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

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, stud...

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Main Authors: Rafael Mathias Pitta, Bruno Gion Cerazi, Luana Queiroga, Raphael Mendes Ritti Dias, Marco Túlio de Mello, Fernando Henpin Yue Cesena, Roberta Luksevicius Rica, Julien Steven Baker, Marcio Sommer, Gabriel Grizzo Cucato, Danilo Sales Bocalini, Oskar Kauffman
Format: Article
Language:English
Published: Associação Paulista de Medicina 2022-02-01
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005004201&tlng=en
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author Rafael Mathias Pitta
Bruno Gion Cerazi
Luana Queiroga
Raphael Mendes Ritti Dias
Marco Túlio de Mello
Fernando Henpin Yue Cesena
Roberta Luksevicius Rica
Julien Steven Baker
Marcio Sommer
Gabriel Grizzo Cucato
Danilo Sales Bocalini
Oskar Kauffman
author_facet Rafael Mathias Pitta
Bruno Gion Cerazi
Luana Queiroga
Raphael Mendes Ritti Dias
Marco Túlio de Mello
Fernando Henpin Yue Cesena
Roberta Luksevicius Rica
Julien Steven Baker
Marcio Sommer
Gabriel Grizzo Cucato
Danilo Sales Bocalini
Oskar Kauffman
author_sort Rafael Mathias Pitta
collection DOAJ
description 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.
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spelling doaj.art-ebe7f7f5cb7b41d1b9365ef20b264eae2022-12-21T20:21:13ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-02-0110.1590/1516-3180.2020.0651.r2.08062021Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional studyRafael Mathias Pittahttps://orcid.org/0000-0003-2341-4698Bruno Gion Cerazihttps://orcid.org/0000-0002-9117-8095Luana Queirogahttps://orcid.org/0000-0001-5338-1925Raphael Mendes Ritti Diashttps://orcid.org/0000-0001-7883-6746Marco Túlio de Mellohttps://orcid.org/0000-0002-7280-8493Fernando Henpin Yue Cesenahttps://orcid.org/0000-0002-1051-9434Roberta Luksevicius Ricahttps://orcid.org/0000-0002-6145-1337Julien Steven BakerMarcio Sommerhttps://orcid.org/0000-0002-3711-1754Gabriel Grizzo Cucatohttps://orcid.org/0000-0002-2060-8852Danilo Sales Bocalinihttps://orcid.org/0000-0003-3993-8277Oskar Kauffmanhttps://orcid.org/0000-0002-6060-4805Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005004201&tlng=enObesitySleep apnea, obstructiveExerciseSedentary behaviorPolysomnographySleep apneaPhysical activitySedentary lifestyleSleep monitoringSedentary time
spellingShingle Rafael Mathias Pitta
Bruno Gion Cerazi
Luana Queiroga
Raphael Mendes Ritti Dias
Marco Túlio de Mello
Fernando Henpin Yue Cesena
Roberta Luksevicius Rica
Julien Steven Baker
Marcio Sommer
Gabriel Grizzo Cucato
Danilo Sales Bocalini
Oskar Kauffman
Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
São Paulo Medical Journal
Obesity
Sleep apnea, obstructive
Exercise
Sedentary behavior
Polysomnography
Sleep apnea
Physical activity
Sedentary lifestyle
Sleep monitoring
Sedentary time
title Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
title_full Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
title_fullStr Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
title_full_unstemmed Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
title_short Are physical inactivity, sitting time and screen time associated with obstructive sleep apnea in adults? A cross-sectional study
title_sort are physical inactivity sitting time and screen time associated with obstructive sleep apnea in adults a cross sectional study
topic Obesity
Sleep apnea, obstructive
Exercise
Sedentary behavior
Polysomnography
Sleep apnea
Physical activity
Sedentary lifestyle
Sleep monitoring
Sedentary time
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005004201&tlng=en
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