Anthropomorphic measurements and nutritional biomarkers after 5 years of BH4 treatment in phenylketonuria patients
The objective of this study was to assess the long-term effects of BH4 treatment on anthropomorphic measurements and nutritional biomarkers in phenylketonuria patients. A retrospective cohort study was conducted using data from 21 BH4-treated (mean age ± SD: 13.12 ± 9.18 years) and 21 birth date- an...
Saved in:
Published in | Molecular genetics and metabolism Vol. 124; no. 4; pp. 238 - 242 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Elsevier Inc
01.08.2018
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The objective of this study was to assess the long-term effects of BH4 treatment on anthropomorphic measurements and nutritional biomarkers in phenylketonuria patients.
A retrospective cohort study was conducted using data from 21 BH4-treated (mean age ± SD: 13.12 ± 9.18 years) and 21 birth date- and gender-matched phenylketonuria patients. Study parameters were age- and gender-adjusted SD scores of anthropomorphic measurements, various nutritional biomarkers, and prescribed vitamin/mineral supplements from baseline and after 5 years of BH4 treatment. Parametric and non-parametric statistical analyses were performed for continuous data, and McNemar's and Chi-squared tests were used for dichotomous outcomes.
Prescribed natural protein intake increased following BH4 treatment (p < 0.001), while amino acid supplement intake decreased (p < 0.001). Weight SDS had increased significantly after 5 years of BH4 treatment. Serum concentration of cholesterol, hemoglobin, phosphate, and MMA had changed significantly after 5 years of BH4 treatment as well. These changes in nutritional biomarkers are however probably age-related, as no differences compared to the control group were seen. A tendency to an increase in calcium supplementation was observed in BH4-treated patients (p = 0.063).
The dietary changes following BH4 treatment had little effect on anthropomorphic measurements and nutritional biomarkers when compared to a control group, although dietary follow-up of BH4-treated patients is still warranted. |
---|---|
AbstractList | The objective of this study was to assess the long-term effects of BH4 treatment on anthropomorphic measurements and nutritional biomarkers in phenylketonuria patients.
A retrospective cohort study was conducted using data from 21 BH4-treated (mean age ± SD: 13.12 ± 9.18 years) and 21 birth date- and gender-matched phenylketonuria patients. Study parameters were age- and gender-adjusted SD scores of anthropomorphic measurements, various nutritional biomarkers, and prescribed vitamin/mineral supplements from baseline and after 5 years of BH4 treatment. Parametric and non-parametric statistical analyses were performed for continuous data, and McNemar's and Chi-squared tests were used for dichotomous outcomes.
Prescribed natural protein intake increased following BH4 treatment (p < 0.001), while amino acid supplement intake decreased (p < 0.001). Weight SDS had increased significantly after 5 years of BH4 treatment. Serum concentration of cholesterol, hemoglobin, phosphate, and MMA had changed significantly after 5 years of BH4 treatment as well. These changes in nutritional biomarkers are however probably age-related, as no differences compared to the control group were seen. A tendency to an increase in calcium supplementation was observed in BH4-treated patients (p = 0.063).
