Journal
OBESITY
Volume 14, Issue 11, Pages 1985-1991Publisher
NORTH AMER ASSOC STUDY OBESITY
DOI: 10.1038/oby.2006.232
Keywords
sleep-disordered breathing; symptoms; sex; race
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Funding
- NIDDK NIH HHS [R01 DK060692-04, R01 DK060692-02, R01 DK070922, R01 DK070922-02, DK70922, R01 DK060692-01A1, DK60692, R01 DK060692, R01 DK060692-03, R01 DK070922-01] Funding Source: Medline
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Objective: To determine whether regular aerobic exercise improves symptoms of sleep-disordered breathing in overweight children, as has been shown in adults. Research Methods and Procedures: Healthy but overweight (BMI >= 85th percentile) 7- to 11-year-old children were recruited from public schools for a randomized controlled trial of exercise effects on diabetes risk. One hundred children (53% black, 41% male) were randomly assigned to a control group (n = 27), a low-dose exercise group (n = 36), or a high-dose exercise group (n = 37). Exercise groups underwent a 13 1.5 week after-school program that provided 20 or 40 minutes per day of aerobic exercise (average heart rate = 164 beats per minute). Group changes were compared on BMI z-score and four Pediatric Sleep Questionnaire scales: Snoring, Sleepiness, Behavior, and a summary scale, Sleep-Related Breathing Disorders. Analyses were adjusted for age. Results: Both the high-dose and low-dose exercise groups improved more than the control group on the Snoring scale. The high-dose exercise group improved more than the lowdose exercise and control groups on the summary scale. No group differences were found for changes on Sleepiness, Behavior, or BMI z-score. At baseline, 25% screened positive for sleep-disordered breathing; half improved to a negative screen after intervention. Discussion: Regular vigorous exercise can improve snoring, a symptom of sleep-disordered breathing, in overweight children. Aerobic exercise programs may be valuable for prevention and treatment of sleep-disordered breathing in overweight children.
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