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CTRI Number  CTRI/2025/07/090690 [Registered on: 10/07/2025] Trial Registered Prospectively
Last Modified On: 09/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of exercise interventions in improving respiratory function and sleep quality in obese individuals with Obstructive Sleep Apnea 
Scientific Title of Study   A study to compare the effects of upper body plyometrics,circuit interval training and conventional exercise on respiratory function and sleep quality in obese individuals with obstructive sleep apnea 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  RJayabharathi 
Designation  Assistant professor 
Affiliation  Faculty of Physiotherapy,Dr.M.G.R.Educational and Research Institute 
Address  Faculty of Physiotherapy,Dr.M.G.R.Educational and Research Institute,Velappanchavadi,Chennai

Chennai
TAMIL NADU
600077
India 
Phone  8122027781  
Fax    
Email  jayabarathi.physio@drmgrdu.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Ramachandran 
Designation  Professor 
Affiliation  Faculty of Physiotherapy, Dr.M.G.R Educational and Research Institute 
Address  Faculty of Physiotherapy, Dr.M.G.R Educational and Research Institute, Velappanchavadi, Chennai.

Chennai
TAMIL NADU
600077
India 
Phone  9841075381  
Fax    
Email  ramachandran.physio@drmgrdu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Ramachandran 
Designation  Professor 
Affiliation  Faculty of Physiotherapy, Dr.M.G.R Educational and Research Institute 
Address  Faculty of Physiotherapy, Dr.M.G.R Educational and Research Institute Velappanchavadi, Chennai.

Chennai
TAMIL NADU
600077
India 
Phone  9841075381  
Fax    
Email  ramachandran.physio@drmgrdu.ac.in  
 
Source of Monetary or Material Support  
Faculty of Physiotherapy, Dr.M.G.R Educational and Research Institute,Velappanchavadi,Chennai-600077 
 
Primary Sponsor  
Name  RJayabharathi 
Address  Faculty of Physiotherapy, Dr.M.G.R Educational and Research Institute,Velappanchavadi,Chennai-600077 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
RJayabharathi  Faculty of Physiotherapy,ACS Medical College and Hospital  Out patient department, Faculty of Physiotherapy,ACS Medical College and Hospital, Velappanchavadi,Chennai-600077.
Chennai
TAMIL NADU 
8122027781

jayabarathi.physio@drmgrdu.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ACS MEDICAL COLLEGE HOSPITAL, A Constituent unit of Dr.M.G.R Educational and Research Institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G473||Sleep apnea,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  CHEST MOBILIZATION EXERCISE WITH BREATHING EXERCISE  45 minutes/day for 3 alternate days in a week for 12 weeks 
Intervention  GROUP A- UPPER BODY PLYOMETRICS GROUP B - CIRCUIT INTERVAL TRAINING   GROUP A- UPPER BODY PLYOMETRICS 45 minutes/day for 3 alternate days /week for 12 weeks GROUP B - CIRCUIT INTERVAL TRAINING 45 minutes/day for 3 alternate days /week for 12 weeks  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Adults with BMI greater than 30kg/m .2
Subjects who confirmed to the diagnostic criteria of OSA(AHI between 5-30 events/hr)
Subjects not undergoing any treatment (CPAP/ oral appliance/ nasal surgery)
Both male and females between age group 30-45 years
Individuals with decreased lung function parameters –FEV1, FVC, MVV
Subjects with Pittsburgh Sleep Quality Index score greater than 5 indicating poor sleep quality.


 
 
ExclusionCriteria 
Details  Individuals taking medications like sedatives, opioids.
Other respiratory conditions that may lead to hypoventilation like Neuromuscular disorders, chest wall abnormalities, COPD.
Significant cardiovascular or musculoskeletal limitations
Other comorbid conditions like Hypothyroidism.
Females with h/o PCOD, Pregnancy.
Individuals with significant psychiatric disorders like severe depression, psychosis.
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Respiratory function and Sleep Quality  6 weeks,12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Upper body composition  6 weeks,12weeks 
 
Target Sample Size   Total Sample Size="123"
Sample Size from India="123" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   21/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This PhD study investigates the impact of upper body plyometric exercises and circuit interval training on respiratory function, sleep quality, and body composition in obese individuals with mild to moderate Obstructive Sleep Apnea (OSA). With obesity-related OSA on the rise, the research aims to explore how targeted upper-body exercise interventions can improve pulmonary parameters such as FEV1/FVC ratio and maximum voluntary ventilation (MVV), as well as sleep outcomes including apnea-hypopnea index (AHI), oxygen saturation, heart rate, and snoring episodes, measured using a home sleep apnea device. Subjective sleep quality will be assessed using a sleep apnea questionnaire, and body composition through a body fat analyzer. The randomized controlled trial includes 123 participants with BMI over 30, divided into three groups: one undergoing upper body plyometric training, another circuit interval training, and a control group. The objective is to evaluate changes in ventilation efficiency, sleep quality and to understand the influence of structured exercise on sleep patterns and respiratory health, considering the complex interplay between obesity, pulmonary function, and sleep disturbances.Results will be revealed at the end of the study.                

 
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