The dietary changes following BH4 treatment had little effect on anthropomorphic measurements and nutritional biomarkers when compared to a control group, although dietary follow-up of BH4-treated patients is still warranted. |
Author | van Wegberg, Annemiek M.J. de Vries, Maaike C. Evers, Roeland A.F. Janssen, Mirian C.H. van Spronsen, Francjan J. van Dam, Esther |
Author_xml | – sequence: 1 givenname: Roeland A.F. surname: Evers fullname: Evers, Roeland A.F. organization: University of Groningen, University Medical Center Groningen, Division of Metabolic Diseases, PO box 30.001, 9700 RB Groningen, The Netherlands – sequence: 2 givenname: Annemiek M.J. surname: van Wegberg fullname: van Wegberg, Annemiek M.J. organization: University of Groningen, University Medical Center Groningen, Division of Metabolic Diseases, PO box 30.001, 9700 RB Groningen, The Netherlands – sequence: 3 givenname: Esther surname: van Dam fullname: van Dam, Esther organization: University of Groningen, University Medical Center Groningen, Division of Metabolic Diseases, PO box 30.001, 9700 RB Groningen, The Netherlands – sequence: 4 givenname: Maaike C. surname: de Vries fullname: de Vries, Maaike C. organization: Radboud University Medical Center Nijmegen, Department of Pediatrics, PO box 9101, 6500 HB Nijmegen, The Netherlands – sequence: 5 givenname: Mirian C.H. surname: Janssen fullname: Janssen, Mirian C.H. organization: Radboud University Medical Center, Department of Internal Medicine, PO box 9101, 6500 HB Nijmegen, The Netherlands – sequence: 6 givenname: Francjan J. surname: van Spronsen fullname: van Spronsen, Francjan J. email: f.j.van.spronsen@umcg.nl organization: University of Groningen, University Medical Center Groningen, Division of Metabolic Diseases, PO box 30.001, 9700 RB Groningen, The Netherlands |
BookMark | eNo1kEtOwzAQhi1UJNrCCdj4AgnjxInjBYtSAUWqxAbWlutMqNvGjhwXqTtuxJ04CQmP1bw0_z_zzcjEeYeEXDNIGbDyZpee2rcW0wxYlUKZAsgzMmUgy0RkUE7-cyazCzLr-x0AY4XkUxIXLm6D73zrQ7e1hrao-2PAFl3sqXY1dccYbLTe6QPdWN_qsMcwjJqIgRZfH58n1EPtG3q34jQG1HFcptbRbovudNhj9O4YrKadjnbUvSTnjT70ePUX5-T14f5luUrWz49Py8U6QSaymAihjWmg4MArVucF5E0leVVwBNRaQyV4jlqU5dBlvKjqGmVWbeTwsjFM5Pmc3P7q4mDybjGo3gwHGKxtQBNV7a1ioEaEaqd-EKoRoYJSDQjzb6XjbHs |
ContentType | Journal Article |
Copyright | 2018 Elsevier Inc. |
Copyright_xml | – notice: 2018 Elsevier Inc. |
DOI | 10.1016/j.ymgme.2018.06.009 |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Anatomy & Physiology Chemistry Biology |
EISSN | 1096-7206 |
EndPage | 242 |
ExternalDocumentID | S1096719218301550 |
GroupedDBID | --- --K --M -~X .55 .GJ .~1 0R~ 123 1B1 1RT 1~. 1~5 29M 4.4 457 4G. 53G 5RE 5VS 7-5 71M 8P~ AACTN AAEDT AAEDW AAIAV AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AAXUO ABFNM ABFRF ABGSF ABJNI ABMAC ABUDA ABXDB ABYKQ ACDAQ ACGFO ACGFS ACRLP ADBBV ADEZE ADFGL ADMUD ADUVX AEBSH AEFWE AEHWI AEKER AENEX AFKWA AFTJW AFXIZ AGHFR AGRDE AGUBO AGYEJ AHPSJ AIEXJ AIKHN AITUG AJBFU AJOXV ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC CAG COF CS3 DM4 DOVZS DU5 EBS EFBJH EFLBG EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-Q GBLVA HVGLF HZ~ IHE J1W K-O KOM L7B LG5 M41 MO0 N9A O-L O9- OAUVE OZT P-8 P-9 P2P PC. Q38 R2- RIG ROL RPZ SDF SDG SDP SES SEW SPCBC SSU SSZ T5K X7M XPP ZA5 ZGI ZMT ZU3 ~G- ~KM |
ID | FETCH-LOGICAL-e172t-77accf0540481d3503f894854e0eaaa08743ea7668941458dde928b9720cc1733 |
IEDL.DBID | AIKHN |
