TY - JOUR
T1 - Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
AU - Pitta, Rafael Mathias
AU - Cerazi, Bruno Gion
AU - Queiroga, Luana
AU - Dias, Raphael Mendes Ritti
AU - de Mello, Marco Túlio
AU - Cesena, Fernando Henpin Yue
AU - Rica, Roberta Luksevicius
AU - Baker, Julien Steven
AU - Sommer, Marcio
AU - Cucato, Gabriel Grizzo
AU - Bocalini, Danilo Sales
AU - Kauffman, Oskar
N1 - Funding Information:
This work was supported by grants from the Fundação de Amparo à Pesquisa e Inovação do Espírito Santo (no. 84417625/2018). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript
Publisher Copyright:
© 2022 by Associação Paulista de Medicina
PY - 2022/3
Y1 - 2022/3
N2 - 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.
AB - 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.
KW - Sleep apnea
KW - Physical activity
KW - Sedentary lifestyle
KW - Sleep monitoring
KW - Sedentary time
UR - http://www.scopus.com/inward/record.url?scp=85127041073&partnerID=8YFLogxK
U2 - 10.1590/1516-3180.2020.0651.R2.08062021
DO - 10.1590/1516-3180.2020.0651.R2.08062021
M3 - Journal article
C2 - 35195233
AN - SCOPUS:85127041073
SN - 1516-3180
VL - 140
SP - 171
EP - 181
JO - Sao Paulo Medical Journal
JF - Sao Paulo Medical Journal
IS - 2
ER -
