Page 89 - The autoimmune hypothesis of narcolepsy and its unexplored clinical features M.S. Schinkelshoek
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BMI decreases in patient groups between first and last measurement
Four separate groups were constructed based on treatment and gender. Those treated with SXB lost weight during follow-up (-1.58 kg/m2, SD 2.12 kg/m2; p < 0.001; Figure 5.1 and Figure 5.2). Women using SXB lost weight with a mean BMI decrease of 2.56 kg/m2 (SD 2.20 kg/m2; p = 0.001) which corresponds to an average weight loss of 7.1 kg; men with a mean BMI decrease of 0.84 kg/m2 (SD 1.71 kg/m2; p = 0.006) which corresponds to 2.8 kg. Patients using modafinil, however, gained weight (0.60 kg/m2, SD 0.91 kg/m2; p = 0.005). A mean BMI increase of 0.57 kg/m2 (SD 0.96 kg/m2; 1.6 kg) was found in women (p = 0.033), while a mean BMI increase of 0.67 (SD 0.88 kg/m2; 2.3 kg) was observed in men (p = 0.122). After adjustment for multiple testing BMI decrease in women using modafinil failed to reach statistical significance.
Figure 5.1. Body mass index (BMI) values at baseline and at last follow-up of patients in whom treatment with sodium oxybate (SXB; red, N = 59) and patients in whom treatment with modafinil (green, N = 22) was newly started. Each data point represents one patient at either baseline or follow-up. Individual values per patient are linked.
Medication and BMI change
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