Sleep Disordered Breathing Clinical Trial
Official title:
Impact of Treatment of Sleep Disordered Breathing With Continuous Positive Airway Pressure (CPAP) on Cardiometabolic Risk Markers
The hypothesis for this study is that children with sleep disordered breathing will benefit
from treatment with Continuous Positive Airway Pressure (CPAP) or Bi-level Positive Airway
Pressure (BiPAP) in terms of reduction in cardiovascular risk markers and insulin
resistance.
The CPAP machine delivers a predetermined level of pressure. It releases a stream of
compressed air through a hose to the nose mask and keeps the upper airway open under
continuous air pressure. This air pressure prevents obstructive sleep apnea, which occurs as
a result of narrowing of the airway due to the relaxation of upper respiratory tract muscles
during sleep. This machine helps to increase the oxygen flow by keeping the airway open.
The BiPAP machine delivers two levels of pressure. Inspiratory Positive Airway Pressure
(IPAP) is a high amount of pressure, applied when the patient inhales and a low Expiratory
Positive Airway Pressure (EPAP) during exhalation.
Obese children with Moderate to Severe Sleep Apnea will have baseline evaluation of markers of cardiometabolic risk and insulin resistance. Subjects will then use either the CPAP or BiPAP machine for 3 months and will return for another blood draw for measurement of the markers for cardiometabolic risk and insulin resistance. ;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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