Regular Practice Of Physical Activity Research Articles

Malhar como metáfora da exercitação física

Abstract This research seeks to contribute to the understanding of the problem of motivation to the regular practice of physical and sporting activities. To do so, we analyze the metaphorical use of the word “malhar”, which, in Brazil, is associated with physical exercise. One hundred ninety four people participated in the “free association method”, by saying from one to three words or expressions that came immediately to their minds, from the inductor term “malhar”. We also conducted ten interviews. We conclude that there is a correlation between professional performance in physical education and the problem investigated. The demand for performance produces a negative (unconscious) affection that operates in the body as a force (tiredness, discouragement, and suffering).

ПРИВЕРЖЕННОСТЬ СТУДЕНТОВ С РАЗНОЙ САМООЦЕНКОЙ СОСТОЯНИЯ ЗДОРОВЬЯ К ЗАНЯТИЯМ ФИЗИЧЕСКИМИ УПРАЖНЕНИЯМИ

Significance. Regular physical activity strengthens health and improves well-being, therefore, increasing commitment to physical activity among population is rather relevant. Students of medical universities will become guides to a healthy lifestyle for their future patients, which implies their commitment to regular physical activity. Personal interest in promoting health through physical exercises presumably depends upon the health status of students. Purpose: to analyze commitment to physical exercises among students with different self-assessment of health. Material and Methods. The analysis of 1732 questionnaires collected during the survey of students of the Kuban State Medical University was carried out. Responders included 25.7% of young males, 35.0% of the first-year students and 11.9% of the sixth-year students. The average age of males and females is the same (21.9 years). The analysis of commitment to physical exercises was carried out among all respondents in general and with a breakdown on gender, year in the University (first and sixth year students), health self-assessment (“good health and very good” and “bad health and very bad”), self-assessment of the concern for health (“I care a lot” and “I care little or not at all”), and presence of chronic diseases (yes/no). The Chi-square test was used to compare distribution of different opinions. Conclusion. Commitment to physical exercises among students is associated with health self-estimation rather than the state of health. The state of health increases motivation to exercise only among a small share of students with poor health. Awareness of the impact of physical activity on the risk of chronic diseases is not sufficient to increase commitment of the young people to exercise, sports or fitness. The highest impact on the commitment is made by the "fashion trend" for a healthy lifestyle. Students who define their state of health as good are more concerned about their health and significantly more often practice regular physical activity of high intensity. For young males with good health social contacts are more significant in physical exercises both in comparison with females who define their state of health as good and in comparison with young men with lower self-estimation of health. For students with low health self-estimation, the main incentive for physical activities, sports or fitness is the desire to look better. Doctor's recommendations are a twice more effective incentive for females compared to males.

Motivation for Brazilian Older Adult Women to Join a Community Physical Activity Program Before COVID-19 Pandemic

Background: Intrinsic and extrinsic motivational factors can affect the levels of adherence of physical activity (PA) during the aging process. Objectives: Investigate the intrinsic and extrinsic aspects and motivation that led older women to enroll in and adhere to a community PA program before the COVID-19 pandemic. Methods: Data were collected via transversal survey before the COVID-19 pandemic. The sample consisted of 21 women, participants of a PA workshop, aged between 60 to 86 years [< 1-year (n = 8) and ≥ 1-year (n = 13) groups]. Motivation was assessed by the Motivation Inventory for Regular Physical Activity Practice (IMPRAF-54), using the 60th percentile to categorize high and low motivation, and two open questions. For qualitative assessment, content analysis was used and the answers were framed into subcategories regarding the motivation factors for adherence and permanence. Results: That adherence to the program was motivated by sociability purposes [total score: 36.0 (6.0), median (interquartile range)] and pleasure [34.0; (6.0)], while the main motivation for permanence was health [40.0 (11.0)]. Differences were noticed between the groups for sociability [38.0 (3.0) P = 0.030] and competitiveness [9.50 (12.0); P = 0.037] highest medians for the < 1 year group. Furthermore, the factors that least motivated older women were competitiveness and aesthetics. Conclusions: Health and sociability were the main motivators for the practice of physical activity among older adult women. Motivation played a fundamental role in the permanence of older adult women in the physical activity program.

Six minute walk test in Italian children with cystic fibrosis aged 6 and 11.

