Body weight in patients with Parkinson's disease
Identifieur interne : 001347 ( Main/Exploration ); précédent : 001346; suivant : 001348Body weight in patients with Parkinson's disease
Auteurs : Cornelius G. Bachmann [Allemagne] ; Claudia Trenkwalder [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-11.
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Abstract
There is some evidence suggesting that Parkinson's disease (PD) patients exhibit lower body weight when compared to age‐matched healthy subjects. Low body mass index (BMI) is correlated with low bone mineral density, both of which are major risk factors for hip fractures. Possible determinants of weight loss in PD patients include hyposmia, impaired hand–mouth coordination, difficulty chewing, dysphagia, intestinal hypomotility, depression, decreased reward processing of dopaminergic mesolimbic regions, nausea, and anorexia as the side effects of medication, and increased energy requirements due to muscular rigidity and involuntary movements. It is unclear whether PD patients in general, or only a subgroup of those affected, definitely show lower BMI in the advanced stages of the disease. We therefore recommend that the body weight of PD patients be monitored monthly as the disease progresses, and that a patient's nutrition should be supplemented with sufficient amounts of vitamin D and calcium to reduce the risk of hip fractures and strengthen bone density. Because mealtimes may coincide with unpredictable off periods associated with akinesia and impaired hand–mouth coordination, PD patients also need flexible food schedules that accommodate the associated symptoms of this disease. © 2006 Movement Disorder Society
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DOI: 10.1002/mds.21068
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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="2006-11">2006-11</date><biblScope unit="volume">21</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1824">1824</biblScope><biblScope unit="page" to="1830">1830</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">37062E1D8E7470B158070C0CAB525261665952F3</idno><idno type="DOI">10.1002/mds.21068</idno><idno type="ArticleID">MDS21068</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>body mass index</term><term>dyskinesia</term><term>nutrition</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is some evidence suggesting that Parkinson's disease (PD) patients exhibit lower body weight when compared to age‐matched healthy subjects. Low body mass index (BMI) is correlated with low bone mineral density, both of which are major risk factors for hip fractures. Possible determinants of weight loss in PD patients include hyposmia, impaired hand–mouth coordination, difficulty chewing, dysphagia, intestinal hypomotility, depression, decreased reward processing of dopaminergic mesolimbic regions, nausea, and anorexia as the side effects of medication, and increased energy requirements due to muscular rigidity and involuntary movements. It is unclear whether PD patients in general, or only a subgroup of those affected, definitely show lower BMI in the advanced stages of the disease. We therefore recommend that the body weight of PD patients be monitored monthly as the disease progresses, and that a patient's nutrition should be supplemented with sufficient amounts of vitamin D and calcium to reduce the risk of hip fractures and strengthen bone density. Because mealtimes may coincide with unpredictable off periods associated with akinesia and impaired hand–mouth coordination, PD patients also need flexible food schedules that accommodate the associated symptoms of this disease. © 2006 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Kassel</li><li>Hesse (Land)</li></region><settlement><li>Cassel (Hesse)</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Bachmann, Cornelius G" sort="Bachmann, Cornelius G" uniqKey="Bachmann C" first="Cornelius G." last="Bachmann">Cornelius G. Bachmann</name></noRegion><name sortKey="Trenkwalder, Claudia" sort="Trenkwalder, Claudia" uniqKey="Trenkwalder C" first="Claudia" last="Trenkwalder">Claudia Trenkwalder</name><name sortKey="Trenkwalder, Claudia" sort="Trenkwalder, Claudia" uniqKey="Trenkwalder C" first="Claudia" last="Trenkwalder">Claudia Trenkwalder</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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