Journal
CHRONIC RESPIRATORY DISEASE
Volume 14, Issue 4, Pages 342-351Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1479972316643699
Keywords
Energy expenditure; obstructive sleep apnoea; obesity; exercise; weight supported; weight unsupported
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Funding
- National Institute for Health Research (NIHR)
- National Institute for Health Research [CL-2010-11-002] Funding Source: researchfish
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To inform recommendations for the exercise component of a healthy lifestyle intervention for adults with obesity and treated obstructive sleep apnoea (OSA), we investigated the total energy expenditure (EE) and cardiorespiratory response to weight-supported (cycling) and unsupported (walking) exercise. Individuals with treated OSA and a body mass index (BMI) > 30 kg/m(2) performed an incremental cardiopulmonary exercise test on a cycle ergometer and a treadmill to determine the peak oxygen uptake ((V) over dotO(2pk)). Participants subsequently completed two endurance tests on each modality, matched at 80% and 60% of the highest (V) over dotO(2pk) determined by the incremental tests, to intolerance. The cardiorespiratory response was measured and total EE was estimated from the (V) over dotO(2). Sixteen participants completed all six tests: mean [SD] age 57 [13] years and median [IQ range] BMI 33.3 [30.8-35.3] kg/m(2). Total EE during treadmill walking was greater than cycling at both high (158 [101] vs. 29 [15] kcal; p < 0.001) and moderate (178 [100] vs. 85 [59] kcal; p = 0.002) intensities, respectively, with similar cardiorespiratory responses and pattern of EE during rest, exercise and recovery. Contrary to current guidelines, walking might be the preferred training modality to achieve the combination of weight loss and increased cardiorespiratory fitness in adults with obesity and treated OSA.
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