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Dopaminergic treatment is associated with decreased body weight in patients with Parkinson’s disease and dyskinesias

Identifieur interne : 002822 ( Main/Corpus ); précédent : 002821; suivant : 002823

Dopaminergic treatment is associated with decreased body weight in patients with Parkinson’s disease and dyskinesias

Auteurs : C. G. Bachmann ; A. Zapf ; E. Brunner ; C. Trenkwalder

Source :

RBID : ISTEX:84D1AA97CFA07FF67CD099BD0CC6D7A5B5449444

English descriptors

Abstract

Background and purpose:  Several studies suggested that patients with advanced Parkinson’s disease (PD) showed a too low body weight when compared with age‐matched, healthy subjects. We aimed to investigate whether PD patients with dyskinesias display body weight alterations and to observe any correlations between medication and other putative determinants. Methods:  Charts of 166 PD patients with fluctuations and dyskinesias, admitted within 6 months to a German movement disorders clinic, were investigated for body mass index (BMI), age at onset, disease duration, Unified Parkinson’s Disease Rating Scale motor score, eating coordination and medication. Results:  Analysis showed that 4.2% of PD patients were underweight (BMI < 18.5 kg/m2), 46.4% were normal (BMI > 18.5–25 kg/m2), 33.7% were overweight (BMI > 25–30 kg/m2), 15.7% were obese (BMI > 30 kg/m2). Daily levodopa dosage per kg and total dopaminergic dosage per kg body weight were negatively correlated with BMI. Overall, patients’ BMI had not significantly changed within 2 years of follow‐up. Conclusions:  In sum, advanced PD patients showed a reduced BMI when compared with a control population obtained from an age‐matched group taken from a survey of the German Federal Office for Statistics. Our findings indicate that patients with a lower BMI received a higher cumulative levodopa dosage and that levodopa may be responsible for weight loss in PD.

Url:
DOI: 10.1111/j.1468-1331.2009.02617.x

Links to Exploration step

ISTEX:84D1AA97CFA07FF67CD099BD0CC6D7A5B5449444

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<b>Background and purpose: </b>
Several studies suggested that patients with advanced Parkinson’s disease (PD) showed a too low body weight when compared with age‐matched, healthy subjects. We aimed to investigate whether PD patients with dyskinesias display body weight alterations and to observe any correlations between medication and other putative determinants.</p>
<p>
<b>Methods: </b>
Charts of 166 PD patients with fluctuations and dyskinesias, admitted within 6 months to a German movement disorders clinic, were investigated for body mass index (BMI), age at onset, disease duration, Unified Parkinson’s Disease Rating Scale motor score, eating coordination and medication.</p>
<p>
<b>Results: </b>
Analysis showed that 4.2% of PD patients were underweight (BMI < 18.5 kg/m
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<sup>2</sup>
), 33.7% were overweight (BMI > 25–30 kg/m
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), 15.7% were obese (BMI > 30 kg/m
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<p>
<b>Conclusions: </b>
In sum, advanced PD patients showed a reduced BMI when compared with a control population obtained from an age‐matched group taken from a survey of the German Federal Office for Statistics. Our findings indicate that patients with a lower BMI received a higher cumulative levodopa dosage and that levodopa may be responsible for weight loss in PD.</p>
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<title>Dopaminergic treatment is associated with decreased body weight in patients with Parkinson’s disease and dyskinesias</title>
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<titleInfo type="abbreviated">
<title>Dopaminergic treatment is associated with decreased body weight in advanced PD</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Dopaminergic treatment is associated with decreased body weight in patients with Parkinson’s disease and dyskinesias</title>
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<name type="personal">
<namePart type="given">C. G.</namePart>
<namePart type="family">Bachmann</namePart>
<affiliation>Department of Clinical Neurophysiology, Georg August University, Göttingen</affiliation>
<affiliation>Paracelsus‐Elena Klinik, Kassel</affiliation>
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<name type="personal">
<namePart type="given">A.</namePart>
<namePart type="family">Zapf</namePart>
<affiliation>Department of Medical Statistics, Georg August University, Göttingen, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">E.</namePart>
<namePart type="family">Brunner</namePart>
<affiliation>Department of Medical Statistics, Georg August University, Göttingen, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Trenkwalder</namePart>
<affiliation>Department of Clinical Neurophysiology, Georg August University, Göttingen</affiliation>
<affiliation>Paracelsus‐Elena Klinik, Kassel</affiliation>
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<dateIssued encoding="w3cdtf">2009-08</dateIssued>
<edition>Received 24 November 2008 Accepted 18 February 2009</edition>
<copyrightDate encoding="w3cdtf">2009</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract lang="en">Background and purpose:  Several studies suggested that patients with advanced Parkinson’s disease (PD) showed a too low body weight when compared with age‐matched, healthy subjects. We aimed to investigate whether PD patients with dyskinesias display body weight alterations and to observe any correlations between medication and other putative determinants. Methods:  Charts of 166 PD patients with fluctuations and dyskinesias, admitted within 6 months to a German movement disorders clinic, were investigated for body mass index (BMI), age at onset, disease duration, Unified Parkinson’s Disease Rating Scale motor score, eating coordination and medication. Results:  Analysis showed that 4.2% of PD patients were underweight (BMI < 18.5 kg/m2), 46.4% were normal (BMI > 18.5–25 kg/m2), 33.7% were overweight (BMI > 25–30 kg/m2), 15.7% were obese (BMI > 30 kg/m2). Daily levodopa dosage per kg and total dopaminergic dosage per kg body weight were negatively correlated with BMI. Overall, patients’ BMI had not significantly changed within 2 years of follow‐up. Conclusions:  In sum, advanced PD patients showed a reduced BMI when compared with a control population obtained from an age‐matched group taken from a survey of the German Federal Office for Statistics. Our findings indicate that patients with a lower BMI received a higher cumulative levodopa dosage and that levodopa may be responsible for weight loss in PD.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>body weight</topic>
<topic>levodopa</topic>
<topic>Parkinson’s disease</topic>
</subject>
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<title>European Journal of Neurology</title>
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<genre type="Journal">journal</genre>
<identifier type="ISSN">1351-5101</identifier>
<identifier type="eISSN">1468-1331</identifier>
<identifier type="DOI">10.1111/(ISSN)1468-1331</identifier>
<identifier type="PublisherID">ENE</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>16</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>8</number>
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<start>895</start>
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<total>7</total>
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<identifier type="DOI">10.1111/j.1468-1331.2009.02617.x</identifier>
<identifier type="ArticleID">ENE2617</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2009 The Author(s). Journal compilation © 2009 EFNS</accessCondition>
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<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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