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- Ensaio Clínico NCT02588469
Exercise and Venous Compression on Upper Airway Resistance in Obese Teenagers With OSA (OBESOMAC)
Effects of Exercise and Venous Compression on Upper Airway Resistance in Obese Teenagers With Obstructive Sleep Apnea Syndrome
Visão geral do estudo
Status
Intervenção / Tratamento
Descrição detalhada
Obesity is an important factor of OSA development in children and teenagers, and physical activity is a relevant alternative to promote OSA decrease with ou without weight loss.
Physical activity, beyond the improvement of body composition and exercise cardiorespiratory capacity, restricts fluid retaining in the lower limb of the leg by the activation of musculovenous pump. Fluid retaining is involved in OSA severity because of nocturnal fluid shift from legs to rostral zone which promotes pharyngeal oedema development and upper airway collapsibility.
It has been previously shown that venous compression leads to beneficial fluid regulation in OSA subjects and appears as an efficient tool in OSA management.
To the investigators knowledge no study assess the impact of the cumulative effect of physical and venous compression program on upper airway resistances in obese teenager with OSA.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Salins-les-Bains, França, 39110
- Centre de soins de suite et de réadaptation La Beline
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Obese adolescents (BMI > 97th percentile),
- patients aged from 12 to 17 years old, (born between 07/01/2003 and 09/01/1197),
- enrolled in a pediatric obesity center with diet and physical activity programs and psychological management,
- without observed tonsils hypertrophy (Mallampati and Friedman scores),
- without contraindication for bioimpedance analysis, acoustic method and stain gauge plethysmography,
- with physical activity certificate issued by a cardiologist
- covered by the national insurance scheme of his/her legal representative,
- having signed, as well as his(her) legal representative, the informed consent of participation.
Exclusion Criteria:
- Non obese adolescents (BMI < 97th percentile)
- patients aged under 12 or over 17 years old,
- not enrolled in a pediatric obesity center with diet and physical activity programs and psychological management,
- with observed tonsils hypertrophy (Mallampati and Friedman scores),
- with contraindication for bioimpedance analysis, acoustic method and stain gauge plethysmography,
- without physical activity certificate issued by a cardiologist
- uncovered by the national insurance scheme of his/her legal representative,
- not having signed, as well as his(her) legal representative, the informed consent of participation.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Interventional group
Physical activity program coupled with compression socks wearing during 3 months.
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Venous compression leads to beneficial fluid regulation in OSA participants and appears as an efficient tool in OSA management. To the investigators knowledge no study assess the impact of the cumulative effect of physical and venous compression program on upper airway resistances in obese teenager with OSA. |
Comparador Ativo: control group
Physical activity program without compression socks during 3 months.
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Standard obesity care with physical activity program
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
Change from Obstructive sleep apnea severity at 3 months.
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Obstructive Sleep Apnea change will be assessed with polysomnography system at baseline and after three months
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
Upper airway resistances
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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upper airway resistance will be assessed by acoustic method
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Fluid shift
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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fluid shift will be assessed by bioimpedance analysis
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Calf and neck circumferences
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Calf and neck circumferences will be assessed with nonelastic tape
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Calf and neck circumferences
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Calf and neck circumferences will be assessed by plethysmography
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Anthropometric parameters
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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weight, height, waist and hip circumferences (body weight scale, standing stadiometer and non-elastic tape)
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Body composition
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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fat mass, fat free mass ( by bioimpedance analysis)
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Pulmonary function during exercise
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Incremental maximal exercise in cycling ergometer with respiratory gas assessment (metamax)
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Metabolic responses
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Glucose, LDL-Cholesterol, HDL-Cholesterol, Total Cholesterol, Triglycerides (ELISA and RIA technics)
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Hormonal responses
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Insulin, leptin, adiponectin, catecholamines (ELISA and RIA technics)
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Inflammatory responses
Prazo: This study includes 2 assessments : baseline (T0) and 3 months (T3)
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C-reactive protein (ELISA and RIA technics)
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This study includes 2 assessments : baseline (T0) and 3 months (T3)
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Colaboradores e Investigadores
Patrocinador
Publicações e links úteis
Publicações Gerais
- Roche J, Corgosinho FC, Damaso AR, Isacco L, Miguet M, Fillon A, Guyon A, Moreira GA, Pradella-Hallinan M, Tufik S, Tulio de Mello M, Gillet V, Pereira B, Duclos M, Boirie Y, Masurier J, Franco P, Thivel D, Mougin F. Sleep-disordered breathing in adolescents with obesity: When does it start to affect cardiometabolic health? Nutr Metab Cardiovasc Dis. 2020 Apr 12;30(4):683-693. doi: 10.1016/j.numecd.2019.12.003. Epub 2019 Dec 16.
- Roche J, Gillet V, Perret F, Mougin F. Obstructive Sleep Apnea and Sleep Architecture in Adolescents With Severe Obesity: Effects of a 9-Month Lifestyle Modification Program Based on Regular Exercise and a Balanced Diet. J Clin Sleep Med. 2018 Jun 15;14(6):967-976. doi: 10.5664/jcsm.7162.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Doenças do Sistema Nervoso
- Doenças Respiratórias
- Distúrbios Respiratórios
- Distúrbios do Sono Intrínsecos
- Dissônias
- Distúrbios do Sono Vigília
- Supernutrição
- Distúrbios Nutricionais
- Excesso de peso
- Peso corporal
- Sinais e Sintomas Respiratórios
- Obesidade
- Síndromes da Apneia do Sono
- Apnéia do Sono, Obstrutiva
- Apnéia
- Obesidade Pediátrica
Outros números de identificação do estudo
- P/2015/250
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
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