%0 Journal Article
%A Jurado-Garcia, Antonio
%A Molina-Recio, Guillermo
%A Feu-Collado, Nuria
%A Palomares-Muriana, Ana
%A Gomez-Gonzalez, Adela Maria
%A Marquez-Perez, Francisca Lourdes
%A Jurado-Gamez, Bernabe
%T Effect of a Graduated Walking Program on the Severity of Obstructive Sleep Apnea Syndrome. A Randomized Clinical Trial.
%D 2020
%U http://hdl.handle.net/10668/16195
%X Obstructive sleep apnea syndrome (OSAS) is a common disease. The objective of this research was to determine the effectiveness of a graduated walking program in reducing the apnea-hypopnea index number in patients with obstructive sleep apnea syndrome (OSAS). A randomized controlled clinical trial with a two-arm parallel in three tertiary hospitals was carried out with seventy sedentary patients with moderate to severe OSAS. Twenty-nine subjects in each arm were analyzed by protocol. The control group received usual care, while usual care and an exercise program based on progressive walks without direct supervision for 6 months were offered to the intervention group. The apnea-hypopnea index decreased by six points in the intervention group, and improvements in oxygen desaturation index, total cholesterol, and Low-Density Lipoprotein of Cholesterol (LDL-c) were observed. A higher decrease in sleep apnea-hypopnea index (45 ± 20.6 vs. 34 ± 26.3/h; p = 0.002) was found in patients with severe vs. moderate OSAS, as well as in oxygen desaturation index from baseline values (43.3 vs. 34.3/h; p = 0.046). Besides, High-Density Lipoprotein of Cholesterol (HDL-c) values showed a higher increase in the intervention group (45.3 vs. 49.5 mg/dL; p = 0.009) and also, a higher decrease in LDL-c was found in this group (141.2 vs. 127.5 mg/dL; p = 0.038). A home physical exercise program is a useful and viable therapeutic measure for the management of OSAS.
%K Cardiovascular diseases
%K Exercise and pulmonary rehabilitation
%K Physical activity
%K Sleep apnea
%~