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Trial registered on ANZCTR
Registration number
ACTRN12616001389493
Ethics application status
Approved
Date submitted
2/09/2016
Date registered
6/10/2016
Date last updated
6/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Association of epicardial fat thickness with clinical and polysomnographic parameters in non-obese obstructive sleep apnea (OSA) patients
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Scientific title
Association of epicardial fat thickness with clinical and polysomnographic parameters in non-obese OSA patients
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Secondary ID [1]
290085
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obstructive sleep apnea syndrome
300171
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Epicardial fat thickness
300238
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Condition category
Condition code
Cardiovascular
300061
300061
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0
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Other cardiovascular diseases
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Respiratory
300109
300109
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0
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Sleep apnoea
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participants attend a sleep laboratory for a single night of assessment, during which polysomnography is carried out involving the attachment of sensors to the head and face to assess sleep parameters. Echocardiography is then performed the following morning, which involves holding a small ultrasound device against the chest
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Intervention code [1]
295824
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Not applicable
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Comparator / control treatment
This case-control study included 62 patients diagnosed with OSAS, and 22 healthy controls. Polysomnography (Include such paramaters; apnea-hypopnea index, oxygen desaturation index) and ecocardiography were performed to all participants (study and control group) to analyze sleep apnea degree and investigation of epicardial fat tickness. Assessment performed only once at enrolment.
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Control group
Active
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Outcomes
Primary outcome [1]
299527
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Epicardial fat thickness, assessed by Standard transthoracic echocardiography. Standard views, including the left lateral decubitus and supine positions were obtained. Epicardial fat was defined as the relatively echo-free space between the outer wall of the myocardium and the visceral layer of the pericardium. EFT was measured in end diastole on the free wall of the right ventricle from the parasternal long- and short-axis views, as previously described. The maximum values at any site were measured, and the average value was calculated.
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Assessment method [1]
299527
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Timepoint [1]
299527
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Single assessment for all paticipants.
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Secondary outcome [1]
327456
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Oxygen desaturation index was assessed from polysomnographic examination. The oxygen desaturation index is the number of times per hour of sleep that the blood's oxygen level drop by a certain degree from baseline. It is believed that an elevation in ODI may lead to increased oxidative stress in the body that may predispose people to long-term cardiovascular risks, including high blood pressure (hypertension), heart attack, stroke, and memory loss associated with dementia.
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Assessment method [1]
327456
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Timepoint [1]
327456
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Single assessment at baseline.
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Eligibility
Key inclusion criteria
The patients with an apnea-hypopnea index (AHI) <5 were regarded as the controls, the ones with an AHI >5 were included in the study group, and two groups were compared for EFT. Also, all participants have one of the sleep disordered breathing symptoms such as snoring, apnea and daytime sleepiness.
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Minimum age
19
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The patients and control groups with BMI more than 30, the ones with hypo/hyperthyroidism, primary heart disease, chronic obstructive or restrictive pulmonary disease, uncontrolled hypertension, craniofacial abnormalities, as well as the smokers and the ones that used hypnotic drugs were excluded.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
30/09/2014
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Date of last participant enrolment
Anticipated
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Actual
23/04/2015
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Date of last data collection
Anticipated
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Actual
23/04/2015
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Sample size
Target
84
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Accrual to date
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Final
84
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Recruitment outside Australia
Country [1]
8183
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Turkey
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State/province [1]
8183
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Funding & Sponsors
Funding source category [1]
294454
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Hospital
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Name [1]
294454
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Mugla Sitki Kocman University Training and Research Hospital
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Address [1]
294454
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Orhaniye District, Ismet Catak street 22/18, Mentese/ Mugla/Turkey, 48000
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Country [1]
294454
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Turkey
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Primary sponsor type
Individual
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Name
Sabri Koseoglu
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Address
Mugla Sitki Kocman University, School of Medicine. Haluk Ozsoy street, No:4, Mentese, Mugla, 48000
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Country
Turkey
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Secondary sponsor category [1]
293366
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None
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Name [1]
293366
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Address [1]
293366
0
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Country [1]
293366
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295889
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Mugla Sitki Kocman University Clinic Investigations Ethics Committee
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Ethics committee address [1]
295889
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Haluk Ozsoy Street, Mentese, Mugla, 48000
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Ethics committee country [1]
295889
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Turkey
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Date submitted for ethics approval [1]
295889
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09/09/2014
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Approval date [1]
295889
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23/09/2014
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Ethics approval number [1]
295889
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10/3
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Summary
Brief summary
Thick epicardial fat is a cardiovascular risk factor, and it has been shown to be correlated with obstructive sleep apnea (OSA), coronary artery disease, obesity, metabolic syndrome, and diabetes mellitus. In this study, we aimed to investigate the relation of epicardial fat thickness (EFT) with severity of OSA, clinical and polysomnographic parameters, and to determine independent predictors for EFT. A total of 84 patients with a body mass index <30, and suspected sleep disordered breathing were included in the study. Their EFT were measured using echocardiography. The patients with an apnea-hypopnea index (AHI) <5 were regarded as the controls, the ones with an AHI >5 were included in the study group, and two groups were compared for EFT. The correlations of EFT with polysomnographic and clinical data, and severity of OSA were investigated. A multivariate regression analysis was performed to determine independent predictors for EFT. There were 62 and 22 patients in study and control groups, respectively. Mean EFT was 3.75 +/- 1.07 mm in study, and 2.97 +/- 0.62 mm in the control groups (p<0.001). There was a significant positive correlation of EFT with AHI, oxygen desaturation index 3 (ODI3), and the minimum oxygen saturation as well as with age, body mass index, and neck and waist circumferences. Epicardial fat was significantly thicker in severe OSA patients. ODI3 was an independent predictor for EFT. Non-obese OSA patients have thicker epicardial fat when compared to the controls. ODI3 has a strong correlation with EFT, and it is an independent predictor for it.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Sabri Koseoglu
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Address
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Mugla Sitki Kocman University, School of Medicine. Haluk Ozsoy street, No:4, Mentese, Mugla, 48000
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Country
68814
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Turkey
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Phone
68814
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+902522115159
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Fax
68814
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Email
68814
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[email protected]
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Contact person for public queries
Name
68815
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Serhan Derin
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Address
68815
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Mugla Sitki Kocman University, School of Medicine. Haluk Ozsoy street, No:4, Mentese, Mugla, 48000
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Country
68815
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Turkey
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Phone
68815
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+902522115159
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Fax
68815
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Email
68815
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[email protected]
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Contact person for scientific queries
Name
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Murat Sahan
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Address
68816
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Mugla Sitki Kocman University, School of Medicine. Haluk Ozsoy street, No:4, Mentese, Mugla, 48000
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Country
68816
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Turkey
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Phone
68816
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+902522115159
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Fax
68816
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Email
68816
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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