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Sex Steroids, Sleep, and Metabolic Dysfunction in Women - NCT00805207-63110(Clinical Trial 258472)



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City:  St. Louis
State:  
MO
Zip Code: 63110
Conditions: Polycystic Ovary Syndrome - Obstructive Sleep Apnea - Obesity
Purpose: Increased plasma triglyceride concentration is a common feature of the metabolic abnormalities associated with obesity and a major risk factor for cardiovascular disease. Obesity is a major risk factor for two conditions that appear to be increasing in prevalence in women: the polycystic ovary syndrome and sleep disordered breathing. PCOS affects 5-8% of women. Sleep disordered breathing affects up to 10% of women. Obstructive sleep apnea is the most common cause for sleep disordered breathing and particularly prevalent in obese women with PCOS (~50%). Both PCOS and OSA augment the increase in plasma TG concentration associated with obesity, and the effects of polycystic ovary syndrome and obstructive sleep apnea on plasma TG concentration appear to be additive. The mechanisms responsible for the adverse effects on plasma TG metabolism are not known. The primary goal of this project, therefore, is to determine the mechanisms responsible for the increase in plasma triglyceride concentration in obese women with polycystic ovary syndrome and obstructive sleep apnea. It is our general hypothesis that alterations in the hormonal milieu that are characteristic of these two conditions are, at least in part, responsible for the increase in plasma TG concentration in obese women with the conditions. Furthermore, we hypothesize that the hormonal aberrations characteristic of the two conditions are particularly harmful to obese, compared with lean, women.
Study summary:
Criteria: Inclusion Criteria: - Women aged 18-75 years and men 45-75 years - Healthy lean and obese women (BMI 18.5-25 kg/m2 and 30-40 kg/m2) and obese men (BMI 30-40 kg/m2) - Obese women (BMI 30-40 kg/m2) with OSA or PCOS Exclusion Criteria: - Pregnant, lactating, peri- or postmenopausal women will be excluded from the study because of potential confounding influences of these factors and potential ethical concerns (pregnant women) - Women taking medications known to affect substrate metabolism and those with evidence of significant organ dysfunction (e.g. impaired glucose tolerance, diabetes mellitus, liver disease, hypo- or hyper-thyroidism) other than PCOS and OSA - Severe hypertriglyceridemia (fasting plasma TG concentration >400 mg/dl) - Subjects with OSA who have an apnea-hypopnea index (AHI) score >30 (the total number of obstructive events divided by the total hours of sleep) will be excluded and instructed to seek medical care
Study is available at: Washington University School of Medicine
St. Louis, MO 63110
United States

Primary Contact:
Wang, PhD
Email: xwang@dom.wustl.edu
Phone: 314-362-8203
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 22, 2011
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