OBese Patients With Obstructive Sleep Apnea Syndrome(OSAS) and EXercise Training
OBEX1
Comparison of 3 Exercise Training Modalities in Obese Patient With Sleep Apnea Syndrome Treated by Continue Positive Airway Pressure : a Randomized Controlled Study
1 other identifier
interventional
60
2 countries
2
Brief Summary
The study was designed to test the following hypotheses: In obese patients with OSAS, the benefit of the combination of exercise training + continuous positive airway pressure (CPAP) will be higher than CPAP alone in term of functional capacity, metabolic, inflammatory, cardiovascular and sleep parameters and quality of life. In obese patients with OSAS, the benefit of training using ventilatory assistance (NIV) during cycloergometer \[cycloergometer with NIV\] or respiratory muscles training (spirotiger) in addition to cycloergometer \[cycloergometer + spirotiger\] will be higher than cycloergometer training alone \[cycloergometer\] in term of functional and exercise capacities. Dyspnea during walking test and respiratory muscle strength at baseline could influence the response to combined exercise training such as \[cycloergometer + NIV\] or \[cycloergometer + spirotiger\]
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable obesity
Started Jul 2010
Longer than P75 for not_applicable obesity
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 30, 2010
CompletedFirst Posted
Study publicly available on registry
July 1, 2010
CompletedStudy Start
First participant enrolled
July 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2018
CompletedOctober 2, 2018
September 1, 2018
4.4 years
June 30, 2010
October 1, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change in exercise tolerance during walking test
* walking distance * dyspnea score
After control period (6th wk) vs. after training period (18th wk)
Secondary Outcomes (9)
Changes in Aerobic capacity
After control period (6th wk) vs. after training period (18th and 52th wks)
Changes in cardiovascular and metabolic function
After control period (6th wk) vs. after training period (18th and 52th wks)
Changes in sleep parameters and Quality Of life
After control period (6th wk) vs. after training period (18th and 52th wks)
Number of cardiovascular events per year
Every year from the 1st to the 5th year
Changes in body composition
After control period (6th wk) vs. after training period (18th and 52th wks)
- +4 more secondary outcomes
Study Arms (2)
ERGO
ACTIVE COMPARATORGeneral endurance training on cycloergometer
ERGONIV/ ERGOSPIRO
ACTIVE COMPARATORGeneral endurance training on cycloergometer using ventilatory assistance (ERGONIV) or additional respiratory muscle training (ERGOSPIRO)
Interventions
12 weeks : 3 sessions per week (2 supervised sessions and 1 session at home) 1 technical visit and 1 nursing visit every two months at home for the CPAP
Eligibility Criteria
You may qualify if:
- OSAS (AHI \> 30 before CPAP treatment)
- \> 4h/d CPAP treatment adherence
- Obese patients with 35 \< BMI \< 45 kg/m2
- Patients who give written consent
- Patients who subscribed social insurance
You may not qualify if:
- Contraindication to exercise
- Pregnant or breast-feed woman
- Patients under guardianship
- Imprisoned patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AGIR à Domlead
- University Hospital, Grenoblecollaborator
Study Sites (2)
Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ)
Québec, GIV 4G5, Canada
Hopital Universitaire de Grenoble
Grenoble, 38043, France
Related Publications (1)
Vivodtzev I, Tamisier R, Croteau M, Borel JC, Grangier A, Wuyam B, Levy P, Minville C, Series F, Maltais F, Pepin JL. Ventilatory support or respiratory muscle training as adjuncts to exercise in obese CPAP-treated patients with obstructive sleep apnoea: a randomised controlled trial. Thorax. 2018 Feb 20:thoraxjnl-2017-211152. doi: 10.1136/thoraxjnl-2017-211152. Online ahead of print.
PMID: 29463621DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Louis Pepin, MD, PhD
Laboratoire EFCR, CHU de Grenoble, 38043, Grenoble, France
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 30, 2010
First Posted
July 1, 2010
Study Start
July 1, 2010
Primary Completion
December 1, 2014
Study Completion
December 1, 2018
Last Updated
October 2, 2018
Record last verified: 2018-09