Sleep Schedules Modifications in Sleep Apnea Patients Treated by nCPAP
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Purpose
In Obstructive sleep apnea (OSA) patients, sleep is disrupted and sleep quality is very poor. The investigators can suppose that with continuous positive airway pressure (CPAP) therapy, there is an improvement in sleep quality, such that patients need less sleep to be fit. Sleep schedules on mid term periods in OSA patients under CPAP therapy has not been studied. The investigators have planned to study sleep schemes before and after CPAP therapy in moderate to severe sleepy OSA patients.
| Condition |
|---|
|
Obstructive Sleep Apnea |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Evaluation of Sleep Schedules Modifications in Moderate to Severe Sleep Apnea Patients Treated by nCPAP |
- Total sleep time before and after CPAP therapy in obstructive sleep apnea patients [ Time Frame: 3 months ] [ Designated as safety issue: No ]evaluated by actigraphy
- Evolution of Physical activity (number of steps/day, mean daily time spent in activities > 3 METs, and mean daily energy expenditure; in Kcal)before and after CPAP therapy in OSA patients [ Time Frame: 3 months ] [ Designated as safety issue: No ]evaluated by actigraphy
| Estimated Enrollment: | 190 |
| Study Start Date: | August 2010 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
obstructive sleep apnea, CPAP
moderate to severe obstructive sleep apnea requiring CPAP therapy
|
Detailed Description:
In Obstructive sleep apnea (OSA) patients, sleep is disrupted and sleep quality is very poor. The investigators can suppose that with CPAP therapy, there is an improvement in sleep quality, such that patients need less sleep to be fit. Patients often report this fact, but it has not been objectivated.
Sleep schedules on mid term periods in OSA patients under CPAP therapy has not been studied. The investigators have planned to study sleep schemes before and after CPAP therapy in moderate to severe sleepy OSA patients. Sleep schemes and physical activity will be studied with actigraphy.
Study Design : prospective study. Number of patients supposed to be studied: 190
Methods:
Patients Ø OSA patients assessed by polysomnography, showing apnea-hypopnea index > 20, and Epworth Sleepiness Scale Score(ESS) >10 Ø Indication of CPAP therapy
Initial Evaluation :
Phase 1
- ESS
- BMI
- Questionnaire : Nottingham health profile
- Comorbidities -medical therapy
- Smoking/alcohol Consumption
- Then, we give an Actigraph (Body Media Sense WearÒ) to the patients, that he has to wear during 7 complete days
Phase 2
- Actigraphy report
- Start of CPAP therapy(pressure adjusted according to autoCPAP device report after minimum one night)
Second Evaluation, after 3 months under CPAP:
Phase 1
§ ESS
- BMI
- CPAP observance report to calculate mean use/day
- Questionnaire : Nottingham health profile
- Actigraph (Body Media Sense WearÒ) to the patients, that he has to wear during 7 complete days
Phase 2: after 1 week under CPAP and actigraphy
- Actigraphy report
- CPAP observance report
- CPAP Tolerance Questionnaire Ø
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Moderate to severe OSA
Inclusion Criteria:
- Moderate to severe OSA
- sleepy (sleepiness assessed by Epworth Sleepiness Scale)
- indication for CPAP therapy
Exclusion Criteria:
- narcolepsy
- age < 18
- non sleepy Moderate to severe OSA
- no CPAP treatment required
Contacts and Locations| Contact: Marie Bruyneel, MD | 3225354219 | marie_bruyneel@stpierre-bru.be |
| Contact: Nathalie Hutsebaut, MD | 3225353444 | nathalie_hutsebaut@stpierre-bru.be |
| Belgium | |
| CHU St Pierre | Recruiting |
| Brussels, Belgium, 1000 | |
| Contact: bruyneel 3225354219 | |
| Principal Investigator: | Marie Bruyneel, MD | CHU St Pierre |
More Information
No publications provided
| Responsible Party: | Marie Bruyneel, chef de clinique adjoint, Centre Hospitalier Universitaire Saint Pierre |
| ClinicalTrials.gov Identifier: | NCT01355419 History of Changes |
| Other Study ID Numbers: | AK/10-07-45/3912 |
| Study First Received: | May 6, 2011 |
| Last Updated: | December 12, 2012 |
| Health Authority: | Belgium: Ethics Committee |
Keywords provided by Centre Hospitalier Universitaire Saint Pierre:
|
Obstructive sleep apnea CPAP actigraphy sleep physical activity |
Additional relevant MeSH terms:
|
Apnea Sleep Apnea Syndromes Sleep Apnea, Obstructive Sleep Disorders, Intrinsic Sleep Disorders Respiration Disorders |
Respiratory Tract Diseases Signs and Symptoms, Respiratory Signs and Symptoms Dyssomnias Nervous System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013