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Sunday, February 23, 2020

Literature review Research Paper Example | Topics and Well Written Essays - 1250 words - 1

Literature review - Research Paper Example Consequently, all the 9 conducted studies reported that AHI was significantly lower in OSA patient who practiced exercise as a remedy. Three RCTs reported that exercise independently reduces the severity of OSA, however it is reported to be less effective compared to continuous positive airway pressure (CPAP), oral appliance and surgical interventions. In those studies the participant blindness to the intervention was impossible while the blindness of data collection personnel to participant intervention were not mentioned. Lack of blindness may affect the accuracy of data collection. The two studies that conducted by Kline and colleagues in 2011 and 2012 were counted for only one evidence because the authors published the same article in two different journals, which considered double publication. One RCT study and the five observation studies reported that exercise in combination with the traditional interventions of CPAP and diet reduced the OSA severity. The small sample sizes as well as the reliance on survey and self-reports limit the generalizability of findings. Although all of the studies utilized moderate intensity exercise to treat OSA, the mode, frequency, and duration were diverse. The types of exercise were varied from walking on the treadmill, bicyclic, jogging, and stretching. Both the duration and frequency of exercise were also varied. They were ranged from 1 hour per week to 3 hours per week for a time period range from a minimum of 12 weeks to a maximum of 12 months. These variations in application confused the research’s consumer and unable them to come up with new recommendations for best practice. This concludes that despite having a few amounts of studies that utilized exercise as an intervention for reducing the severity of OSA we still lack of knowledge on the exact exercise dose (mode, intensity, and duration) that is associated with more reduction in OSA severity. Further research is needed to compare and contrast the effect o f those different presented exercise doses in OSA severity. The studies used different kinds of exercise like jogging, cycling and walking on a treadmill among other methods to set some motions on the body muscles. Different people would have different response to such exercise. The study did not categorize the participants in accordance to their body size and weights for more accurate results. Obese kid may take several weeks before the impacts of exercise on OSA are clearly indicated. Different people correspond differently to body exercises. There are those whose muscles are strengthened after a few reps on the treadmill while a few may take more than 3 weeks before their muscles sense the changes in the body movements. The research ought to have considered reports from exercise experts before making verdicts, other than producing generalized results. Although Dr. Kline laments that his study indicated that exercise can reduce the apnea-hypopnea index (AHI) by 25% there is a grou p of thought that exercise could have some negative impacts on human health. The research team did not mention consulting the participants’ doctors before subjecting them in the exercise session. This may result in some complications depending on individual health conditions. Participants with heart conditions may worsen their health condition on a sudden body exercise. It is advised that such patients should avoid heavy

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