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The effect of continuous positive airway pressure on total antioxidant capacity in obstructive sleep apnea: a systematic review and meta-analysis

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Abstract

Background

Obstructive sleep apnea (OSA), a sleep-related disorder with high prevalence, is associated with an imbalance in oxidative stress and is linked to cardiovascular disease. There are conflicting reports regarding the effectiveness of continuous positive airway pressure (CPAP) therapy on oxidative stress/antioxidant markers in patients with OSA. This review was performed to evaluate the influence of therapy with CPAP on serum/plasma total antioxidant capacity (TAC) in patients with OSA.

Methods

The Cochrane Library, Web of Science, Scopus, Embase, and PubMed were searched through June 2022 to obtain studies evaluating CPAP treatment on TAC in patients with OSA. Overall results were tested using standardized mean difference (SMD) with a 95% confidence interval (CI). Comprehensive Meta-Analysis V2 software was employed to perform analyses.

Results

Ten studies with 12 effect sizes were eligible for inclusion in this analysis. The overall SMD revealed that CPAP therapy significantly increased TAC [SMD 0.497; 95% CI: 0.21 to 0.77; p: 0.00] in OSA. Analyses based on subgroups showed that the effect of CPAP therapy was significant in all subgroups according to therapy duration, age, BMI, and AHI. Whereas the meta-regression results indicated that the impact of therapy with CPAP on TAC is associated with AHI, BMI, and age in patients with OSA.

Conclusions

The finding of this meta-analysis demonstrated a favorable impact of CPAP therapy on TAC levels in patients suffering from OSA.

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Data availability

The data that support the findings of this study are available on request from the corresponding author (Reza Fadaei and Habibolah Khazaie).

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Authors and Affiliations

  1. Department of Clinical Biochemistry, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

    Hossein Hosseini & Hamed Amiri

  2. Department of Biology, Mashhad Branch, Islamic Azad University, Mashhad, Iran

    Masoud Homayouni-Tabrizi

  3. Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

    Roya Safari-Faramani

  4. Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

    Mohammad-Taher Moradi, Reza Fadaei & Habibolah Khazaie

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  1. Hossein Hosseini
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Correspondence to Reza Fadaei or Habibolah Khazaie.

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Hosseini, H., Homayouni-Tabrizi, M., Amiri, H. et al. The effect of continuous positive airway pressure on total antioxidant capacity in obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath 27, 1237–1245 (2023). https://doi.org/10.1007/s11325-022-02733-9

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