Table 1: Effect of CPAP Treatment on Serum Lipids: Positive Studies

Author, Year No of patients Control Group/ Adherence to CPAP (h/night) Baseline Lipid Profile Age (Years) BMI (Kg/m2) AHI(/h) ESS Duration Methods Results
Chin et al. 1999 22 No body weight reduction (n=13), body weight reduction (n=9) NBWR: 46.2±3.7, BWR: 50.8±3.7 NBWR: 28.5±0.8, BWR:31.2±1.7 NBWR: 52.7±5, BWR: 63.5±5.8 8 months TC, triglycerides, HDL-C, LDL-C, apoA-I, apoA-II, apoB, apoC-II, apoC-III, apoE NBWR: improvement in HDL-C and LDL-C BWR: improvement in triglycerides, HDL-C, LDL-C, apoA-II, apoC-II
Ip et al. 2000 60 Yes OSA: 43.6±10.1 control: 41.9±10.4 OSA: 27± 2.9 control: 26.5± 2.1 35.7±18 1.8±1.9 6 months TC, triglycerides, HDL-C, LDL-C, TC/HDL-C ratio Decrease in triglycerides levels after CPAP treatment
Buechner et al. 2001 95 Effective treated group/ ineffective treated group LDL-C levels ≥ 130 mg/dl 56.6±9.5 6 months TC, triglycerides, HDL-C, LDL-C, apoB, and lipoprotein (a) levels Decrease in TC and LDL-C in effective treated group
Robinson et al. 2004 220 Yes/ Subtherapeutic CPAP 4.1±2.4, therapeutic CPAP 5.0±1.9 Mean baseline levels of TC within the normal range in both groups 49.1±10.3 49.7± 10.3 35.9±6.3 35.6±7.6 Oxygen saturation dips 4% (per hour of sleep): 38.5±20.3 38.9±21.1 16.2±3.3 16.3±3.3 1 year TC, triglycerides Reduction in TC in therapeutic CPAP group
Borgel et al. 2006 127 9.4% were under lipid lowering medication 55.7±10.6 31.6±5.9 32.9±.21.5 6 months TC, triglycerides, HDL-C, LDL-C Improvement in TC, triglycerides, HDL-C, LDL-C levels in patients with initial abnormal lipids levels
Dorkova et al. 2008 32 No/ Good adherence group (5.1±1.2) Poor adherence group (1.9±1.1) 53.7±9.6 35.1±6.1 64±20.8 13.3±4.6 8 weeks TC triglycerides, HDL-C ,LDL-C, apoA-I, apoB Reduction in TC and apoB in the good adherence group
Barcelo et al. 2008 44 Yes/ OSA with EDS (n=22), OSA without EDS (n=22) 3 months TC, triglycerides Reduction in TC in patients with EDS
Oktay et al. 2009 20 No 50±7.74 1 year Increase in HDL-C
Cuhadaroglu et al. 2009 31 Mean CPAP use >4h/night Range: 28-76 32.3±4.7 Range 16-90 11.3±5.7 8 weeks TC, triglycerides, HDL-C, LDL-C, VLDL-C Reduction in TC and LDL-C
Author, Year No of patients Control Group/ Adherence to CPAP (h/night) Baseline Lipid Profile Age (Years) BMI (Kg/m2) AHI(/h) ESS Duration Methods Results
Steiropoulos et al. 2009 53 Good adherence group (n=20) Poor adherence group (n=19) No CPAP group (n=14) Elevated TC levels (81.1%), elevated triglycerides levels (45.3%), elevated LDL-C levels (26.4%), low HDL-C levels (30.2%) 46.09±10.87 34.05±7.09 56.9±26.82 11.42±5.78 6 months TC, triglycerides, HDL-C, LDL-C, TC/HDL-C ratio, apoA-I, apoB, apoB/apoA-I ratio Reduction in TC, TC/HDL-C ratio and apoB/apoA-I ratio in the good adherence group

Abbreviations: AHI = apnea-hypopnea index, apo = apolipoprotein, BMI = body mass index, CPAP = continuous positive airway pressure, EDS = excessive daytime sleepiness, HDL-C=high density lipoprotein cholesterol, LDL-C=low density lipoprotein cholesterol, TC = total cholesterol.