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    Home > Active Ingredient News > Study of Nervous System > JNNP: Hypometabolic state: a predictor of better prognosis for amyotrophic lateral sclerosis

    JNNP: Hypometabolic state: a predictor of better prognosis for amyotrophic lateral sclerosis

    • Last Update: 2021-08-27
    • Source: Internet
    • Author: User
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    Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that affects motor neurons and causes paralysis of skeletal muscles, including respiratory muscles
    .


    The etiology of amyotrophic lateral sclerosis is still unclear, and it is likely to be multifactorial


    (Energy expenditure at rest) REE is the energy required to maintain the integrity and function of cells, tissues, organs and systems under basic conditions
    .


    REE is the most important part of TEE, besides it also includes the energy expenditure of physical activity and diet-induced thermogenesis


    The mREE and TEE values ​​of ALS patients are still widely controversial
    .


    Especially the mREE of ALS patients has severe changes (high metabolism) in the relevant percentage of patients


    The literature currently lacks information on the existence and consequences of hypometabolism in ALS patients


    This retrospective study included a group of consecutive patients who were subjected to indirect calorimetry to determine the metabolism of ALS patients between January 2011 and December 2017
    .


    The patient was admitted to the hospital and followed up regularly


    According to REE, the demographic and clinical characteristics of the cohort

    Anthropometric parameters for measuring weight and height
    .


    Use a mechanical scale to measure your weight


    Draw a Kaplan-Meier survival curve based on metabolic status

    In addition, patients should avoid drinking caffeinated beverages or smoking before the examination
    .


    Before starting the measurement, ask the patient to lie on the bed for 10-20 minutes while waiting for the instrument to be recalibrated


    [(mREE−cREE)/cREE]×100 ≥10% and hypometabolism as [(mREE−cREE)/cREE]×100 ≥−10%


    This study included 847 ALS patients with a median age of onset of 63.



    In conclusion, low metabolism of ALS is not uncommon.
    Compared with subjects with normal metabolism and high metabolism, low metabolism is associated with slower disease progression and better survival
    .

    In conclusion, low metabolism of ALS is not uncommon.
    Compared with subjects with normal metabolism and high metabolism, low metabolism is associated with slower disease progression and better survival
    .
    In conclusion, low metabolism of ALS is not uncommon.
    Compared with subjects with normal metabolism and high metabolism, low metabolism is associated with slower disease progression and better survival
    .
    CattaneoM ,JesusP ,  Lizio  A Cattaneo  M Cattaneo Jesus  P Jesus Lizio  A Lizio , et al The hypometabolic state: a good predictor of a better prognosis in amyotrophic lateral sclerosis Journal of Neurology, Neurosurgery & Psychiatry  Published Online First:  05 August 2021.
      Published Online First: doi:  10.
    1136/jnnp-2021-326184 doi:

     

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