Publications by authors named "Grugni G"

Article Synopsis
  • * The study included 118 participants (87 children/adolescents and 31 adults) with PWS, assessing various health metrics, including glucose and cholesterol levels, as well as using a Hyperphagia Questionnaire to measure eating behaviors.
  • * Results showed that adults had higher asprosin levels than adolescents, and those with obesity had higher levels than normal-weight individuals, but no significant correlation was found between asprosin and metabolic health indicators;
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  • Prader-Willi syndrome (PWS) is a rare genetic disorder causing various cognitive, emotional, and behavioral challenges, impacting both individuals with PWS and their caregivers significantly.
  • The study investigates the psychological health of caregivers of adults with PWS, using assessments like DASS-21 and PGWBI to compare their mental well-being to that of the general population.
  • Results indicated that caregivers experience higher levels of depression and stress compared to the general population, with their overall psychological well-being being poorer than that of individuals with PWS, highlighting the need for targeted support for caregivers.
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  • - Prader-Willi syndrome (PWS) is a rare genetic disorder marked by severe obesity and significant changes in appetite regulation, arising from issues in neurodevelopment and neuroendocrine functions, but its molecular details are not fully known.
  • - Researchers analyzed serum samples from 53 PWS patients and 34 individuals with non-syndromic obesity, using advanced techniques to identify and compare neuromodulatory factors, while applying statistical methods to validate their findings.
  • - The study found specific genes related to PWS that are connected to protein levels affecting oxytocin release and NAD metabolism, as well as sex differences in certain proteins, suggesting these biomarkers could have important clinical relevance for understanding and treating PWS.
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Introduction: Prader-Willi syndrome (PWS) is a rare disease, which shows a peculiar clinical phenotype, including obesity, which is different from essential obesity (EOB). Metabolomics might represent a valuable tool to reveal the biochemical mechanisms/pathways underlying clinical differences between PWS and EOB. The aim of the present (case-control, retrospective) study was to determine the metabolomic profile that characterizes PWS compared to EOB.

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Background: Prader-Willi syndrome (PWS) is characterized by a complex clinical condition, whose typical features lead to impaired motor and functional skills. To date, limited data is available as regards symmetry of gait in PWS.

Research Question: The aim of this study was to characterize lower-limb asymmetry during gait in a group of Prader-Willi Syndrome (PWS) individuals by using the synchronized cyclograms and to compare it with those of two different control groups, a normal-weight group and an obese group.

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Article Synopsis
  • Prader-Willi syndrome (PWS) is a genetic disorder caused by different problems on chromosome 15, affecting how some genes work.
  • People with PWS often feel super hungry all the time, can become very overweight, and may have other health and learning issues.
  • The review explores how different genetic causes of PWS can lead to specific health problems and looks for ways to improve diagnosis and treatments for those affected.
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Introduction: Prader-Willi syndrome (PWS) is a rare genetic disorder characterized by loss of expression of paternal chromosome 15q11.2-q13 genes. Individuals with PWS exhibit unique physical, endocrine, and metabolic traits associated with severe obesity.

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  • This study investigated the spinal postures and mobility in individuals with Prader-Willi syndrome (PWS) compared to those with essential obesity and normal-weight individuals.
  • It found that adults with PWS exhibited increased thoracic kyphosis and reduced lumbar lordosis, along with less lumbar and hip mobility than normal-weight peers.
  • The results suggest that PWS affects spinal characteristics similarly to obesity but has a more significant impact on lumbar movement, emphasizing the need for specialized musculoskeletal assessments and treatment plans for those with the syndrome.
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Background: Prader-Willi syndrome (PWS) is a rare, complex, genetic disorder characterized by hyperphagia, hypotonia, delayed psychomotor development, low muscle mass and hypothalamic dysfunction. Adults with PWS often have obesity, hypertension and type 2 diabetes mellitus (DM2), known risk factors for cardiovascular disease (CVD) and chronic kidney disease (CKD). Early symptoms of CVD and CKD may be masked by intellectual disability and inability to express physical complaints.

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  • Prader-Willi syndrome (PWS) is a genetic disorder linked to issues with chromosome 15, resulting in symptoms similar to growth hormone deficiency, including short stature and obesity.
  • A study involved 12 obese adults with PWS undergoing long-term growth hormone (GH) treatment, revealing reductions in waist circumference and fat mass percentage, alongside increased IGF-I levels.
  • Although GH therapy improved body composition, it also led to a slight increase in fasting glucose levels, necessitating ongoing monitoring of glucose metabolism in these patients.
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This Position Statement updates the different components of the therapy of obesity (lifestyle intervention, drugs, and surgery) in children and adolescents, previously reported in the consensus position statement on pediatric obesity of the Italian Society of Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics. Lifestyle intervention is the first step of treatment. In children older than 12 years, pharmacotherapy is the second step, and bariatric surgery is the third one, in selected cases.

