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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze whether nasal continuous positive airway pressure &#40;CPAP&#41; reduces oxidative stress in patients with sleep apnea-hypopnea syndrome &#40;SAHS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Thirty-six patients with SAHS requiring nasal CPAP treatment and 10 controls in whom SAHS was ruled out were enrolled&#46; Oxidative stress was evaluated by measuring plasma malondialdehyde &#40;MDA&#41; concentrations to assess lipid peroxidation at the beginning of the study and then again after a mean &#40;SD&#41; of 2&#46;9 &#40;0&#46;6&#41; months of nasal CPAP&#46; Plasma MDA concentrations were determined by measuring thiobarbituric acid reactive substances&#46; We controlled for the following factors known to influence oxidative stress&#58; age&#44; sex&#44; use of vitamin supplements&#44; smoking habit&#44; body mass index &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; ischemic cardiopathy&#44; hypertension&#44; diabetes&#44; and hypercholesterolemia&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean age of patients with SAHS was 51&#46;4 &#40;9&#46;9&#41; years and the mean body mass index was 32&#46;9 &#40;5&#46;3&#41; kg&#47;m<span class="elsevierStyleSup">2</span>&#46; Nasal CPAP was titrated to a mean pressure of 8&#46;9 &#40;3&#46;4&#41; cm H<span class="elsevierStyleInf">2</span>O&#46; The mean score on the Epworth sleepiness scale was 10&#46;2 &#40;4&#46;3&#41; before treatment and 4&#46;2 &#40;2&#46;8&#41; after treatment &#40;<span class="elsevierStyleItalic">P</span> &#60;&#46;001&#41;&#46; The apnea-hypopnea index decreased from 43&#46;7 &#40;22&#46;6&#41; before treatment to 4 &#40;3&#46;5&#41; after treatment &#40;<span class="elsevierStyleItalic">P</span> &#60;&#46;001&#41;&#46; Mean MDA concentrations in patients with SAHS were 2&#46;0 &#40;1&#46;1&#41; &#956;mol&#47;mL before treatment and decreased significantly to 1&#46;6 &#40;0&#46;07&#41; &#956;mol&#47;mL after treatment&#44; whereas MDA concentrations remained unchanged in control subjects&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Nasal CPAP treatment significantly reduced oxidative stress in patients with SAHS in our study&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar si el tratamiento con presi&#243;n positiva continua de la v&#237;a a&#233;rea nasal &#40;CPAPn&#41; reduce el estr&#233;s oxidativo &#40;EO&#41; en pacientes con s&#237;ndrome de apneas-hipopneas durante el sue&#241;o &#40;SAHS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluy&#243; en el estudio a 36 pacientes con SAHS que requirieron tratamiento con CPAPn y a 10 controles en quienes se excluy&#243; dicho s&#237;ndrome&#46; Se realiz&#243; una primera determinaci&#243;n del EO mediante las concentraciones de malondialdeh&#237;do &#40;MDA&#41; en sangre para conocer la peroxidaci&#243;n lip&#237;dica&#44; y una segunda tras una media &#177; des-viaci&#243;n est&#225;ndar de 2&#44;9 &#177; 0&#44;6 meses de seguimiento con CPAPn&#46; Las concentraciones plasm&#225;ticas de MDA se midieron como sustancia reactiva al &#225;cido tiobarbit&#250;rico&#46; Se control&#243; para los siguientes factores&#44; que se sabe que influyen en el EO&#58; edad&#44; sexo&#44; suplementos vitam&#237;nicos&#44; consumo de ta-baco&#44; &#237;ndice de masa corporal &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; cardiopat&#237;a isqu&#233;mi-ca&#44; hipertensi&#243;n&#44; diabetes e hipercolesterolemia&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La edad media de los pacientes con SAHS fue de 51&#44;4 &#177; 9&#44;9 a&#241;os y el &#237;ndice de masa corporal&#44; de 32&#44;9 &#177; 5&#46;3 kg&#47;m<span class="elsevierStyleSup">2</span>&#46; La CPAPn se regul&#243; a una presi&#243;n media de 8&#44;9 &#177; 3&#46;4 cmH<span class="elsevierStyleInf">2</span>O&#46; La puntuaci&#243;n en la escala de Epworth antes del tratamiento fue de 10&#44;2 &#177; 4&#44;3&#44; frente a 4&#44;1 &#177; 2&#44;8 despu&#233;s del tratamiento &#40;p &#60; 0&#44;001&#41;&#46; El &#237;ndice de apneas-hipopneas&#47;h descendi&#243; de 43&#44;7 &#177; 22&#44;6 antes del tratamiento a 4 &#177; 3&#44;5 despu&#233;s de la CPAPn &#40;p &#60; 0&#44;001&#41;&#46; En los pacientes con SAHS las concentraciones de MDA antes del tratamiento con CPAPn fueron de 2&#44;0 &#177;1&#44;1 &#956;M y descendieron significativa -mente a 1&#44;6 &#177; 0&#44;7 &#956;M despu&#233;s del tratamiento&#44; mientras que no se modificaron en los sujetos controles&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El tratamiento con CPAPn reduce de forma significativa el EO en los pacientes SAHS de nuestro estudio&#46;</p>"
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Original Articles
Effects of Nasal Positive Airway Pressure Treatment on Oxidative Stress in Patients With Sleep Apnea-Hypopnea Syndrome
C. Hernándeza,b,
Corresponding author
chernandezg@teleline.es

Correspondence: Dra. C. Hernández. Servicio de Neumología. Hospital Universitario de Canarias. La Cuesta, s/n. 38320 La Laguna. Santa Cruz de Tenerife. España
