Metabolic Syndrome, Sleep Apnea
Conditions
Brief summary
Obstructive Sleep Apnea (OSA) is a common condition that may induce hemodynamic and metabolic dysregulation. However, it is not clear if OSA is a mere epiphenomenon or contributes to increase the morbidity associated with metabolic syndrome. This study was designed to evaluate the impact of OSA treatment with CPAP in consecutive patients with metabolic syndrome.
Interventions
Standard device for treating obstructive sleep apnea.
Sponsors
Study design
Eligibility
Inclusion criteria
* Metabolic Syndrome (ATP III) * Moderate to severe OSA
Exclusion criteria
* Smokers * Patients under chronic use of medications * Neurological diseases * Coronary artery disease * Acute heart failure * Chronic renal failure (GFR \< 30 ml/min) * Chronic obstructive pulmonary disease * Mild OSA and patients with BMI over 40 kg/m2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reversibility of Metabolic Syndrome criteria | 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hepatic steatosis | 6 months | Abdominal CT |
| carotid intima-media thickness | 6 months | Carotid ultrasound |
| endothelial function | 6 months | Braquial artery ultrasound (flow mediated dilation, %) |
| coronary atherosclerosis | 6 months | Coronary CT |
| Abdominal fat | 6 months | Abdominal CT |
| Metabolomics | 6 months | Metabolomic analysis (intended to be a sub-study) |
| MicroRNAs | 6 months | MicroRNAs analysis (intended to be a sub-study) |
| Epicardic fat | 6 months | Epicardic fat quantification by CT (intended to be a sub-study) |
| Heart remodeling | 6 months | Evaluated by Tranthoracic echocardiography (intended to be a sub-study) |
| Inflammatory markers | 6 months | C-reactive protein |
Countries
Brazil