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Context: Prader-Willi syndrome (PWS) is a complex disorder combining hypothalamic dysfunction, neurodevelopmental delay, hypotonia, and hyperphagia with risk of obesity and its complications. PWS is caused by the loss of expression of the PWS critical region, a cluster of paternally expressed genes on chromosome 15q11.2-q13.

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Metabolic syndrome (MetS) associated with obesity is a pathological condition increasing worldwide. Recent studies have demonstrated that the neutrophil to lymphocyte ratio (NLR) can be successfully used to stage MetS in obese adults. The aim of the study was to evaluate NLR values in 552 children/adolescents (M 219, F 333; 14.

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Purpose/methods: Prader-Willi syndrome (PWS) is a rare genetic disorder displaying different clinical features, including obesity and bone impairment. LIGHT/TNFSF14 is a cytokine produced by immune cells affecting both fat and bone metabolism. The present study aimed to evaluate LIGHT serum levels in 28 children and 52 adult PWS patients compared to age and sex-matched controls, as well as correlations with parameters of bone and fat metabolism.

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Background: Prader-Willi syndrome (PWS) is a rare and complex genetic disease, with numerous implications on metabolic, endocrine, neuropsychomotor systems, and with behavioural and intellectual disorders. Rare disease patient registries are important scientific tools (1) to collect clinical and epidemiologic data, (2) to assess the clinical management including the diagnostic delay, (3) to improve patients' care and (4) to foster research to identify new therapeutic solutions. The European Union has recommended the implementation and use of registries and databases.

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Purpose: 25OHD levels in patients with Prader-Willi Syndrome (PWS), the most frequent cause of genetic obesity with a peculiar fat mass distribution, are still debated. Insulin resistance (IR), Body Mass Index-SDS (BMI-SDS), Growth Hormone Therapy (GHT), and puberty onset seem to interact with 25OHD levels. The objectives of the study are: (1) To analyze 25OHD levels in pediatric PWS patients in comparison with a control group (CNT) (2) To evaluate a possible correlation between BMI-SDS, HOMA-IR, puberty, GHT, and 25OHD levels.

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Context: Prader-Willi syndrome (PWS) is a rare complex genetic syndrome, characterized by delayed psychomotor development, hypotonia, and hyperphagia. Hormone deficiencies such as hypogonadism, hypothyroidism, and growth hormone deficiency are common. The combination of hypotonia, low physical activity, and hypogonadism might lead to a decrease in bone mass and increase in fracture risk.

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Background: Prader-Willi syndrome (PWS) is a rare genomic imprinting disorder associated to a complex neurodevelopmental phenotype and a distinctive facial appearance. The study investigated the relationships between the quantitative facial dysmorphism in PWS and clinical and biochemical markers of the disease and its treatment.

Methods: Facial images of 15 Caucasian adult individuals with PWS (8 males, 42 ± 5 years; 7 females, 37 ± 8 years; BMI 38.

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Article Synopsis
  • - The study examines how reliable various indexes, like BMI and waist-to-height ratio, are for identifying metabolic syndrome (MetS) in severely obese children and adolescents aged 10-17 years.
  • - Out of 1065 participants, 30.4% were found to have MetS, with a slightly higher prevalence in males compared to females.
  • - The research identifies the TG/HDL-Cholesterol ratio as the most effective and simplest method for predicting MetS, performing as well as more complex indexes, making it highly usable in clinical settings.
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Irisin is a myokine involved in the browning of white adipose tissue and regulation of energy expenditure, glucose homeostasis and insulin sensitivity. Debated evidence exists on the metabolic role played by irisin in children with overweight or obesity, while few information exist in children with Prader Willi Syndrome (PWS), a condition genetically prone to obesity. Here we assessed serum irisin in relation to the metabolic profile and body composition in children and adolescents with and without PWS.

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Prader-Willi syndrome (PWS), a multisystemic disorder caused by lack of expression of genes on the paternally inherited chromosome 15q11.2-q13 region, is characterized by hyperphagia and childhood-onset morbid obesity, A retrospective cohort study of 60 PWS patients, 38 females and 22 males, undergoing a 6-year rehabilitation program was analysed. Mean age at the time of first admission was 27 ± 7 years, body weight (BW) was 97 kg ± 29 kg and height was 1.

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Article Synopsis
  • A study examined scoliosis in 180 patients with Prader-Willi syndrome (PWS), focusing on factors like age, gender, BMI, and growth hormone therapy (GHT).
  • Scoliosis was found in 83.3% of subjects, with varying severity; younger patients were diagnosed earlier, particularly those with severe cases.
  • The research highlights the importance of regular monitoring for scoliosis in PWS patients, as the risk increases with age, and suggests the need for timely interventions like bracing or surgery.
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