There is one clinical trial.
McArdle's disease or Glycogen storage disease type 5 (GSD5), the most common muscle glycogenosis, is a rare disabling condition with no effective treatment. There are indications that a special dietary regimen could positively influence the disease manifestations. After contradictory indications for protein rich vs carbohydrate rich diets, several preliminary studies and more and more patients own experiences are now pointing to a low carbohydrate ketogenic diet (LCKD) as possibly effective in improving exercise tolerance and reducing muscle damage. The investigators propose a multicentre randomized single blind controlled trial testing efficacy of an individualized LCKD in GSD5. The investigators will test the ability of a 6 months dietary regimen with a 3:1 LCKD inducing a BOHB blood concentration of 1.5-4 mmol/l to improve the aerobic capacity as measured by peak VO2 at exercise testing in GSD5 patients. Thirty molecularly defined MCA adults will be enrolled: to half of them randomly selected the dietary regimen will be prescribed, while subjects in the control group will follow their usual balanced diet. The evaluators will be blinded to the diet followed by the examined patient
A second frequent mutation in this population, and in Spanish patients, is Gly205Ser (G205S). --- Gly205Ser ---
A second frequent mutation in this population, and in Spanish patients, is Gly205Ser (G205S). --- Gly205Ser --- --- G205S ---
Description: pre to post diet comparison of maximal O2 consumption attained during an incremental cycle ergometer test
Measure: Change in maximal (peak) oxidative capacity (VO2max) Time: six monthsDescription: change in the maximum heart rate during constant load cycling exercise (HR const)
Measure: heart rate Time: six monthsDescription: change in maximal workload capacity (Wmax) at incremental cycle ergometer test
Measure: maximal workload Time: six monthsDescription: the maximum walking distance in 12 minutes
Measure: 12 min walking test Time: six monthsDescription: self-rated severity of fatigue symptoms on a Fatigue Severity Scale (FSS). The FSS scoring is 1-7 on 9 averaged domains. 1 is minimal fatigue and 7 is maximal.
Measure: Fatigue Time: six monthsDescription: the quality of life assessed using the 36-item Short Form Health Survey questionnaire (SF36). SF36 scoring is 0-100 with higher values indicating worse outcome
Measure: Short Form 36 (SF36) Time: six monthsDescription: the functional disability assessed using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). WHO-DAS 2.0 scoring is 0-100 with higher scores indicating worse outcome
Measure: Disability Time: six monthsDescription: the rate of Perceived Exertion during constant workload cycling (RPEconst) scored on a NRS scale 0-10 where 10 is maximum pain
Measure: exertion Time: six months