Healthy, Obesity, Vasoconstriction, Vasodilation
Conditions
Brief summary
Patients with sleep apnea are at increased risk of developing cardiovascular disease - with women at potentially greater risk than men. Contributing mechanisms are not well understood, but may be related to how women respond to low oxygen and, given over 70% of patients with sleep apnea are obese, the impact of obesity. This project seeks to increase our understanding of mechanisms that may contribute to sex differences in the cardiovascular response to low oxygen with the hope that this knowledge will improve the efficacy of current therapies and support the discovery of novel therapeutics.
Interventions
Participants will complete the cold pressor test during the final 2 min of normoxia and hypoxia.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-45 years of age (premenopausal) * Healthy weight (BMI ≥18 and ≤25 kg/m2) * Obese (BMI ≥30 kg/m2)
Exclusion criteria
* Pregnancy, breastfeeding, oral hormonal contraceptive use * Diagnosed sleep apnea or Oxygen desaturation index \>10 events/hr * Current smoking/Nicotine use * Increased risk of bleeding, pro-coagulant disorders, clotting disorders, anticoagulation therapy * Nerve/neurologic disease * Cardiovascular, hepatic, renal, respiratory disease * Blood pressure ≥140/90 mmHg * Diabetes, Polycystic ovarian syndrome * Communication barriers * Prescription medications, Sensitivity to lidocaine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in forearm vascular conductance with cold pressor test | Continuous measurement of vascular conductance during cold pressor test (final 2 min of normoxia and hypoxia). | Vascular conductance is an index of vascular tone and is measured using a technique called venous occlusion plethysmography. |
Countries
United States