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Comparison of the prevalence of obstructive sleep apnea (OSA), measured by polysomnography in normal weight patients with central obesity by body mass index (BMI) and waist hip ratio (WHR), with normal weight patients without central obesity by BMI and WHR.
Evaluation of arterial stiffness and vascular age in normal weight patients with central obesity and in normal weight patients without central obesity.
Determination of the exercise response characteristics in OSA patients.
Body composition (the distribution of adipose tissue) appears to be a risk factor for the prevalence of obstructive form of sleep apnea. The investigators expect a higher prevalence of this serious sleep pathology in normal weight patients with central obesity than in normal weight patient without central obesity. In normal weight patients with central obesity also endothelial dysfunctions, abnormal exercise response to dynamic load and abnormal circadian patterns of blood pressure and heart rate can be expected. There are theoretical assumptions for this hypothesis but relevant studies on sufficiently large samples of patients have not been done. The investigators will also compare the lipid profile in normal weight patients with central obesity with those of normal weight patients without central obesity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Central obesity group | Normal weight central obesity patients (by BMI and WHR). |
| |
| Without central obesity group | Normal weight patients without central obesity (by BMI and WHR). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Overnight polysomnography | Device | Overnight polysomnography will be performed in a sleep laboratory (EEG, EOG, EMG, ECG, respiratory movements of the chest and abdomen, oro-nasal airflow, and O2 saturation will be examined |
| Measure | Description | Time Frame |
|---|---|---|
| Apnea hypopnea index | Apnea hypopnea index will be measured in both groups | Through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Cardio Ankle Vascular Index (CAVI) | Noninvasive arterial stiffness and vascular age index CAVI will be measured in both groups | Through study completion, an average of 1 year |
| Response on ergo-spirometry test |
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Inclusion Criteria central obesity group:
Inclusion Criteria without central obesity group:
Exclusion Criteria:
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Group of patients with normal weight central obesity and group of patients with normal weight without central obesity.
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| Name | Affiliation | Role |
|---|---|---|
| Pavel Homolka, M.D.,Ph.D. | St Anne's University Hospital in Brno | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Anne's University Hospital | Brno | 65691 | Czechia |
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| ID | Term |
|---|---|
| D012893 | Sleep Wake Disorders |
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Cardiopulmonary exercise test parameters (oxygen consumption at peak exercise (ml/kg/min) and VE/VCO2 slope) will be measured in both groups.
| Through study completion, an average of 1 year |
| Ambulatory 24-hour blood pressure measurement (ABPM) | Ambulatory 24-hour blood pressure measurement (ABPM) will be analyzed conventionally and chronobiologically in both broups | Through study completion, an average of 1 year |
| D001523 | Mental Disorders |
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |