Publications by authors named "R Zuwallack"

Background: The term "Overlap Syndrome" (OS) describes the presence of both chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) in a single individual. Excessive daytime sleepiness (EDS) is a common symptom of OS shown to be associated with an increased risk of cardiovascular disease (CVD) that could be reduced through exercise. Thus, we propose to investigate a novel exercise intervention in individuals with the EDS-OS phenotype as they are at highest risk of CVD yet have the greatest barriers to exercise.

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Article Synopsis
  • Cardiovascular disease is a major health issue for patients with Overlap Syndrome, which involves both Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease.
  • A study was conducted to evaluate endothelial function in 7 patients with Overlap Syndrome on CPAP therapy, focusing on the relationship between flow-mediated dilation (FMD) and physical activity levels.
  • Results indicated a strong correlation between increased physical activity and better endothelial function, suggesting that FMD could help identify high-risk patients who may benefit from more exercise; however, larger studies are necessary for validation.
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Random-digit dialing (RDD) telephone surveys are challenged by declining response rates and increasing costs. Many surveys that were traditionally conducted via telephone are seeking cost-effective alternatives, such as address-based sampling (ABS) with self-administered web or mail questionnaires. At a fraction of the cost of both telephone and ABS surveys, opt-in web panels are an attractive alternative.

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Chronic Obstructive Pulmonary Disease (COPD) is a common disease associated with significant morbidity and mortality that is both preventable and treatable. However, a major challenge in recognizing, preventing, and treating COPD is understanding its complexity. While COPD has historically been characterized as a disease defined by airflow limitation, we now understand it as a multi-component disease with many clinical phenotypes, systemic manifestations, and associated co-morbidities.

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