{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:09:29Z","timestamp":1770293369551,"version":"3.49.0"},"reference-count":30,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":1696,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,29]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Physical inactivity is a risk factor for disease severity among people with obstructive sleep apnoea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>To determine physical activity levels in patients at risk of obstructive sleep apnoea and explore their perceptions about barriers to participation in physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This was a cross-sectional observational study. Eligible participants were adults with symptoms of obstructive sleep apnoea hypopnea syndrome and Epworth Sleepiness Scale score \u226511, awaiting prioritisation for a diagnostic overnight sleep study at the local sleep clinic. Sixty participants (mean age\u2009\u00b1\u2009standard deviation: 51\u2009\u00b1\u200912 years) each attended an individual appointment. Anthropometric measurements were taken and standardised questionnaires regarding quality of life, physical activity behaviour and perceptions of physical activity were completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Over one-third of the cohort did not meet World Health Organization guidelines for weekly physical activity. Hypertension, type 2 diabetes and obesity were also more prevalent in this subgroup. Low motivation and pain were commonly reported barriers to activity in participants not meeting the physical activity guidelines. Overall, 53 (88%) participants stated they would like to be more active.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Physical inactivity represents an additional risk factor for adults at high risk of obstructive sleep apnoea. Lack of motivation and pain were the most commonly perceived barriers to participation in activity. Physical activity interventions tailored to the individual, and including a motivational component, need to be included as integral components of management to reduce cardiovascular and metabolic risk factors more effectively in this group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc19102","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T02:55:00Z","timestamp":1601348100000},"page":"257-264","source":"Crossref","is-referenced-by-count":8,"title":["Physical activity behaviour and barriers to activity in adults at high risk of obstructive sleep apnoea"],"prefix":"10.1071","volume":"12","author":[{"given":"Sarah","family":"Rhodes","sequence":"first","affiliation":[{"name":"ASchool of Physiotherapy, University of Otago, 325 Great King Street, Dunedin, New Zealand"},{"name":"DCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand"},{"name":"ECorresponding author. Email: sarah.rhodes@otago.ac.nz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Waters","sequence":"additional","affiliation":[{"name":"BDepartment of Medicine and School of Physiotherapy, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Brockway","sequence":"additional","affiliation":[{"name":"CDept of Medicine, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margot","family":"Skinner","sequence":"additional","affiliation":[{"name":"ASchool of Physiotherapy, University of Otago, 325 Great King Street, Dunedin, New Zealand"},{"name":"DCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2020,9,29]]},"reference":[{"key":"2025111814515201700_R1","unstructured":"World Health Organization. Non-communicable diseases and their risk factors. Geneva, Switzerland: The World Health Organization; 2018. [cited 2019 January 23]. Available from: https:\/\/www.who.int\/ncds\/en\/"},{"issue":"3","key":"2025111814515201700_R2","doi-asserted-by":"publisher","first-page":"210","DOI":"10.7326\/M12-3187","article-title":"Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians.","volume":"161","author":"Qaseem","year":"2014","journal-title":"Ann Intern Med."},{"key":"2025111814515201700_R3","unstructured":"World Health Organization. 10 facts on obesity. Geneva, Switzerland: The World Health Organization; 2019. [cited 2019 February 14]. 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Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/physical-activity"},{"issue":"17","key":"2025111814515201700_R6","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1056\/NEJM199304293281704","article-title":"The occurrence of sleep-disordered breathing among middle-aged adults.","volume":"328","author":"Young","year":"1993","journal-title":"N Engl J Med."},{"issue":"8","key":"2025111814515201700_R7","doi-asserted-by":"publisher","first-page":"1218","DOI":"10.4187\/respcare.02948","article-title":"Low physical activity is a determinant for elevated blood pressure in high cardiovascular risk obstructive sleep apnea.","volume":"59","author":"Mendelson","year":"2014","journal-title":"Respir Care."},{"issue":"6","key":"2025111814515201700_R8","first-page":"e13","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Task Force on clinical practice guidelines.","volume":"71","author":"Whelton","year":"2018","journal-title":"Hypertension."},{"issue":"4","key":"2025111814515201700_R9","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01972-2017","article-title":"Physical activity as a moderator for obstructive sleep apnoea and cardiometabolic risk in the EPISONO study.","volume":"52","author":"M\u00f4nico-Neto","year":"2018","journal-title":"Eur Respir J."},{"issue":"9798","key":"2025111814515201700_R10","doi-asserted-by":"publisher","first-page":"1244","DOI":"10.1016\/S0140-6736(11)60749-6","article-title":"Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study.","volume":"378","author":"Wen","year":"2011","journal-title":"Lancet."},{"key":"2025111814515201700_R11","unstructured":"Ministry of Health. 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