Artículos de revistas
Is There An Association Between Body Composition, Basal Metabolic Rate, And Sleep In Elderly Patients With And Without Obstructive Sleep Apnea? [existe Associação Entre A Composição Corporal, Taxa Metabólica Basal E Sono Em Pacientes Idosos Com E Sem Apneia Obstrutiva Do Sono?]
Registro en:
Sleep Science. Flass, v. 6, n. 4, p. 129 - 134, 2014.
19840659
2-s2.0-84896861420
Autor
Boscolo R.A.
Esteves A.M.
de Santana M.G.
Viana V.A.R.
Grassmann V.
Tufik S.
de Mello M.T.
Institución
Resumen
Objectives: Aging is associated with morphological, functional, biochemical, and psychological alterations. The aim of this study was to verify whether basal metabolic rate (BMR) is associated with body composition and sleep in elderly men with or without obstructive sleep apnea (OSA). Methods: We evaluated 95 elderly men (69.1 ± 3.4 years old) divided into OSA and non-OSA groups. The protocol included polysomnography, BMR (performed the morning after polysomnography) and body composition evaluations. Results: The results showed that body mass index (BMI) and REM sleep percentage were positively correlated with BMR and negatively related to stage 1 sleep percentage. This model can explain 40% of the BMR variation observed. BMR was positively correlated with morphologic variables and sleep efficiency. In addition, we observed negative correlations of BMR with sleep latency and wake after sleep onset. When comparing the groups, the OSA group had higher values for weight, fat mass, arousals, and apnea-hypopnea index. The OSA group had lower percentage of REM sleep and levels of fat-free mass. Conclusion: This study identified significant associations among BMR, BMI and some sleep variables (stage 1 and REM). Despite the differences between groups in AHI, arousals some sleep parameters, weight and fat mass, BMR was not different between the OSA and non-OSA group. 6 4 129 134 Carvalho Filho, E.T., Fisiologia do envelhecimento (1996) Gerontologia: A velhice e o envelhecimento em visão globalizada., pp. 60-69. , In: Netto MP. 1a ed. São Paulo: Atheneu Cohn, S.H., Vartsky, D., Yasumura, S., Sawitsky, A., Zanzi, I., Vaswani, A., Compartmental body composition based on total-body nitrogen, potassium, and calcium (1980) Am J Physiol., 239 (6), pp. E524-E530. , PMID: 7446727 Young, V.R., Macronutrient needs in the elderly (1992) Nutr Rev., 50 (12), pp. 454-462. , http://dx.doi.org/10.1111/j.1753-4887.1992.tb02502.x, PMID: 1488189 DOI Keys, A., Taylor, H.L., Grande, F., Basal metabolism and age of adult man (1973) Metabolism., 22 (4), pp. 579-587. , http://dx.doi.org/10.1016/0026-0495(73)90071-1, PMID: 4696902 DOI Poehlman, E.T., Energy expenditure and requirements in aging humans (1992) J Nutr., 122 (11), pp. 2057-2065. , PMID: 1432248 Roberts, S.B., Rosenberg, I., Nutrition and aging: Changes in the regulation of energy metabolism with aging (2006) Physiol Rev., 86 (2), pp. 651-667. , http://dx.doi.org/10.1152/physrev.00019.2005, PMID: 16601270 DOI Fukagawa, N.K., Bandini, L.G., Young, J.B., Effect of age on body composition and resting metabolic rate (1990) Am J Physiol., 259 (2 PART 1), pp. E233-E238. , PMID: 2382714 Siegel, J.M., Clues to the functions of mammalian sleep (2005) Nature., 437 (7063), pp. 1264-1271. , http://dx.doi.org/10.1038/nature04285, PMID: 16251951 DOI McGhie, A., Russell, S.M., The subjective assessment of normal sleep patterns (1962) Br J Psychiatry., 108, pp. 642-654. , http://dx.doi.org/10.1192/bjp.108.456.642, DOI Zepelin, H., A survey of age differences in sleep patterns and dream recall among well-educated men and women (1973) Sleep Res., 2, p. 81 Ancoli-Israel, S., Sleep and its disorders in aging populations (2009) Sleep Med., 10 (SUPPL. 