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Verfasst von:Märtner, E.M. Charlotte [VerfasserIn]   i
 Maier, Esther M. [VerfasserIn]   i
 Mengler, Katharina [VerfasserIn]   i
 Thimm, Eva [VerfasserIn]   i
 Schiergens, Katharina A. [VerfasserIn]   i
 Marquardt, Thorsten [VerfasserIn]   i
 Santer, René [VerfasserIn]   i
 Weinhold, Natalie [VerfasserIn]   i
 Marquardt, Iris [VerfasserIn]   i
 Das, Anibh M. [VerfasserIn]   i
 Freisinger, Peter [VerfasserIn]   i
 Grünert, Sarah C. [VerfasserIn]   i
 Vossbeck, Judith [VerfasserIn]   i
 Steinfeld, Robert [VerfasserIn]   i
 Baumgartner, Matthias R. [VerfasserIn]   i
 Beblo, Skadi [VerfasserIn]   i
 Dieckmann, Andrea [VerfasserIn]   i
 Näke, Andrea [VerfasserIn]   i
 Lindner, Martin [VerfasserIn]   i
 Heringer-Seifert, Jana [VerfasserIn]   i
 Lenz, Dominic [VerfasserIn]   i
 Hoffmann, Georg F. [VerfasserIn]   i
 Mühlhausen, Chris [VerfasserIn]   i
 Ensenauer, Regina [VerfasserIn]   i
 Garbade, Sven [VerfasserIn]   i
 Kölker, Stefan [VerfasserIn]   i
 Boy, Nikolas [VerfasserIn]   i
Titel:Impact of interventional and non-interventional variables on anthropometric long-term development in glutaric aciduria type 1
Titelzusatz:a national prospective multi-centre study
Verf.angabe:E.M. Charlotte Märtner, Esther M. Maier, Katharina Mengler, Eva Thimm, Katharina A. Schiergens, Thorsten Marquardt, René Santer, Natalie Weinhold, Iris Marquardt, Anibh M. Das, Peter Freisinger, Sarah C. Grünert, Judith Vossbeck, Robert Steinfeld, Matthias R. Baumgartner, Skadi Beblo, Andrea Dieckmann, Andrea Näke, Martin Lindner, Jana Heringer-Seifert, Dominic Lenz, Georg F. Hoffmann, Chris Mühlhausen, Regina Ensenauer, Sven F. Garbade, Stefan Kölker, Nikolas Boy
Jahr:2021
Umfang:10 S.
Fussnoten:First published: 03 December 2020 ; Gesehen am 03.12.2021
Titel Quelle:Enthalten in: Journal of inherited metabolic disease
Ort Quelle:Hoboken, NJ : Wiley, 1978
Jahr Quelle:2021
Band/Heft Quelle:44(2021), 3, Seite 629-638
ISSN Quelle:1573-2665
Abstract:Glutaric aciduria type 1 (GA1) is a rare neurometabolic disorder, caused by inherited deficiency of glutaryl-CoA dehydrogenase, mostly affecting the brain. Early identification by newborn screening (NBS) significantly improves neurologic outcome. It has remained unclear whether recommended therapy, particular low lysine diet, is safe or negatively affects anthropometric long-term outcome. This national prospective, observational, multi-centre study included 79 patients identified by NBS and investigated effects of interventional and non-interventional parameters on body weight, body length, body mass index (BMI) and head circumference as well as neurological parameters. Adherence to recommended maintenance and emergency treatment (ET) had a positive impact on neurologic outcome and allowed normal anthropometric development until adulthood. In contrast, non-adherence to ET, resulting in increased risk of dystonia, had a negative impact on body weight (mean SDS −1.07; P = .023) and body length (mean SDS −1.34; P = −.016). Consistently, longitudinal analysis showed a negative influence of severe dystonia on weight and length development over time (P < .001). Macrocephaly was more often found in female (mean SDS 0.56) than in male patients (mean SDS −0.20; P = .049), and also in individuals with high excreter phenotype (mean SDS 0.44) compared to low excreter patients (mean SDS −0.68; P = .016). In GA1, recommended long-term treatment is effective and allows for normal anthropometric long-term development up to adolescence, with gender- and excreter type-specific variations. Delayed ET and severe movement disorder result in poor anthropometric outcome.
DOI:doi:10.1002/jimd.12335
URL:kostenfrei: Volltext ; Verlag: https://doi.org/10.1002/jimd.12335
 kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/jimd.12335
 DOI: https://doi.org/10.1002/jimd.12335
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:anthropometrics
 biochemical subtype
 development
 diet
 dystonia
 glutaric acidemia type 1
 glutaric aciduria type 1
 newborn screening
K10plus-PPN:1780207018
Verknüpfungen:→ Zeitschrift
 
 
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