Six minute walk test (6MWT) is a field exercise test widely used in clinical practice, both in adults and in pediatric patients. The primary aim of the study is to evaluate the physical performance of the subjects and compare them with the predicted Italian values. The secondary aim is to verify the possible relationship between the 6MWT distance (6MWD) and the clinical variables of the sample. Italian children between 6-11 years affected by CF were recruited from 9 regional centers for CF. Short questionnaire assessments about their health state and physical activity routine was administered. Anthropometric characteristics were measured before the test and, peripheral oxygen saturation (SpO2), heart and respiratory rate were measured before and after a 6-minute walk test. The tests were performed according to the American Thoracic Society (ATS) guidelines. 6MWD was compared with the predicted distance calculated by the reference equation for healthy subjects of the same age. A total of 132 children were recruited (70 male) and completed the assessment. The mean (±SD) for 6MWD was 557.4 (±69.9), male = 551.4 (±80.0), female = 560.4 (±63.3), however the predicted distance mean was 605 m. A total of 101(76.5%) subjects practice regular physical activity. A total of 31 (23%) had a FEV1 lower than their lower limits of normal (LLN). Functional performance on the 6MWT was poorer among the CF patients than among the predicted distance estimated with Italian values. The correlation with the amount of physical activity and 6MWD has been verified.

Co-Design and Evaluation of the Feasibility and the Efficacy of a Multiple-Targeted Adapted Physical Activity Intervention to Promote Quality of Life, Well-Being and Physical Activity Levels in Pregnant Women: The “WELL-DONE!” Study Protocol

Background: Regular physical activity (PA) practice during pregnancy offers health and fitness benefits for both mother and baby. Therefore, healthy pregnant women with no contraindications to exercise should be encouraged to perform PA. Nevertheless, their levels of PA are generally low. The aim of the WELL-DONE! Study is to co-design an adapted physical activity intervention (APAI) for pregnant women to include in childbirth preparation classes (CPCs) evaluating its feasibility and efficacy on quality of life (QoL), PA levels and other outcomes. Methods: A quasi-experimental study was divided in two progressive stages. First, APAI was developed in collaboration with pregnant women and midwives using focus groups; second, APAI’s efficacy was evaluated comparing two groups: the experimental group engaged in the CPCs integrated with 1 h/week of the APAI administered by midwives and the control group participating in the standard CPCs. Pre-post evaluation was carried out in three stages through questionnaires and tests. Data analysis involved the combination of qualitative and quantitative methodologies. Discussion: Findings from the WELL-DONE! Study will help to assess the feasibility, sustainability, and efficacy of incorporating APAI inside CPCs as a new public health strategy oriented to QoL, well-being, and PA level improvements.

The sport and health centre, integrating physical activity within a university hospital

The health-sports centers were created in 2019 with the aim of organising, providing, educating and informing on the need for movement in life, and therefore on the practice of regular physical activity (PA). Since 2018, the university hospital centre (CHU) in Caen (14) has had two PA rooms within the facility itself, with a more global aim along three lines: CHU staff, medical care of the patients and university research.

Prevalence of Depression and its Associated Factors among Medical Students in International Islamic University Malaysia (IIUM)

Introduction: Globally, depression is one of the serious problems reported among medical students. Various studies reported that the prevalence of depression among medical students was high due to multiple risk factors. Therefore, this study aimed to measure the prevalence of depression and its associated factors among medical students in International Islamic University Malaysia (IIUM). Materials and Methods: A cross-sectional study was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire using Depression Anxiety Stress Score 21 was distributed during the second semester of the 2018/2019 session. Descriptive statistics were used to measure the prevalence of depression. Chi-square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to determine the association between risk factors and depression. Result: The prevalence of depression was 39% with 10.5% of them were having severe and extremely severe level of depression. Multiple logistic regression analysis showed regular physical activity (AOR=0.64, 95% CI: 0.42-0.98) and Tahajjud prayer practice (AOR: 0.76, 95% CI 0.66-0.88) are two protective factors against depression among medical students. Conclusion: About two out of every five IIUM medical students had depression. Regular physical activity and Tahajjud prayer practised may reduce the risk of depression and should be encouraged.

