- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT01481636
Assessing the Symptoms of Obstructive Sleep Apnea (OSA)
maanantai 16. kesäkuuta 2014 päivittänyt: Bangor University
Association of Health Outcomes With Severity of OSA Symptomatology- a Correlation Study.
The purpose of this study is to investigate the correlation between health outcomes associated with the severity of obstructive sleep apnea (OSA) symptomatology, the findings will guide the design of interventional studies.
Tutkimuksen yleiskatsaus
Tila
Valmis
Ehdot
Yksityiskohtainen kuvaus
Obstructive sleep apnea is a condition characterised by periods of narrowing of the pharyngeal airways during sleep causing hypoxic and hypercapnic episodes with the cessation of ventilation.
Considering the high number of overweight and obese individuals in Western society the understanding of the pathomechanisms behind OSA are important.
This observational study aims to investigate the correlations between the severity of Obstructive Sleep Apnea assessed by the apnea-hypopnea index (AHI) and different health outcomes associated with the OSA.
Opintotyyppi
Havainnollistava
Ilmoittautuminen (Todellinen)
66
Yhteystiedot ja paikat
Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.
Opiskelupaikat
-
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Gwynedd
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Bangor, Gwynedd, Yhdistynyt kuningaskunta, LL57 2PW
- Betsi Cadwaladr University Health Board
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Osallistumiskriteerit
Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.
Kelpoisuusvaatimukset
Opintokelpoiset iät
18 vuotta - 70 vuotta (Aikuinen, Vanhempi Aikuinen)
Hyväksyy terveitä vapaaehtoisia
Ei
Sukupuolet, jotka voivat opiskella
Uros
Näytteenottomenetelmä
Ei-todennäköisyysnäyte
Tutkimusväestö
Mild to severe recently diagnosed Obstructive Sleep Apnea patients selected by physician who have not received any treatment for their condition.
Selected from Ysbyty Gwynedd in North Wales.
Kuvaus
Inclusion Criteria:
- Body Mass Index ≤39
- Not received any treatment for Obstructive Sleep Apnea.
- Is a non-smoker
- Is not epileptic
- Epworth Sleepiness Scale ≥ 10.
- Patient's on Statins or antihypertensive drugs are included as so frequent in OSA.
Exclusion Criteria:
- Body Mass Index ≥ 39.
- Presence of significant or unstable Renal, Liver or Heart Failure.
- Receiving anti-diabetic treatment.
- Is a smoker.
- Is epileptic
- Presence of significant or unstable psychological morbidities.
Opintosuunnitelma
Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
Kohortit ja interventiot
Ryhmä/Kohortti |
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No treatment, OSA (AHI >15)
Patients with OSA recruited prior to receiving NHS treatment.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
---|---|---|
Apnea-Hypopnea Index (AHI)
Aikaikkuna: one night within four weeks of study.
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AHI refers to how is the number of apneas and hypopneas per an hour of sleep.
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one night within four weeks of study.
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
---|---|---|
Residual volume
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Volume of air remaining in lungs after full expiration
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Within four weeks of recruitment prior to CPAP treatment
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Functional residual volume
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Air present in lungs at the end of passive expiration
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Within four weeks of recruitment prior to CPAP treatment
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Total lung capacity
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Total volume of lungs
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Within four weeks of recruitment prior to CPAP treatment
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Forced Vital capacity
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Maximum amount of air which can be expired from the lungs following a full inspiration
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Within four weeks of recruitment prior to CPAP treatment
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Forced expiratory volume in one second (FEV1)
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Maximum amount of air which can be expired from the lungs in one second.
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Within four weeks of recruitment prior to CPAP treatment
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Airway Resistance
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Opposition of flow caused by forces of friction.
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Within four weeks of recruitment prior to CPAP treatment
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Plasma 2-arachidonoylglycerol (2-AG)
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment.
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Ligand of the G-protein coupled CB1 and CB2 receptors, has been found to be correlated with Oleylethanolamide (OEA) in OSA patients have various effects on energy metabolism.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment.
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Plasma Anandamide (ANA)
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Ligand of the G-protein coupled CB1 and CB2 receptors, found to be correlated with blood pressure in OSA after the adjustment of confounding variables.
Have various effects on energy metabolism.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Plasma oleoylethanolamine (OEA)
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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A lipid mediator which acts as an anorexigenic (appetite suppressant), and is elevated with sleep deprivation.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Plasma Leptin
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Circulating protein produced in adipose tissue.
Elevated in OSA and obesity.
Leptin may reduce respiratory depression.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Plasma Adiponectin
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Hormone secreted by adipocytes (Fat cells).
