Abstract
Objectives
To determine the effect of 7 weeks of resistance training and walking on the apnea-hypopnea
index (AHI) in institutionalized older adults compared with a usual care control group.
Design
Secondary analysis of data from a randomized controlled trial.
Setting
Ten nursing and 3 assisted living facilities in Arkansas.
Participants
Institutionalized older adults.
Interventions
Exercise group (EG) performed supervised resistance training to arm and hip extensors
on 3 days a week with additional 2 days a week of light walking. Usual care group
(UC) participated in the usual activities provided within their living facility.
Measurements
Two nights of polysomnography before and following 7-week intervention.
Results
Adjusted means in the EG group showed a decrease in AHI from 20.2 (SD ±1.3) at baseline
to 16.7 (SD ±0.9) at 7 weeks. Absolute strength gains were not associated with improved
AHI.
Conclusion
Supervised resistance training and light walking reduced the severity of obstructive
sleep apnea in institutionalized older adults.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Epidemiology of age-dependence in sleep disordered breathing (SDB) in old age: The Bay Area Sleep Cohort (BASC).Sleep Med Clin. 2009; 4: 57-64
- Obstructive sleep apnea as a risk factor for stroke and death.N Engl J Med. 2005; 353: 2034-2041
- Obstructive sleep apnea: Implications for cardiac and vascular disease.JAMA. 2003; 290: 1906-1914
- Prospective study of the association between sleep-disordered breathing and hypertension.N Engl J Med. 2000; 342: 1378-1384
- Sleep · 6: Obstructive sleep apnoea/hypopnoea syndrome and hypertension.Thorax. 2004; 59: 1089-1094
- Sleep disturbances in long-term care.Clin Geriatr Med. 2008; 24: 39-50
- Continuous positive airway pressure treatment for sleep apnea in older adults.Sleep Med Rev. 2007; 11: 99-111
- Obstructive sleep apnea in older adults.Clin Geriatr Med. 2008; 24: 151-165
- Exercise and sleep-disordered breathing: An association independent of body habitus.Sleep. 2004; 27: 480-484
- Dose-response effects of exercise training on the subjective sleep quality of postmenopausal women: Exploratory analyses of a randomised controlled trial.BMJ Open. 2012; 2: e001044
- Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia.Sleep Med. 2010; 11: 934-940
- The effect of exercise on obstructive sleep apnea: A randomized and controlled trial.Sleep Breath. 2011; 15: 49-56
- Physical activity and aging.Ann N Y Acad Sci. 2005; 1055: 193-206
- Strength Training and Walking Exercise and Social Activity Improve Sleep in Nursing Home and Assisted Living Residents: Randomized Controlled Trial.J Am Geriatr Soc. 2011; 59: 214-223
- ACSM's Guidelines for Exercise Testing and Prescription.9th ed. Lippincott Williams & Wilkins, Baltimore, MD2013
- Physiological changes in respiratory function associated with ageing.Eur Respir J. 1999; 13: 197-205
- Physical activity and older adults: A review of health benefits and the effectiveness of interventions.J Sports Sci. 2004; 22: 703-725
- Sarcopenia and its implications for the elderly.Eur J Clin Nutr. 2000; 54: S40-S47
- Association between sleep and physical function in older men: The Osteoporotic Fractures in Men Sleep Study.J Am Geriatr Soc. 2008; 56: 1665-1673
- Physical activity and mortality in frail, community-living elderly patients.J Gerontol A Biol Sci Med Sci. 2004; 59: M833-M837
Article info
Publication history
Published online: October 04, 2014
Footnotes
The authors declare no conflicts of interest.
This study was funded by the National Institutes of Health (R01–007771, Richards PI) and Department of Veterans Affairs Health Services Research and Development Advanced Research Career Development Award.
Trial Registration ClinicalTrials.gov Identifier: NCT00888706.
Identification
Copyright
© 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.