, J. Abreua,b, P. Abreuc, R. Colinod, A. Jiménezb
a Servicio de Neumología, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain
b Unidad Mixta de Investigación, Hospital Universitario de Canarias, Universidad de la Laguna, La Laguna, Santa Cruz de Tenerife, Spain
c Departamento de Fisiología, Facultad de Medicina, Universidad de La Laguna, Santa Cruz de Tenerife, Spain
d Laboratorio Central, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze whether nasal continuous positive airway pressure &#40;CPAP&#41; reduces oxidative stress in patients with sleep apnea-hypopnea syndrome &#40;SAHS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Thirty-six patients with SAHS requiring nasal CPAP treatment and 10 controls in whom SAHS was ruled out were enrolled&#46; Oxidative stress was evaluated by measuring plasma malondialdehyde &#40;MDA&#41; concentrations to assess lipid peroxidation at the beginning of the study and then again after a mean &#40;SD&#41; of 2&#46;9 &#40;0&#46;6&#41; months of nasal CPAP&#46; Plasma MDA concentrations were determined by measuring thiobarbituric acid reactive substances&#46; We controlled for the following factors known to influence oxidative stress&#58; age&#44; sex&#44; use of vitamin supplements&#44; smoking habit&#44; body mass index &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; ischemic cardiopathy&#44; hypertension&#44; diabetes&#44; and hypercholesterolemia&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean age of patients with SAHS was 51&#46;4 &#40;9&#46;9&#41; years and the mean body mass index was 32&#46;9 &#40;5&#46;3&#41; kg&#47;m<span class="elsevierStyleSup">2</span>&#46; Nasal CPAP was titrated to a mean pressure of 8&#46;9 &#40;3&#46;4&#41; cm H<span class="elsevierStyleInf">2</span>O&#46; The mean score on the Epworth sleepiness scale was 10&#46;2 &#40;4&#46;3&#41; before treatment and 4&#46;2 &#40;2&#46;8&#41; after treatment &#40;<span class="elsevierStyleItalic">P</span> &#60;&#46;001&#41;&#46; The apnea-hypopnea index decreased from 43&#46;7 &#40;22&#46;6&#41; before treatment to 4 &#40;3&#46;5&#41; after treatment &#40;<span class="elsevierStyleItalic">P</span> &#60;&#46;001&#41;&#46; Mean MDA concentrations in patients with SAHS were 2&#46;0 &#40;1&#46;1&#41; &#956;mol&#47;mL before treatment and decreased significantly to 1&#46;6 &#40;0&#46;07&#41; &#956;mol&#47;mL after treatment&#44; whereas MDA concentrations remained unchanged in control subjects&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Nasal CPAP treatment significantly reduced oxidative stress in patients with SAHS in our study&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar si el tratamiento con presi&#243;n positiva continua de la v&#237;a a&#233;rea nasal &#40;CPAPn&#41; reduce el estr&#233;s oxidativo &#40;EO&#41; en pacientes con s&#237;ndrome de apneas-hipopneas durante el sue&#241;o &#40;SAHS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluy&#243; en el estudio a 36 pacientes con SAHS que requirieron tratamiento con CPAPn y a 10 controles en quienes se excluy&#243; dicho s&#237;ndrome&#46; Se realiz&#243; una primera determinaci&#243;n del EO mediante las concentraciones de malondialdeh&#237;do &#40;MDA&#41; en sangre para conocer la peroxidaci&#243;n lip&#237;dica&#44; y una segunda tras una media &#177; des-viaci&#243;n est&#225;ndar de 2&#44;9 &#177; 0&#44;6 meses de seguimiento con CPAPn&#46; Las concentraciones plasm&#225;ticas de MDA se midieron como sustancia reactiva al &#225;cido tiobarbit&#250;rico&#46; Se control&#243; para los siguientes factores&#44; que se sabe que influyen en el EO&#58; edad&#44; sexo&#44; suplementos vitam&#237;nicos&#44; consumo de ta-baco&#44; &#237;ndice de masa corporal &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; cardiopat&#237;a isqu&#233;mi-ca&#44; hipertensi&#243;n&#44; diabetes e hipercolesterolemia&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La edad media de los pacientes con SAHS fue de 51&#44;4 &#177; 9&#44;9 a&#241;os y el &#237;ndice de masa corporal&#44; de 32&#44;9 &#177; 5&#46;3 kg&#47;m<span class="elsevierStyleSup">2</span>&#46; La CPAPn se regul&#243; a una presi&#243;n media de 8&#44;9 &#177; 3&#46;4 cmH<span class="elsevierStyleInf">2</span>O&#46; La puntuaci&#243;n en la escala de Epworth antes del tratamiento fue de 10&#44;2 &#177; 4&#44;3&#44; frente a 4&#44;1 &#177; 2&#44;8 despu&#233;s del tratamiento &#40;p &#60; 0&#44;001&#41;&#46; El &#237;ndice de apneas-hipopneas&#47;h descendi&#243; de 43&#44;7 &#177; 22&#44;6 antes del tratamiento a 4 &#177; 3&#44;5 despu&#233;s de la CPAPn &#40;p &#60; 0&#44;001&#41;&#46; En los pacientes con SAHS las concentraciones de MDA antes del tratamiento con CPAPn fueron de 2&#44;0 &#177;1&#44;1 &#956;M y descendieron significativa -mente a 1&#44;6 &#177; 0&#44;7 &#956;M despu&#233;s del tratamiento&#44; mientras que no se modificaron en los sujetos controles&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El tratamiento con CPAPn reduce de forma significativa el EO en los pacientes SAHS de nuestro estudio&#46;</p>"
      ]
    ]
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