Obstruktif uyku apnesinde aerobik ve yüksek yoğunluklu aralıklıantrenmanın solunum fonksiyonu, egzersiz kapasitesi ve ikincilsonuç ölçütlerine etkisi
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
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Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Obstruktif Uyku Apne Sendromunda Aerobik ve Yüksek Yoğunluklu Aralıklı Antrenman'nın solunum fonksiyonu, egzersiz kapasitesi ve ikincil sonuç ölçütlerine etkisini incelemek amacıyla tasarlandı. Materyal ve metot: Çalışmaya 18-65 yaş arasında orta-şiddetli Obstruktif Uyku Apne Sendromu olan 33 hasta dahil edildi. Hastalar aerobik egzersiz, Yüksek Yoğunluklu Aralıklı Antrenman ve kontrol gruplarına randomize edildi. Egzersiz grupları haftada 3 kez toplam 8 hafta egzersizleri gerçekleştirildi. Değerlendirmede, solunum fonksiyonu Kapsamlı Solunum Fonksiyon Test Cihazı (MasterScreen™ Body Plethysmography), egzersiz kapasitesi 6 Dakika Yürüme Testi, ikincil sonuç ölçütlerinde; skinfold, mezura, Yorgunluk Şiddet Ölçeği, Stroop Testi, Uyku Anketinin Fonksiyonel Sonuçlarının Türkçe Versiyonu, Nottingham Sağlık Profili ve Epworth Uykululuk Skalası kullanıldı Bulgular: Egzersiz sonrası gruplar arası karşılaştırmada; vücut kompozisyonu ve antropometrik parametrelerinde (p<0.05), solunumsal parametrelerden FVC, FEV1, aksillar normal solunum, max. inspirasyon, ekspirasyon, subkostal normal solunum ve max. inspirasyon, epigastrik max. inspirasyon, aksillar, subkostal ve epigastrik fark ortalamalarında ve Stroop B de istatiksel olarak anlamlı fark bulundu (p<0.05). 6 Dakika Yürüme Testinde Aerobik ve Yüksek Yoğunluklu Aralıklı Antrenman grubunda istatistiksel olarak artış yönünde, gündüz uykululuk hali ve yorgunluk skorlarında ise azalma yönünde anlamlı fark bulundu (p<0.05). Kontrol grubunda istatiksel olarak anlamlı fark bulunmadı (p>0.05). Gruplar arasında egzersiz öncesi ve sonrasında; hastalığa özel ve genel sağlıkla ilgili yaşam kalitesi, nabız, sistolik ve diyastolik kan basıncı ve oksijen doygunluğunda istatiksel olarak anlamlı fark bulunmadı (p>0.05). Sonuç: Yüksel yoğunluklu aralıklı antrenman; solunum fonksiyonu, egzersiz kapasitesi, yorgunluk, seçici dikkat, fiziksel ve hastalığa özgü parametrelerde aerobik egzersizler yerine tercih edilebilir. Anahtar Kelimeler: Aerobik Egzersiz, Obstruktif Uyku Apne Sendromu, Solunum Fonksiyon Testi, Yüksek Şiddetli Aralıklı Antrenman
Aim: It was designed to examine the effects of aerobics and HITT on respiratory function, exercise capacity, and secondary outcome measures in OSAS. Material and method: Thirty-three patients with moderate-to-severe Obstructive Sleep Apnea Syndrome between the ages of 18-65 were included in the study. Patients were randomized to aerobic exercise, High Intensity Interval Training, and control groups. Exercise groups were performed 3 times a week for a total of 8 weeks. In evaluation, respiratory function Comprehensive Pulmonary Function Tester (MasterScreen™ Body Plethysmography), exercise capacity 6 Minute Walk Test, secondary outcome measures; skinfold, tape measure, Fatigue Severity Scale, Stroop Test, Turkish Version of the Functional Results of the Sleep Questionnaire, Nottingham Health Profile and Epworth Sleepiness Scale were used. Results: Comparison between groups after exercise; body composition and anthropometric parameters (p<0.05), respiratory parameters FVC, FEV1, axillary normal respiration, max. inspiration, expiration, subcostal normal respiration and max. inspiration, epigastric max. inspiration, axillary, subcostal and epigastric difference mean and Stroop B statistically significant difference was found (p<0.05). In the 6 Minute Walking Test, there was a statistical increase in the Aerobic and High Intensity Interval Training group, a significant difference was found in terms of decrease in daytime sleepiness and fatigue scores (p<0.05). There was no statistically significant difference in the control group (p>0.05). Before and after exercise between groups; There was no statistically significant difference in disease-specific and general health-related quality of life, pulse, systolic and diastolic blood pressure, and oxygen saturation (p>0.05). Conclusion: High-intensity interval training can be preferred over aerobic exercises in respiratory function, exercise capacity, fatigue, selective attention, physical and disease-specific parameters. Keywords: Aerobic Exercise, High-Intensity Interval Training, Obstructive Sleep Apnea Syndrome, Respiratory Function Test
Aim: It was designed to examine the effects of aerobics and HITT on respiratory function, exercise capacity, and secondary outcome measures in OSAS. Material and method: Thirty-three patients with moderate-to-severe Obstructive Sleep Apnea Syndrome between the ages of 18-65 were included in the study. Patients were randomized to aerobic exercise, High Intensity Interval Training, and control groups. Exercise groups were performed 3 times a week for a total of 8 weeks. In evaluation, respiratory function Comprehensive Pulmonary Function Tester (MasterScreen™ Body Plethysmography), exercise capacity 6 Minute Walk Test, secondary outcome measures; skinfold, tape measure, Fatigue Severity Scale, Stroop Test, Turkish Version of the Functional Results of the Sleep Questionnaire, Nottingham Health Profile and Epworth Sleepiness Scale were used. Results: Comparison between groups after exercise; body composition and anthropometric parameters (p<0.05), respiratory parameters FVC, FEV1, axillary normal respiration, max. inspiration, expiration, subcostal normal respiration and max. inspiration, epigastric max. inspiration, axillary, subcostal and epigastric difference mean and Stroop B statistically significant difference was found (p<0.05). In the 6 Minute Walking Test, there was a statistical increase in the Aerobic and High Intensity Interval Training group, a significant difference was found in terms of decrease in daytime sleepiness and fatigue scores (p<0.05). There was no statistically significant difference in the control group (p>0.05). Before and after exercise between groups; There was no statistically significant difference in disease-specific and general health-related quality of life, pulse, systolic and diastolic blood pressure, and oxygen saturation (p>0.05). Conclusion: High-intensity interval training can be preferred over aerobic exercises in respiratory function, exercise capacity, fatigue, selective attention, physical and disease-specific parameters. Keywords: Aerobic Exercise, High-Intensity Interval Training, Obstructive Sleep Apnea Syndrome, Respiratory Function Test
Açıklama
Anahtar Kelimeler
Fizyoterapi ve Rehabilitasyon, Physiotherapy and Rehabilitation