{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:12:23Z","timestamp":1784308343041,"version":"3.55.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuromuscular Diseases"],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Overweight is a common problem in Duchenne muscular dystrophy (DMD) and is associated with reduced mobility and quality of life. The influence of nutritional intake on (over)weight is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate weight and energy and macronutrients intake compared to age-specific requirements in DMD patients (4\u201318 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We assessed weight and body mass index (BMI) and the amount of energy (kcal\/day) and macronutrients based on self-reported nutrition diaries. Nutritional intake was compared to requirements for 3 age-groups according to the Dutch Healthy Diet Guideline (4\u20138\/9\u201313\/14\u201318 years) using a student\u2019s t-test, and relations with age and BMI were investigated by means of Pearson\u2019s correlations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-eight patients participated, 22 ambulatory, median age 10.8 years. The majority used corticosteroids (N\u200a=\u200a41). Overweight (BMI z-score\u200a&gt;\u200a2.07) was present in 19 patients; 6% (4\u20138 years), 73% (9\u201313 years) and 47% (14\u201318 years). Overweight was more common in non-ambulatory (61.6%) than ambulatory patients (13.6%). Patients aged 4\u20138 received 290\u200akcal\/day more than required ( p\u200a&lt;\u200a0.001). Patients aged 9\u201313 received 349 kcal\/day ( p\u200a=\u200a0.005) less than required. Overall, intake of fibre, nuts, meat\/fish\/eggs\/legumes and dairy was lower than recommended ( p\u200a&lt;\u200a0.05). The difference between energy intake versus requirement correlated moderately to age ( r\u200a=\u200a\u20130.549, p\u200a&lt;\u200a0.001) and BMI ( r\u200a=\u200a\u20130.562, p\u200a&lt;\u200a0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Overweight was found especially in patients aged 9\u201318 even though they received less energy than required. Younger patients (4\u20138) had good weight but consumed more energy than required. All patients did not consume enough fibre, nuts, meat\/fish\/eggs\/legumes and dairy. Limiting energy and increasing fibre\/protein intake at an early age may prevent overweight at a later age.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jnd-220796","type":"journal-article","created":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T11:29:54Z","timestamp":1664882994000},"page":"701-711","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Relation Between Nutritional Intake and Body Weight in 4\u201318 Year Old Patients with DMD: What could possibly be done to prevent weight gain?"],"prefix":"10.1177","volume":"9","author":[{"given":"Carmen A.W.","family":"Dietvorst","sequence":"first","affiliation":[{"name":"Department of Dietetics and Social Work, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne","family":"Bot","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Social Work, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menno","family":"van der Holst","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik H.","family":"Niks","sequence":"additional","affiliation":[{"name":"Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,3]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(18)30024-3"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21212"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1016\/s0730-725x(97)00046-5"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1177\/0883073814558120"},{"key":"ref005","doi-asserted-by":"publisher","DOI":"10.1177\/0883073810371004"},{"key":"ref006","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.0000000000003217"},{"key":"ref007","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.12.046"},{"key":"ref008","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2017.08.006"},{"key":"ref009","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1993.tb07925.x"},{"key":"ref010","doi-asserted-by":"publisher","DOI":"10.1017\/s0007114510005180"},{"key":"ref011","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(18)30025-5"},{"key":"ref012","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.01.013"},{"key":"ref013","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26340"},{"key":"ref014","unstructured":"Health Council of the Netherlands. 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