{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:59:18Z","timestamp":1790326758327,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,5,2]],"date-time":"2021-05-02T00:00:00Z","timestamp":1619913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Although recent trials have shown promising benefits of exercise on obstructive sleep apnea (OSA) severity, the long\u2010term effect of these interventions remains unknown. The aim of this study was to assess the effect of a 9\u2010month community physical activity program on OSA severity one year later in free\u2010living conditions. OSA patients, previously included in a 9\u2010month randomized controlled trial (EXESAS study) evaluating the effects of supervised community physical activity on OSA severity, were invited to participate in an extra one\u2010year observational study. Twenty\u2010eight patients completed the study. Although OSA severity did not significantly worsen over the real\u2010life period (9 to 21\u00a0months of follow\u2010up), reductions in apnea\u2010hypopnea index (AHI) and oxygen desaturation index were no longer significant after 21\u00a0months of follow\u2010up compared to baseline (baseline AHI: 22.2\u00a0\u00b1\u00a06.3 \/h; 9\u00a0months: 16.3\u00a0\u00b1\u00a06.4 \/h; 21\u00a0months: 18.7\u00a0\u00b1\u00a08.9 \/h). Benefits observed at 9\u00a0months on daytime sleepiness and mental health were preserved at 21\u00a0months, whereas cardiorespiratory fitness slightly decreased. Per\u2010protocol analysis revealed that patients who stopped exercise at 9\u00a0months had worsened OSA severity compared to those who continued exercise during the real\u2010life period (AHI: +9.0\u00a0\u00b1\u00a08.8 vs. \u22121.3\u00a0\u00b1\u00a05.3 \/h; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01). In conclusion, our study suggested that improvements in OSA severity remain transient and is dependent on long\u2010term adherence to regular physical activity practice.<\/jats:p>","DOI":"10.1111\/sms.13961","type":"journal-article","created":{"date-parts":[[2021,3,27]],"date-time":"2021-03-27T09:29:47Z","timestamp":1616837387000},"page":"1534-1544","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Longer\u2010term effects of supervised physical activity on obstructive sleep apnea and subsequent health consequences"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6415-7694","authenticated-orcid":false,"given":"Mathieu","family":"Berger","sequence":"first","affiliation":[{"name":"SNA\u2010EPIS Laboratory University of Lyon Saint\u2010Etienne France"},{"name":"Department of Clinical and Exercise Physiology University Hospital of Saint\u2010Etienne Saint\u2010Etienne 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