Article record

抗阻训练对阻塞性睡眠呼吸暂停患者主观睡眠质量、日间过度嗜睡和生活质量的影响：一项随机对照试验的二次分析

Effects of resistance training on subjective sleep quality, excessive daytime sleepiness, and quality of life in patients with obstructive sleep apnea: a secondary analysis from a randomized controlled trial.

临床研究咽喉科IF 2.8Q3

文献信息

PMID	42900248
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	José Ricardo Vieira de Almeida 查看其他 11 位作者 Daniela Karina da Silva Ferreira；Victória Duarte de Arantes Lima；Enrique Nascimento Nazário Dos Santos；Nadja Sylmara Dos Santos de Oliveira Silva；José Lucas Porto Aguiar；Elton Carlos Felinto Dos Santos；Antônio Henrique Germano-Soares；Rodrigo Pinto Pedrosa；Andrea Maculano Esteves；Breno Quintella Farah；Ozeas de Lima Lins-Filho
作者单位	Graduate Program in Physical Education, Federal University of Pernambuco, Av. dos Reitores. S/N Cidade Universitária, Recife, Brazil. 查看其他 8 条单位信息 Department of Physical Education, Federal University of Pernambuco, Recife, Brazil.；Graduate Program in Health Sciences, University of Pernambuco, Recife, Brazil.；Department of Physical Education, Faculdade Pernambucana de Saúde, Recife, Brazil.；Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil.；Laboratory of Sleep and Exercise, School of Applied Sciences, State University of Campinas, Limeira, Brazil.；Graduate Program in Movement Sciences, Federal Rural University of Pernambuco, Recife, Brazil.；Graduate Program in Physical Education, Federal University of Pernambuco, Av. dos Reitores. S/N Cidade Universitária, Recife, Brazil. ozeas.lins@ufpe.br.；Department of Physical Education, Federal University of Pernambuco, Recife, Brazil. ozeas.lins@ufpe.br.
期刊	Sleep & breathing = Schlaf & Atmung
SCI 分区	Q3
IF	2.8
研究类型	临床研究 · 临床
所属专科	咽喉科

中文摘要

目的： 本研究旨在验证为期八周的抗阻训练（RT）对成人OSA患者主观睡眠质量、日间嗜睡和生活质量的影响。
方法： 在这项随机对照临床试验中，纳入了25名中度至重度OSA成人（年龄：54.6±7.2岁；BMI：36.1±7.9 kg/m²；呼吸暂停低通气指数：52.2±27.4次/小时）。参与者被随机分为RT组（每周三次）或对照组[CG（每周两次）]。分别使用匹兹堡睡眠质量指数（PSQI）、Epworth嗜睡量表（ESS）、SF-36评估睡眠质量、日间过度嗜睡和生活质量。广义估计方程验证了组间随时间的变化差异。
结果： 在睡眠潜伏期（RT：Δ -1.0±0.3 vs. CG：0.2±0.2；p=0.018）、睡眠时长（RT：Δ -0.6±0.3 vs. CG：-0.2±0.2；p=0.012）、睡眠药物（RT：Δ -0.2±0.1 vs. CG：0.8±0.3；p=0.007）和PSQI总分（RT：Δ -3.2±0.6 vs. CG：0.2±0.8；p=0.004）方面观察到差异。关于SF-36，在情感方面（RT：Δ 29.6±14.8 vs. CG：-17.9±10.0；p=0.008）和总体评分（RT：Δ 10.8±3.3 vs. CG：-3.4±3.1；p=0.002）方面观察到差异。ESS未观察到差异。
结论： 为期八周的RT项目改善了中度至重度OSA成人的主观睡眠质量和生活质量。临床试验注册（巴西临床试验注册中心[ReBec]）：# RBR-2rg97kz。注册日期：2025年1月17日。

英文摘要

PURPOSE: This study aimed to verify the effect of eight weeks of resistance training (RT) on subjective sleep quality, daytime sleepiness, and quality of life in adults with OSA.
METHODS: In this randomized controlled clinical trial, 25 adults with moderate to severe OSA (age: 54.6 ± 7.2 years; BMI: 36.1 ± 7.9 kg/m²; apnea-hypopnea index: 52.2 ± 27.4 events/hour) were included. Participants were randomized into an RT group (three sessions per week) or a control group [CG (two sessions per week)]. Sleep quality, excessive daytime sleepiness, and quality of life were assessed using the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), SF-36, respectively. Generalized estimated equations verified differences between groups over time.
RESULTS: Differences were observed in domains sleep latency (RT: Δ -1.0 ± 0.3 vs. CG: 0.2 ± 0.2; p = 0.018), sleep duration (RT: Δ -0.6 ± 0.3 vs. CG: -0.2 ± 0.2; p = 0.012), sleeping medication (RT: Δ -0.2 ± 0.1 vs. CG: 0.8 ± 0.3; p = 0.007), and overall PSQI score (RT: Δ -3.2 ± 0.6 vs. CG: 0.2 ± 0.8; p = 0.004). Regarding SF-36, differences were found in emotional aspects (RT: Δ 29.6 ± 14.8 vs. CG: -17.9 ± 10.0; p = 0.008) and global score (RT: Δ 10.8 ± 3.3 vs. CG: -3.4 ± 3.1; p = 0.002) were observed. No difference was observed in ESS.
CONCLUSION: An eight-week RT program improves subjective sleep quality and quality of life in adults with moderate to severe OSA. Clinical trial registration (Brazilian Clinical Trials Registry [ReBec]): # RBR-2rg97kz. Date of registration: 01/17/2025.