Comparison of the Effects of the Somatotype on the Physical Ac-tivity, Kinesiophobia, and Fatigue Levels of Obstructive Sleep Apnea Syndrome Patients and Healthy Individuals
Background: We aimed to compare the physical activity, kinesiophobia, and fatigue levels of obstructive sleep apnea syndrome (OSAS) patients and healthy individuals in terms their somatotypes.
Methods: A total of 165 individuals were enrolled referred to the Department of Chest Diseases Sleep Disorders Center Outpatient Clinic of Inonu University, Malatya, Turkey in 2018. The somatotype analysis was conducted using the Heath-Carter method, the fatigue level was assessed using the Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale, the kinesiophobia level was assessed using the Tampa Scale for Kinesiophobia (TSK), and the physical activity level was assessed using the International Physical Activity Questionnaire (IPAQ).
Results: The results of the somatotype analysis revealed 3 different somatotypes in the healthy individuals and the OSAS patients’ mesomorph endomorph, endomorphic mesomorph, and mesomorphic endomorph. When comparing the somatotypes of the healthy individuals and the OSAS patients, statistically significant differences were found in the FACIT scores of the mesomorph endomorphs, the IPAQ and FACIT scores of the endomorphic mesomorphs, and the TSK and FACIT scores of the mesomorphic endomorphs (P<0.05).
Conclusion: In all three somatotypes of the OSAS patients, the fatigue index scores were higher when compared to those of the healthy individuals. Moreover, when compared with the healthy individuals, the physical activity levels of the endomorphic mesomorphs with OSAS were low, while the kinesiophobia scores of the mesomorphic endomorphs with OSAS were high. Based on the results of this study, in OSAS patients, the endomorphic mesomorph somatotype could be a risk factor for reduced physical activity, while the mesomorphic endomorph somatotype could be a risk factor for increased kinesiophobia.
2. Punjabi NM, Beamer BA (2009). Alterations in glucose disposal in sleep-disordered breathing. Am J Respir Crit Care Med, 179(3): 235-40.
3. Vgontzas AN, Papanicolaou DA, Bixler EO, et al (2000). Sleep apnea and daytime sleepiness and fatigue: relation to visceral obesity, insulin resistance, and hypercyto-kinemia. J Clin Endocrinol Metab, 85(3): 1151-8.
4. Sengul YS, Ozalevli S, Oztura I, et al (2011). The effect of exercise on obstructive sleep apnea: a randomized and controlled trial. Sleep Breath, 15(1): 49-56.
5. Braley TJ, Segal BM, Chervin RD (2014). Obstructive sleep apnea and fatigue in patients with multiple sclerosis. J Clin Sleep Med, 10(02): 155-162.
6. Benbir G, Karadeniz D (2010). Sleep related breathing disorders: Obstructive sleep apnea syndrome. Turkiye Klinikleri J Neu-rol-Special Topics 3:27-40.
7. Duquet W, Carter JEL (2009). Volume one: anthropometry. In: Eston R, Reilly T, editors. Somatotyping, kinanthropometry, and exercise physiology laboratory manual tests, procedures, and data. 3rd ed. London: Routledge Tay-lor and Francis Group, New York, pp.:54-72.
8. Iftikhar IH, Kline CE, Youngstedt SD (2014). Effects of exercise training on sleep apnea: a meta-analysis. Lung, 192(1): 175-184.
9. Tuomilehto H, Gylling H, Peltonen M, et al (2010). Sustained improvement in mild obstructive sleep apnea after a diet- and physical activity-based lifestyle interven-tion: postinterventional follow-up. Am J Clin Nutr, 92(4): 688-96.
10. Igelström H, Emtner M, Lindberg E, et al (2013). Level of agreement between methods for measuring moderate to vig-orous physical activity and sedentary time in people with obstructive sleep apnea and obesity. Phys Ther, 93(1): 50-9.
11. Baumgardner RN, Cameron C, Roche AF (1998). Bioelectrical impedance for body composition. Am J Clin Nutr, 48: 16-25.
12. Sağlam M, Arıkan H, Savcı S, et al (2010). In-ternational physical activity questionnaire: reliability and validity of the Turkish ver-sion. Percept Mot Skills, 111(21): 278-84.
13. Ainsworth Be, Haskell Wl, Whitt Mc, et al (2000). Compendium of physical activi-ties: an update of activity codes and MET intensities. Med Sci Sports Exerc, 32(9): S498-504.
14. Vlaeyen JWS, Linton SJ (2000). Fear-avoidance and its consequences in chron-ic musculoskeletal pain: a state of the art. Pain, 85(3): 317-332.
15. Tennant KF (2015). Assessment of fatigue in older adults: the FACIT fatigue scale (version 4). Psychosom Med, 65: 771-777.
16. Norton K, Whittingham N, Carter L, et al. Measurement tecniques in anthropome-try. In: Norton K, Olds T. (eds) Anthro-pometrica: a textbook of body measurement for sports and health courses, 4th ed. UNSW Press, Sydney, pp.:25-73.
17. Igelström H, Emtner M, Lindberg E, et al (2013). Physical activity and sedentary time in persons with obstructive sleep apnea and overweight enrolled in a ran-domized controlled trial for enhanced physical activity and healthy eating. Sleep Breath, 17(4): 1257-66.
18. Jhamb M, Liang K, Yabes J, et al (2013). Prevalence and correlates of fatigue in chronic kidney disease and end-stage re-nal disease: are sleep disorders a key to understanding fatigue? Am J Nephrol, 8(6):489-95.
19. Mercanti LB, Bezerra MLDS, Fernandes Filho J, et al (2004). Dermatoglyphics and body composition in obstructive sleep apnea. Arq Neuropsiquiatr, 62(3B): 858-64.
20. Yu JC, Berger III P (2011). Sleep apnea and obesity. SD Med, 28-34.
|Issue||Vol 50 No 5 (2021)|
|Sleep apnea syndrome Somatotype Fatigue Kinesiophobia Physical activity|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|