Torres-Castro Rodrigo, Vasconcello-Castillo Luis, Puppo Homero, Cabrera-Aguilera Ignacio, Otto-Yáñez Matías, Rosales-Fuentes Javiera, Vilaró Jordi
Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8380453, Chile.
Department of Kinesiology, University of Talca, Talca 3460000, Chile.
Clocks Sleep. 2021 Mar 3;3(1):227-235. doi: 10.3390/clockssleep3010013.
Obstructive sleep apnoea (OSA) constitutes a public health problem, with various systemic consequences that can increase cardiovascular morbidity and mortality as well as increase healthcare expenditure. This review discusses the rationale and effects of using general physical exercise, oropharyngeal exercises, and respiratory muscle training as an adjunctive treatment for patients with sleep apnoea. The recommended treatment for OSA is the use of continuous positive airway pressure, which is a therapy that prevents apnoea events by keeping the airways open. In the last decade, coadjuvant treatments that aim to support weight loss (including diet and physical exercise) and oropharyngeal exercises have been proposed to lower the apnoea/hypopnoea index among patients with OSA. Based on the available evidence, health professionals could decide to incorporate these therapeutic strategies to manage patients with sleep apnoea.
阻塞性睡眠呼吸暂停(OSA)是一个公共卫生问题,会产生各种全身性后果,可增加心血管疾病的发病率和死亡率,并增加医疗保健支出。本综述讨论了将一般体育锻炼、口咽锻炼和呼吸肌训练作为睡眠呼吸暂停患者辅助治疗的基本原理和效果。OSA的推荐治疗方法是使用持续气道正压通气,这是一种通过保持气道通畅来预防呼吸暂停事件的治疗方法。在过去十年中,已提出旨在支持体重减轻(包括饮食和体育锻炼)的辅助治疗方法以及口咽锻炼,以降低OSA患者的呼吸暂停/低通气指数。基于现有证据,卫生专业人员可决定采用这些治疗策略来管理睡眠呼吸暂停患者。