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3型和10型脊髓小脑共济失调患者骨骼肌质量的评估

Estimation of skeletal muscle mass in patients with spinocerebellar ataxia type 3 and 10.

作者信息

Cruz Melissa Mercadante Santana, Leite Christiane de Mesquita Barros Almeida, Schieferdecker Maria Eliana Madallozzo, Teive Hélio Afonso Ghizoni, Vieira Bruno Dezen, Moro Adriana

机构信息

a Multi-Professional Residency Programme in Health Care of Adults and the Elderly , Federal University of Paraná Clinics Hospital (HC/UFPR) , Curitiba , PR , Brazil.

b Division of Clinical Nutrition , Federal University of Paraná Clinics Hospital (HC/UFPR) , Curitiba , PR , Brazil.

出版信息

Int J Neurosci. 2019 Jul;129(7):698-702. doi: 10.1080/00207454.2018.1557167. Epub 2019 Feb 13.

Abstract

BACKGROUND

Neurodegenerative diseases may progress to a level in which patients present spontaneous weight loss, resulting in increased falls and functional disabilities when the disease is associated with muscle mass depletion.

OBJECTIVE

Evaluate the muscle compartment in patients presenting spinocerebellar ataxia (SCA) type 3 and 10.

METHODS

Forty-six patients presenting SCA type 3 and 10 were assessed and 76 volunteers were selected to the control group. In order to evaluate the muscle compartment, muscle mass anthropometric measurements were assessed and total skeletal muscle mass calculated through a predictive equation.

RESULTS

Women with SCA3 presented greater weight loss and muscle mass reduction compared to those with SCA10 and the control group. Among the predictive measurements, calf muscle circumference showed a more significant correlation with total skeletal muscle mass (p = 0.718).

CONCLUSION

Patients presenting both types of ataxia did not show severe depletion in their nutritional status; however, those with SCA3 displayed greater weight loss and muscle mass reduction compared to the SCA10 group.

摘要

背景

神经退行性疾病可能发展到患者出现自发性体重减轻的程度,当该疾病与肌肉量减少相关时,会导致跌倒增加和功能障碍。

目的

评估3型和10型脊髓小脑共济失调(SCA)患者的肌肉区室。

方法

对46例3型和10型SCA患者进行评估,并选择76名志愿者作为对照组。为了评估肌肉区室,进行了肌肉量人体测量,并通过预测方程计算总骨骼肌量。

结果

与10型SCA患者和对照组相比,3型SCA女性患者体重减轻和肌肉量减少更为明显。在预测测量中,小腿围与总骨骼肌量的相关性更为显著(p = 0.718)。

结论

两种共济失调类型的患者营养状况均未出现严重消耗;然而,与10型SCA组相比,3型SCA患者体重减轻和肌肉量减少更为明显。

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