About this trial
Research evaluating the impact of continuous positive airway pressure (CPAP) \& walking exercise on fatigue severity, liver enzymes and sleeping quality in patients with non-alcoholic fatty liver disease who also have obstructive sleep apnea. Forty patients are divided into two groups: twenty patients CPAP and other twenty patients for CPAP and walking program .
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The body mass index (BMI) < 35 kg/m2.
obstructive sleep apnea patients with fatty liver
Disqualifiers
liver transplantation , alcoholic fatty liver, antipsychotic medications, bariatric surgery; cardiac , renal problem , liver cancer ; pregnancy,orthopedic problems, systemic diseases, respiratory dysfunctions, neurological dysfunctions.
Trial design
Parallel
Treatments tested in this trial
continuous positive airway pressure
Behavioralcontinuous positive airway pressure therapy for a period of 12 weeks, all patients with in this group are required to utilize the CPAP machine for at least 4 hours each night
free walking exercise and continuous positive airway pressure
Behavioralpatients will receive continuous positive airway pressure therapy for a period of 12 weeks, all patients with in this group are required to utilize the CPAP machine for at least 4 hours each night. Also, patients will perform walking exercise for 30 mint, daily for 12 weeks
Treatment groups
Trial outcomes
Primary outcomes
Alanine tranaminase
serum hepatic enzyme
Secondary outcomes
Asparatate transamianse
serum hepatic enzyme
Body mass index
it will be masusured on empty stomach and bladder
triglycerodes
it will be meausred in plasma
Pittsiburg sleeping quality index
a questionnaire that wil be used for assessing sleeping quality
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