Resting energy expenditure in argininosuccinic aciduria and in other urea cycle disorders.

Argininosuccinic aciduria dyslipidaemia and argininosuccinic aciduria metabolic syndrome and argininosuccinic aciduria resting energy expenditure resting energy expenditure and argininosuccinic aciduria urea cycle disorders

Journal

Journal of inherited metabolic disease
ISSN: 1573-2665
Titre abrégé: J Inherit Metab Dis
Pays: United States
ID NLM: 7910918

Informations de publication

Date de publication:
11 2019
Historique:
received: 04 10 2018
revised: 28 04 2019
accepted: 30 04 2019
pubmed: 6 5 2019
medline: 25 8 2020
entrez: 7 5 2019
Statut: ppublish

Résumé

No data are available on the specific energy needs of patients affected with Urea Cycle disorders (UCD) and especially argininosuccinic aciduria (ASA). In our experience, ASA patients tend to develop central adiposity and hypertriglyceridemia when treated with apparently adequate energy intake, while the other UCD do not. The aim of this study was to evaluate anthropometric parameters, body composition, risk of metabolic syndrome (MS) and resting energy expenditure (REE), both by indirect calorimetry (IC) and predictive equations, in UCD patients. Hypertension (5/13), pathological waist circumference-to-height ratio (WtHr) (6/13), hypertriglyceridemia (12/13), reduced HDL cholesterol (12/13), and MS (5/13) were found in ASA group. In the ASA cohort, the mean and median IC-REE were 88% of what was predicted by Food and Agriculture Organization of the United Nations and Harris-Benedict equations. The "other UCD" cohort did not show hypertension, dyslipidaemia nor MS; IC-REE was similar to the REE predicted by equations. A significant difference was seen for the presence of hypertension, dyslipidaemia, pathological WtHr, MS and IC-REE/predictive equations-REE in the two cohorts. ASA patients have a risk of overfeeding if their energy requirement is not assessed individually with IC. Excessive energy intake might increase the cardiovascular risk of ASA patients. We suggest to test ASA individuals with IC every year if the patient is sufficiently collaborative. We speculate that most of the features seen in ASA patients might depend on an imbalance of Krebs cycle. Further studies are needed to verify this hypothesis.

Identifiants

pubmed: 31056765
doi: 10.1002/jimd.12108
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1105-1117

Informations de copyright

© 2019 SSIEM.

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Auteurs

Alessandra Brambilla (A)

Department of Pediatrics, Fondazione MBBM, ATS Monza, University Hospital San Gerardo, Monza, Italy.

Maria L Bianchi (ML)

Bone Metabolism Unit, Istituto Auxologico Italiano, Milano, Italy.

Raffaella Cancello (R)

Bone Metabolism Unit, Istituto Auxologico Italiano, Milano, Italy.

Cinzia Galimberti (C)

Department of Pediatrics, Fondazione MBBM, ATS Monza, University Hospital San Gerardo, Monza, Italy.

Serena Gasperini (S)

Department of Pediatrics, Fondazione MBBM, ATS Monza, University Hospital San Gerardo, Monza, Italy.

Roberta Pretese (R)

Department of Pediatrics, Fondazione MBBM, ATS Monza, University Hospital San Gerardo, Monza, Italy.

Miriam Rigoldi (M)

Department of Medical Genetics, Rare Disease Center, ASST San Gerardo, Monza, Italy.

Serena Tursi (S)

Department of Pediatrics, Fondazione MBBM, ATS Monza, University Hospital San Gerardo, Monza, Italy.

Rossella Parini (R)

Department of Pediatrics, Fondazione MBBM, ATS Monza, University Hospital San Gerardo, Monza, Italy.

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