TY - JOUR T1 - Association of physical activity with sleep-disordered breathing. JF - Sleep Breath Y1 - 2007 A1 - Quan, Stuart F A1 - O'Connor, George T A1 - Quan, Jason S A1 - Redline, Susan A1 - Resnick, Helaine E A1 - Shahar, Eyal A1 - Siscovick, David A1 - Sherrill, Duane L KW - Adult KW - Cardiac Rehabilitation KW - Cardiovascular Diseases KW - Cohort Studies KW - Exercise KW - Female KW - Humans KW - Longitudinal Studies KW - Male KW - Middle Aged KW - Obesity KW - Polysomnography KW - Pulmonary Disease, Chronic Obstructive KW - Pulmonary Ventilation KW - Risk Factors KW - Sex Factors KW - Sleep Apnea Syndromes KW - Sleep Apnea, Obstructive KW - Sleep Stages KW - Weight Loss AB -

This study was performed to determine whether there is a protective association between participation in vigorous or vigorous/moderately vigorous physical activity and the prevalence of sleep-disordered breathing (SDB). Polysomnographic and questionnaire data from the baseline examination of 4,275 participants in the Sleep Heart Health Study (SHHS) were analyzed in relation to information on amount of physical activity and other potentially relevant factors collected from five SHHS parent cohorts (Atherosclerosis Risk in Communities Study, Cardiovascular Health Study, Framingham Heart Study, Strong Heart Study, and Tucson Epidemiologic Study of Airways Obstructive Diseases). Logistic regression models were fitted to determine if amount and strenuousness of physical activity was associated with the presence of SDB. At least 3 h per week of vigorous physical activity reduced the odds of SDB, defined as a respiratory disturbance index (RDI) of at least 15 apneas/hypopneas per hour (Adjusted OR, 0.68; 95%CI, 0.51-0.91). A qualitatively similar but slightly weaker association was observed when SDB was defined as a RDI > or = 10 per hour (Adjusted OR, 0.81; 95%CI, 0.64-1.02). These findings remained after adjustment for sleepiness and restricting analyses to participants with good health. Three or more hours of moderately vigorous or vigorous physical activity also appeared to confer some protection against SDB, but these associations were weaker. Gender- and obesity-stratified analyses suggested that the protective association between physical activity and SDB occurred primarily in men and those who were obese. A program of regular vigorous physical activity of at least 3 h per week may be a useful adjunctive treatment modality for SDB, but this association needs confirmation with a prospective clinical trial.

VL - 11 IS - 3 U1 - https://www.ncbi.nlm.nih.gov/pubmed/17221274?dopt=Abstract ER -