The Relationship Between the Physical Activity Level and Fatigue Perception, Quality of Life and Psychological Status in Patients with Obstructive Sleep Apnea Syndrome

Caliskan, Hakan; Ertürk, Nurel; Çalık-Kütükçü, Ebru; Arıkan, Hülya; Yağlı, Naciye Vardar; Sağlam, Melda; Fırat, Hikmet; Ardıç, Sadık; İnce, Deni̇z İnal; Ege, Melike Yuce

doi:10.4274/jtsm.galenos.2019.28247

Cited by 6 publications

(6 citation statements)

References 21 publications

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“…Sleep is one of the basic physiological needs, and thus its deficiency, abnormal architecture, or disorders may give rise to a number of negative physical, psychological, and social consequences [18]. An analysis of scientific publications shows that one of the most acute effects caused by obstructive sleep apnoea is difficulty in performing household and professional duties.…”

Section: Resultsmentioning

confidence: 99%

Excessive sleepiness and selected aspects of functioning and the quality of life of patients suffering from obstructive sleep apnoea

Mostowik¹,

Padykuła²,

Sułkowska³

et al. 2020

ppiel

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Introduction: Obstructive sleep apnoea (OSA) may be observed in as much as 22% of men and 17% of women. It affects the structural organisation of sleep and may lead to numerous negative consequences. Aim of the study: Assessment of the intensity of sleepiness during the day and its influence on selected aspects of daily functioning of patients suffering from OSA. Material and methods: The study was carried out in a group of 49 patients whose average age was 55.27 ±12.80 years. The diagnostic survey method was used with the application of a self-designed questionnaire, Epworth Sleepiness Scale (ESS) and WHOQOL-BREF scale. Results: The average ESS score obtained by the respondents was 10.11 ±5.60. The incidence of mild excessive daytime sleepiness was observed in 42.86% of patients, whereas 16.33% of respondents suffered from severe excessive daytime sleepiness. The most frequent problem reported by respondents was daytime fatigue, which was observed in 87.76% of cases. The general quality of life (QoL) was relatively high (4.96 ±0.78). The environment domain was rated the highest (15.42 ±1.89), and psychological-the lowest (12.68 ±2.53). Conclusions: A significant correlation was found between respondents' age and the intensity of daytime sleepiness. Higher ESS scores were observed in patients who experienced sleepiness and fatigue after a full night of sleep, had difficulties fulfilling their household chores due to tiredness and/or sleep deprivation, or suffered from memory and/or concentration problems. No correlation was observed between the intensity of perceived daytime sleepiness and the QoL.

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Section: Resultsmentioning

confidence: 99%

Excessive sleepiness and selected aspects of functioning and the quality of life of patients suffering from obstructive sleep apnoea

Mostowik¹,

Padykuła²,

Sułkowska³

et al. 2020

ppiel

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“…Unfortunately, PA levels in OSA patients are negatively associated with OSA severity [ 72 ] and are lower than in the general population [ 3 , 73 ]. The primary limitation of self-reporting PA questionnaires is the subject’s ability to recollect recent activities and classify them as light, moderate and/or vigorous [ 74 ].…”

Section: Discussionmentioning

confidence: 99%

“…Decreased PA can also be attributed to anxiety and depression [ 73 ]. Repetitive hypoxia causes neural injury, fatigue, impaired concentration and loss of libido [ 81 ].…”

Section: Discussionmentioning

confidence: 99%

“…Repetitive hypoxia causes neural injury, fatigue, impaired concentration and loss of libido [ 81 ]. This explains behavioral changes in pediatric OSA patients [ 82 ] and that impaired QoL, depression and anxiety, which frequently coexist and potentiate each other in adult OSA patients [ 57 , 73 , 81 ], are partially reversed by PAP [ 81 ]. PAP improves sleep quality [ 27 , 57 ], which partially explains our lower PHQ-9 score results (self-reported sleep difficulties ( p = 0.003) and lack of energy/tiredness ( p = 0.002)) in adherent patients.…”

