Estudo randonizado duplo-cego da capacidade funcional e da prática de atividade física em indivíduos com diagnóstico polissonográfico de SAOS antes e após uso de CPAP

• Ano de defesa: 2015
• Autor(a) principal: Massarico, Éline Kate Pires [UNESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual Paulista (Unesp)
• Palavras-chave em Português: Síndromes da apneia do sono; Transtornos do sono; Aparelho respiratorio; Exercícios físicos; Caminhada; Sleep apnea syndromes
• Link de acesso: http://hdl.handle.net/11449/132006; http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/05-11-2015/000849206.pdf

Introduction: The Obstructive Sleep Apnea Syndrome (OSAS) characterized by complete or partial collapse of pharynx, intermittently, that is repeated during all the phases of sleep, causing the interruption of respiratory flow during the event. The most common daytime manifestation of OSAS is the daytime sleepiness. Obesity is the reversible casual factor most frequently associated with OSAS, considering physical activity an important component for its treatment. The hypothesis to this study considered that patients with OSAS would present changes in their sleep quality, increased daytime sleepiness and less willingness to perform physical activity, resulting in changes or even on reduced functional capacity. The proper use of CPAP with therapeutic pressure may improve such changes, even in short time. Objective: To assess the sleep quality, daytime sleepiness, willingness for physical activity and the functional capacity before and after 1 week using CPAP, calibrated with therapeutic pressure or CPAP calibrated with minimum pressure of 4 cmH2O. Method: It's about a double-blind and randomized study with approval of the local Ethics Committee in Research (protocol nº 41/2013). It was invited patients of both genders in ambulatory follow-up of non-invasive aged between 30 and 75, with polysomnography diagnosis of OSAS. The patients were selected randomly by the adviser without physiotherapist's awareness and allocated in two groups, whereby the group I is consisted by patients who are using CPAP in minimum pressure of 4 cmH2O and the group II by patients using CPAP in the ideal therapeutic pressure. All patients received the CPAP equipment provided by home ventilation service with sealed display so that the patient and the physiotherapist didn't have access the calibration data. The level of physical activity was assessed by IPAQ questionnaire, daytime sleepiness by Epworth sleepiness scale, sleep quality by Pittsburgh questionnaire and ...