Informace o publikaci
Rehabilitation’s Role in Managing Quality of Life in Obstructive Sleep Apnea
| Autoři | |
|---|---|
| Rok publikování | 2025 |
| Druh | Kapitola v knize |
| Fakulta / Pracoviště MU | |
| Citace | |
| Popis | Obstructive sleep apnea (OSA) is a highly prevalent and serious health condition affecting nearly 1 billion individuals worldwide. People with OSA experience poor sleep quality (SQ) and diminished overall quality of life (QoL) due to significant daytime impairments, with excessive daytime sleepiness (EDS) being a primary and debilitating symptom for many. Additionally, OSA is associated with an increased risk of unintentional injuries and a wide range of comorbid conditions. The prevalence of OSA increases progressively with age and is strongly linked to factors such as weight gain, obesity, smoking, comorbid diseases, and alcohol consumption. Notably, 60–70% of individuals with OSA are overweight or obese, making obesity the most critical predictive factor. OSA significantly impacts physical, occupational, and mental functions, underscoring the need for comprehensive treatment strategies that address not only medical but also physical, psychological, and social dimensions. Continuous positive airway pressure (CPAP) is the gold standard for OSA management, but its effectiveness is often limited by poor adherence due to discomfort and other factors. For those unable to tolerate CPAP, supplemental or alternative therapies include rehabilitation methods such as myofunctional therapy (MFT), respiratory muscle training (RMT), exercise training, and lifestyle interventions focusing on behavioral changes and weight loss. Unfortunately, individuals with OSA are often less physically active, likely due to fatigue, EDS, and associated neurocognitive impairments. Nevertheless, regular physical activity and structured exercise are recognized as effective, cost-efficient, and well-tolerated adjunctive therapies for managing OSA and its risk factors. Combined lifestyle interventions, including dietary modification and exercise, along with MFT and possibly RMT, can reduce OSA severity, improve SQ, alleviate daytime impairments, and enhance overall QoL. However, further research is needed to substantiate these findings. Rehabilitation methods should thus be considered essential components of a comprehensive, multidisciplinary approach to OSA management. |
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