Comparison of weight gain and energy intake after subthalamic versus pallidal stimulation in Parkinson's disease
Identifieur interne : 000260 ( France/Analysis ); précédent : 000259; suivant : 000261Comparison of weight gain and energy intake after subthalamic versus pallidal stimulation in Parkinson's disease
Auteurs : Paul Sauleau [France] ; Emmanuelle Leray [France] ; Tiphaine Rouaud [France] ; Sophie Drapier [France] ; Dominique Drapier [France] ; Sophie Blanchard [France] ; Gwenolla Drillet [France] ; Julie Péron [France] ; Marc Vérin [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-10-30.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Body Mass Index, Comparative study, Deep Brain Stimulation, Deep brain stimulation, Dementia (etiology), Dementia (psychology), Dopamine Agents (therapeutic use), Energy Intake (physiology), Female, Globus Pallidus (physiology), Humans, Male, Middle Aged, Movement (physiology), Nervous system diseases, Pallidum, Parkinson Disease (drug therapy), Parkinson Disease (psychology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Subthalamic Nucleus (physiology), Subthalamic nucleus, Treatment Outcome, Weight Gain (physiology), Weight gain, deep brain stimulation, internal pallidum, subthalamic nucleus, weight gain.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Dopamine Agents.
- drug therapy : Parkinson Disease.
- etiology : Dementia.
- physiology : Energy Intake, Globus Pallidus, Movement, Subthalamic Nucleus, Weight Gain.
- psychology : Dementia, Parkinson Disease.
- therapy : Parkinson Disease.
- Aged, Body Mass Index, Deep Brain Stimulation, Female, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
To compare body mass index (BMI) and daily energy intake (DEI) after subthalamic versus pallidal deep brain stimulation (DBS). Weight gain following DBS in Parkinson's disease patients remains largely unexplained and no comparison of subthalamic and pallidal (GPi) stimulation has yet been performed. BMI and DEI, dopaminergic drug administration and motor scores were recorded in 46 patients with PD before STN (n = 32) or GPi (n = 14) DBS and 3 and 6 months after. At M6, BMI had increased by an average of 8.4% in the STN group and 3.2% in the GPi group. BMI increased in 28 STN and 9 GPi patients. This increase was significantly higher in the STN group (P < 0.048) and the difference remained significant after adjustment for reduced dopaminergic medication; 28.6% of GPi patients were overweight at 6 months (14.3% preoperatively) versus 37.5% of STN patients (21.9% preoperatively). Changes in BMI were negatively correlated with changes in dyskinesia in the GPi–DBS group. Food intake did not change in the two groups, either quantitatively or qualitatively. Frequent weight gain, inadequately explained by motor improvement or reduced dopaminergic drug dosage, occurred in subthalamic DBS patients. The difference between groups suggests additional factors in the STN group, such as homeostatic control center involvement. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22765
Affiliations:
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type="city">Rennes</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-10-30">2009-10-30</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">14</biblScope><biblScope unit="page" from="2149">2149</biblScope><biblScope unit="page" to="2155">2155</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4BC044D80502DB7410476CF082F1D966A427CD7B</idno><idno type="DOI">10.1002/mds.22765</idno><idno type="ArticleID">MDS22765</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Body Mass Index</term><term>Comparative study</term><term>Deep Brain Stimulation</term><term>Deep brain stimulation</term><term>Dementia (etiology)</term><term>Dementia (psychology)</term><term>Dopamine Agents (therapeutic use)</term><term>Energy Intake (physiology)</term><term>Female</term><term>Globus Pallidus (physiology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Movement (physiology)</term><term>Nervous system diseases</term><term>Pallidum</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (psychology)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Subthalamic Nucleus (physiology)</term><term>Subthalamic nucleus</term><term>Treatment Outcome</term><term>Weight Gain (physiology)</term><term>Weight gain</term><term>deep brain stimulation</term><term>internal pallidum</term><term>subthalamic nucleus</term><term>weight gain</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term><term>Dopamine Agents</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Energy Intake</term><term>Globus Pallidus</term><term>Movement</term><term>Subthalamic Nucleus</term><term>Weight Gain</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dementia</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Body Mass Index</term><term>Deep Brain Stimulation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Etude comparative</term><term>Maladie de Parkinson</term><term>Noyau sousthalamique</term><term>Pallidum</term><term>Pathologie du système nerveux</term><term>Prise poids</term><term>Stimulation cérébrale profonde</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To compare body mass index (BMI) and daily energy intake (DEI) after subthalamic versus pallidal deep brain stimulation (DBS). Weight gain following DBS in Parkinson's disease patients remains largely unexplained and no comparison of subthalamic and pallidal (GPi) stimulation has yet been performed. BMI and DEI, dopaminergic drug administration and motor scores were recorded in 46 patients with PD before STN (n = 32) or GPi (n = 14) DBS and 3 and 6 months after. At M6, BMI had increased by an average of 8.4% in the STN group and 3.2% in the GPi group. BMI increased in 28 STN and 9 GPi patients. This increase was significantly higher in the STN group (P < 0.048) and the difference remained significant after adjustment for reduced dopaminergic medication; 28.6% of GPi patients were overweight at 6 months (14.3% preoperatively) versus 37.5% of STN patients (21.9% preoperatively). Changes in BMI were negatively correlated with changes in dyskinesia in the GPi–DBS group. Food intake did not change in the two groups, either quantitatively or qualitatively. Frequent weight gain, inadequately explained by motor improvement or reduced dopaminergic drug dosage, occurred in subthalamic DBS patients. The difference between groups suggests additional factors in the STN group, such as homeostatic control center involvement. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Rennes</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name></noRegion><name sortKey="Blanchard, Sophie" sort="Blanchard, Sophie" uniqKey="Blanchard S" first="Sophie" last="Blanchard">Sophie Blanchard</name><name sortKey="Drapier, Dominique" sort="Drapier, Dominique" uniqKey="Drapier D" first="Dominique" last="Drapier">Dominique Drapier</name><name sortKey="Drapier, Sophie" sort="Drapier, Sophie" uniqKey="Drapier S" first="Sophie" last="Drapier">Sophie Drapier</name><name sortKey="Drillet, Gwenolla" sort="Drillet, Gwenolla" uniqKey="Drillet G" first="Gwenolla" last="Drillet">Gwenolla Drillet</name><name sortKey="Leray, Emmanuelle" sort="Leray, Emmanuelle" uniqKey="Leray E" first="Emmanuelle" last="Leray">Emmanuelle Leray</name><name sortKey="Peron, Julie" sort="Peron, Julie" uniqKey="Peron J" first="Julie" last="Péron">Julie Péron</name><name sortKey="Rouaud, Tiphaine" sort="Rouaud, Tiphaine" uniqKey="Rouaud T" first="Tiphaine" last="Rouaud">Tiphaine Rouaud</name><name sortKey="Verin, Marc" sort="Verin, Marc" uniqKey="Verin M" first="Marc" last="Vérin">Marc Vérin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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