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Energy expenditure in obese children with pseudohypoparathyroidism type 1a

Context: Patients with pseudohypoparathyroidism type 1a (PHP-1a) develop early-onset obesity. The abnormality in energy expenditure and/or energy intake responsible for this weight gain is unknown. Objective: The aim of this study was to evaluate energy expenditure in children with PHP-1a compared w...

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Bibliographic Details
Published in:International Journal of Obesity 2013-08, Vol.37 (8), p.1147-1153
Main Authors: Shoemaker, A H, Lomenick, J P, Saville, B R, Wang, W, Buchowski, M S, Cone, R D
Format: Article
Language:English
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Summary:Context: Patients with pseudohypoparathyroidism type 1a (PHP-1a) develop early-onset obesity. The abnormality in energy expenditure and/or energy intake responsible for this weight gain is unknown. Objective: The aim of this study was to evaluate energy expenditure in children with PHP-1a compared with obese controls. Patients: We studied 6 obese females with PHP-1a and 17 obese female controls. Patients were recruited from a single academic center. Measurements: Resting energy expenditure (REE) and thermogenic effect of a high fat meal were measured using whole room indirect calorimetry. Body composition was assessed using whole body dual energy x-ray absorptiometry. Fasting glucose, insulin, and hemoglobin A1C were measured. Results: Children with PHP-1a had decreased REE compared with obese controls ( P
ISSN:0307-0565
1476-5497
DOI:10.1038/ijo.2012.200