Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea

Introduction This study aimed to examine the effects of moderate-intensity interval training (MIIT) on the quality of sleep and functional capacity in atrial fibrillation (AF) patients with different presentations of sleep apnoea after coronary artery bypass graft (CABG) surgery. Methods 18 partici...

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Main Authors: Hady Atef, Taulant Muka, Doa Elansary, Heba Mohammed Ali, Ahmad Mahdi Ahmad
Format: Article
Language:English
Published: Termedia Publishing House 2024-03-01
Series:Physiotherapy Quarterly
Subjects:
Online Access:https://physioquart.awf.wroc.pl/Comparative-effects-of-moderate-intensity-interval-training-on-sleep-quality-and,156403,0,2.html
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author Hady Atef
Taulant Muka
Doa Elansary
Heba Mohammed Ali
Ahmad Mahdi Ahmad
author_facet Hady Atef
Taulant Muka
Doa Elansary
Heba Mohammed Ali
Ahmad Mahdi Ahmad
author_sort Hady Atef
collection DOAJ
description Introduction This study aimed to examine the effects of moderate-intensity interval training (MIIT) on the quality of sleep and functional capacity in atrial fibrillation (AF) patients with different presentations of sleep apnoea after coronary artery bypass graft (CABG) surgery. Methods 18 participants with AF and sleep apnoea aged 45–65 years were assigned into two groups: AF with obstructive sleep apnoea group (group A, n 1 = 9) and AF with mixed sleep apnoea group (group B, n 2 = 9). Both groups received MIIT for ten weeks (3 sessions / week) and medical treatment (i.e., Continuous Positive Airway Pressure and drug therapy). Exclusion criteria were unstable cardiac comorbidities and neurological/musculoskeletal limitations to exercise intervention. Outcome measures included sleep parameters collected from the actigraphy, overall sleep quality rating domain of the Pittsburgh Sleep Quality Index (PSQI), and six-minute walk distance (6-MWD). Results Significant changes were present in the means of all outcomes in group A ( p < 0.05) and two outcomes (i.e., cut points & 6-MWD) in group B compared to baseline ( p < 0.05). Also, there were significant differences in the absolute mean changes from baseline (∆) between the two groups, in favour of group A, in sleep latency ( p < 0.001), total sleep duration ( p = 0.026), sleep efficiency ( p < 0.001), overall sleep quality rating item of the PSQI ( p = 0.001), and 6-MWD ( p = 0.008). Conclusions MIIT can be a supplementary therapeutic intervention that could contribute to greater positive changes in sleep quality and functional capacity in AF patients with obstructive sleep apnoea rather than in AF patients with mixed sleep apnoea post-CABG. MIIT could enhance the functional capacity independent of improving sleep quality in patients with AF and mixed sleep apnoea post-CABG.
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spelling doaj.art-7fcffbc3ac3246948e9729dc67205e3e2024-04-10T11:49:38ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-03-01321939910.5114/pq.2024.135428156403Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apneaHady Atef0https://orcid.org/0000-0002-3089-2674Taulant Muka1https://orcid.org/0000-0003-3235-3073Doa Elansary2https://orcid.org/0000-0003-3069-3509Heba Mohammed Ali3https://orcid.org/0000-0003-1266-3314Ahmad Mahdi Ahmad4Department of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Cairo, EgyptInstitute of Social and Preventive Medicine (ISPM), University of Bern, Bern, SwitzerlandDepartment of Nursing and Allied Health, School of Health Sciences, Swinburne University of Technology, Melbourne AustraliaDepartment of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, EgyptDepartment of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Cairo, EgyptIntroduction This study aimed to examine the effects of moderate-intensity interval training (MIIT) on the quality of sleep and functional capacity in atrial fibrillation (AF) patients with different presentations of sleep apnoea after coronary artery bypass graft (CABG) surgery. Methods 18 participants with AF and sleep apnoea aged 45–65 years were assigned into two groups: AF with obstructive sleep apnoea group (group A, n 1 = 9) and AF with mixed sleep apnoea group (group B, n 2 = 9). Both groups received MIIT for ten weeks (3 sessions / week) and medical treatment (i.e., Continuous Positive Airway Pressure and drug therapy). Exclusion criteria were unstable cardiac comorbidities and neurological/musculoskeletal limitations to exercise intervention. Outcome measures included sleep parameters collected from the actigraphy, overall sleep quality rating domain of the Pittsburgh Sleep Quality Index (PSQI), and six-minute walk distance (6-MWD). Results Significant changes were present in the means of all outcomes in group A ( p < 0.05) and two outcomes (i.e., cut points & 6-MWD) in group B compared to baseline ( p < 0.05). Also, there were significant differences in the absolute mean changes from baseline (∆) between the two groups, in favour of group A, in sleep latency ( p < 0.001), total sleep duration ( p = 0.026), sleep efficiency ( p < 0.001), overall sleep quality rating item of the PSQI ( p = 0.001), and 6-MWD ( p = 0.008). Conclusions MIIT can be a supplementary therapeutic intervention that could contribute to greater positive changes in sleep quality and functional capacity in AF patients with obstructive sleep apnoea rather than in AF patients with mixed sleep apnoea post-CABG. MIIT could enhance the functional capacity independent of improving sleep quality in patients with AF and mixed sleep apnoea post-CABG.https://physioquart.awf.wroc.pl/Comparative-effects-of-moderate-intensity-interval-training-on-sleep-quality-and,156403,0,2.htmlsleep apnoeaatrial fibrillationmoderate-intensity interval trainingsleep qualityfunctional capacity6-minute walk distance
spellingShingle Hady Atef
Taulant Muka
Doa Elansary
Heba Mohammed Ali
Ahmad Mahdi Ahmad
Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
Physiotherapy Quarterly
sleep apnoea
atrial fibrillation
moderate-intensity interval training
sleep quality
functional capacity
6-minute walk distance
title Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
title_full Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
title_fullStr Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
title_full_unstemmed Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
title_short Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
title_sort comparative effects of moderate intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea
topic sleep apnoea
atrial fibrillation
moderate-intensity interval training
sleep quality
functional capacity
6-minute walk distance
url https://physioquart.awf.wroc.pl/Comparative-effects-of-moderate-intensity-interval-training-on-sleep-quality-and,156403,0,2.html
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