994/physiological-correlates-to-spontaneous-physical-activity-variability-in-obese-patients-with-already-treated-sleep-apnea-syndrome
#11
Isabelle Vivodtzev, Monique Mendelson, Marilie Croteau, Sandy Gorain, Bernard Wuyam, Renaud Tamisier, Patrick Lévy, François Maltais, Jean-Louis Pépin
BACKGROUND/OBJECTIVES: Physical activity is promoted in patients with sleep disorders and obesity. The aim of the present study was to assess physiological factors influencing objectively measured spontaneous physical activity in already treated patients for obstructive sleep apnea (OSA) by nocturnal continuous positive airway pressure (CPAP). SUBJECTS/METHODS: Fifty-five patients (age = 53 ± 3 years; body mass index (BMI) = 38 ± 3 kg/m(2); compliance with CPAP >4 h/night) were prospectively included...
June 18, 2016: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/27296826/effect-of-exercise-training-on-sleep-apnea-a-systematic-review-and-meta-analysis
#12
Kenneth D Aiello, William G Caughey, Bhargava Nelluri, Ashwini Sharma, Farouk Mookadam, Martina Mookadam
INTRODUCTION: Obstructive sleep apnea (OSA) is difficult to manage for those who are intolerant or noncompliant with standard facial mask treatment options. Current treatment options do not address the underlying cause of OSA. Exercise as a treatment option has been found to improve OSA indices. STUDY OBJECTIVES: To assess the efficacy of exercise on apnea/hypopnea index (AHI) in adult patients with OSA via a systematic review and meta-analysis. Additional objectives included evaluation of other indices of OSA and well-being in patients after completing an exercise regimen...
July 2016: Respiratory Medicine
https://www.readbyqxmd.com/read/27221504/revisional-bariatric-metabolic-surgery-what-dictates-its-indications
#13
REVIEW
Pearl Ma, Subhash Reddy, Kelvin D Higa
Bariatric/metabolic surgery is currently the only effective long-term treatment for morbid obesity- and obesity-related diseases such as diabetes, heart disease, hypertension, obstructive sleep apnea, and dyslipidemia. In addition, bariatric/metabolic surgery has been shown to significantly reduce the incidence of diabetes and cancer and prolong life when compared to non-surgical therapies. However, as obesity is a chronic disease, recidivism of weight and comorbid conditions can occur. In addition, the surgical construct can lead to long-term consequences such as marginal ulceration, bowel obstruction, reflux, and nutritional deficiencies...
July 2016: Current Atherosclerosis Reports
https://www.readbyqxmd.com/read/27208396/aerobic-exercise-combined-with-noninvasive-positive-pressure-ventilation-increases-serum-brain-derived-neurotrophic-factor-in-healthy-males
#14
Takamitsu Kawazu, Takeshi Nakamura, Takashi Moriki, Yoshi-Ichiro Kamijo, Yukihide Nishimura, Tokio Kinoshita, Fumihiro Tajima
BACKGROUND: Brain-derived neurotrophic factor (BDNF) has been implicated in enhancing neuronal health. Exercise and noninvasive-positive-pressure-ventilation (NPPV) are known to independently alter BDNF levels in patients with depression, dementia, type 2 diabetes, chronic obstructive pulmonary disease and obstructive sleep apnea syndrome. However, the combined effects of exercise and NPPV on serum BDNF in normal subjects are unknown. OBJECTIVE: To determine the effects of the combination of acute aerobic exercise under NPPV on serum BDNF in normal adults...
May 18, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27134515/treatments-for-obstructive-sleep-apnea
#15
Michael W Calik
OBJECTIVE: To review the efficacy of current treatment options for adults with obstructive sleep apnea (OSA). METHODS: Review of the literature. RESULTS: OSA, characterized by repetitive ≥ 10-second interruptions (apnea) or reductions (hypopnea) in airflow, is initiated by partial or complete collapse in the upper airway despite respiratory effort. When left untreated, OSA is associated with comorbid conditions, such as cardiovascular and metabolic diseases...