ISSN | 1096-7192 |
IngestDate | Fri Feb 23 02:30:31 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Keywords | MMA 25OHD Phenylketonuria Diet Nutrition Tetrahydrobiopterin Anthropomorphic measurements PKU phe SD(S) BMI |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-e172t-77accf0540481d3503f894854e0eaaa08743ea7668941458dde928b9720cc1733 |
PageCount | 5 |
ParticipantIDs | elsevier_sciencedirect_doi_10_1016_j_ymgme_2018_06_009 |
PublicationCentury | 2000 |
PublicationDate | August 2018 |
PublicationDateYYYYMMDD | 2018-08-01 |
PublicationDate_xml | – month: 08 year: 2018 text: August 2018 |
PublicationDecade | 2010 |
PublicationTitle | Molecular genetics and metabolism |
PublicationYear | 2018 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
References | Jurecki, Cederbaum, Kopesky, Perry, Rohr, Sanchez-Valle (bb0055) 2017 Mar; 120 van Spronsen, van Wegberg, Ahring, Bélanger-Quintana, Blau, Bosch (bb0050) 2017 Sep; 5 Singh, Quirk, Douglas, Brauchla (bb0060) 2010 Dec; 33 Skinner, Steiner, Chung, Perrin (bb0085) 2012 Mar; 51 Lambruschini, Pérez-Dueñas, Vilaseca, Mas, Artuch, Gassió (bb0025) 2005 Dec; 86 Macdonald (bb0010) 2000 Oct; 159 Aldámiz-Echevarría, Bueno, Couce, Lage, Dalmau, Vitoria (bb0070) 2013 Aug; 109 Trefz, Burton, Longo, Casanova, Gruskin, Dorenbaum (bb0035) 2009 May; 154 Blau, van Spronsen, Levy (bb0005) 2010 Oct 23; 376 Ridefelt, Aldrimer, Rödöö, Niklasson, Jansson, Gustafsson (bb0090) 2012 Feb 29; 50 Burlina, Blau (bb0030) 2009 Feb; 32 Hennermann, Bührer, Blau, Vetter, Mönch (bb0020) 2005 Dec; 86 Thiele, Rohde, Mütze, Arelin, Ceglarek, Thiery (bb0080) 2015-7-26; 4 Brugnara, Oski, Nathan (bb0095) 2015 Walter, White (bb0015) 2004 Jan-Mar; 16 von Elm, Altman, Egger, Pocock, Gøtzsche, Vandenbroucke (bb0045) 2007 Oct 20; 370 Tansek, Groselj, Kelvisar, Kobe, Lampret, Battelino (bb0065) 2016 May 01; 29 Thiele, Weigel, Ziesch, Rohde, Mütze, Ceglarek (bb0075) 2013; 9 Vugteveen, Hoeksma, Monsen, Fokkema, Reijngoud, van Rijn (bb0105) 2011 Jan; 102 Monsen, Refsum, Markestad, Ueland (bb0100) 2003 Dec; 49 Keil, Anjema, van Spronsen, Lambruschini, Burlina, Bélanger-Quintana (bb0040) 2013 Jun; 131 |
References_xml | – volume: 4 start-page: 62 year: 2015-7-26 end-page: 67 ident: bb0080 article-title: The challenge of long-term tetrahydrobiopterin (BH4) therapy in phenylketonuria: effects on metabolic control, nutritional habits and nutrient supply publication-title: Mol. Genet. Metab. Rep. contributor: fullname: Thiery – volume: 159 start-page: 136 year: 2000 Oct ident: bb0010 article-title: Diet and compliance in phenylketonuria publication-title: Eur. J. Pediatr. contributor: fullname: Macdonald – start-page: 307.e1 year: 2015 ident: bb0095 article-title: Diagnostic approach to the anemic patient publication-title: Nathan and Oski's Hematology and Oncology of Infancy and Childhood contributor: fullname: Nathan – volume: 49 start-page: 2067 year: 2003 Dec end-page: 2075 ident: bb0100 article-title: Cobalamin status and its biochemical markers methylmalonic acid and homocysteine in different age groups from 4 days to 19 years publication-title: Clin. Chem. contributor: fullname: Ueland – volume: 131 start-page: 1881 year: 2013 Jun ident: bb0040 article-title: Long-term follow-up and outcome of phenylketonuria patients on sapropterin: a retrospective study publication-title: Pediatrics contributor: fullname: Bélanger-Quintana – volume: 109 start-page: 331 year: 2013 Aug end-page: 338 ident: bb0070 article-title: Tetrahydrobiopterin therapy vs phenylalanine-restricted diet: impact on growth in PKU publication-title: Mol. Genet. Metab. contributor: fullname: Vitoria – volume: 51 start-page: 233 year: 2012 Mar end-page: 237 ident: bb0085 article-title: Cholesterol curves to identify population norms by age and sex in healthy weight children publication-title: Clin. Pediatr. (Phila.) contributor: fullname: Perrin – volume: 86 start-page: 54 year: 2005 Dec ident: bb0025 article-title: Clinical and nutritional evaluation of phenylketonuric patients on tetrahydrobiopterin monotherapy publication-title: Mol. Genet. Metab. contributor: fullname: Gassió – volume: 16 start-page: 41 year: 2004 Jan-Mar end-page: 45 ident: bb0015 article-title: Blood phenylalanine control in adolescents with phenylketonuria publication-title: Int. J. Adolesc. Med. Health contributor: fullname: White – volume: 102 start-page: 13 year: 2011 Jan end-page: 17 ident: bb0105 article-title: Serum vitamin B12 concentrations within reference values do not exclude functional vitamin B12 deficiency in PKU patients of various ages publication-title: Mol. Genet. Metab. contributor: fullname: van Rijn – volume: 5 start-page: 743 year: 2017 Sep end-page: 756 ident: bb0050 article-title: Key European guidelines for the diagnosis and management of patients with phenylketonuria publication-title: Lancet Diabetes Endocrinol. contributor: fullname: Bosch – volume: 376 start-page: 1417 year: 2010 Oct 23 end-page: 1427 ident: bb0005 article-title: Phenylketonuria publication-title: Lancet contributor: fullname: Levy – volume: 120 start-page: 190 year: 2017 Mar end-page: 197 ident: bb0055 article-title: Adherence to clinic recommendations among patients with phenylketonuria in the United States publication-title: Mol. Genet. Metab. contributor: fullname: Sanchez-Valle – volume: 29 year: 2016 May 01 ident: bb0065 article-title: Long-term BH4 (sapropterin) treatment of children with hyperphenylalaninemia - effect on median Phe/Tyr ratios publication-title: J. Pediatr. Endocrinol. Metab. contributor: fullname: Battelino – volume: 33 start-page: 689 year: 2010 Dec end-page: 695 ident: bb0060 article-title: BH(4) therapy impacts the nutrition status and intake in children with phenylketonuria: 2-year follow-up publication-title: J. Inherit. Metab. Dis. contributor: fullname: Brauchla – volume: 9 start-page: 31 year: 2013 end-page: 40 ident: bb0075 article-title: Nutritional changes and micronutrient supply in patients with phenylketonuria under therapy with tetrahydrobiopterin (BH(4)) publication-title: JIMD Rep. contributor: fullname: Ceglarek – volume: 32 start-page: 40 year: 2009 Feb end-page: 45 ident: bb0030 article-title: Effect of BH(4) supplementation on phenylalanine tolerance publication-title: J. Inherit. Metab. Dis. contributor: fullname: Blau – volume: 370 year: 2007 Oct 20 ident: bb0045 article-title: The strengthening the reporting of observational studies in epidemiology (strobe) statement: guidelines for reporting observational studies publication-title: Lancet contributor: fullname: Vandenbroucke – volume: 154 start-page: 700 year: 2009 May end-page: 707 ident: bb0035 article-title: Efficacy of sapropterin dihydrochloride in increasing phenylalanine tolerance in children