增长和行走损失之间的关系在杜氏肌肉发育不良症的男孩在类固醇
Georgia Stimpson1, Deborah Ridout2, Anna Sarkozy1,3
1Dubowitz Neuromuscular Centre, Faculty of Population Health Sciences, UCL Great Ormond Street Institute of Child Health, London, UK.
European journal of neurology
|September 9, 2024
概括
杜氏肌力发育不良症中的葡萄糖皮质类药物 (GCs) 对运动功能的影响不同于以前的看法. 体重增加增加了失去行走能力的风险,而身高迟缓可能会降低它.
科学领域:
- 儿科神经学 儿科神经学
- 临床药理学 临床药理学
- 增长和发展 增长和发展
背景情况:
- 葡萄糖皮质类药物 (GCs) 是杜氏肌肉发育不良 (DMD) 的标准治疗方法.
- GCs可以导致体重增加和身高缩.
- 这些生长变化对DMD运动功能的影响尚不清楚.
研究的目的:
- 调查接受GC的DMD男孩的生长模式和行走能力丧失之间的关系.
- 为了确定体重和身高百分点的变化是否会影响失去行走的风险.
主要方法:
- 使用英国NorthStar数据库 (2006-2020) 的回顾性队列研究.
- 包括648名参与者与2228个增长和行走观察.
- 联合建模分析了纵向生长百分点和行走损失,考虑到GC类型和治疗方案.
主要成果:
- 绝对增长百分数和失去了行走风险之间没有显著的关联.
- 体重百分比的每年偏移显著增加了失去行走的风险.
- 高度百分比的年度偏移显示,失去行走能力的风险降低.
结论:
- 增长变化,特别是体重增加,与DMD中的运动功能丧失有复杂的关系.
- 研究结果提供了初步的见解,了解GC如何影响DMD的生长和行走.
- 需要进一步的研究才能充分理解这些药物诱导的生长效应.
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