Obesity as an additional factor for autonomic imbalance and poor sleep behavior in chronic obstructive pulmonary disease: a case-control study

Authors

  • Cristiano Mostarda Universidade Federal do Maranhão. Laboratorio de Adaptações Cardiovasculares ao Exercicio
  • Catarina de Andrade Barboza Universidade Estadual de Campinas. Faculdade de Educação Fisica
  • Ana Lídia Cutrim Universidade Federal do Maranhão. Laboratorio de Adaptações Cardiovasculares ao Exercicio
  • Antonio Carlos Silva-Filho Universidade Federal do Maranhão. Laboratorio de Adaptações Cardiovasculares ao Exercicio
  • Carlos José Dias Universidade Federal do Maranhão. Laboratorio de Adaptações Cardiovasculares ao Exercicio
  • Janaina de Oliveira Brito-Monzani Universidade Federal do Maranhão. Laboratorio de Adaptações Cardiovasculares ao Exercicio
  • Bruno Rodrigues Universidade Estadual de Campinas. Faculdade de Educação Fisica

DOI:

https://doi.org/10.6061/clinics/2021/e1826

Keywords:

Overweight, Chronic Obstructive Pulmonary Disease, Autonomic Modulation, Sleep Behavior

Abstract

OBJECTIVES: We compared the autonomic modulation and sleep behavior of eutrophic and overweight patients with chronic obstructive pulmonary disease (COPD). METHODS: COPD participants were divided into the overweight and eutrophic groups. Pulmonary function, blood pressure, body composition, autonomic modulation, and the Pittsburgh Sleep Quality Index score were assessed. Participants performed the six-minute walk test for functional assessment. RESULTS: Spirometric variables obtained in eutrophic and overweight individuals with COPD showed no statistically different results. We observed that the SDNN index indicated lower overall variability (p=0.003), and root mean square of successive differences between normal heart beats (RMSSD) (p=0.04) indicated lower parasympathetic modulation in the overweight group than observed in the eutrophic group. The indexes of the frequency domain presented lower values of total variability (po0.01), low frequency bands (po0.01), and high frequency (p=0.02), suggesting a higher sympathetic modulation and reduced parasympathetic modulation of the overweight group compared to eutrophic group. The overweight group also showed reduced sleep quality than the eutrophic group. CONCLUSION: Overweight COPD patients showed lower autonomic modulation and impaired sleep quality, latency, and efficiency as compared eutrophic subjects. These results reinforce the importance of weight control and the acquisition of healthy habits in this population.

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Published

2021-11-09

Issue

Section

Original Articles

How to Cite

Mostarda, C. ., Barboza, C. de A. ., Cutrim, A. L., Silva-Filho, A. C. ., Dias, C. J. ., Brito-Monzani, J. de O. ., & Rodrigues, B. . (2021). Obesity as an additional factor for autonomic imbalance and poor sleep behavior in chronic obstructive pulmonary disease: a case-control study. Clinics, 76, e1826. https://doi.org/10.6061/clinics/2021/e1826