Cited by 170Obstructive Sleep Apnea ResearchSleep and related disordersDiabetes, Cardiovascular Risks, and Lipoproteins

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A randomised controlled trial of nasal continuous positive airway pressure on insulin sensitivity in obstructive sleep apnoea

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Lam, J. C. M., Lam, B., Yao, T. J., Lai, A. Y. K., Ooi, C. G., Tam, S., Lam, K. S. L., Ip, M. S. M.·2010·European Respiratory Journal

DOI 10.1183/09031936.00047709

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Abstract

The effects of treatment of obstructive sleep apnoea (OSA) on glucose metabolism have been investigated previously with conflicting results. This study evaluated the impact of nasal continuous positive airway pressure (nCPAP) treatment of OSA on insulin sensitivity. Males with moderate/severe OSA and no significant comorbidity were randomised to a therapeutic or sham nCPAP treatment group for 1 week and then reassessed. Those who received therapeutic nCPAP were further evaluated at 12 weeks. Insulin sensitivity (K itt) was estimated by the short insulin tolerance test. Other evaluations included blood pressure, metabolic profile, urinary catecholamines and intra-abdominal fat. In total, 61 Chinese subjects were randomised. 31 subjects receiving therapeutic nCPAP showed an increase in K itt(6.6±2.9 to 7.6±3.2 %·min−1; p = 0.017), while the 30 patients on sham CPAP had no significant change, and the changes in K itt were different between the two groups (p = 0.022). At 12 weeks, improvement in K itt was seen in 20 subjects with BMI ≥25 kg·m−2(median (interquartile range) 28.3 (26.6–31.5); p = 0.044), but not in the nine subjects with BMI<25 kg·m−2, or the entire group. The findings indicate that therapeutic nCPAP treatment of OSA for 1 week improved insulin sensitivity in nondiabetic males, and the improvement appeared to be maintained after 12 weeks of treatment in those with moderate obesity.

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Authors: Lam, J. C. M., Lam, B., Yao, T. J., Lai, A. Y. K., Ooi, C. G., Tam, S., Lam, K. S. L., & Ip, M. S. M.
Affiliations: Queen Mary Hospital (CN)
University of Hong Kong (HK)
ORCID: Yao, T. J.
Lai, A. Y. K.
Lam, K. S. L.
Ip, M. S. M.
Venue: European Respiratory Journal
Publisher: European Respiratory Society (ERS)
Published: 2009-07-16
Volume: 35
Issue: 1
Pages: 138-145
ISSN: 0903-1936 (ISSN-L)
1399-3003
DOI: 10.1183/09031936.00047709
OpenAlex: W2113279632
Cited by: 170
References: 40
Citations by year: 2026: 1 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 11 · 2018: 17 · 2017: 6 · 2016: 7 · 2015: 19 · 2014: 16 · 2013: 14 · 2012: 16
FWCI: 10.64
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: European Respiratory Journal (publishedVersion)
PubMed (publishedVersion)
The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Funders: Queen Mary University of London
University of Hong Kong
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: obstructive sleep apnea, nasal continuous positive airway pressure, insulin sensitivity, glucose metabolism, insulin tolerance test, obesity, body mass index, sham CPAP, urinary catecholamines, intra-abdominal fat, blood pressure
MeSH terms: Adult, Aged, Double-Blind Method, Humans, Insulin, Male, Middle Aged, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure, Young Adult

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A randomised controlled trial of nasal continuous positive airway pressure on insulin sensitivity in obstructive sleep apnoea

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