Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol

Introduction Obstructive sleep apnoea (OSA) is not only common within paediatrics but is associated with critical childhood metabolic morbidity such as obesity, cardiovascular disease and glucose tolerance impairment. Increasing evidence suggests an association between childhood OSA and metabolic sy...

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Main Authors: Meghan Sebastianski, Christopher Gerdung, Sara Rodriguez-Lopez, Stefan Palkowski, Diana Keto-Lambert, Maria Luisa Castro Codesal
Format: Article
Language:English
Published: BMJ Publishing Group 2020-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/8/e039655.full
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author Meghan Sebastianski
Christopher Gerdung
Sara Rodriguez-Lopez
Stefan Palkowski
Diana Keto-Lambert
Maria Luisa Castro Codesal
author_facet Meghan Sebastianski
Christopher Gerdung
Sara Rodriguez-Lopez
Stefan Palkowski
Diana Keto-Lambert
Maria Luisa Castro Codesal
author_sort Meghan Sebastianski
collection DOAJ
description Introduction Obstructive sleep apnoea (OSA) is not only common within paediatrics but is associated with critical childhood metabolic morbidity such as obesity, cardiovascular disease and glucose tolerance impairment. Increasing evidence suggests an association between childhood OSA and metabolic syndrome such as markers of cardiovascular disease, systemic hypertension, glucose intoleranceand increased lipid profile. Recent studies have targeted changes in metabolic markers in children using non-invasive ventilation (NIV) but no systematic reviews are available to summarise this emerging evidence. The purpose of this systematic review is to provide systematic synthesis of the evidence on the effect of NIV use on metabolic markers in children with OSA.Methods and analysis A systematic search of electronic databases and grey literature will include paediatric interventional studies (random controlled trials, cohort studies) with and without a comparison group. Two reviewers will independently undertake the two step process of title/abstract and full-text screening. Data will be extracted and assessed, with aggregate data being reported. When the data allow, meta-analysis will be performed.Ethics and dissemination There are no ethical concerns with this systematic review, as data have previously been published. This review will inform clinicians taking care of children with OSA and obesity/metabolic syndrome about the potential effects of NIV therapies on metabolic markers and has the potential to change the approach to childhood OSA and obesity. Results of this systematic review will be submitted for dissemination in abstract and manuscript form.
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spelling doaj.art-a720fcbfc9fd49b9995bfffcbe64a19a2022-12-21T20:40:27ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2020-039655Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocolMeghan Sebastianski0Christopher Gerdung1Sara Rodriguez-Lopez2Stefan Palkowski3Diana Keto-Lambert4Maria Luisa Castro Codesal52 Alberta Strategy for Patient Oriented Research (SPOR) SUPPORT Unit Knowledge Translation Platform, University of Alberta, Edmonton, Alberta, Canada Pediatrics, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaNephrology, Stollery Children's Hospital, Edmonton, Alberta, CanadaPediatrics, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaPediatrics, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaPediatrics, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaIntroduction Obstructive sleep apnoea (OSA) is not only common within paediatrics but is associated with critical childhood metabolic morbidity such as obesity, cardiovascular disease and glucose tolerance impairment. Increasing evidence suggests an association between childhood OSA and metabolic syndrome such as markers of cardiovascular disease, systemic hypertension, glucose intoleranceand increased lipid profile. Recent studies have targeted changes in metabolic markers in children using non-invasive ventilation (NIV) but no systematic reviews are available to summarise this emerging evidence. The purpose of this systematic review is to provide systematic synthesis of the evidence on the effect of NIV use on metabolic markers in children with OSA.Methods and analysis A systematic search of electronic databases and grey literature will include paediatric interventional studies (random controlled trials, cohort studies) with and without a comparison group. Two reviewers will independently undertake the two step process of title/abstract and full-text screening. Data will be extracted and assessed, with aggregate data being reported. When the data allow, meta-analysis will be performed.Ethics and dissemination There are no ethical concerns with this systematic review, as data have previously been published. This review will inform clinicians taking care of children with OSA and obesity/metabolic syndrome about the potential effects of NIV therapies on metabolic markers and has the potential to change the approach to childhood OSA and obesity. Results of this systematic review will be submitted for dissemination in abstract and manuscript form.https://bmjopen.bmj.com/content/10/8/e039655.full
spellingShingle Meghan Sebastianski
Christopher Gerdung
Sara Rodriguez-Lopez
Stefan Palkowski
Diana Keto-Lambert
Maria Luisa Castro Codesal
Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol
BMJ Open
title Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol
title_full Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol
title_fullStr Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol
title_full_unstemmed Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol
title_short Does non-invasive ventilation change metabolic markers in children with obstructive sleep apnoea? A systematic review and meta-analysis study protocol
title_sort does non invasive ventilation change metabolic markers in children with obstructive sleep apnoea a systematic review and meta analysis study protocol
url https://bmjopen.bmj.com/content/10/8/e039655.full
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