Unique ID issued by UMIN | UMIN000000667 |
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Receipt number | R000000802 |
Scientific Title | Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study. |
Date of disclosure of the study information | 2008/11/01 |
Last modified on | 2015/09/21 23:06:08 |
Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.
Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.
Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.
Effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism: cross-sectional and prognosis study.
Japan |
Hypertensionj
Medicine in general | Cardiology | Endocrinology and Metabolism |
Nephrology |
Others
NO
The aim of this study was to examine possible effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism by cross-sectional and prognosis study.
Efficacy
Confirmatory
Pragmatic
Not applicable
1) casual blood pressure
2) ambulatory blood pressure monitoring
3) sleep apnea test
4) renal function: creatinine clearance by Cockcroft-Gault formula
5) glucose metabolism: fasting blood glucose, fasting IRI, HOMA-IR
6) lipid metabolism: total cholesterol, LDL, HDL, TG, adiponectin
7) cardiac function: ANP, BNP, UCG
8) vascular function: ABI/BWV, carotid echogram
9) sympathetic nerve activity and renin-angiotensin system
10) inflammatory and oxidative markers: CRP, fibrinogen, MDA-LDL, AGE.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Blood pressure >= 130/80
acute myocardial infarction, collagen disease, acute renal failure
500
1st name | |
Middle name | |
Last name | Kouichi TAMURA |
Yokohama City University School of Medicine
Department of Cardiorenal Medicine
3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN
045-787-2635
tamukou@med.yokohama-cu.ac.jp
1st name | |
Middle name | |
Last name | Kazukai Uchino |
Yokohama City University School of Medicine
Department of Medical Science
3-9 Fukuura, Kanazawa-ku
045-787-2634
uchinok@med.yokohama-cu.ac.jp
Yokohama City University School of Medicine
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
Self funding
NO
2008 | Year | 11 | Month | 01 | Day |
Unpublished
Main results already published
2005 | Year | 04 | Month | 01 | Day |
2005 | Year | 04 | Month | 01 | Day |
2015 | Year | 03 | Month | 01 | Day |
2020 | Year | 03 | Month | 01 | Day |
2021 | Year | 03 | Month | 01 | Day |
2022 | Year | 03 | Month | 01 | Day |
Ambulatory blood pressure (BP) monitoring allows the acquisition of information not only on the average 24-h BP, but also on the variations that characterize BP values in the course of daily life. Ambulatory BP monitoring has also allowed an easier and more accurate determination of the circadian rhythm of BP under different pathological conditions, and has enabled to evaluate the effects of antihypertensive drugs (Mancia G, Parati G. Ambulatory blood pressure monitoring and organ damage. Hypertension 2000: 36: 894-900; Imai Y. Prognostic significance of ambulatory blood pressure. Blood Press Monit 1999: 4: 249-256).
Ambulatory BP monitoring has allowed an easier and more accurate determination of the circadian rhythm of BP under different pathophysiological conditions. This circadian pattern of BP in patients with diabetes has been found to have a blunted nocturnal dipping in BP, which is associated with autonomic neuropathy and nephropathy. The loss of nocturnal dipping in BP has been considered to be a risk factor for the progression of nephropathy itself, and to be of prognostic value with respect to target organ damage and cardiovascular morbidity in both diabetic and hypertensive patients. However, the factors involved in the BP variability observed in diabetic patients are not elucidated and may themselves play an independent role in the cardiovascular complications in diabetic patients. More and better evidence on BP variability could lead to a more precise understanding of the pathogenesis of hypertension with diabetes.
In this study we will examine possible effects of renal dysfunction and sleep apnea on ambulatory blood pressure profile, cardiovascular function, and glucose and lipid metabolism by cross-sectional and prognosis study.
2007 | Year | 04 | Month | 02 | Day |
2015 | Year | 09 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000802
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