Az online edzésekben rejlő lehetőségek a fitneszedzők szempontjából

The importance of physical activity for both physical and mental health is unquestionable. For leisure athletes, fitness clubs can be considered as popular facilities for everyday workouts. Classes run by qualified trainers, whether individual or group workouts, are very popular. In line with the worldwide trend, there is a growing expectation for fitness workouts to be reachable as simple as possible, in as many forms as possible, regardless of the location. The aim of our study is therefore to map the prevalence of online training among trainers working in the fitness sector. There is a significant demand for such workouts, even if it cannot completely replace hours of personal presence. In addition, as well as for target groups who want to find a form of exercise that can be performed anywhere, anytime, the online space provides an ideal opportunity to practice regular physical activity, as well as a good opportunity for coaches to expand their clientele and services.

Special Issue “New Trends in Sport and Exercise Medicine”

The practice of regular physical activity has been proposed as a determinant in many disciplines, from wellness to physiotherapy; in fact, it reduces the risks of cardiovascular diseases and diabetes [...]

Male practitioners of physical activity present lower absolute power of beta band in time perception test

Cortical changes resulting from physical activity and differences in the estimation of the time of practitioners and non-practitioners of physical activity have already been documented. However, there aren't studies that compare the cortical responses of the time estimate between these groups. Therefore, this study aimed to investigate the influence of the level of physical activity in time estimation and beta band activity in frontal regions, specifically in the dorsolateral prefrontal cortex, ventrolateral prefrontal cortex, and parietal cortex during the task of estimating time in practitioners and non-practitioners of physical activity. After characterizing the sample, the signal was captured using an electroencephalogram during a task to estimate the time of four intervals of supraseconds. The results indicated that the practitioners of physical activity had lower errors in the evaluation of time for the intervals of 1 s, 7 s, and 9 s. The beta band showed less activity among practitioners of physical activity. The correlation between task performance and the absolute power of the beta band proved to be positive in the task of estimating time in the 7 s, and 9 s intervals. It was concluded that participants involved in the regular practice of physical activity showed underestimation in the temporal judgment and lower absolute power of the beta band during the time estimate.

A Study on Physical Exercise and General Mobility in People with Cerebral Palsy: Health through Costless Routines.

Sedentary behavior (SB) is a common problem that may produce health issues in people with cerebral palsy (CP). When added to a progressive reduction in motor functions over time, SB can lead to higher percentages of body fat, muscle stiffness and associated health issues in this population. Regular physical activity (RPA) may prevent the loss of motor skills and reduce health risks. In this work, we analyzed data collected from 40 people (20 children and teenagers, and 20 adults) who attend two specialist centers in Seville to obtain an up-to-date picture regarding the practice of RPA in people with CP. Roughly 60% of the participants showed mostly mid/severe mobility difficulties, while 38% also had communicative issues. Most of the participants performed light-intensity physical activity (PA) at least once or twice a week and, in the majority of cases, had a neutral or positive attitude to exercising. In the Asociación Sevillana de Parálisis Cerebral (ASPACE) sample test, the higher the International Classification of Functioning, Disability and Health (ICF), the higher the percentage of negative responses to doing exercise. Conversely, in the Centro Específico de Educación Especial Mercedes Sanromá (CEEEMS), people likes PA but slightly higher ratios of positive responses were found at Gross Motor Function Classification System (GMFCS) levels V and II, agreeing with the higher personal engagement of people at those levels. We have also performed a literature review regarding RPA in CP and the use of low-cost equipment. As a conclusion, we found that RPA produces enormous benefits for health and motor functions, whatever its intensity and duration. Costless activities such as walking, running or playing sports; exercises requiring low-cost equipment such as elastic bands, certain smartwatches or video-games; or therapies with animals, among many others, have all demonstrated their suitability for such a purpose.

Factores asociados a la calidad de vida y su predicción en pacientes renales en hemodiálisis

Background and objectiveThe present study aims to analyze the levels of health-related quality of life (HRQL) in patients with end-stage kidney disease (ESKD) in haemodialysis, and to explore what demographic, medical and psychological variables are associated with HRQL and contribute to its prediction. Matrials and methodsCross-sectional study with 302 patients with advanced chronic kidney disease (ACKD) on haemodialysis. They were assessed: (1) HRQoL (Shorter Form Health Survey Questionnaire); (2) Anxiety and depression (Goldberg Anxiety and Depression Scale); (3) Sociodemographic data and (4) Medical data. Correlational analyses, means comparison and path analyses with latent variables (PALV) were conducted. ResultsThe PALV showed that 42% of the variance in the HRQL could be explained by the variables evaluated (χ2/df=2.10; GFI=.938; IFI=.920; CFI=.918; RMSEA=.062; SRMR=.056). Depression was the strongest predictor of HRQL (−.71; p=.002), followed by physical activity (−.19; p=.044). Age (−.122; p=.034) and comorbidity (−.206; p=.001) were weakly associated with physical HRQL. The practice of regular physical activity is related to the physical HRQoL (r=.21; p=.00) and mental (r=.12; p=.028). ConclusionsA high percentage of the variance in HRQoL is explained by the levels of depression and physical activity. Interventions to promote HRQoL in patients with ESKD should focus in promoting physical activity and taking care of patient's mental health.

