Evidence map›Paper›PMID 39661789›Full record

Trial reportBrazilian oral research2024

Intraoral appliance treatment modulates inflammatory markers and oxidative damage in elderly with sleep apnea.

Alessandra Peres, João Carlos Fraga da Rosa, Joane Severo Ribeiro, Sofia de Lima Silva, Cristiane Bündchen, Gilson Pires Dornelles, Vania Fontanella

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Brazilian oral research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

7 authors.

Alessandra PeresUniversidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Laboratory of Cellular and Molecular Immunology, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0002-3587-2832
João Carlos Fraga da RosaUniversidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Laboratory of Cellular and Molecular Immunology, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0003-0503-9169
Joane Severo RibeiroUniversidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Laboratory of Cellular and Molecular Immunology, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-6096-5427
Sofia de Lima SilvaUniversidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Laboratory of Cellular and Molecular Immunology, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0009-0008-4030-3088
Cristiane BündchenUniversidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Laboratory of Cellular and Molecular Immunology, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0003-1132-605X
Gilson Pires DornellesMoinhos de Vento Hospital, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-6524-3204
Vania FontanellaUniversidade Federal do Rio Grande do Sul, School of Dentistry, Department of Surgery and Orthopedics, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-9183-8447

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) causes intermittent hypoxia, increased production of reactive oxygen species, and inflammation, which may elevate morbidity and mortality from cardiovascular disease. The objective of the present study was to investigate the effect of the intraoral appliance (IOA) as a treatment for OSA when it comes to the modulation of inflammatory markers and oxidative damage in elderly individuals. This "before and after" clinical trial included 9 patients diagnosed with OSA recruited from a multicenter randomized clinical trial study that evaluated the treatment with IOA for 60 days. Demographic and anthropometric variables, apnea and hypopnea index (AHI), and oxygen desaturation index (ODI) were collected by type III polysomnography, Epworth Sleepiness Scale, and inflammatory and oxidative damage markers (interleukin 6 (1L-6); tumor necrosis factor α (TNF-α); interleukin 10 (IL-10); thiobarbituric acid reactive substances (TBARS); total thiols; advanced oxidation protein products (AOPP), and nitric oxide (NO)). Shapiro-Wilk test, paired t-test and Pearson's correlation tests were used to analyze the results, respectively (α=0.05). The sample had a mean age of 71.86 ± 4.63 years, the majority were women (55.55%), and had a significant reduction in AHI (p=0.003), ODI (p=0.038), IL-10 (p=0.0001), AOPP (p=0.038) and TBARS levels (p=0.0001). There was a significant correlation between IL-10 and NO (r=0.855) and between TBARS and IL-6 (r=0.669), both after treatment. This study demonstrated that treating elderly patients with OSA using an IOA for 60 days reduces oxidative damage through the modulation of AOPP and TBARS.

Indexed as

BiomarkersOxidative StressPolysomnographySleep Apnea, ObstructiveThiobarbituric Acid Reactive SubstancesAdvanced Oxidation Protein ProductsAgedFemaleHumansInflammationInterleukin-10Interleukin-6MaleMiddle AgedNitric OxideReference ValuesAdvanced Oxidation Protein ProductsBiomarkersInterleukin-10Interleukin-6Nitric OxideSulfhydryl CompoundsThiobarbituric Acid Reactive SubstancesTumor Necrosis Factor-alpha

Identifiers

PMID39661789
PMCPMC11654872

What OpenQuestion holds

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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.