Aguilar Cordero M J, Sánchez López A M, Mur Villar N, Sánchez Marenco A, Guisado Barrilao R
Hospital Clínico San Cecilio, Departamento de enfermería, Universidad de Granada, Granada, España.
Nutr Hosp. 2013 May-Jun;28(3):701-4. doi: 10.3305/nh.2013.28.3.6393.
Recent studies show an alarming increase in the rate of overweight / obesity among the infant - juvenile population. Obesity in childhood is associated with a significant number of complications, such as sleep apnea syndrome, insulin resistance and type 2 diabetes, hypertension, cardiovascular disease and some cancers. It is estimated that the prevalence of sleep apnea in children is 2-3% in the general population, while in obese adolescents, varies between 13% and 66%, according to various studies. It is associated with impairment of neurocognitive function, behavior, cardiovascular system, metabolic disorders and growth. Sleep apnea is a serious public health problem that increases when children and adolescents are overweight or obese. We hypothesize that aerobic endurance exercise can be an effective treatment for obesity and apnea at the same time. The aim of this study was to determine the influence of physical activity in children and adolescents with overweight / obesity in sleep apnea. An observational, descriptive, prospective, longitudinal study will be carried out in children with sleep apnea and obesity. The universe will be made up of 60 children and adolescents aged between 10 and 18 years, attending the endocrinology service for suffering of obesity in the Hospital Clinico San Cecilio of Granada during the period September 2012-September 2013. The smple will consist of children and adolescents that meet these characteristics and to whom their parents/tutors have authorized through the informed consent. Sleep apnea in children wil be measured by polysomnography and sleep quality questionnaire. There will also be a nutritional assessment by a food frequency questionnaire and an anthropometric assessment. Among the expected results are the lower overweight and obesity in children through the physical activity program. To reduce apnea and to improve sleep quality.
近期研究表明，婴幼儿及青少年群体中超重/肥胖率正以惊人的速度上升。儿童肥胖与大量并发症相关，如睡眠呼吸暂停综合征、胰岛素抵抗和2型糖尿病、高血压、心血管疾病以及某些癌症。据估计，普通人群中儿童睡眠呼吸暂停的患病率为2%至3%，而根据各项研究，肥胖青少年的患病率在13%至66%之间。它与神经认知功能、行为、心血管系统、代谢紊乱及生长发育受损有关。睡眠呼吸暂停是一个严重的公共卫生问题，在儿童和青少年超重或肥胖时会加剧。我们假设有氧耐力运动可以同时成为治疗肥胖和呼吸暂停的有效方法。本研究的目的是确定体育活动对超重/肥胖儿童及青少年睡眠呼吸暂停的影响。将对患有睡眠呼吸暂停和肥胖症的儿童进行一项观察性、描述性、前瞻性、纵向研究。研究对象将包括2012年9月至2013年9月期间在格拉纳达圣塞西利奥临床医院内分泌科因肥胖就诊的60名10至18岁儿童及青少年。样本将由符合这些特征且其父母/监护人已通过知情同意授权的儿童及青少年组成。儿童睡眠呼吸暂停将通过多导睡眠图和睡眠质量问卷进行测量。还将通过食物频率问卷进行营养评估，并进行人体测量评估。预期结果包括通过体育活动计划降低儿童的超重和肥胖程度。减少呼吸暂停并改善睡眠质量。
