Evidence map›Paper›PMID 25971739›Full record

ArticleSleep & breathing = Schlaf & Atmung2016

Resting energy expenditure in OSAS: the impact of a single CPAP application.

Katalin Fekete, Afroditi K Boutou, Georgia Pitsiou, Nikolaos Chavouzis, Athanasia Pataka, Ioanna Athanasiou, Georgios Ilonidis, Theodoros Kontakiotis, Paraskevi Argyropoulou, Ioannis Kioumis

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Evaluation of vestibular evoked myogenic potentials responses in patients with severe obstructive sleep apnea before and after continuous positive airway pressure therapy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
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  9. Review
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  11. Blood Pressure and Metabolic Changes After 3-Month CPAP Therapy in a Very Elderly Obese with Severe Obstructive Sleep Apnea: A Case Report and Review of the Literature.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2017
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Katalin FeketeRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece. pasfek@yahoo.gr.
Afroditi K BoutouRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Georgia PitsiouRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Nikolaos ChavouzisRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Athanasia PatakaRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Ioanna AthanasiouRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Georgios Ilonidis4th Department of Internal Medicine, Aristotle University of Thessaloniki, Ippokrateio Hospital, Thessaloniki, Greece.
Theodoros KontakiotisPulmonary Department, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Paraskevi ArgyropoulouRespiratory Failure Unit, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
Ioannis KioumisPulmonary Department, Aristotle University of Thessaloniki, G Papanikolaou Hospital, Exochi, 57010, Thessaloniki, Greece.
G. Papanikolaou General Hospital · GRAristotle University of Thessaloniki · GRIppokrateio General Hospital of Thessaloniki · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeData on the impact of obstructive sleep apnea syndrome (OSAS) and its treatment on resting energy expenditure (REE) are currently few and conflicting. The purpose of the present study was to investigate the impact of OSAS on REE, as measured before and after sleep, and the changes in REE after a single continuous positive airway pressure (CPAP) application, for the first time in literature.

methodsThis is a nested case-control study. From the initial study population, two groups were formed, based on the results of nocturnal polysomnography: a group of male OSAS patients and a group of male, age-matched non-OSAS controls. REE was measured in both groups before and after sleep by indirect calorimetry, while patients repeated REE measurements before and after a single nasal CPAP application.

resultsNinety-two male OSAS patients (45.3 ± 12.8 years old) and 19 male non-OSAS controls (50.8 ± 11.7 years old) were studied. REE/lean body mass (LBM) was higher among patients compared to controls both pre- (29.6 ± 12 vs 22.9 ± 7.9 kcal/kg; p = 0.022, correspondingly) and post-sleep (26.4 ± 9.6 vs 21.6 ± 9 kcal/kg; p = 0.047 correspondingly). REE/LBM decreased significantly after sleep in OSAS patients (p = 0.002), but not in controls; this difference was most evident among patients with more severe disease and higher desaturation. A single nasal CPAP application diminished the pre-post REE/LBM difference (30.3 ± 8.2 vs 28.3 ± 10.3 kcal/kg; p = 0.265), but only among responders.

conclusionsIn OSAS patients, REE values are high and vary significantly before and after sleep. A single nasal CPAP application diminishes this difference among responders, possibly through reversal of nocturnal desaturation.

Indexed as

Continuous Positive Airway PressureAdultCalorimetry, IndirectCase-Control StudiesEnergy MetabolismHumansMaleMiddle AgedOxygenPolysomnographyReference ValuesRestSleep Apnea, ObstructiveOxygenContinuous positive airway pressureDesaturationNested case-control studyObstructive sleep apnea syndromeResting energy expenditure

Identifiers

PMID25971739
OpenAlexW307841244

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.