Parkinson's disease patients with bilateral subthalamic deep brain stimulation gain weight.
Identifieur interne : 001045 ( PubMed/Corpus ); précédent : 001044; suivant : 001046Parkinson's disease patients with bilateral subthalamic deep brain stimulation gain weight.
Auteurs : Frédéric Macia ; Caroline Perlemoine ; Irène Coman ; Dominique Guehl ; Pierre Burbaud ; Emmanuel Cuny ; Henri Gin ; Vincent Rigalleau ; François TisonSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2004.
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, Humans, Levodopa (administration & dosage), Levodopa (adverse effects), Male, Middle Aged, Parkinson Disease (physiopathology), Parkinson Disease (therapy), Prospective Studies, Subthalamic Nucleus (physiopathology), Treatment Outcome, Weight Gain (physiology).
- 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.
DOI: 10.1002/mds.10630
PubMed: 14978678
Links to Exploration step
pubmed:14978678Le document en format XML
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<author><name sortKey="Macia, Frederic" sort="Macia, Frederic" uniqKey="Macia F" first="Frédéric" last="Macia">Frédéric Macia</name>
<affiliation><nlm:affiliation>Service de Neurologie, Hôpital Haut Lévèque, Pessac, France.</nlm:affiliation>
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<author><name sortKey="Perlemoine, Caroline" sort="Perlemoine, Caroline" uniqKey="Perlemoine C" first="Caroline" last="Perlemoine">Caroline Perlemoine</name>
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<author><name sortKey="Coman, Irene" sort="Coman, Irene" uniqKey="Coman I" first="Irène" last="Coman">Irène Coman</name>
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<author><name sortKey="Guehl, Dominique" sort="Guehl, Dominique" uniqKey="Guehl D" first="Dominique" last="Guehl">Dominique Guehl</name>
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<author><name sortKey="Burbaud, Pierre" sort="Burbaud, Pierre" uniqKey="Burbaud P" first="Pierre" last="Burbaud">Pierre Burbaud</name>
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<author><name sortKey="Gin, Henri" sort="Gin, Henri" uniqKey="Gin H" first="Henri" last="Gin">Henri Gin</name>
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<term>Antiparkinson Agents (administration & dosage)</term>
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<term>Body Composition (physiology)</term>
<term>Body Mass Index</term>
<term>Combined Modality Therapy</term>
<term>Dominance, Cerebral (physiology)</term>
<term>Dyskinesia, Drug-Induced (physiopathology)</term>
<term>Dyskinesia, Drug-Induced (therapy)</term>
<term>Electric Stimulation Therapy (adverse effects)</term>
<term>Energy Metabolism (physiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Levodopa (administration & dosage)</term>
<term>Levodopa (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Prospective Studies</term>
<term>Subthalamic Nucleus (physiopathology)</term>
<term>Treatment Outcome</term>
<term>Weight Gain (physiology)</term>
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<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</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.</div>
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<Abstract><AbstractText>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.</AbstractText>
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