CPAP, the standard treatment for Obstructive sleep apnea syndrome (OSAS) that reduces sleep fragmentations and neurocognitive deficit in OSAS may also have a key role in reduction of cardiovascular, mortality risks in the same patients.
Obstructive sleep apnea (OSA) is a condition in which there is collapse of the upper airway during sleep, as a result of which there is a decrease or complete cessation of airflow. This leads to repeated episodes of hypoxia during sleep and sleep fragmentation. It is a highly prevalent though under-recognized clinical problem.There is increasing evidence that inflammation plays important role in development of cardiovascular complications in patients with OSA. Continuous positive airway pressure (CPAP) is the standard treatment for OSA with significant symptoms.However, it is a costly treatment option and poor compliance is an important limiting factor. CPAP treatment has been shown to improve the daytime somnolence and neurocognitive function in people with OSAS. However, its effect on cardiovascular biomarkers in people with OSAS has not been satisfactorily assessed. This study aims to assess the effect of CPAP treatment on cardiovascular biomarkers in OSA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
3 months of therapeutic CPAP (auto-titrating CPAP) followed by 3 months of non-therapeutic sham-CPAP with 1 month of wash-out in between
3 months of non-therapeutic sham-CPAP followed by 3 months of therapeutic CPAP (auto-titrating CPAP) with 1 month of wash-out in between
All India Institute of Medical Sciences
New Delhi, National Capital Territory of Delhi, India
RECRUITINGEffect of CPAP therapy on blood pressure
Time frame: 7 months
Effect of CPAP therapy on insulin resistance
Time frame: 7months
Effect of CPAP therapy on plasma hs-CRP
Time frame: 7months
Effect of CPAP therapy on lipid profile
Time frame: 7months
Effect of CPAP therapy on urinary albumin-creatinine ratio
Time frame: 7months
Effect of CPAP on anthropometric parameters
Time frame: 3 months
Effect of CPAP on visceral fat and other imagings
Time frame: 3months
Effect of CPAP on carotid intima medical thickness
Time frame: 3months
Effect of CPAP on adipokines and oxidative stress markers
Time frame: 3months
Effect of CPAP on inflammatory cytokine levels.
Time frame: 3months
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