Telecoaching to Improve Physical Activity in Patients With Obstructive Sleep Apnea

N/AUnknownNCT03205878

Universitaire Ziekenhuizen KU Leuven102 enrolled

Overview

Patients with obstructive sleep apnea (OSA) are less physically active than healthy controls. First choice of treatment for OSA is continuous positive airway pressure (CPAP) therapy with an improvement in oxygen saturation and sleep. No improvement on physical activity has been shown. The current study would randomize patients in a standard care group (CPAP) and an intervention group (CPAP + telecoaching). Telecoaching will be performed for 3 months, with physical activity assessment before, after 3 months and 12 years.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

102

Conditions

Physical Activity Obstructive Sleep Apnea

Interventions

Patients in the intervention arm will receive a step counter and a cell phone with an app on which the amount of steps are daily sent to. Initial targets on steps per day will be discussed with the patient after an activity monitoring before the telecoaching procedure. Dependent whether the patient reaches his/her proposed goal each week, new goals are set.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * AHI \> 15 events/hour, measured by polysomnography * \< 7,500 steps per day * Willing to start CPAP treatment * Age between 18 and 65 years * Signing the written informed consent Exclusion Criteria: * Patients with neuromuscular diseases * Patients with chronic obstructive pulmonary disease and interstitial lung disease * Patients with cardiac failure and ischemic heart failure * Patients with comorbidities which could interfere with a normal biomechanical gait pattern and the possibility of increasing physical activity * Patients with mental disability making it impossible to understand the study protocol and the use of electronic devices.

Outcomes

Primary Outcomes

Change in steps per day after 3 months

Steps per day as measured by a step counter

Time frame: The change will be measured after 3 months

Secondary Outcomes

The proportion of patients with an increase > 1,000 steps per day

Time frame: After 3 months (end of telecoaching) and after 12 months

The proportion of patients with > 7500 steps/day

Time frame: Before initiation of telecoaching (baseline), after 3 months (end of telecoaching) and after 12 months

Change in functional exercise capacity

6-minute walking distance