1), pp. S7-S11. , http://dx.doi.org/10.1016/j.sleep.2009.07.004, DOI Vgontzas, A.N., Kales, A., Sleep and its disorders (1999) Annu Rev Med., 50, pp. 387-400. , http://dx.doi.org/10.1146/annurev.med.50.1.387, PMID: 10073285 DOI Bixler, E.O., Vgontzas, A.N., Ten Have, T., Tyson, K., Kales, A., Effects of age on sleep apnea in men: I. Prevalence and severity (1998) Am J Respir Crit Care Med., 157 (1), pp. 144-148. , http://dx.doi.org/10.1164/ajrccm.157.1.9706079, DOI Groth, M., Sleep apnea in the elderly (2005) Clin Geriatr Med., 21 (4), pp. 701-712. , http://dx.doi.org/10.1016/j.cger.2005.06.009, DOI Roffwarg, H.P., Muzio, J.N., Dement, W.C., Ontogenetic development of the human sleep-dream cycle (1966) Science., 152 (3722), pp. 604-619. , http://dx.doi.org/10.1126/science.152.3722.604, PMID: 17779492 DOI Kawamura, H., Sawyer, C.H., Elevation in brain temperature during paradoxical sleep (1965) Science., 150 (3698), pp. 912-913. , http://dx.doi.org/10.1126/science.150.3698.912, PMID: 5835794 DOI Bernhard, A.E., The primary function of REM sleep (2006) Preliminary draft., pp. 1-17. , http://cogprints.org/5125/1/Primary_Function_of_REM_sleep_(preliminary_draft).pdf, [Acessed in: Jan 27 2014]. Available at (2005) The international classification of sleep disorders: Diagnostic and coding manual., , American Academy of Sleep Medicine. 2nd.ed. Westchester: Diagnostic Classification Steering Committee Rechtschaffen, A., Kales, A., (1968) Manual of standardized terminology, techniques, and scoring system for sleep stages of human subjects., , Los Angeles: Brain Information Service/Brain Research Institute Nieman, D.C., Austin, M.D., Benezra, L., Pearce, S., McInnis, T., Unick, J., Validation of Cosmed's FitMate in measuring oxygen consumption and estimating resting metabolic rate (2006) Res Sports Med., 14 (2), pp. 89-96. , http://dx.doi.org/10.1080/15438620600651512, DOI Compher, C., Frankenfield, D., Keim, N., Roth-Yousey, L., Best practice methods to apply to measurement of resting metabolic rate in adults: A systematic review (2006) J Am Diet Assoc., 106 (6), pp. 881-903. , http://dx.doi.org/10.1016/j.jada.2006.02.009, Evidence Analysis Working Group. DOI Dempster, P., Aitkens, S., A new air displacement method for the determination of human body composition (1995) Med Sci Sports Exerc., 27 (12), pp. 1692-1697 Vaughan, L., Zurlo, F., Ravussin, E., Aging and energy expenditure (1991) Am J Clin Nutr., 53 (4), pp. 821-825. , PMID: 2008859 Hughes, V.A., Frontera, W.R., Roubenoff, R., Evans, W.J., Singh, M.A., Longitudinal changes in body composition in older men and women: Role of body weight change and physical activity (2002) Am J Clin Nutr., 76 (2), pp. 473-481. , PMID: 12145025 Roberts, S.B., Young, V.R., Fuss, P., Heyman, M.B., Fiatarone, M., Dallal, G.E., What are the dietary energy needs of elderly adults? (1992) Int J Obes Relat Metab Disord., 16 (12), pp. 969-976. , PMID: 1335976 Fuller, N.J., Sawyer, M.B., Coward, W.A., Paxton, P., Elia, M., Components of total energy expenditure in free-living elderly men (over 75 years of age): Measurement, predictability and relationship to quality-of-life indices (1996) Br J Nutr., 75 (2), pp. 161-173. , PMID: 8785196 