Exercise is associated with a reduced incidence of sleep-disordered breathing

Karim M. Awad, Atul Malhotra, Jodi H. Barnet, Stuart F Quan, Paul E. Peppard

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Background: The effect of exercise on sleep-disordered breathing is unknown. While diet and weight loss have been shown to reduce the severity of sleep-disordered breathing, it is unclear whether exercise has an independent effect. Methods: A population-based longitudinal epidemiologic study of adults measured the association between exercise and incidence and severity of sleep-disordered breathing. Hours of weekly exercise were assessed by 2 mailed surveys (1988 and 2000). Sleep-disordered breathing was assessed by 18-channel in-laboratory polysomnography at baseline and at follow-up. Results: Associations were modeled using linear and logistic regression, adjusting for body mass index, age, sex, and other covariates. Hours of exercise were associated with reduced incidence of mild (odds ratio 0.76, P =.011) and moderate (odds ratio 0.67, P =.002) sleep-disordered breathing. A decrease in exercise duration also was associated with worsening sleep-disordered breathing, as measured by the apnea-hypopnea index (β = 2.368, P =.048). Adjustment for body mass index attenuated these effects. Conclusions: Exercise is associated with a reduced incidence of mild and moderate sleep-disordered breathing, and decreasing exercise is associated with worsening of sleep-disordered breathing. The effect of exercise on sleep-disordered breathing appears to be largely, but perhaps not entirely, mediated by changes in body habitus.

Original languageEnglish (US)
Pages (from-to)485-490
Number of pages6
JournalAmerican Journal of Medicine
Volume125
Issue number5
DOIs
StatePublished - May 2012

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Sleep Apnea Syndromes
Incidence
Body Mass Index
Odds Ratio
Breathing Exercises
Reducing Diet
Polysomnography
Apnea
Longitudinal Studies
Epidemiologic Studies
Linear Models
Logistic Models

Keywords

  • Exercise
  • Sleep apnea

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Exercise is associated with a reduced incidence of sleep-disordered breathing. / Awad, Karim M.; Malhotra, Atul; Barnet, Jodi H.; Quan, Stuart F; Peppard, Paul E.

In: American Journal of Medicine, Vol. 125, No. 5, 05.2012, p. 485-490.

Research output: Contribution to journalArticle

Awad, Karim M. ; Malhotra, Atul ; Barnet, Jodi H. ; Quan, Stuart F ; Peppard, Paul E. / Exercise is associated with a reduced incidence of sleep-disordered breathing. In: American Journal of Medicine. 2012 ; Vol. 125, No. 5. pp. 485-490.
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