ŞEYHMUS KAPLAN, Cem ÇETİN, Ali ERDOĞAN, ÖNDER ÖZTÜRK, Ahmet AKKAYA

Yetişkinlerde obstrüktif uyku apne sendromu şiddeti ile fiziksel aktivite düzeyi ve vücut profili arasındaki ilişki

Amaç: Bu araştırmanın amacı uyku apnesi hastalığı ve hastalık şiddeti ile vücut profili ve fiziksel aktivite düzeyi arasında bir ilişkinin olup olmadığını incelemektir. Materyal ve metod: Bu amaçla polisomnografi tetkiki ile tanı konulan 10 ağır uyku apne hastası, 10 hafif-orta uyku apne hastası ile 20 sağlıklı birey kontrol grubu olarak araştırmaya dahil edildi. Tüm deneklerin vücut profilleri bioelektriksel impedans analizi yöntemi (Tanita Body Composition Analyser) ile ve fiziksel aktivite düzeyleri hastaların sağ üst koluna en az 3 gün süre ile takılan armband fiziksel aktivite monitörü (SWA; Body Media, Inc.) ile ölçüldü. Bulgular: Yapılan istatistiksel analizler sonrasında gruplar arasında fiziksel aktivite parametreleri açısından anlamlı bir farklılık tespit edilmedi (p > 0.05). Vücut profili parametrelerinden sadece vücut kitle indeksinin; ağır OSAS grubunda kontrol grubuna göre (p = 0.033) ve kalça çevresinin; ağır OSAS grubunda hafif-orta OSAS grubuna göre anlamlı yüksek bulundu (p = 0.042). Hastalık şiddeti ile fiziksel aktivite düzeyi arasında anlamlı bir ilişkinin olmadığı, ancak hastalığın şiddeti ile vücut kompozisyonu arasında bir ilişkinin olabileceği tespit edildi. Sonuç: Vücut profili ve fiziksel aktivitenin başlangıç düzeyi ve sonrasının monitörize edilmesi; hastaların mevcut obezitelerinin tedavisi, komplikasyonların azaltılması ve tedavinin etkinliğinin takibi açısından önemlidir. Bu amaçla vücut profili monitörizasyonunda bioelektrik impedans yöntemi ve fiziksel aktivite/ günlük ortalama total enerji tüketimi monitörizasyonunda armband fiziksel aktivite monitörü kullanımının etkin bir yöntem olduğunu düşünmekteyiz.

The relation between physical activity, body composition and obstructive sleep apnea severity in adults

Aim: The aim of this study was to determine, whether a relationship between sleep apnea and body composition and phycical activity is present or not. Material and methods: Ten heavy sleep apnea patient, 10 mild-moderate sleep apnea patient and 20 healty control group person were participated in the study. Body composition of subjects was asessed by using bioelectrical impedance meter (Tanita Body Composition Analyser) and physical activity level was assessed by using armband physical activity monitor (SWA; Body Media, Inc). Results: There was no statistical difference between groups in physical activity levels (p > 0.05). Only body mass index of body profile was significantly higher in the heavy OSAS group than the control group (p = 0.033), and hip circumference was significantly higher in the heavy OSAS group than the mild-moderate OSAS group (p = 0.042). However no relation was found between the severity of disorder and the physical activity level, but the severity of sleep apnea seemed to be related with the higher body mass index levels. Conclusion: The monitorization of the body profile and physical activity might be important to follow the effectiveness of sleep apnea, treat existing obesity, and reduce complications. So, we believe that it will be useful to use the bioelectric impedans method for body profile and the armband for physical activity / daily consumption of mean total energy monitoring.

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