Adiponectin is closely linked to metabolism and may have anti-inflammatory properties.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Plasma C-reactive Protein
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Marker of inflammation.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Insulin
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Hormone which causes liver and muscle and fat cells to take up glucose to convert to glycogen.
OSA is associated with insulin resistance.
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Within four weeks of recruitment prior to CPAP treatment and after four weeks of CPAP treatment
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Neck circumference
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Within four weeks of recruitment prior to CPAP treatment
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Waist circumference
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Within four weeks of recruitment prior to CPAP treatment
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Hip circumference
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Within four weeks of recruitment prior to CPAP treatment
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Weight
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Within four weeks of recruitment prior to CPAP treatment
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Fat-free mass
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Non-fat components of the human body estimated non-invasively using a bioimpedance measurement system.
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Within four weeks of recruitment prior to CPAP treatment
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Fat mass
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Fat components of the human body estimated non-invasively using bioimpedance measurement system.
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Within four weeks of recruitment prior to CPAP treatment
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Maximal Inspiratory pressure
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Measured at residual volume, reflects the strength of the diaphragm and other inspiratory muscles.
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Within four weeks of recruitment prior to CPAP treatment
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Rate of inspiratory muscle fatigue
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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The decline in maximal inspiratory pressure following inspiration against a resistance.
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Within four weeks of recruitment prior to CPAP treatment
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Chest RPE
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Rating of perceived exertion in the chest and associated airways during the inspiratory fatigue protocol.
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Within four weeks of recruitment prior to CPAP treatment
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Dyspnea
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Rating of breathlessness half way through fatigue protocol and at the end of protocol.
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Within four weeks of recruitment prior to CPAP treatment
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Ventilation with 25% O2/ 6% CO2
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Measures the breathing response to high oxygen and high CO2 therefore assessing the central chemoreceptors response only.
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Within four weeks of recruitment prior to CPAP treatment
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Ventilation with 13% O2
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Measures the breathing response to low oxygen.
Designed to Assess the response to the peripheral chemoreceptors.
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Within four weeks of recruitment prior to CPAP treatment
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Ventilation with 13% O2 / 6% CO2
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Measures the breathing response to low oxygen and high CO2.
Designed to assess the response of the sum of the peripheral and central chemoreceptors
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Within four weeks of recruitment prior to CPAP treatment
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Mean RR interval
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Time domain measure: Average time interval between the heart beats R waves
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Within four weeks of recruitment prior to CPAP treatment
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SDNN
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Time domain measure: The standard deviation of all RR intervals
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Within four weeks of recruitment prior to CPAP treatment
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NN50 count
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Time domain measure: The number of pairs of adjacent RR intervals differing by more than 50 ms in the entire analysis interval.
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Within four weeks of recruitment prior to CPAP treatment
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NN50 of total HR (%)
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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Time domain measure: NN50 count divided by total number of all RR intervals.
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Within four weeks of recruitment prior to CPAP treatment
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HRV triangular index
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment
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The total number of RR intervals divided by maximum height of the histogram excluding boundaries.
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Within four weeks of recruitment prior to CPAP treatment
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Low frequency domain
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment.
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Frequency domain analysis: represents 0.04-0.15
Hz reflecting sympathetic activity.
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Within four weeks of recruitment prior to CPAP treatment.
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High frequency domain
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment.
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Frequency domain analysis: represents 0.15-0.40
Hz reflecting parasympathetic activity.
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Within four weeks of recruitment prior to CPAP treatment.
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LF/HF ratio
Aikaikkuna: Within four weeks of recruitment prior to CPAP treatment.
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The ratio of low frequency (0.04 - 0.15 Hz) to high (0.15-0.40 Hz) frequency recordings.
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Within four weeks of recruitment prior to CPAP treatment.
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Yhteistyökumppanit ja tutkijat
Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.
Sponsori
Tutkijat
- Päätutkija: Christopher MN Earing, MSc, School of Sport, Health and Exercise Sciences, Bangor University
Opintojen ennätyspäivät
Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan julkisella verkkosivustolla.
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Tiistai 1. marraskuuta 2011
Ensisijainen valmistuminen (Todellinen)
Sunnuntai 1. kesäkuuta 2014
Opintojen valmistuminen (Todellinen)
Sunnuntai 1. kesäkuuta 2014
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Torstai 24. marraskuuta 2011
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Torstai 24. marraskuuta 2011
Ensimmäinen Lähetetty (Arvio)
Tiistai 29. marraskuuta 2011
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Arvio)
Tiistai 17. kesäkuuta 2014
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Maanantai 16. kesäkuuta 2014
Viimeksi vahvistettu
Sunnuntai 1. kesäkuuta 2014
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- REC No: 11/WNo:01/2
- Earing 11/WNo01/2 (Muu tunniste: North West Wales Research Ethics Committee)
Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .
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