Journal Article

A Comparison of Respiratory Functions, Functional Capacity and Quality of Sleep in Patients with OSAS and COPD Compared to Healthy Controls/OUAS'li ve KOAH'li Hastalarla Saglikli Kisiler Arasinda Solunum Fonksiyonlari, Fonksiyonel Kapasite ve Uyku Kalitesinin Karsilastirilmasi

Caliskan, Hakan, Ardic, Sadik, Ege, Melike Yuce, Coplu, Lutfi, Saglam, Melda, Savci, Sema, Erturk, Nurel, Kilic, Kubra, Ince, Deniz Inal, Yagli, Naciye Vardar, Firat, Hikmet, Arikan, Hulya, Kutukcu, Ebru Calik

2020

Overview

Objective: The purpose of this study was to compare the respiratory functions, exercise performance, and quality of sleep in patients with Obstructive Sleep Apnea syndrome (OSAS) and Chronic Obstructive Pulmonary disease (COPD) compared to healthy individuals. Materials and Methods: Seventeen patients with OSAS (12 M, 5 F), 24 patients with COPD (20 M, 4 F) and 20 healthy subjects (15 M, 5 F) participated in this cross-sectional study. Respiratory function and muscle strength tests were performed. Knee extensors, shoulder abductors, and hand grip strength were measured in patients with OSAS and COPD using a digital hand-held dynamometer. Exercise performance was evaluated using a 6-minute walk test (6MWT), and sleep quality was assessed by the Pittsburgh Sleep Quality index (PSQI). Results: The 6MWT distance, 6MWT% distance, actual and percentage values of shoulder abductors muscle strength of patients with COPD were significantly lower than those of the OSAS group (p<0.05). According to PSQI recordings, 58.8% of OSAS patients' sleep quality, 58.3% COPD patients' sleep quality, and 15.0% of healthy individuals' sleep quality were poor (p=0.006). The PSQI-sleep disturbance, daytime dysfunction, habitual sleep efficiency subdimensions, and total scores of PSQI in OSAS and COPD group were higher than those of healthy individuals (p<0.05). Conclusion: This study showed that sleep quality is adversely affected in both OSAS and COPD patients and sleep disturbance and daytime dysfunction increases and habitual sleep efficiency decreases in OSAS and COPD patients compared to those of healthy individuals. Keywords: Obstructive sleep apnea, exercise test, muscle strength, respiratory muscles, Chronic Obstructive Pulmonary disease Amac: Bu calismanin amaci Obstruktif Uyku Apne sendromu (OUAS) ve Kronik Obstruktif Akciger hastaligi (KOAH) olan hastalarda solunum fonksiyonlari, egzersiz performansi ve uyku kalitesini saglikli bireylerle karsilastirmaktir. Gerec ve Yontem: Bu kesitsel calismaya 17 OUAS'li hasta (12 erkek, 5 kadin), 24 KOAH'li hasta (20 erkek, 4 kadin) ve 20 saglikli birey (15 erkek, 5 kadin) katildi. Solunum fonksiyonu ve kas kuvvet testleri yapildi. OUAS ve KOAH'li hastalarda diz ekstansorleri, omuz abduktorleri ve el kavrama kuvveti dijital el dinamometresi kullanilarak olculdu. Egzersiz performansi 6 dakika yurume testi (6DYT) kullanilarak, uyku kalitesi Pittsburgh Uyku Kalitesi indeksi (PUKI) ile degerlendirildi. Bulgular: KOAH'li hastalarin 6DYT mesafesi, 6DYT mesafesi (%), omuz abduktorleri kas kuvveti olculen ve yuzde degerleri OUAS grubuna gore anlamli olarak dusuktu (p<0,05). PUKI kayitlarina gore OUAS hastalarinin %58,8'inin, KOAH hastalarinin %58,3'unun ve saglikli bireylerin %15,0'inin uyku kalitesi zayifti (p=0,006). OUAS ve KOAH grubunda PUKI-uyku bozuklugu, gunduz fonksiyon bozuklugu, alisilmis uyku etkinligi alt boyutlari ve toplam PUKI skorlari saglikli bireylerden daha yuksekti (p<0,05). Sonuc: Bu calisma, hem OUAS hem de KOAH hastalarinda uyku kalitesinin olumsuz etkilendigini ve sa u likli bireylere gore OUAS ve KOAH hastalarinda uyku bozuklugu ve gnduz fonksiyon bozuklugunun arttigini ve alisilmis uyku etkinliginin azaldigini gostermistir. Anahtar Kelimeler: Obstruktif uyku apnesi, egzersiz testi, kas kuvveti, solunum kaslari, Kronik Obstruktif Akciger hastaligi

• Publisher: Galenos Yayinevi Tic. Ltd
• Subject: Care and treatment / Chronic obstructive lung disease / Comparative analysis / Sleep / Sleep apnea