Effect of Obstructive Sleep Apnea on Glucose Control and Cognitive Function
Not Applicable
Withdrawn
- Conditions
- Cognitive Change
- Registration Number
- NCT05108363
- Lead Sponsor
- Chinese University of Hong Kong
- Brief Summary
Obstructive sleep apnea (OSA) may contribute to altered cognitive function in patients suffering from severe OSA. And lifestyle modification program may improve the cognitive function after 6 months of therapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- BMI ≥ 25kg/m2
- impaired glucose tolerance which defined as plasma glucose at the range of 7.8 and 11 mmol/l 2 hours after 75g oral glucose solution intake,
- willing to participate in lifestyle modification program
- and capable of using continuous glucose monitoring (CGM) as judged by investigator
Exclusion Criteria
- Lactating or pregnant,
- known diabetes, current or previous use of glucose lowering drug
- current participation in other weight loss or lifestyle interventions, or use of weight loss drugs,
- current use of steroids
- uncontrolled thyrotoxicosis
- allergy to medical grade adhesives
- known obstructive sleep apnea on continuous positive airway pressure therapy
- symptoms of cognitive deterioration (according to the Hong Kong Montreal Cognitive Assessment (HK-MoCA) at the score of <21)
- predominant central sleep apnea
- uncontrolled hypertension (blood pressure >140/90mmHg) or requiring more than two anti-hypertensive medication
- history of stroke or brain injury,
- unstable cardiovascular disease (e.g. recent unstable angina or myocardial infarction within the previous 6 months or severe left ventricular failure; neuromuscular disease affecting or potentially affecting respiratory muscles; moderate to severe respiratory disease (i.e. breathlessness affecting activities of daily living) or documented hypoxemia or awake SaO2 <92%)
- psychiatric disease that limits the ability to give informed consent or complete the study
- Use of psychoactive medication.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Change of Montreal Cognitive Assessment (MoCA) score 12 months Scores on the MoCA range from zero to 30, with a score of 26 and higher generally considered normal.
- Secondary Outcome Measures
Name Time Method Change of apnea-hypopnea index 12 months
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms link obstructive sleep apnea to glucose dysregulation and cognitive decline in NCT05108363?
How does the lifestyle modification program in NCT05108363 compare to standard CPAP therapy for cognitive improvement in OSA patients?
Are there specific biomarkers that correlate with improved glucose control and cognitive outcomes in OSA patients undergoing lifestyle interventions?
What adverse events are associated with lifestyle modification programs in OSA patients with impaired glucose tolerance, and how are they managed?
What combination therapies or pharmacological agents show synergistic effects with lifestyle interventions in managing OSA-related metabolic and cognitive impairments?
Trial Locations
- Locations (1)
Prince of Wales Hospital
🇨🇳Hong Kong, Hong Kong, China
Prince of Wales Hospital🇨🇳Hong Kong, Hong Kong, China