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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/50962
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dc.creatorDenise Maria Servantespt_BR
dc.creatorShahrokh Javaheript_BR
dc.creatorAna Claudia Pelissari Kravchychynpt_BR
dc.creatorLuciana Julio Storti Mancusopt_BR
dc.creatorDirceu Rodrigues de Almeidapt_BR
dc.creatorMarco Túlio de Mellopt_BR
dc.creatorFátima Dumas Cintrapt_BR
dc.creatorSergio Tufikpt_BR
dc.creatorLia Rita Azeredo Bittencourtpt_BR
dc.date.accessioned2023-03-16T18:49:48Z-
dc.date.available2023-03-16T18:49:48Z-
dc.date.issued2018-10-
dc.citation.volume154pt_BR
dc.citation.issue4pt_BR
dc.citation.spage808pt_BR
dc.citation.epage817pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.chest.2018.05.011pt_BR
dc.identifier.issn0012-3692pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/50962-
dc.description.resumoBackground: Exercise and CPAP improve OSA. This study examined the effects of exercise in patients with heart failure (HF) and OSA. Methods: Patients with HF and OSA were randomized to the following study groups: control, exercise, CPAP, and exercise + CPAP. Results: Sixty-five participants completed the protocol. Comparing baseline vs 3 months, the mean apnea-hypopnea index (AHI) did not change significantly (in events per hour) in the control group, decreased moderately in the exercise group (28 ± 17 to 18 ± 12; P < .03), and decreased significantly more in the CPAP group (32 ± 25 to 8 ± 11; P < .007) and in the exercise + CPAP group (25 ± 15 to 10 ± 16; P < .007). Peak oxygen consumption, muscle strength, and endurance improved only with exercise. Both exercise and CPAP improved subjective excessive daytime sleepiness, quality of life, and the New York Heart Association functional class. However, compared with the control group, changes in scores on the 36-item Medical Outcomes Study Short Form Survey and Minnesota Living with Heart Failure Questionnaire were only significant in the exercise groups. Conclusions: In patients with HF and OSA, our preliminary results showed that exercise alone attenuated OSA and improved quality of life more than CPAP. In the landscape treatment of OSA in patients with HF, this analysis is the only randomized trial showing any treatment (in this case, exercise) that improved all the studied parameters. The results highlight the important therapeutic benefits of exercise, particularly because adherence to CPAP is low.pt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE ESPORTESpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofChestpt_BR
dc.rightsAcesso Restritopt_BR
dc.subjectCPAPpt_BR
dc.subjectExercisept_BR
dc.subjectHeart failurept_BR
dc.subjectSleep apneapt_BR
dc.subject.otherPressão positiva contínua nas vias aéreaspt_BR
dc.subject.otherExercícios físicospt_BR
dc.subject.otherInsuficiencia cardíacapt_BR
dc.subject.otherSíndromes da apnéia do sonopt_BR
dc.titleEffects of exercise training and CPAP in patients with heart failure and OSA: a preliminary studypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S0012369218307906?via%3Dihubpt_BR
dc.identifier.orcidhttp://orcid.org/0000-0002-2919-2806pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2178-1518pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-3896-2208pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3361-7061pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9253-6042pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-7738-0927pt_BR
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