Parkinson's disease patients with bilateral subthalamic deep brain stimulation gain weight
Identifieur interne : 000428 ( France/Analysis ); précédent : 000427; suivant : 000429Parkinson's disease patients with bilateral subthalamic deep brain stimulation gain weight
Auteurs : Frédéric Macia [France] ; Caroline Perlemoine [France] ; Irène Coman [France] ; Dominique Guehl [France] ; Pierre Burbaud [France] ; Emmanuel Cuny [France] ; Henri Gin [France] ; Vincent Rigalleau [France] ; François Tison [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-02.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (administration & dosage), Antiparkinson Agents (adverse effects), Body Composition (physiology), Body Mass Index, Combined Modality Therapy, Dominance, Cerebral (physiology), Dyskinesia, Drug-Induced (physiopathology), Dyskinesia, Drug-Induced (therapy), Electric Stimulation Therapy (adverse effects), Energy Metabolism (physiology), Female, Follow-Up Studies, Human, Humans, Levodopa (administration & dosage), Levodopa (adverse effects), Male, Middle Aged, Nervous system diseases, Parkinson Disease (physiopathology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Prospective Studies, Subthalamic Nucleus (physiopathology), Treatment Outcome, Weight Gain (physiology), Weight gain, deep brain stimulation, subthalamic nucleus, weight gain.
- MESH :
- chemical , administration & dosage : Antiparkinson Agents, Levodopa.
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- adverse effects : Electric Stimulation Therapy.
- physiology : Body Composition, Dominance, Cerebral, Energy Metabolism, Weight Gain.
- physiopathology : Dyskinesia, Drug-Induced, Parkinson Disease, Subthalamic Nucleus.
- therapy : Dyskinesia, Drug-Induced, Parkinson Disease.
- Aged, Body Mass Index, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Treatment Outcome.
Abstract
Weight, body mass index (BMI) and energy expenditure/energy intake (EE/EI) was studied in 19 Parkinson's disease (PD) patients after subthalamic deep brain stimulation (STN‐DBS) versus 14 nonoperated ones. Operated patients had a significant weight gain (WG, + 9.7 ± 7 kg) and BMI increase (+ 4.7 kg/m2). The fat mass was higher after STN‐DBS. Resting EE (REE; offdrug/ON stimulation) was significantly decreased in STN‐DBS patients, while their daily energy expenditure (DEI) was not significantly different. A significant correlation was found among WG, BMI increase, and pre‐operative levodopa‐equivalent daily dose, their reduction after STN‐DBS, and the differential REE related to stimulation and the REE in the offdrug/OFF stimulation condition. In conclusion, STN‐DBS in PD induces a significant WG associated with a reduction in REE without DEI adjustment. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10630
Affiliations:
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<term>Dyskinesia, Drug-Induced (physiopathology)</term>
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<term>Electric Stimulation Therapy (adverse effects)</term>
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<term>Nervous system diseases</term>
<term>Parkinson Disease (physiopathology)</term>
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<term>Parkinson's disease</term>
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<front><div type="abstract" xml:lang="en">Weight, body mass index (BMI) and energy expenditure/energy intake (EE/EI) was studied in 19 Parkinson's disease (PD) patients after subthalamic deep brain stimulation (STN‐DBS) versus 14 nonoperated ones. Operated patients had a significant weight gain (WG, + 9.7 ± 7 kg) and BMI increase (+ 4.7 kg/m2). The fat mass was higher after STN‐DBS. Resting EE (REE; offdrug/ON stimulation) was significantly decreased in STN‐DBS patients, while their daily energy expenditure (DEI) was not significantly different. A significant correlation was found among WG, BMI increase, and pre‐operative levodopa‐equivalent daily dose, their reduction after STN‐DBS, and the differential REE related to stimulation and the REE in the offdrug/OFF stimulation condition. In conclusion, STN‐DBS in PD induces a significant WG associated with a reduction in REE without DEI adjustment. © 2003 Movement Disorder Society</div>
</front>
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<name sortKey="Burbaud, Pierre" sort="Burbaud, Pierre" uniqKey="Burbaud P" first="Pierre" last="Burbaud">Pierre Burbaud</name>
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<name sortKey="Gin, Henri" sort="Gin, Henri" uniqKey="Gin H" first="Henri" last="Gin">Henri Gin</name>
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