Normal height and weight in a series of ambulant Duchenne muscular dystrophy patients using the 10 day on/10 day off prednisone regimen

被引:5
作者
ten Dam, K. [1 ]
de Groot, I. J. M. [2 ]
Noordam, C. [3 ]
van Alfen, N. [4 ]
Hendriks, J. C. M. [5 ]
Sie, L. T. L. [1 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Donders Inst Brain Cognit & Behav, Dept Pediat Neurol, NL-6500 HB Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Rehabil, NL-6525 ED Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Pediat, NL-6525 ED Nijmegen, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Donders Inst Brain Cognit & Behav, Dept Neurol, NL-6525 ED Nijmegen, Netherlands
[5] Radboud Univ Nijmegen, Med Ctr, Dept Epidemiol Biostat & Hlth Technol Assesssment, NL-6525 ED Nijmegen, Netherlands
关键词
Duchenne muscular dystrophy; Prednisone; Alternating regimen; Growth retardation; Obesity; CORTICOSTEROID TREATMENT; BODY-COMPOSITION;
D O I
10.1016/j.nmd.2012.01.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Prednisone treatment delays the progressive course of Duchenne muscular dystrophy. The aim of this study was to determine the influence of the 10 day on/10 day off treatment on height and weight. We retrospectively reviewed the growth and weight charts of Duchenne patients born between 1988 and 2006 (patients between 4 and 9 years old, being able to walk in the home situation). Forty-seven patients were eligible for further analysis and divided into two groups: 33 patients treated with prednisone and 14 non-prednisone treated patients. Results of a median follow-up of 57 months (range 27-146) are described. By using linear mixed models this study demonstrates that height and body mass index in prednisone-treated patients with 10/10 regimen are not significantly different compared to untreated patients. We cautiously conclude that the alternating prednisone regimen has no apparent side effects on weight and height in the ambulatory phase of Duchenne muscular dystrophy. Crown Copyright (C) 2012 Published by Elsevier By. All rights reserved.
引用
收藏
页码:500 / 504
页数:5
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