{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:17:43Z","timestamp":1778177863048,"version":"3.51.4"},"reference-count":8,"publisher":"Medicinska Naklada d.o.o.","issue":"1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:p>Background: Obstructive Sleep Apnea (OSA) is a common sleep-related breathing disorder characterized by repeated upper\nairway obstruction during sleep, leading to poor sleep quality, excessive daytime sleepiness, and reduced psychosocial functioning.\nObesity is a major risk factor that increases both the likelihood and severity of OSA, further affecting physical and mental health. Although continuous positive airway pressure (CPAP) is the standard treatment, alternative non-pharmacological approaches such as\nPilates and myofunctional therapy may provide additional benefits.\nAim: This study aimed to evaluate the effectiveness of combining Pilates and myofunctional therapy in improving sleep quality\nand psychosocial well-being in an individual with obesity-associated OSA.\nMethods: A case study was conducted in a clinical rehabilitation setting involving a 45-year-old male diagnosed with moderate OSA (Apnea-Hypopnea Index = 25) and obesity (BMI = 34 kg\/m\u00b2). The participant completed an 8-week intervention program\nconsisting of Pilates and myofunctional therapy, each performed for 30 minutes, three times per week. Outcome measures included\nthe Pittsburgh Sleep Quality Index (PSQI) and the Short Form-36 (SF-36), which assessed physical health, mental health, and vitality.\nPre- and post-intervention scores were compared.\nResults: Post-intervention results demonstrated improvements in both sleep quality and quality of life. The PSQI score decreased\nfrom 7 to 4. SF-36 scores improved in physical health (55 to 68), mental health (48 to 62), and vitality (60 to 68). The participant also\nreported reduced daytime sleepiness, better mood, enhanced social interaction, and increased confidence.\nConclusion: The findings suggest that combining Pilates and myofunctional therapy may be a useful non-pharmacological\nstrategy to improve sleep and psychosocial outcomes in individuals with obesity-associated OSA.<\/jats:p>","DOI":"10.24869\/psyd.2026.84","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:07:13Z","timestamp":1778177233000},"page":"84","source":"Crossref","is-referenced-by-count":0,"title":["Integrating Pilates and myofunctional therapy for better sleep and psychosocial outcomes in obesity-associated obstructive sleep apnea"],"prefix":"10.24869","volume":"38","author":[{"given":"R","family":"Jayabharathi","sequence":"first","affiliation":[{"name":"Faculty of Physiotherapy, Dr.MGR Educational and Research Institute, Chennai, Tamilnadu,India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Ramalakshmi","sequence":"additional","affiliation":[{"name":"Sri Ramachandra Faculty of Physiotherapy, Sri Ramachandra Institute of higher education and Research, Chennai, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6768","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"ref0","unstructured":"1. 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The effect of Pilates on quality of sleep, aerobic capacity, and anaerobic power in premenopausal women. Sleep Science, 17(1), e75\u2013e81. https:\/\/doi.org\/10.1055\/s-0043-1776742","DOI":"10.1055\/s-0043-1776742"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"7. Scarpina, F., Bastoni, I., Cappelli, S., Priano, L., Giacomotti, E., Castelnuovo, G., et al. (2021). Psychological well-being in obstructive sleep apnea syndrome associated with obesity: The relationship with personality, cognitive functioning, and subjective and objective sleep quality. Frontiers in Psychology, 12, 588767. https:\/\/doi.org\/10.3389\/fpsyg.2021.588767","DOI":"10.3389\/fpsyg.2021.588767"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"8. Shoib, S., Ullah, I., Nagendrappa, S., Taseer, A. R., De Berardis, D., Singh, M., & Asghar, M. S. (2022). Prevalence of mental illness in patients with obstructive sleep apnea: A cross-sectional study from Kashmir, India. Annals of Medicine and Surgery, 80. http:\/\/dx.doi.org\/10.1016\/j.amsu.2022.104056","DOI":"10.1016\/j.amsu.2022.104056"}],"container-title":["Psychiatria Danubina"],"original-title":[],"link":[{"URL":"https:\/\/www.psychiatria-danubina.com\/UserDocsImages\/pdf\/dnb_vol38_no1\/dnb_vol38_no1_84.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:07:16Z","timestamp":1778177236000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatria-danubina.com\/UserDocsImages\/pdf\/dnb_vol38_no1\/dnb_vol38_no1_84.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,4,30]]},"published-print":{"date-parts":[[2026,4,30]]}},"URL":"https:\/\/doi.org\/10.24869\/psyd.2026.84","relation":{},"ISSN":["0353-5053","1849-0867"],"issn-type":[{"value":"0353-5053","type":"print"},{"value":"1849-0867","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]}}}