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Peer-reviewedCC BYSleep & breathing = Schlaf & Atmung

Effects of resistance training on subjective sleep quality, excessive daytime sleepiness, and quality of life in patients with obstructive sleep apnea: a secondary analysis from a randomized controlled trial.

  • José Ricardo Vieira de Almeida1
  • Daniela Karina da Silva Ferreira2
  • Victória Duarte de Arantes Lima2
  • Enrique Nascimento Nazário Dos Santos2
  • Nadja Sylmara Dos Santos de Oliveira Silva2
  • José Lucas Porto Aguiar3
  • Elton Carlos Felinto Dos Santos3
  • Antônio Henrique Germano-Soares4
  • Rodrigo Pinto Pedrosa3,5
  • Andrea Maculano Esteves6
  • Breno Quintella Farah7
  • Ozeas de Lima Lins-Filho8,9
9 affiliations
  1. 1Graduate Program in Physical Education, Federal University of Pernambuco, Av. dos Reitores. S/N Cidade Universitária, Recife, Brazil.
  2. 2Department of Physical Education, Federal University of Pernambuco, Recife, Brazil.
  3. 3Graduate Program in Health Sciences, University of Pernambuco, Recife, Brazil.
  4. 4Department of Physical Education, Faculdade Pernambucana de Saúde, Recife, Brazil.
  5. 5Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil.
  6. 6Laboratory of Sleep and Exercise, School of Applied Sciences, State University of Campinas, Limeira, Brazil.
  7. 7Graduate Program in Movement Sciences, Federal Rural University of Pernambuco, Recife, Brazil.
  8. 8Graduate Program in Physical Education, Federal University of Pernambuco, Av. dos Reitores. S/N Cidade Universitária, Recife, Brazil. [email protected].
  9. 9Department of Physical Education, Federal University of Pernambuco, Recife, Brazil. [email protected].
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Abstract

Purpose

This study aimed to verify the effect of eight weeks of resistance training (RT) on subjective sleep quality, daytime sleepiness, and quality of life in adults with OSA.Methods

In this randomized controlled clinical trial, 25 adults with moderate to severe OSA (age: 54.6 ± 7.2 years; BMI: 36.1 ± 7.9 kg/m²; apnea-hypopnea index: 52.2 ± 27.4 events/hour) were included. Participants were randomized into an RT group (three sessions per week) or a control group [CG (two sessions per week)]. Sleep quality, excessive daytime sleepiness, and quality of life were assessed using the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), SF-36, respectively. Generalized estimated equations verified differences between groups over time.Results

Differences were observed in domains sleep latency (RT: Δ -1.0 ± 0.3 vs. CG: 0.2 ± 0.2; p = 0.018), sleep duration (RT: Δ -0.6 ± 0.3 vs. CG: -0.2 ± 0.2; p = 0.012), sleeping medication (RT: Δ -0.2 ± 0.1 vs. CG: 0.8 ± 0.3; p = 0.007), and overall PSQI score (RT: Δ -3.2 ± 0.6 vs. CG: 0.2 ± 0.8; p = 0.004). Regarding SF-36, differences were found in emotional aspects (RT: Δ 29.6 ± 14.8 vs. CG: -17.9 ± 10.0; p = 0.008) and global score (RT: Δ 10.8 ± 3.3 vs. CG: -3.4 ± 3.1; p = 0.002) were observed. No difference was observed in ESS.Conclusion

An eight-week RT program improves subjective sleep quality and quality of life in adults with moderate to severe OSA. Clinical trial registration (Brazilian Clinical Trials Registry [ReBec]): # RBR-2rg97kz. Date of registration: 01/17/2025.

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Cite

BibTeXRIS
BibTeX
@article{almeida2026effects,
  title = {{Effects of resistance training on subjective sleep quality, excessive daytime sleepiness, and quality of life in patients with obstructive sleep apnea: a secondary analysis from a randomized controlled trial.}},
  author = {José Ricardo Vieira de Almeida and Daniela Karina da Silva Ferreira and Victória Duarte de Arantes Lima and Enrique Nascimento Nazário Dos Santos and Nadja Sylmara Dos Santos de Oliveira Silva and José Lucas Porto Aguiar and Elton Carlos Felinto Dos Santos and Antônio Henrique Germano-Soares and Rodrigo Pinto Pedrosa and Andrea Maculano Esteves and Breno Quintella Farah and Ozeas de Lima Lins-Filho},
  journal = {Sleep \& breathing = Schlaf \& Atmung},
  year = {2026},
  month = oct,
  doi = {10.1007/s11325-026-03842-5},
  url = {https://europepmc.org/article/MED/42900248},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Effects of resistance training on subjective sleep quality, excessive daytime sleepiness, and quality of life in patients with obstructive sleep apnea: a secondary analysis from a randomized controlled trial.
AU  - José Ricardo Vieira de Almeida
AU  - Daniela Karina da Silva Ferreira
AU  - Victória Duarte de Arantes Lima
AU  - Enrique Nascimento Nazário Dos Santos
AU  - Nadja Sylmara Dos Santos de Oliveira Silva
AU  - José Lucas Porto Aguiar
AU  - Elton Carlos Felinto Dos Santos
AU  - Antônio Henrique Germano-Soares
AU  - Rodrigo Pinto Pedrosa
AU  - Andrea Maculano Esteves
AU  - Breno Quintella Farah
AU  - Ozeas de Lima Lins-Filho
PY  - 2026
DA  - 2026/10/20
JO  - Sleep & breathing = Schlaf & Atmung
DO  - 10.1007/s11325-026-03842-5
UR  - https://europepmc.org/article/MED/42900248
AB  - Purpose  This study aimed to verify the effect of eight weeks of resistance training (RT) on subjective sleep quality, daytime sleepiness, and quality of life in adults with OSA.Methods  In this randomized controlled clinical trial, 25 adults with moderate to severe OSA (age: 54.6 ± 7.2 years; BMI: 36.1 ± 7.9 kg/m²; apnea-hypopnea index: 52.2 ± 27.4 events/hour) were included. Participants were randomized into an RT group (three sessions per week) or a control group [CG (two sessions per week)]. Sleep quality, excessive daytime sleepiness, and quality of life were assessed using the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), SF-36, respectively. Generalized estimated equations verified differences between groups over time.Results  Differences were observed in domains sleep latency (RT: Δ -1.0 ± 0.3 vs. CG: 0.2 ± 0.2; p = 0.018), sleep duration (RT: Δ -0.6 ± 0.3 vs. CG: -0.2 ± 0.2; p = 0.012), sleeping medication (RT: Δ -0.2 ± 0.1 vs. CG: 0.8 ± 0.3; p = 0.007), and overall PSQI score (RT: Δ -3.2 ± 0.6 vs. CG: 0.2 ± 0.8; p = 0.004). Regarding SF-36, differences were found in emotional aspects (RT: Δ 29.6 ± 14.8 vs. CG: -17.9 ± 10.0; p = 0.008) and global score (RT: Δ 10.8 ± 3.3 vs. CG: -3.4 ± 3.1; p = 0.002) were observed. No difference was observed in ESS.Conclusion  An eight-week RT program improves subjective sleep quality and quality of life in adults with moderate to severe OSA. Clinical trial registration (Brazilian Clinical Trials Registry [ReBec]): # RBR-2rg97kz. Date of registration: 01/17/2025.
SN  - 1520-9512
SN  - 1522-1709
ER  -