Pregnancy Physical Activity Questionary

INTRODUCTION: Physical activity practice(PA) during pregnancy has been widely recommended. Recently, the American College of Obstetrics&Gynecology has emphasized that regular practice of physical activity during pregnancy, prior to a detailed obstetric assessment, is safe and carries a number of health benefits not only on the pregnant woman but also on the fetus. Scientific evidence suggests that PA during pregnancy improves cardiovascular health, prevents the onset of gestational diabetes and hypertension, shorter postpartum recovery time and facilitates labor METHOD: Descriptive, cross-sectional, quantitative-focused study, developed in health service providers in the city of Bogota-Colombia. 397 pregnant women, aged 18-42, were evaluated without medical contraindications for exercise, who voluntarily completed the pregnancy physical activity questionnaire. This questionnaire allows to determine energy expenditure(EE), through metabolic equivalents(MET), in the categories of: household and care work, occupational work, sports or exercise activities and activities intended for transport, relating this EE with weight, size, BMI, weeks and quarter of pregnancy RESULTS: The pregnant women evaluated recorded a body weight of 67.8 ± 10.1 kg; size 1.6 ± 0.1 m; BMI 26.5-3.7 kg/m2. As for EE during the gestational period, per quarter is recorded: 1st-quarter:254 ± 152MET; 2st-quarter:228 ± 122 MET; 3rd-quarter;227 ± 119MET. For pregnant women throughout pregnancy, the mean EE was found to be 231 ± 124MET. As for EE throughout pregnancy, although it decreases over the course of pregnancy, no significant differences were evident in the 3-trimesters. Similarly, no correlations were identified in terms of EE and the period of pregnancy (r<:0,1). The relationship between weight and trimester of pregnancy is highlighted as a significant correlation (r = 0.19;p = 0.0001) CONCLUSION: The results of this study show that the increase in the period of pregnancy does not correlate with an increase in EE, this associated with the daily activities of the assessed pregnant women; and despite a slight decrease in EE relative to the trimester of pregnancy, this decrease is not statistically significant

Understanding Experiences of Fibromyalgia Patients Involved in the Fimouv Study During COVID-19 Lockdown.

Introduction: The COVID-19 pandemic implied a period of lockdown for the general population, increasing the risk to develop some physical or mental disorders. In fibromyalgia patients, these disorders are part of the large clinical picture of the syndrome. Fibromyalgia management is especially based on a regular practice of physical activity. Lockdown imposed a break in rhythms, requiring a restructuring of scheduling. Thus, the present study aimed to investigate the experiences of fibromyalgia patients during COVID-19 lockdown using a qualitative analysis.Method: 19 patients (52 ± 9 years old) who completed a 3-month therapeutic education and/or supervised physical activity program were invited to participate (Fimouv study, Trial registration: ClinicalTrials.gov NCT04107948). A sociologist collected data by means of semi-structured interviews and analyzed them using thematic content analysis.Results: Lockdown exacerbated the main symptoms of fibromyalgia, but adjusting the rhythms of life to fluctuations of these symptoms allowed a better quality of life. Patients felt the lack of physical activity and 68% found alternatives to remain physically active. The reduction of social constraints allowed them to better contend with their pathology. Fibromyalgia stopped being a main priority.Conclusion: Lockdown was positively experienced by fibromyalgia patients. They linked the absence of physical activity with increased pain and fatigue. Nevertheless, reducing social constraints could be a key for fibromyalgia management, where symptoms seemed to take less space in everyday life.Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT04107948.

Is Regular Physical Activity Practice During a Submarine Patrol an Efficient Coping Strategy?