Section: Discussionmentioning

confidence: 99%

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Long-Term Adherence in Overweight Patients with Obstructive Sleep Apnea and Hypertension—A Pilot Prospective Cohort Study

et al. 2023

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Obstructive sleep apnea (OSA) is associated with increased cardiovascular risk, sedentarism, depression, anxiety and impaired quality of life. The long-term effectiveness of positive airway pressure (PAP) is insufficiently studied and limited by poor patient compliance. The aim of this pilot prospective cohort study was to evaluate long-term adherence in overweight patients with moderate–severe OSA and hypertension and to analyze changes in weight, sleepiness and quality of life. We performed a prospective study that included overweight patients with moderate–severe OSA and hypertension who had not undergone previous PAP therapy. All subjects received a standard physical examination, education regarding lifestyle changes and free PAP therapy for 2 months. After five years, the patients were invited to participate in a telephone-based interview regarding PAP compliance and completed standard questionnaires assessing adherence to medication, physical activity, diet, anxiety and quality of life (QoL). Only 39.58% of the patients were adherent to PAP 5 years (58.42 ± 3.70 months) after being diagnosed with moderate–severe OSA. Long-term PAP use results in sustained weight loss; improved blood pressure control, sleepiness and QOL; and lower anxiety and depression scores. PAP compliance was not associated with a higher level of daily physical activity or a healthier diet.

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“… 5 Otherwise, the increased total amount of PA in patients with OSAS is closely related to decreased excessive daytime sleepiness and the effects of fatigue on physical and psychosocial functions. 6 …”

Section: Introductionmentioning

confidence: 99%

Are Sleep Quality, Physical Activity Levels, and Fear of Movement of Obstructive Sleep Apnea Syndrome Patients Different From Healthy People During the Coronavirus Disease 2019 Pandemic?

et al. 2023

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Objective: The sleep quality and physical activity levels of patients with obstructive sleep apnea syndrome during the lockdown period have not yet been investigated. The aim of this study was to evaluate the sleep quality, physical activity level, and fear of movement in patients with obstructive sleep apnea syndrome and healthy individuals during the coronavirus disease 2019 pandemic. Material and Methods: Patients with obstructive sleep apnea syndrome (n = 33) and healthy individuals (n = 30) were included in the study. Physical activity levels, sleep quality, and fear of movement were evaluated. Results: The total physical activity amount of patients with obstructive sleep apnea syndrome and healthy individuals was lower than the acceptable levels. The obstructive sleep apnea syndrome group had significantly lower leisure-time physical activity ( P = .006) and higher sitting time ( P = .008) than the healthy individuals. Patients with obstructive sleep apnea syndrome had significantly more sleep disturbances, daytime dysfunction, and daytime sleepiness than healthy people ( P < .001). Fear of movement was negatively correlated with the amount of vigorous ( r = –0.395, P = .023) and leisure activities ( r = –0.557, P = .001) in the obstructive sleep apnea syndrome group. Conclusion: During the coronavirus disease 2019 pandemic, patients with obstructive sleep apnea syndrome and healthy individuals had lower physical activity levels. Physical activity counseling is an important strategy for increasing the physical activity of patients with obstructive sleep apnea syndrome and healthy individuals during and after the coronavirus disease 2019 pandemic.

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The Relationship Between the Physical Activity Level and Fatigue Perception, Quality of Life and Psychological Status in Patients with Obstructive Sleep Apnea Syndrome

Cited by 6 publications

References 21 publications

Excessive sleepiness and selected aspects of functioning and the quality of life of patients suffering from obstructive sleep apnoea

Excessive sleepiness and selected aspects of functioning and the quality of life of patients suffering from obstructive sleep apnoea

Long-Term Adherence in Overweight Patients with Obstructive Sleep Apnea and Hypertension—A Pilot Prospective Cohort Study

Are Sleep Quality, Physical Activity Levels, and Fear of Movement of Obstructive Sleep Apnea Syndrome Patients Different From Healthy People During the Coronavirus Disease 2019 Pandemic?

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