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Patients with obstructive sleep apnea (OSA) are less physically active than healthy controls.
First choice of treatment for OSA is continuous positive airway pressure (CPAP) therapy with an improvement in oxygen saturation and sleep. No improvement on physical activity has been shown.
The current study would randomize patients in a standard care group (CPAP) and an intervention group (CPAP + telecoaching). Telecoaching will be performed for 3 months, with physical activity assessment before, after 3 months and 12 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Active Comparator | Patients will receive standard care, being CPAP treatment |
|
| Intervention group | Experimental | Patients will receive CPAP and telecoaching |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telecoaching | Other | Patients in the intervention arm will receive a step counter and a cell phone with an app on which the amount of steps are daily sent to. Initial targets on steps per day will be discussed with the patient after an activity monitoring before the telecoaching procedure. Dependent whether the patient reaches his/her proposed goal each week, new goals are set. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in steps per day after 3 months | Steps per day as measured by a step counter | The change will be measured after 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of patients with an increase > 1,000 steps per day | After 3 months (end of telecoaching) and after 12 months | |
| The proportion of patients with > 7500 steps/day | Before initiation of telecoaching (baseline), after 3 months (end of telecoaching) and after 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
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Randomized controlled trial
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|
| CPAP | Device | Patients will receive CPAP according to standard care |
|
| Change in functional exercise capacity | 6-minute walking distance | 3 months and 12 months compared with baseline |
| Change in daytime sleepiness | Epworth Sleepiness Scale | 3 months and 12 months compared with baseline |
| Change in sleep quality | Pittsburgh Sleep Quality Index | 3 months and 12 months compared with baseline |
| Change in endothelial function | Endo-PAT 2000 measurement | 3 months and 12 months compared with baseline |
| Change in body composition | Bodystat 1500 measurement | 3 months and 12 months compared with baseline |
| Change in quality of life | SF-36 questionnaire | 3 months and 12 months compared with baseline |
| Change in steps per day after 12 months | Steps per day as measured by a step counter | The change will be measured after 12 months |
| D012140 |
| Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |