Table 5.
Effect of CPAP on Vascular Function
Intention-to-Treat Group | Per-Protocol Group | |||||||
---|---|---|---|---|---|---|---|---|
CPAP | Sham CPAP | Difference (CPAP − Sham CPAP) Mean (95% CI) | P Value | CPAP | Sham CPAP | Difference (CPAP − Sham CPAP) Mean (95% CI) | P Value | |
Endothelial function | ||||||||
Peripheral arterial tonometry | n = 24 | n = 21 | ||||||
Reactive hyperemia index | n = 12 | n = 4 | ||||||
Baseline | 2.0 ± 0.6 | 2.0 ± 0.6 | 2.0 ± 0.8 | 2.0 ± 0.8 | ||||
Week 12 | 1.9 ± 0.5 | 2.1 ± 0.7 | −0.2 (−0.5 to 0.2) | 0.36 | 2.2 ± 0.6 | 2.1 ± 0.6 | 0.0 (−0.2 to 0.1) | 0.54 |
Flow-mediated dilatation | n = 11 | n = 14 | ||||||
Brachial diameter, mm | a | |||||||
Baseline | 4.7 ± 0.5 | 4.1 ± 0.9 | ||||||
Week 12 | 4.7 ± 0.6 | 4.3 ± 0.8 | −0.1 (−0.5 to 0.3) | 0.46 | ||||
Dilatation, % | a | |||||||
Baseline | 6.5 ± 3.5 | 7.0 ± 3.3 | ||||||
Week 12 | 5.6 ± 2.6 | 7.3 ± 2.1 | −1.4 (−3.4 to 0.6) | 0.15 | ||||
Arterial stiffness | ||||||||
Peripheral arterial tonometry | n = 27 | n = 21 | n = 12 | n = 4 | ||||
Augmentation index, at 75 bpm | ||||||||
Baseline | 13.7 ± 14.7 | 12.0 ± 14.5 | 15.9 ± 16.4 | 6.9 ± 24.0 | ||||
Week 12 | 7.3 ± 12.6 | 11.3 ± 15.1 | −6.0 (−10.6 to −1.4) | 0.01 | 5.8 ± 15.3 | 10.0 ± 30.9 | −14.9 (−26.8 to −2.9) | 0.02 |
Pulse wave analysis | n = 23 | n = 17 | ||||||
Augmentation index, at 75 bpm | ||||||||
Baseline | 23.1 ± 7.1 | 21.6 ± 7.8 | a | |||||
Week 12 | 18.7 ± 7.3 | 24.1 ± 8.6 | −6.4 (−9.3 to −3.6) | <0.0001 | ||||
Time to reflection, ms | a | |||||||
Baseline | 145.6 ± 10.5 | 148.3 ± 12.8 | ||||||
Week 12 | 149.7 ± 13.0 | 148.2 ± 18.0 | 6.1 (0.3–12.0) | 0.04 |
± values are raw means ± SD. Baseline values include all participants. The between-group differences are the mean differences at 12 weeks, adjusted for baseline values calculated using general linear models. Per-protocol group included participants who met prespecified adherence criteria of ≥4 h use per night.
Abbreviation: bpm, beats per minute.
Effects on flow-mediated dilatation and pulse wave analysis were not reported in per-protocol group because of insufficient numbers.