Obese children and adolescents with obstructive sleep apnea syndrome obstructive sleep apnea syndrome apnea hypopnea index
Conditions
Interventions
A total 17 weeks of exercise intervention is prescribed,
consisting of 1-
wk preparation phase,
wk training phrase and 2-
months follow-
up phase. In a preparation phase,
participants are first familiarized with equipments and exercise protocol one week before HIIT program beginning. They are asked to perform aerobic exercise program at moderated intensity (40-
60%HRR) combined with resistance training at 40% 1 repetition maximum (RM) for 3 days. After that,
wk program of HIIT combined with resistance exercise will be done three times per week,
totally 44 minutes a sessions. Five minutes of warm up period including active stretching exercise which involve in three parts of upper extremities,
lower extremities and trunk will be conducted. Each pose of active stretching exercise will be held 20 seconds and repeated 2 times. After that,
active large muscle exercise comprises of walking on treadmill or leg ergometer cycling will be carried out at a heart rate corresponding to 60%HRR),
separated with recovery period at moderate intensity (40-
50%HRR). Subjects are instructed to exercise four-
3 minute at high intensity (>60%HRR) with-
3 minute active recovery period at 40-
50%HRR throughout first 8 weeks and last 8 weeks of the intervention. During the first 8 weeks of intervention,
the HRR will be re-
Sponsors
Graduate student of Chiang Mai University
Faculty of Associated Medical Science
Eligibility
Sex/Gender
All
Age
7 Years to 18 Years
Inclusion criteria
Inclusion criteria: 1.Boy or girl aged 7-18 years old who have confirmed of OSAS (AHI > 1 or ODI > 1 or SaO2nadir < 92%) by using an overnight polosomnography (PSG) (3, 11). 2.Subjects who defined as overweight or obese individual, according to the criteria of the International Obesity Task Force (IOTF) (61).
Exclusion criteria
Exclusion criteria: 1) Subjects who had received other treatments that would influence study results e.g. CPAP therapy, medicines involved in weight control, behavioral modification and the other exercise program 2) Subjects who had any existing contraindications for exercise testing according to ACSM’s guideline 3) Subjects who had medical conditions that would affect study results i.e., symptomatic cardiac disease, hypertension (HT), diabetes mellitus (DM), any neurological deficits (i.e., dementia and poor mental status) and orthopedic problems that limit ability to ambulation or walking and 4) Subjects who had any implanted metal accessories. In addition, participant’s data would not be summarized if they demonstrate any of the following criteria; 1) Participants who had exercise adherence rate lesser than 85 percent of total exercise session (20/24 sessions) 2) Participants who were not willing to continue the program of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep variable (Apnea Hypopnea Index, oxygen desatu) and vascular function (Flow Mediated Dilation) at baseline, after 8 weeks, and 8 week follow-up Sleep variables: Using polysomnography and PSQ questionnaire , vascular function: Ultrosonography,Sleep variable (oxygen desaturation index, SaO2nadir, MeanSaO2) at base ine, after 9 weeks, and after 17 weeks Portable Polysomnography | — |
Secondary
| Measure | Time frame |
|---|---|
| other sleep variables (SRBD scake), NO, body composition, BP at baseline, after 8 weeks, and 8 week follow-up Using polysomnography , blood sample,mechanical beam medical scale,sphygmomanometer | — |
Countries
Thailand
Contacts
Public ContactKhomkrip Longlalerng
Chiang Mai University
Outcome results
None listed