Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency

<p>Abstract</p> <p>Background</p> <p>Multiple Acyl-CoA-Dehydrogenase deficiency (MADD) is an inherited metabolic disorder characterized by impaired oxidation of fatty acids and some amino acids.</p> <p>Methods</p> <p>We were interested whether ch...

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Main Authors: Helders PJM, Dorland L, Visser G, Custers J WH, Takken T, de Koning TJ
Format: Article
Language:English
Published: BMC 2005-05-01
Series:Nutrition & Metabolism
Online Access:http://www.nutritionandmetabolism.com/content/2/1/12
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author Helders PJM
Dorland L
Visser G
Custers J WH
Takken T
de Koning TJ
author_facet Helders PJM
Dorland L
Visser G
Custers J WH
Takken T
de Koning TJ
author_sort Helders PJM
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Multiple Acyl-CoA-Dehydrogenase deficiency (MADD) is an inherited metabolic disorder characterized by impaired oxidation of fatty acids and some amino acids.</p> <p>Methods</p> <p>We were interested whether children with MADD could tolerate a prolonged low-intensity exercise test and if this test could have any additional diagnostic value. Therefore, we performed a maximal exercise test and a low-intensity prolonged exercise test in 2 patients with MADD and in 5 control subjects. During a prolonged exercise test the subjects exercised on a cycle ergometer at a constant workload of 30% of their maximum for 90 minutes and heart rate, oxygen uptake, fuel utilization and changes in relevant blood and urinary parameters were monitored.</p> <p>Results</p> <p>The tests were tolerated well. During the prolonged exercise test the fatty acid oxidation (FAO) was quite low compared to 5 control subjects, while characteristic metabolites of MADD appeared in plasma and urine.</p> <p>Conclusion</p> <p>We suggest that the prolonged exercise test could be of diagnostic importance and might replace the fasting test as a diagnostic procedure in some cases, particularly in patients with anamnestic signs of intolerance for prolonged exercise.</p>
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spelling doaj.art-9199779f94c8452da6b3f655b9dbf17c2022-12-22T02:59:10ZengBMCNutrition & Metabolism1743-70752005-05-01211210.1186/1743-7075-2-12Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiencyHelders PJMDorland LVisser GCusters J WHTakken Tde Koning TJ<p>Abstract</p> <p>Background</p> <p>Multiple Acyl-CoA-Dehydrogenase deficiency (MADD) is an inherited metabolic disorder characterized by impaired oxidation of fatty acids and some amino acids.</p> <p>Methods</p> <p>We were interested whether children with MADD could tolerate a prolonged low-intensity exercise test and if this test could have any additional diagnostic value. Therefore, we performed a maximal exercise test and a low-intensity prolonged exercise test in 2 patients with MADD and in 5 control subjects. During a prolonged exercise test the subjects exercised on a cycle ergometer at a constant workload of 30% of their maximum for 90 minutes and heart rate, oxygen uptake, fuel utilization and changes in relevant blood and urinary parameters were monitored.</p> <p>Results</p> <p>The tests were tolerated well. During the prolonged exercise test the fatty acid oxidation (FAO) was quite low compared to 5 control subjects, while characteristic metabolites of MADD appeared in plasma and urine.</p> <p>Conclusion</p> <p>We suggest that the prolonged exercise test could be of diagnostic importance and might replace the fasting test as a diagnostic procedure in some cases, particularly in patients with anamnestic signs of intolerance for prolonged exercise.</p>http://www.nutritionandmetabolism.com/content/2/1/12
spellingShingle Helders PJM
Dorland L
Visser G
Custers J WH
Takken T
de Koning TJ
Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency
Nutrition & Metabolism
title Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency
title_full Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency
title_fullStr Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency
title_full_unstemmed Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency
title_short Prolonged exercise testing in two children with a mild Multiple Acyl-CoA-Dehydrogenase deficiency
title_sort prolonged exercise testing in two children with a mild multiple acyl coa dehydrogenase deficiency
url http://www.nutritionandmetabolism.com/content/2/1/12
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