MovDisordV3, PascalFrancis, Checkpoint, bibRecord, 002529

Body weight gain rate in patients with Parkinson's disease and deep brain stimulation

Identifieur interne : 002529 ( PascalFrancis/Checkpoint ); précédent : 002528; suivant : 002530

Body weight gain rate in patients with Parkinson's disease and deep brain stimulation

Auteurs : Michela Barichella [Italie] ; Agnieszka M. Marczewska [Italie] ; Claudio Mariani [Italie] ; Andrea Landi [Italie] ; Antonella Vairo [Italie] ; Gianni Pezzoli [Italie]

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0129996

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Stimulation instrumentale, Noyau sousthalamique, Prise poids, Traitement, Exploration, Homme.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Exploration, Human, Instrumental stimulation, Parkinson disease, Subthalamic nucleus, Treatment, Weight gain.

Abstract

We evaluated body weight changes in patients with Parkinson's disease (PD) after electrode implantation for deep brain stimulation (DBS) in the subthalamic nucleus (STN) in relation to clinical improvement. Thirty PD patients who received STN DBS were included (22 men, 8 women; mean age, 60.0 ± 7.1 years; mean PD duration, 13.5 ± 3.7 years; mean body mass index [BMI], 21.6 ± 3.0 kg/m²). Body weight, physical activity, and Unified Parkinson Disease Rating Scale (UPDRS) scores were noted before and 3 and 12 months after the procedure. Significant weight gain occurred in 29 patients; the mean increase was 14.8 ± 9.8% of initial body weight in 1 year. Of the patients, 46.5% reported weight gain in the first 3 months, 21.4% gradual weight gain in the first 6 months, and 32.1% a slow increase for 1 year. Mean BMI increased up to 24.7 ± 3.7 kg/m². After 1 year, mean UPDRS motor score improved significantly in off and in on; and therapy complications improved by 91.0 ± 17.0%. BMI changes at 3 and 12 months were significantly correlated to dyskinesia score changes, and levodopa dosage was not. In PD, STN DBS produces not only symptom control, but also weight gain. DBS candidates should be given nutritional counseling before the intervention to prevent rapid and/or excessive weight gain.

Affiliations:

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Pascal:04-0129996

Le document en format XML

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<front><div type="abstract" xml:lang="en">We evaluated body weight changes in patients with Parkinson's disease (PD) after electrode implantation for deep brain stimulation (DBS) in the subthalamic nucleus (STN) in relation to clinical improvement. Thirty PD patients who received STN DBS were included (22 men, 8 women; mean age, 60.0 ± 7.1 years; mean PD duration, 13.5 ± 3.7 years; mean body mass index [BMI], 21.6 ± 3.0 kg/m<sup>2</sup>
). Body weight, physical activity, and Unified Parkinson Disease Rating Scale (UPDRS) scores were noted before and 3 and 12 months after the procedure. Significant weight gain occurred in 29 patients; the mean increase was  14.8 ± 9.8% of initial body weight in 1 year. Of the patients, 46.5% reported weight gain in the first 3 months, 21.4% gradual weight gain in the first 6 months, and 32.1% a slow increase for 1 year. Mean BMI increased up to 24.7 ± 3.7 kg/m<sup>2</sup>
. After 1 year, mean UPDRS motor score improved significantly in off and in on; and therapy complications improved by 91.0 ± 17.0%. BMI changes at 3 and 12 months were significantly correlated to dyskinesia score changes, and levodopa dosage was not. In PD, STN DBS produces not only symptom control, but also weight gain. DBS candidates should be given nutritional counseling before the intervention to prevent rapid and/or excessive weight gain.</div>
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). Body weight, physical activity, and Unified Parkinson Disease Rating Scale (UPDRS) scores were noted before and 3 and 12 months after the procedure. Significant weight gain occurred in 29 patients; the mean increase was  14.8 ± 9.8% of initial body weight in 1 year. Of the patients, 46.5% reported weight gain in the first 3 months, 21.4% gradual weight gain in the first 6 months, and 32.1% a slow increase for 1 year. Mean BMI increased up to 24.7 ± 3.7 kg/m<sup>2</sup>
. After 1 year, mean UPDRS motor score improved significantly in off and in on; and therapy complications improved by 91.0 ± 17.0%. BMI changes at 3 and 12 months were significantly correlated to dyskinesia score changes, and levodopa dosage was not. In PD, STN DBS produces not only symptom control, but also weight gain. DBS candidates should be given nutritional counseling before the intervention to prevent rapid and/or excessive weight gain.</s0>
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<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Italie</li>
</country>
<region><li>Lombardie</li>
</region>
<settlement><li>Milan</li>
</settlement>
</list>
<tree><country name="Italie"><region name="Lombardie"><name sortKey="Barichella, Michela" sort="Barichella, Michela" uniqKey="Barichella M" first="Michela" last="Barichella">Michela Barichella</name>
</region>
<name sortKey="Landi, Andrea" sort="Landi, Andrea" uniqKey="Landi A" first="Andrea" last="Landi">Andrea Landi</name>
<name sortKey="Marczewska, Agnieszka M" sort="Marczewska, Agnieszka M" uniqKey="Marczewska A" first="Agnieszka M." last="Marczewska">Agnieszka M. Marczewska</name>
<name sortKey="Mariani, Claudio" sort="Mariani, Claudio" uniqKey="Mariani C" first="Claudio" last="Mariani">Claudio Mariani</name>
<name sortKey="Pezzoli, Gianni" sort="Pezzoli, Gianni" uniqKey="Pezzoli G" first="Gianni" last="Pezzoli">Gianni Pezzoli</name>
<name sortKey="Vairo, Antonella" sort="Vairo, Antonella" uniqKey="Vairo A" first="Antonella" last="Vairo">Antonella Vairo</name>
</country>
</tree>
</affiliations>
</record>

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   |clé=     Pascal:04-0129996
   |texte=   Body weight gain rate in patients with Parkinson's disease and deep brain stimulation
}}

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	Movement Disorders (revue)
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Movement Disorders (revue)

Body weight gain rate in patients with Parkinson's disease and deep brain stimulation

Body weight gain rate in patients with Parkinson's disease and deep brain stimulation

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