Hunter, G.R., Wetzstein, C.J., Fields, D.A., Brown, A., Bamman, M.M., Resistance training increases total energy expenditure and free-living physical activity in older adults (2000) J Appl Physiol (1985)., 89 (3), pp. 977-984 'Das, S.K., Moriguti, J.C., McCrory, M.A., Saltzman, E., Mosunic, C., Greenberg, A.S., An underfeeding study in healthy men and women provides further evidence of impaired regulation of energy expenditure in old age (2001) J Nutr., 131 (6), pp. 1833-1838 Goran, M.I., Poehlman, E.T., Total energy expenditure and energy requirements in healthy elderly persons (1992) Metabolism., 41 (7), pp. 744-753. , http://dx.doi.org/10.1016/0026-0495(92)90315-2, DOI Antunes, H.K.M., Santos, R.F., Boscolo, R.A., Bueno, O.F.A., Mello, M.T., Análise da taxa metabólica basal de idosos do sexo masculino antes e seis meses após exercícios de resistência (2005) Rev Bras Med Esporte., 11 (1), pp. 71-75. , http://dx.doi.org/10.1590/S1517-86922005000100008, DOI Dijk, D.J., Duffy, J.F., Czeisler, C.A., Contribution of circadian physiology and sleep homeostasis to age-related changes in human sleep (2000) Chronobiol Int., 17 (3), pp. 285-311. , http://dx.doi.org/10.1081/CBI-100101049, DOI Wouters-Adriaens, M.P., Westerterp, K.R., Basal metabolic rate as a proxy for overnight energy expenditure: The effect of age (2006) Br J Nutr., 95 (6), pp. 1166-1170. , http://dx.doi.org/10.1079/BJN20061784, PMID: 16768840 DOI Ucok, K., Aycicek, A., Sezer, M., Fidan, F., Akgun, L., Akkaya, M., Resting metabolic rate and anthropometric measurements in male sleep apnea patients (2011) Intern Med., 50 (8), pp. 833-838. , http://dx.doi.org/10.2169/internalmedicine.50.4779, PMID: 21498930 DOI Redline, S., Kirchner, H.L., Quan, S.F., Gottlieb, D.J., Kapur, V., Newman, A., The effects of age, sex, ethnicity, and sleep-disordered breathing on sleep architecture (2004) Arch Intern Med., 164 (4), pp. 406-418. , http://dx.doi.org/10.1001/archinte.164.4.406, PMID: 14980992 DOI Gangwisch, J.E., Malaspina, D., Boden-Albala, B., Heymsfield, S.B., Inadequate sleep as a risk factor for obesity: Analyses of the NHANES I (2005) Sleep., 28 (10), pp. 1289-1296 Vorona, R.D., Winn, M.P., Babineau, T.W., Eng, B.P., Feldman, H.R., Ware, J.C., Overweight and obese patients in a primary care population report less sleep than patients with a normal body mass index (2005) Arch Intern Med., 165 (1), pp. 25-30. , http://dx.doi.org/10.1001/archinte.165.1.25, DOI Hasler, G., Buysse, D.J., Klaghofer, R., Gamma, A., Ajdacic, V., Eich, D., The association between short sleep duration and obesity in young adults: A 13-year prospective study (2004) Sleep., 27 (4), pp. 661-666 Kohatsu, N.D., Tsai, R., Young, T., Vangilder, R., Burmeister, L.F., Stromquist, A.M., Sleep duration and body mass index in a rural population (2006) Arch Intern Med., 166 (16), pp. 1701-1705. , http://dx.doi.org/10.1001/archinte.166.16.1701, DOI Viana, V.A., Esteves, A.M., Boscolo, R.A., Grassmann, V., Santana, M.G., Tufik, S., The effects of a session of resistance training on sleep patterns in the elderly (2012) Eur J Appl Physiol., 112 (7), pp. 2403-2408. , http://dx.doi.org/10.1007/s00421-011-2219-2, PMID: 22045416 DOI Ackel-D'Elia, C., da Silva, A.C., Silva, R.S., Truksinas, E., Sousa, B.S., Tufik, S., Effects of exercise training associated with continuous positive airway pressure treatment in patients with obstructive sleep apnea syndrome (2012) Sleep Breath., 16 (3), pp. 723-735. , http://dx.doi.org/10.1007/s11325-011-0567-0, DOI