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Transtheoretical model may help to identify OSA patients' level of intention to exercise
Date:12/15/2007

ntentions and self-reported exercise behavior).
  • Godin Leisure-Time Exercise Questionnaire (assesses a persons habitual leisure-time exercise level).
  • Epworth Sleepiness Scale (evaluates a patients level of habitual sleepiness during the day).
  • Sleep Architecture Variables (assessed with a standard clinical polysomnogram, which evaluates various physiologic and respiratory variables).

    The findings of the study provide support for the validity of applying the TTM to exercise intention in patients with OSA. Over 60 percent of the patients were at a pre-Action stage (Pre-contemplation, Contemplation or Preparation), with less than 30 percent reporting that they were at the Maintenance stage.

    The Transtheoretical Model, and Stages of Change, now has a long history of use in a range of health behaviors such as quitting smoking and use of sun screen, said Simon S. Smith, PhD, of the University of Queensland and the Queensland Sleep Health Group in Queensland, Australia, lead author of the study. We used a standard measure of Stages of Change. First we found that the patients could be differentiated into stages (intention), but then checked that intention against their habitual levels of exercise. You'd expect that folks with no contemplation of exercise would exercise less, and we found that was the case.

    According to Dr. Smith, standard medical approaches to managing OSA, such as continuous positive airway pressure (CPAP), can be effective for patients with moderate to severe disease. However, for patients with mild sleep apnea, for those who have trouble using CPAP, or for those who would like to take charge of their own health, increasing exercise and reducing body mass may be one practical route, added Dr. Smith.

    Our study shows that a proportion of patients are prepared to increase their exercise, and we think that they should be better supported to do this, said Dr. Smith. A larger proportion of patients we
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  • Contact: Jim Arcuri
    jarcuri@aasmnet.org
    708-492-0930
    American Academy of Sleep Medicine
    Source:Eurekalert

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