Mother-caregivers of Children With Duchenne Muscular Dystrophy (DMDK)

February 2, 2016 updated by: Monica Levy Andersen

Profile of Mother-caregivers of Children With Duchenne Muscular Dystrophy

The incidence of Duchenne Muscular Dystrophy (DMD) is approximately 1 in 3.500 male newborns. During its progression there is loss of mobility, swallowing difficulties and a significant reduction in respiratory capacity. Due to the severity and consequences, is inevitable the need for a caregiver, that normally rely the mother.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The Duchenne Muscular Dystrophy (DMD) is a neuromuscular disease characterized by genetic alteration, whose consequence is the progression of muscle degeneration. The mother-caregiver dedicates herself entirely to her son, putting aside the care of their physical and psychological health. The responsibility and workload to care for the child is high. Because of this extreme amount of work associated with other factors such as stress, this mothers-caregivers are more likely to develop hypertension, respiratory disease, susceptibility to infections, depression, anxiety, insomnia, impaired immune and cardiovascular problems. Moreover, they are more likely to develop sleep disorders, those who may cause a high health risk, since many sleep disorders are related to cardiovascular, respiratory, neurological and immune systems.

Study Type

Interventional

Enrollment (Actual)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Brazil
      • São Paulo, Brazil, 04024001
        • University Federal of São Paulo

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

25 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Mothers-caregivers of children and adolescents with DMD
  • Mothers of children and adolescents without any neuromuscular disease and that does not have any chronic disease (bronchiolitis obliterates, cystic fibrosis, a genetic syndrome)

Exclusion Criteria:

  • Volunteers with low levels of education (voluntary functional illiterate) that prevents the questionnaires and understanding of the guidelines made
  • Working mothers of nocturnal period

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Screening
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: sleep parameters
To assess the sleep parameters.
Biological: sleep parameters
Since the mother-caregiver dedicates herself entirely to her son, we will performe overnight polysomnography to assess the sleep pattern.
Other: cardiovascular parameters
To assess the cardiovascular profile of control mothers and caregivers-mothers.
Biological: Cardiovascular profile
To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters
Other Names:
  • Homocysteine
  • Myoglobin
  • Cardiac troponin I
  • Creatine kinase (CK)
  • Creatine kinase MB (CKMB)
Experimental: imflammatory and immunological profile
To assess the inflammatory profile of caregivers-mothers and control mothers
Biological: Inflammatory profile
To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters
Other Names:
  • Leptin
  • Prostaglandin E2
  • Cysteine
  • Interleukin 2
  • C-reactive protein (PCR)
  • Immunoglobulin A (IgA)
  • Immunoglobulin G (IgG)
  • Immunoglobulin M (IgM)
  • Complement (C3)
  • Complement (C4)
  • Interleukin 6
  • Interleukin 10
  • Interleukin 1β
  • Interleukin 4
  • Interleukin 8
  • Interferon-gamma (IFN-γ)
  • Endothelin
  • Intercellular Adhesion Molecule 1 (ICAM)
  • Vascular cell adhesion protein 1 (VCAM)
  • Tumor necrosis factor (TNFα)
  • Adiponectin
  • Lymphocytes subpopulations (T e B)
Experimental: hormonal profile
To assess the hormonal profile of caregivers-mothers and control mothers.
Biological: Hormonal profile
To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters.
Other Names:
  • Cortisol
  • Progesterone
  • Estradiol
  • Insulin
  • Vitamin B12
  • Luteinizing hormone (LH)
  • Follicle-stimulating hormone (FSH)
  • Total Testosterone
  • Adrenocorticotropic hormone (ACTH)
Experimental: metabolic profile
To assess the health profile of caregivers-mothers and control mothers.
Biological: Metabolic profile
To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters
Other Names:
  • Glucose
  • Creatinine
  • Urea
  • Total cholesterol and fractions
  • Triglycerides
  • Uric acid
  • Sodium
  • Potassium
  • Hemogram
  • Erythrocyte sedimentation rate
  • Natriuretic Peptide B

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
sleep patterns of the study population
Time Frame: Baseline
Since the mother-caregiver dedicates herself entirely to her son, we will performe overnight polysomnography to assess the sleep pattern.
Baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Hormonal profile
Time Frame: Baseline

To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters:

Insulin Cortisol Luteinizing hormone (LH) Follicle-stimulating hormone (FSH) Total Testosterone Estradiol Progesterone Vitamin B12 Adrenocorticotropic hormone (ACTH)
Baseline
Inflammatory profile
Time Frame: Baseline

To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters:

C-reactive protein (PCR) Immunoglobulin A (IgA) Immunoglobulin G (IgG) Immunoglobulin M (IgM) Complement (C3) Complement (C4) Interleukin 6 Interleukin 10 Interleukin 1β Interleukin 2 Interleukin 4 Interleukin 8 Interferon-gamma (IFN-γ) Endothelin Prostaglandin E2 Intercellular Adhesion Molecule 1 (ICAM) Vascular cell adhesion protein 1 (VCAM) Tumor necrosis factor (TNFα) Adiponectin Leptin Cysteine Lymphocytes subpopulations (T e B)
Baseline
Cardiovascular profile
Time Frame: Baseline

To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters:

Homocysteine Myoglobin Cardiac troponin I Creatine kinase (CK) Creatine kinase MB (CKMB)
Baseline
Metabolic profile
Time Frame: Baseline

To assess the health profile of caregivers-mothers are analyzed some markers that may indicate an impairment or damage to the health of each of the parameters:

Glucose Total cholesterol and fractions Triglycerides Uric acid Creatinine Urea Sodium Potassium Hemogram Erythrocyte sedimentation rate Natriuretic Peptide B
Baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Monica Levy Andersen

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2013

Primary Completion (Actual)

August 1, 2013

Study Completion (Actual)

July 1, 2014

Study Registration Dates

First Submitted

August 8, 2013

First Submitted That Met QC Criteria

August 9, 2013

First Posted (Estimate)

August 13, 2013

Study Record Updates

Last Update Posted (Estimate)

February 3, 2016

Last Update Submitted That Met QC Criteria

February 2, 2016

Last Verified

February 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • DMDK

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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