Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study

Pitta, Rafael Mathias, Cerazi, Bruno Gion, Queiroga, Luana, Ritti-Dias, Raphael Mendes, de Mello, Túlio Marco, Yue Cesena, Fernando Henpin, Rica, Roberta Luksevicius, Baker, Julien Steven, Sommer, Marcio, Cucato, Gabriel, Bocalini, Danilo Sales and Kauffman, Oskar (2022) Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study. Sao Paulo Medical Journal, 140 (2). pp. 171-181. ISSN 1516-3180

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Official URL: https://doi.org/10.1590/1516-3180.2020.0651.R2.080...

Abstract

BACKGROUND: Sitting time, screen time and low physical activity (PA) levels have been associated with several diseases and all-cause mortality. PA is related to better sleep quality and absence of daytime sleepiness, along with lower risks of obstructive syndrome apnea (OSA). However, studies on the relationship between sitting time, screen time and OSA are scarce in the literature.

OBJECTIVE: To analyze associations between PA levels, sitting time, screen time and OSA among adults with suspected sleep disorder.

DESIGN AND SETTING: Cross-sectional study conducted at Hospital Israelita Albert Einstein.

METHODS: Data were collected from 369 adults with suspected sleep disorders who visited the hospital's neurophysiology clinic between August 2015 and January 2017.

RESULTS: Correlations between hypopnea and PA indicators were demonstrated for total sitting time (0.123; P = 0.019) and total screen time (0.108; P = 0.038). There was also a correlation between latency for rapid-eye-movement sleep (REM_LAT) and total sitting time (0.103; P = 0.047) and a negative correlation between mean oxyhemoglobin saturation (SaO_Avg) and total PA time (-0.103; P = 0.048). There were no associations between PA parameters and apnea-hypopnea index. After adjusting for confounding factors (body mass index, age and gender), sitting time and screen time were not associated with OSA.

CONCLUSION: After adjusting for anthropometric and clinical factors, excessive sitting time or screen time was not associated with OSA in adults suspected of sleep disorders. Age, gender, hypertension, body mass index and waist circumference were associated with OSA.

Item Type: Article
Additional Information: Funding information: This work was supported by grants from the Fundação de Amparo à Pesquisa e Inovação do Espírito Santo (no. 84417625/2018).
Uncontrolled Keywords: Obesity, Sleep apnea, obstructive, Exercise, Sedentary behavior, Polysomnography, Physical activity, Sedentary lifestyle, Sleep monitoring, Sedentary time
Subjects: B100 Anatomy, Physiology and Pathology
B900 Others in Subjects allied to Medicine
C600 Sports Science
C800 Psychology
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Rachel Branson
Date Deposited: 09 Mar 2022 10:16
Last Modified: 01 Apr 2022 14:15
URI: http://nrl.northumbria.ac.uk/id/eprint/48648

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