Introduction: A nuclear-powered ballistic missile submarine (SSBN) is a singular professional environment, exposing personnel to isolation and confinement amidst sophisticated technology for the duration of a mission. Submariners see their mood and cognition deteriorate as their mission progresses. With regard to the benefits of physical activity (PA) on mental health, this study evaluates the impact of regular PA on the maintenance of thymia and sensory functioning during patrols.Method: This pragmatic exploratory cohort follow-up study included 29 volunteer submariners before, during and 1 month after return from patrol. PA practice was evaluated by a daily self-questionnaire. This allowed submariners to be classified into two groups according to the median of the total duration in minutes of a sport practiced during the patrol (PA practicing submariners and non-practicing). Changes in mood and psychological activation, health (including sleep), unipodal stability, and accommodation distances were compared between the two groups over the period of the patrol.Results: Overall thymic functioning deteriorated during the patrol. Submariners who practice PA maintain a stable level of activation unlike non-practicing PA submariners, but they exhibited both worse general health and sleep at recovery. For these personnel, postural control is better at the end of the patrol and far visual accommodation tends to be preserved.Conclusion: PA during patrol alone is not sufficient to compensate for the thymic dysregulation induced by the SSBN environment. Nevertheless, it seems to help in maintaining an exteroceptive functioning. This exploratory study suggests directions for possible future research on physical activity associated with sensory stimulation amongst submariners, and more generally amongst people working in isolated and confined environments.

Delivering adapted physical activity by videoconference to patients with fatigue under immune checkpoint inhibitors: Lessons learned from the PACTIMe-FEAS feasibility study

Introduction Fatigue is one of the most frequent symptoms in anti-cancer immune therapy. Physical activity has been proven effective in reducing fatigue, but unmet needs remain regarding the provision and access to adapted programmes, which efficiently addresses the main barriers to PA. Methods The PACTIMe-FEAS study primarily aimed at primarily to evaluate the feasibility and the acceptability of a videoconference-based 6-month programme promoting physical activity, and secondarily to assess its potential post-immediate and short-term effectiveness in reducing fatigue in cancer patients under immune therapy. Numeric self-reported questionnaires (Visual Analogue Scale-fatigue, Multidimensional Fatigue Inventory, International Physical Activity Questionnaire, Échelle de Motivation envers l’Activité Physique en contexte de Santé, Medical Outcomes Study 36-Item Short Form Health Survey, Hospital Anxiety and Depression Scale and Insomnia Severity Index) were completed by participants through an online secure platform at three time points: just before (T1), and after (T2) the programme, and 3 months later (T3). Results Sixteen participants (50% male, 50% female, mean age 54 years, 69% melanoma, 31% overweight), with moderate-to-severe fatigue, entered the internet-delivered intervention; 14 completed it, with an average completion rate of physical activity supervised sessions of 75%. Satisfaction was high, confirming a demand for group format, personalised approach, professional guidance and home-based device, to support the practice of regular physical activity. A decrease in fatigue was observed at the end of the programme. Discussion The recruitment process did prove to be challenging, with a relatively small eligible population, and will need to be reconsidered to envision a larger scale trial. But here and now, this feasibility study provides the first promising foundations to develop further research on the effectiveness of an original remote programme.

Cultural and Behavioral Factors Related with Non-compliance to Hygienic Rules by Food Vendors in Primary and Secondary School in the Benoue Division - Cameroon

Background: Unhealthy foods containing harmful bacteria, viruses, parasites, or chemicalscause illnesses ranging from diarrhea to cancer. The objective of this study was to investigatethe behavioral and cultural practices responsible for non-compliance with hygiene rules bycommercial food vendors in primary and secondary schools in the Benoue division ofCameroon. Based on the results obtained, we recommend to decision-makers the need to ensurea quality diet served in schools, respect for hygiene rules and the practice of regular physicalactivity which both contribute to the good - cognitive and mental being of children. Method:We conducted a descriptive cross-sectional analysis in the Benoue division of Cameroon.Quantitative and qualitative methods were used for data collection. Prospective data werecollected from 172 food vendors within this locality. A well-structured questionnaire and anobservation guide were used for data collection. Ethical approval was provided by the IRB ofthe Catholic University of Central Africa. Results: The results show that 57% of participantswere not aware of neither practiced optimal hygiene rules. More than 78.1% of the respondentsdid not wash their hands before serving food. Other cultural and behavioral determinants suchas cleanliness, wearing of aprons, and owning a dust bin influenced vendors' respect of hygienicrules with a significance of 05% (p <0.05). Conclusion: Our findings show that cultural andbehavioral determinants factors influence the practice of hygienic rules in schools. Trainingthese minor business owners on adequate hygienic practice will optimize respect for asepticrules.