with phenylketonuria: a phase III, randomized, double-blind, placebo-controlled study publication-title: J. Pediatr. contributor: fullname: Dorenbaum – volume: 50 year: 2012 Feb 29 ident: bb0090 article-title: Population-based pediatric reference intervals for general clinical chemistry analytes on the Abbott Architect ci8200 instrument publication-title: Clin. Chem. Lab Med. contributor: fullname: Gustafsson – volume: 86 start-page: 86 year: 2005 Dec ident: bb0020 article-title: Long-term treatment with tetrahydrobiopterin increases phenylalanine tolerance in children with severe phenotype of phenylketonuria publication-title: Mol. Genet. Metab. contributor: fullname: Mönch |
SSID | ssj0011594 |
Score | 2.314352 |
Snippet | The objective of this study was to assess the long-term effects of BH4 treatment on anthropomorphic measurements and nutritional biomarkers in phenylketonuria... |
SourceID | elsevier |
SourceType | Publisher |
StartPage | 238 |
SubjectTerms | Anthropomorphic measurements Diet Nutrition Phenylketonuria Tetrahydrobiopterin |
Title | Anthropomorphic measurements and nutritional biomarkers after 5 years of BH4 treatment in phenylketonuria patients |
URI | https://dx.doi.org/10.1016/j.ymgme.2018.06.009 |
Volume | 124 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT4NAEJ70EaMXo63GZ7MH4w0LZVng2DY2qLEXbdIbWZbFoEJNSw9cjP_I_-QvcZZH1as3WNhAdoeZj91vvgG4iFgQCToI0XgF09AopBbogdBC4TqIBziGIJXvfD9l3ozezq15A8Z1LoyiVVa-v_TphbeuWvrVaPbf4rj_YCD6tpWcl2MWQLsJbQxHlLagPby586abzQSM2MXmMt6vqQ61-FBB88qTp0TJZRqljqciJm6i0q9IM9mD3QoikmH5FvvQkGkHusMUf4-TnFySgrRZrIZ3YGtUH22P69JtXcjq8gfJAocxFiT5WQlcEZ6GJK1F-PFBKgNfkXSWeElVDCfW18dnjl_AiiwiMvIo2bDRSZwSRQrLX18kgsY1Wi-plFlXBzCbXD-OPa0qr6BJRC0Z4mouRKQgG0XQalq6GTlKK4ZKXXLOdQfBheQ2Y9hqUMtBR-gOnMC1B7oQhm2ah9BKF6k8AsJFyKRkpohoSKVwOHoRG8FMECFakU54DKweU__P7ProuP2aaPbsF5Phq8nwC7qde_Lfjqewo85Kqt4ZtLLlWp4jfMiCHjSv3o1eZSTfJm7IxQ |
link.rule.ids | 315,786,790,4521,24144,27955,27956,45618,45712 |
linkProvider | Elsevier |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3JTsMwEB2VVqhcELQgdnxA3KJmcbZjW1GldLnQSr1FjuOgAklRmx5y44_4J76EcZYCV26RHSvReDLzYj-_AbiLrCDiVA_RebmloFMIJVADroTcdRAPMExB8rzzZGp5c_q4MBc16FdnYSStsoz9RUzPo3XZ0imt2XlfLjtPGqJvW8p5OUYOtPegQU1b0-vQ6A5H3nS3mYAZO99cxvsVOaASH8ppXln8HEu5TK3Q8ZTExF1W-pVpBkdwWEJE0i3e4hhqImlBu5vg73GckXuSkzbz1fAW7Peqq2a_Kt3WhrQqfxCv0IxLTuKflcANYUlIkkqEHx8kT-BLks4au2TFcGJ-fXxm-AVsyCoiPY-SHRudLBMiSWHZ26tA0LhF7yWlMuvmBOaDh1nfU8ryCopA1JIirmacRxKyUQSthqkakSO1YqhQBWNMdRBcCGZbFrZq1HQwELq6E7i2rnKu2YZxCvVklYgzIIyHlhCWwSMaUsEdhlHERjATRIhWhBOeg1XZ1P8zuz4Gbr8imr34-WT4cjL8nG7nXvx34C00vdlk7I-H09ElHMiegrZ3BfV0vRXXCCXS4KZ0lW_8z8q1 |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Anthropomorphic+measurements+and+nutritional+biomarkers+after+5%E2%80%AFyears+of+BH4+treatment+in+phenylketonuria+patients&rft.jtitle=Molecular+genetics+and+metabolism&rft.au=Evers%2C+Roeland+A.F.&rft.au=van+Wegberg%2C+Annemiek+M.J.&rft.au=van+Dam%2C+Esther&rft.au=de+Vries%2C+Maaike+C.&rft.date=2018-08-01&rft.pub=Elsevier+Inc&rft.issn=1096-7192&rft.eissn=1096-7206&rft.volume=124&rft.issue=4&rft.spage=238&rft.epage=242&rft_id=info:doi/10.1016%2Fj.ymgme.2018.06.009&rft.externalDocID=S1096719218301550 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1096-7192&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1096-7192&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1096-7192&client=summon |