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居家有氧间歇训练联合抗阻训练改善肥胖合并睡眠呼吸障碍成年人的日间功能障碍

Home-Based Aerobic Interval Training Combined with Resistance Training Improved Daytime Dysfunction in Adults with Obesity and Sleep-Disordered Breathing.

作者信息

Longlalerng Khomkrip, Watanasiripakdee Siripan, Jeenduang Nutjaree, Habuddha Valainipha, Piya-Amornphan Nitita, Damchuai Tipwamol

机构信息

Department of Physical Therapy, Walailak University, Thasala District, Nakhon Si Thammarat, Thailand.

Movement Science and Exercise Research Center-Walailak University (MoveSE-WU), Walailak University, Thasala District, Nakhon Si Thammarat, Thailand.

出版信息

Sleep Sci. 2024 Feb 20;17(2):e117-e124. doi: 10.1055/s-0043-1777708. eCollection 2024 Jun.

Abstract

There have been many barriers to exercising at a gym due to the coronavirus disease 2019 (COVID-19) pandemic worldwide. Home-based aerobic interval training (AIT) combined with resistance training (RT) may be helpful for obese adults with sleep-disordered breathing (SDB) to overcome those barriers and improve their subjective sleep disorders. Thus, the present study aimed to examine the effects of home-based AIT combined with RT on subjective sleep disorders in obese adults with SDB.  This study has a one-group pretest-posttest design. Twenty-one adults with obesity and SDB were assigned to perform 8 weeks of AIT combined with RT. Subjective sleep disorder variables including the Pittsburgh Sleep Quality Index (PSQI), Berlin Questionnaire, and Epworth Sleepiness Scale were defined as primary outcomes. Anthropometric variables, physical fitness components, and blood biomarkers were assigned as secondary outcomes. All outcome measurements were examined at baseline and after 8 weeks of training.  Daytime dysfunction of PSQI was significantly improved after 8 weeks of the exercise program (  < 0.05). Upper and lower chest expansion and estimated maximum oxygen consumption were significantly increased after 8 weeks of the exercise program (all  < 0.05). None of the blood biomarkers changed after 8 weeks of training.  This study suggests that home-based AIT combined with RT effectively alleviates daytime dysfunction and seems to be more helpful in improving global PSQI in adults with obesity. Future studies with a larger sample size, under a controlled trial are recommended to prove the benefits of the exercise program.

摘要

由于全球范围内的2019冠状病毒病(COVID-19)大流行,在健身房锻炼存在许多障碍。居家有氧间歇训练(AIT)与抗阻训练(RT)相结合可能有助于患有睡眠呼吸障碍(SDB)的肥胖成年人克服这些障碍,并改善他们的主观睡眠障碍。因此,本研究旨在探讨居家AIT与RT相结合对患有SDB的肥胖成年人主观睡眠障碍的影响。 本研究采用单组前测-后测设计。21名患有肥胖症和SDB的成年人被安排进行8周的AIT与RT相结合的训练。将包括匹兹堡睡眠质量指数(PSQI)、柏林问卷和爱泼华嗜睡量表在内的主观睡眠障碍变量定义为主要结局。将人体测量变量、身体素质成分和血液生物标志物作为次要结局。所有结局测量均在基线时和训练8周后进行检查。 运动计划进行8周后,PSQI的日间功能障碍有显著改善(  < 0.05)。运动计划进行8周后,胸廓上下径扩展和估计最大摄氧量显著增加(均  < 0.05)。训练8周后,血液生物标志物均未发生变化。 本研究表明,居家AIT与RT相结合能有效缓解日间功能障碍,似乎对改善肥胖成年人的整体PSQI更有帮助。建议未来进行更大样本量的对照试验研究,以证明该运动计划的益处。

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