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Vol. 2, No. 3-4, 2005
Issue release date: January 2006
Section title: Clinical and Epidemiological Aspects of ALS
Neurodegenerative Dis 2005;2:202–207
(DOI:10.1159/000089626)

Hypermetabolism in ALS: Correlations with Clinical and Paraclinical Parameters

Desport J.-C. · Torny F. · Lacoste M. · Preux P.-M. · Couratier P.
aCentre SLA, Service de Neurologie, CHU Dupuytren, bUnité Fonctionnelle de Nutrition, CHU Dupuytren, et cEA 3174, Faculté de Médecine, Limoges, France

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Article / Publication Details

First-Page Preview
Abstract of Clinical and Epidemiological Aspects of ALS

Published online: 1/6/2006

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 5

ISSN: 1660-2854 (Print)
eISSN: 1660-2862 (Online)

For additional information: http://www.karger.com/NDD

Abstract

Despite a reduction in fat-free mass (FFM), a hypermetabolism has been reported with an average of 10% in amyotrophic lateral sclerosis (ALS) patients as compared with a healthy population. The objectives of this study were to confirm the level of hypermetabolism determined by using indirect calorimetry in 168 patients with a probable or a definite ALS and to study correlations with survival. Consecutive evaluations of resting energy expenditure (REE) were performed from diagnosis to the proximity of death in 44 ALS patients. Differences with the calculated value determined a ΔREE. FFM was given by bioimpedance. At T1, REE was significantly increased by an average of 14% as compared with the calculated value. 62.3% of ALS patients were considered as hypermetabolic. REE was correlated in univariate analysis with age, sex, clinical form at onset, presence of a denutrition, weight, FFM, phase angle and ALS Functional Rating Scale (ALSFRS). In multivariate analysis, REE was linked to age and FFM. ΔREE was correlated in univariate analysis with sex, phase angle and manual muscle testing (MMT). In multivariate analysis, age and sex remained significantly correlated. During progression of ALS, REE levels remained higher than calculated values with a trend to decrease at proximity of death, whereas FFM remained stable. From T1, survival was linked to MMT, ALSFRS, vital capacity, REE and phase angle. We confirmed the existence of a stable hypermetabolic state in ALS which depends mainly on age, sex and FFM. REE is a prognostic factor for survival in univariate analysis.


Article / Publication Details

First-Page Preview
Abstract of Clinical and Epidemiological Aspects of ALS

Published online: 1/6/2006

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 5

ISSN: 1660-2854 (Print)
eISSN: 1660-2862 (Online)

For additional information: http://www.karger.com/NDD


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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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