April 2016: Journal of Clinical Outcomes Management: JCOM
https://www.readbyqxmd.com/read/27005405/effect-of-liraglutide-3-0%C3%A2-mg-in-individuals-with-obesity-and-moderate-or-severe-obstructive-sleep-apnea-the-scale-sleep-apnea-randomized-clinical-trial
#16
A Blackman, G D Foster, G Zammit, R Rosenberg, L Aronne, T Wadden, B Claudius, C B Jensen, E Mignot
BACKGROUND: Obesity is strongly associated with prevalence of obstructive sleep apnea (OSA), and weight loss has been shown to reduce disease severity. OBJECTIVE: To investigate whether liraglutide 3.0 mg reduces OSA severity compared with placebo using the primary end point of change in apnea-hypopnea index (AHI) after 32 weeks. Liraglutide's weight loss efficacy was also examined. SUBJECTS/METHODS: In this randomized, double-blind trial, non-diabetic participants with obesity who had moderate (AHI 15-29...
August 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/26923627/protective-cardiovascular-effect-of-sleep-apnea-severity-in-obesity-hypoventilation-syndrome
#17
Juan F Masa, Jaime Corral, Auxiliadora Romero, Candela Caballero, Joaquin Terán-Santos, Maria L Alonso-Álvarez, Teresa Gomez-Garcia, Mónica González, Soledad López-Martín, Pilar De Lucas, José M Marin, Sergi Marti, Trinidad Díaz-Cambriles, Eusebi Chiner, Miguel Merchan, Carlos Egea, Ana Obeso, Babak Mokhlesi
BACKGROUND: Obesity hypoventilation syndrome (OHS) is associated with a high burden of cardiovascular morbidity (CVM) and mortality. The majority of patients with OHS have concomitant OSA, but there is a paucity of data on the association between CVM and OSA severity in patients with OHS. The objective of our study was to assess the association between CVM and OSA severity in a large cohort of patients with OHS. METHODS: In a cross-sectional analysis, we examined the association between OSA severity based on tertiles of oxygen desaturation index (ODI) and CVM in 302 patients with OHS...
July 2016: Chest
https://www.readbyqxmd.com/read/26733608/exercise-training-and-atrial-fibrillation-further-evidence-for-the-importance-of-lifestyle-change
#18
EDITORIAL
Adrian D Elliott, Rajiv Mahajan, Rajeev K Pathak, Dennis H Lau, Prashanthan Sanders
No abstract text is available yet for this article.
February 2, 2016: Circulation
https://www.readbyqxmd.com/read/26691626/myofunctional-therapy-applied-to-upper-airway-resistance-syndrome-a-case-report
#19
Camila de Castro Corrêa, Giédre Berretin-Felix
The literature presents publications on the treatment of patients with obstructive sleep apnea syndrome (OSAS) by myofunctional therapy, but there are no reports of this approach to patients with upper airway resistance syndrome (UARS). The objective was to verify the effect of myofunctional therapy in a case of UARS in relation to morphological and functional aspects of the stomatognathic system, anthropometric data, and quality of sleep. Patient, aged 61 years, diagnosed with UARS, underwent 12 sessions of myofunctional therapy for 3 months with exercises aimed at the suprahyoid, the tongue, and the soft palate muscles...
November 2015: CoDAS
https://www.readbyqxmd.com/read/26635922/therapeutic-modification-of-arterial-stiffness-an-update-and-comprehensive-review
#20
REVIEW
Ching-Fen Wu, Pang-Yen Liu, Tsung-Jui Wu, Yuan Hung, Shih-Ping Yang, Gen-Min Lin
Arterial stiffness has been recognized as a marker of cardiovascular disease and associated with long-term worse clinical outcomes in several populations. Age, hypertension, smoking, and dyslipidemia, known as traditional vascular risk factors, as well as diabetes, obesity, and systemic inflammation lead to both atherosclerosis and arterial stiffness. Targeting multiple modifiable risk factors has become the main therapeutic strategy to improve arterial stiffness in patients at high cardiovascular risk. Additionally to life style modifications, long-term ω-3 fatty acids (fish oil) supplementation in diet may improve arterial stiffness in the population with hypertension or metabolic syndrome...
November 26, 2015: World Journal of Cardiology
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