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This does not mean that heavier people are more likely to suffer dyskinesia. 
In fact, the actual title of the article in the journal was "Relationship 
between weight, levodopa and dyskinesia: the significance of levodopa dose 
per kilogram body weight", NOT "Dyskinesia is related to weight" as 
indicated by the summary on the list.

In general, heavier people require more of a drug to produce the same 
effect, positive or negative.  This is because they have more of various 
tissues, so that a given dose produces a lower concentration of the drug in 
tissues than it would in a lighter person.  In effect, the drug is diluted 
in the person's larger body weight.  For example, it is commonly observed 
that lighter people need less alcohol to get drunk.  Therefore, doses are 
typically expressed in terms of milligrams of drug per kilogram of body 
weight.

The research reported in the article showed that heavier people did not 
suffer more dyskinesia than lighter people.


----- Original Message ----- 
From: "rayilynlee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 26, 2008 1:57 PM
Subject: Dyskinesia related to weight


June 25, 2008 - New Research
DYSKINESIA IS RELATED TO WEIGHT
European Journal of Neurology [2008] 15 (5) : 493-496 (Sharma JC, Ross IN, 
Rascol O, Brooks D.) Complete abstract
L-dopa dose per kilogram body weight is reported to be a significant factor 
for dyskinesia in Parkinson's disease. This study investigated this 
hypothesis. Analysis of L-dopa therapy patients revealed that people with 
dyskinesia had received significantly higher L-dopa dose, and also had a 
higher L-dopa dose per kilogram body weight. The most significant factor was 
the higher L-dopa dose per kilogram body weight. Younger age was the factor 
that was the second most related to dyskinesia. Gender, absolute L-dopa 
dose, weight on its own, disease duration, and initial motor Unified 
Parkinson's disease rating score were not significant. Higher L-dopa dose 
per kilogram body weight is an independently significant factor for 
developing dyskinesia. This relationship should be considered as an 
important factor in the treatment of Parkinson's Disease when aiming to 
prevent and manage dyskinesia, because those of a lower weight will be far 
more prone to dyskinesia.

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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