Maximal exercise capacity in patients with obstructive sleep apnoea syndrome: a systematic review and meta-analysis
Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( V ′ O 2 peak ) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V ′ O 2 peak in patients with obstructive sleep apnoea (OSA)...
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| Published in | The European respiratory journal Vol. 51; no. 6; p. 1702697 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
European Respiratory Society Journals Ltd
01.06.2018
European Respiratory Society |
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| Abstract | Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( V ′ O 2 peak ) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V ′ O 2 peak in patients with obstructive sleep apnoea (OSA).
A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing V ′ O 2 peak in OSA patients either in mL·kg −1 ·min −1 compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence.
Mean V ′ O 2 peak expressed in mL·kg −1 ·min −1 was significantly lower in patients with OSA than in controls (mean difference −2.7 mL·kg −1 ·min −1 ; p<0.001; n=850). This reduction in V ′ O 2 peak was found to be larger in non-obese patients (body mass index <30 kg·m −2 ). Mean V ′ O 2 peak % pred was 89.9% in OSA patients (n=643).
OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients. |
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| AbstractList | Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( V ′ O 2 peak ) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V ′ O 2 peak in patients with obstructive sleep apnoea (OSA). A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing V ′ O 2 peak in OSA patients either in mL·kg −1 ·min −1 compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence. Mean V ′ O 2 peak expressed in mL·kg −1 ·min −1 was significantly lower in patients with OSA than in controls (mean difference −2.7 mL·kg −1 ·min −1 ; p<0.001; n=850). This reduction in V ′ O 2 peak was found to be larger in non-obese patients (body mass index <30 kg·m −2 ). Mean V ′ O 2 peak % pred was 89.9% in OSA patients (n=643). OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients. Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( V ′ O 2 peak ) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V ′ O 2 peak in patients with obstructive sleep apnoea (OSA). A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing V ′ O 2 peak in OSA patients either in mL·kg −1 ·min −1 compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence. Mean V ′ O 2 peak expressed in mL·kg −1 ·min −1 was significantly lower in patients with OSA than in controls (mean difference −2.7 mL·kg −1 ·min −1 ; p<0.001; n=850). This reduction in V ′ O 2 peak was found to be larger in non-obese patients (body mass index <30 kg·m −2 ). Mean V ′ O 2 peak % pred was 89.9% in OSA patients (n=643). OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients. Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( ' ) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding ' in patients with obstructive sleep apnoea (OSA).A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing ' in OSA patients either in mL·kg ·min compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence.Mean ' expressed in mL·kg ·min was significantly lower in patients with OSA than in controls (mean difference -2.7 mL·kg ·min ; p<0.001; n=850). This reduction in ' was found to be larger in non-obese patients (body mass index <30 kg·m ). Mean ' % pred was 89.9% in OSA patients (n=643).OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients. Maximal aerobic capacity is a strong health predictor and peak oxygen consumption (V′O2peak) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V′O2peak in patients with obstructive sleep apnoea (OSA).A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing V′O2peak in OSA patients either in mL·kg−1·min−1 compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence.Mean V′O2peak expressed in mL·kg−1·min−1 was significantly lower in patients with OSA than in controls (mean difference −2.7 mL·kg−1·min−1; p<0.001; n=850). This reduction in V′O2peak was found to be larger in non-obese patients (body mass index <30 kg·m−2). Mean V′O2peak % pred was 89.9% in OSA patients (n=643).OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients. Maximal aerobic capacity is a strong health predictor and peak oxygen consumption (V'O2peak) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V'O2peak in patients with obstructive sleep apnoea (OSA).A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing V'O2peak in OSA patients either in mL·kg-1·min-1 compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence.Mean V'O2peak expressed in mL·kg-1·min-1 was significantly lower in patients with OSA than in controls (mean difference -2.7 mL·kg-1·min-1; p<0.001; n=850). This reduction in V'O2peak was found to be larger in non-obese patients (body mass index <30 kg·m-2). Mean V'O2peak % pred was 89.9% in OSA patients (n=643).OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients.Maximal aerobic capacity is a strong health predictor and peak oxygen consumption (V'O2peak) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regarding V'O2peak in patients with obstructive sleep apnoea (OSA).A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessing V'O2peak in OSA patients either in mL·kg-1·min-1 compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence.Mean V'O2peak expressed in mL·kg-1·min-1 was significantly lower in patients with OSA than in controls (mean difference -2.7 mL·kg-1·min-1; p<0.001; n=850). This reduction in V'O2peak was found to be larger in non-obese patients (body mass index <30 kg·m-2). Mean V'O2peak % pred was 89.9% in OSA patients (n=643).OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients. |
| Author | Tamisier, Renaud Flore, Patrice Vivodtzev, Isabelle Verges, Samuel Doutreleau, Stéphane Mendelson, Monique Marillier, Mathieu Pépin, Jean-Louis Bailly, Sébastien Borel, Jean-Christian |
| Author_xml | – sequence: 1 givenname: Monique surname: Mendelson fullname: Mendelson, Monique – sequence: 2 givenname: Mathieu surname: Marillier fullname: Marillier, Mathieu – sequence: 3 givenname: Sébastien surname: Bailly fullname: Bailly, Sébastien – sequence: 4 givenname: Patrice surname: Flore fullname: Flore, Patrice – sequence: 5 givenname: Jean-Christian surname: Borel fullname: Borel, Jean-Christian – sequence: 6 givenname: Isabelle orcidid: 0000-0002-5201-8603 surname: Vivodtzev fullname: Vivodtzev, Isabelle – sequence: 7 givenname: Stéphane surname: Doutreleau fullname: Doutreleau, Stéphane – sequence: 8 givenname: Renaud orcidid: 0000-0003-1128-6529 surname: Tamisier fullname: Tamisier, Renaud – sequence: 9 givenname: Jean-Louis surname: Pépin fullname: Pépin, Jean-Louis – sequence: 10 givenname: Samuel surname: Verges fullname: Verges, Samuel |
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| Snippet | Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( V ′ O 2 peak ) is considered a reflection of total body health. No... Maximal aerobic capacity is a strong health predictor and peak oxygen consumption ( ' ) is considered a reflection of total body health. No systematic reviews... Maximal aerobic capacity is a strong health predictor and peak oxygen consumption (V′O2peak) is considered a reflection of total body health. No systematic... Maximal aerobic capacity is a strong health predictor and peak oxygen consumption (V'O2peak) is considered a reflection of total body health. No systematic... |
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| SubjectTerms | Aerobic capacity Apnea Body Mass Index Exercise Exercise Test Exercise Tolerance Humans Life Sciences Meta-analysis Oxygen Consumption Physical fitness Sleep Sleep apnea Sleep Apnea, Obstructive - physiopathology Sleep disorders Systematic review |
| Title | Maximal exercise capacity in patients with obstructive sleep apnoea syndrome: a systematic review and meta-analysis |
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