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- W4387055013 abstract "PURPOSE: Physical exercise (PE) has a variety of health-promoting effects however, PE is not comprehensively used as a treatment of diseases in primary care and hospitals. Our Exercise Medicine Clinic (EMC) is the first specialized multi-professional outpatient clinic in Finland to implement PE as a part of the treatment of patients in a public hospital. Overweight (OW) and obstructive sleep apnea (OSA) patients are often referred EMC. We present preliminary data on those who have attended EMC real life exercise medicine protocol with follow up period for 6 months. METHODS: OSA (n = 81) and OW (BMI > 30 kg/m2, n = 106) patients participated in this study. Body composition analysis (bioimpedance, Biospace InBody 770) was used to measure body weight (BW), BMI, fat mass (FM), fat percentage (fat%) and visceral fat area (VFA). 6-minute walking test (6MWT) and hand-grip strength (HGS) were used to assess functional capacity. Self-reported questionnaires were used to evaluate physical activity (PA) in all patients and subjective daytime tiredness and sleepiness (STDS) in OSA patients. RESULTS: Among OSA patients all symptoms, especially SDTS, were reduced (p < 0.001) after 6 months in those who had increased PE. BW (99.0 ± 114.6 vs. 97.7 ± 15.4 kg, p < 0.01), BMI (34.1 ± 3.9 vs. 33.6 ± 4.0 kg/m2, p < 0.01), fat% (40.9 ± 7.3 vs 40.2 ± 7.8 %, p < 0.01) and VFA (194.7 ± 48.3 vs. 189.7 ± 54.2 cm2, p < 0.01) decreased, and 6MWT (538.2 ± 114.6 vs 576.0 ± 109.8 m, p < 0.001) and HGS in right (42.2 ± 15.2 vs. 44.2 ± 14.4 kg, p < 0.01) and in left hand (41.6 ± 13.4 vs. 42.6 ± 13.8 kg, p < 0.05) improved. After 6 months in those OW patients who increased PE, BW (107.8 ± 26.2 vs. 106.5 ± 26.8 kg, p < 0.01), BMI (36.6 ± 6.6 vs. 36.0 ± 6.3 kg/m2, p < 0.001) and fat% (42.9 ± 8.0 vs. 42.1 ± 8.3 %, p < 0.001), VFA (210.2 ± 51.2 vs. 204.3 ± 52.5 cm2, p < 0.01) decreased and 6MWT (525.9 ± 111.7 vs. 564.9 ± 93.4 m, p < 0.001) and HGS in right (41.7 ± 14.3 vs. 43.1 ± 14.0 kg, p < 0.01) and in left hand (40.4 ± 13.0 vs. 42.0 ± 13.2 kg, p < 0.01) improved. CONCLUSION: EMC protocol is based on individual and multi-professional PE implementation. Improvements in body composition, functional capacity and symptoms in OSA and OW patients indicate that it is possible to increase PA level, subjective wellbeing and quality of life, even if the patient has had sedentary lifestyle and multiple disabling diseases." @default.
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- W4387055013 date "2023-09-01" @default.
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- W4387055013 title "Exercise Medicine Clinic In A Hospital: Follow Up Of Sleep Apnea And Overweight Patients" @default.
- W4387055013 doi "https://doi.org/10.1249/01.mss.0000985892.95960.22" @default.
- W4387055013 hasPublicationYear "2023" @default.
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