A Physical Activity Practice Index for Older Students and Adults

This article puts forward a physical activity practice (PAP) index that could be used by older students (high school and college level) and adults who wish to monitor their PAP in order to regulate it. Authors explain the origin of the PAP index, identify PAP aspects such as frequency, duration, intensity and diversity as they relate to the index and describe the simple mechanics of its computation. Then, they discuss physical literacy (PL) awareness in terms of competence, knowledge and understanding, motivation toward PAP, and actual physical activity (PA) engagement. Regulation scenarios are presented in association with individuals’ PAP awareness. Finally, a few suggestions are added with regard to tailored PAP monitoring for more engaged physical literate persons. The PAP index described is intended to help individuals monitor their PAP over time, taking simultaneously into account its intensity and volume whatever the selected activity(ies). Willingness to monitor one’s PAP implies at least a minimal level of PL awareness. Besides reflecting on their PA-related knowledge and PA competency and capacities, individuals ought to understand their reasons for engaging into the regular practice of PA. Based on their answers to such questions, they can then engage into regulation scenarios with the help of monitoring instruments such as the one discussed in this article. Keywords: physical literacy, physical-literacy awareness, physical-activity-practice awareness, FITT formula, PAP monitoring

Association of morningness–eveningness preference with physical activity during the COVID-19 pandemic social distancing: a cross-sectional survey in Brazil

ABSTRACT Social distancing (SDIST) to contain COVID-19 pandemic spread implies reduced sunlight exposure and social daily life, which delay the circadian system and increase eveningness preference. The regular practice of physical activity (PA) is a time cue that decreased during SDIST. However, it is unknown if decreased PA may be associated with increase of eveningness preference. This study aimed to investigate if PA changes might be associated with changes in the morningness-eveningness preference of individuals practicing SDIST in Brazil. For this, 322 adults (18–89 years-old) regularly living in Brazil between March and October 2020 answered an online survey including questions considering the before and during SDIST period on PA (min/week) and morningness-eveningness questionnaire score. Sociodemographic, SDIST, anthropometric, and health characteristics were also included in the online survey. Participants self-reported an increase of eveningness preference comparing Before-SDIST with During-SDIST scores (56 ± 12 vs. 52 ± 13, p < .0001). Self-reported PA decreased comparing Before-SDIST with During-SDIST (230 ± 170 vs. 149 ± 155 min/week, p < .0001). Decrease in the total volume of PA and hours spent outside per day, and higher body mass index were associated with the increase in eveningness preference (R2 = .077), although the decrease in the total volume of PA was the strongest association (R2 = .037). In summary, our results show that SDIST may cause a delay in the circadian system, which is associated with the decrease of PA, a reduction in the hours spent outside per day with sunlight exposure, and obesity.

Longer-term effects of supervised physical activity on obstructive sleep apnea and subsequent health consequences.

Although recent trials have shown promising benefits of exercise on obstructive sleep apnea (OSA) severity, the long-term effect of these interventions remains unknown. The aim of this study was to assess the effect of a 9-month community physical activity program on OSA severity one year later in free-living conditions. OSA patients, previously included in a 9-month randomized controlled trial (EXESAS study) evaluating the effects of supervised community physical activity on OSA severity, were invited to participate in an extra one-year observational study. Twenty-eight patients completed the study. Although OSA severity did not significantly worsen over the real-life period (9 to 21months of follow-up), reductions in apnea-hypopnea index (AHI) and oxygen desaturation index were no longer significant after 21months of follow-up compared to baseline (baseline AHI: 22.2±6.3 /h; 9months: 16.3±6.4 /h; 21months: 18.7±8.9 /h). Benefits observed at 9months on daytime sleepiness and mental health were preserved at 21months, whereas cardiorespiratory fitness slightly decreased. Per-protocol analysis revealed that patients who stopped exercise at 9months had worsened OSA severity compared to those who continued exercise during the real-life period (AHI: +9.0±8.8 vs. -1.3±5.3 /h; p<.01). In conclusion, our study suggested that improvements in OSA severity remain transient and is dependent on long-term adherence to regular physical activity practice.