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Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden

  • Authors:
    • Thi My Thuc Luu
    • Anh Tho Pham
    • Chi Dung Vu
    • Phan Ninh Tran
    • Thi Thuy Hong Nguyen
    • Ngoc Khanh Nguyen
  • View Affiliations / Copyright

    Affiliations: Vietnam National Children's Hospital, Hanoi 100000, Vietnam
    Copyright: © Luu et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 123
    |
    Published online on: October 31, 2025
       https://doi.org/10.3892/wasj.2025.411
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Abstract

Infantile‑onset Pompe disease (IOPD) is a severe neuromuscular disorder requiring lifelong multidisciplinary care. The present study aimed to assess nutritional practices, gross motor development and socio‑economic burdens in children with IOPD. For this purpose, a cross‑sectional study was conducted on children with IOPD receiving enzyme replacement therapy (ERT). Data were obtained from medical records, 24‑h dietary recall and caregiver interviews. The median energy intake was 101.5% of the recommendation, with 29.4% consuming <90 and 41.2% consuming >110% of the recommended amount. Protein intake was inadequate, with 82.4% consuming <90% of the recommended intake. Fiber intake was low in all the participants. Food texture aversion was common, with 66.7% of children aged >24 months requiring blended or pureed foods. A high proportion (85.3%) of families had a full‑time at‑home caregiver. As regards motor function, 82.4% of children aged >3 years were able to stand independently. Disease duration, but not protein intake, was a significant predictor of gross motor delay (adjusted r2=0.89, P<0.001). In summary, the present study demonstrates that children with IOPD face significant nutritional and motor challenges despite ERT, leading to lower quality of life and a greater caregiving burden. Nutritional assessment, early and individualized interventions and psychosocial support are essential for improving long‑term outcomes.
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Figure 1

School attendance status of children
with infantile-onset Pompe disease.
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Copy and paste a formatted citation
Spandidos Publications style
Luu TT, Pham AT, Vu CD, Tran PN, Nguyen TT and Nguyen NK: Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden. World Acad Sci J 7: 123, 2025.
APA
Luu, T.T., Pham, A.T., Vu, C.D., Tran, P.N., Nguyen, T.T., & Nguyen, N.K. (2025). Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden. World Academy of Sciences Journal, 7, 123. https://doi.org/10.3892/wasj.2025.411
MLA
Luu, T. T., Pham, A. T., Vu, C. D., Tran, P. N., Nguyen, T. T., Nguyen, N. K."Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden". World Academy of Sciences Journal 7.6 (2025): 123.
Chicago
Luu, T. T., Pham, A. T., Vu, C. D., Tran, P. N., Nguyen, T. T., Nguyen, N. K."Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden". World Academy of Sciences Journal 7, no. 6 (2025): 123. https://doi.org/10.3892/wasj.2025.411
Copy and paste a formatted citation
x
Spandidos Publications style
Luu TT, Pham AT, Vu CD, Tran PN, Nguyen TT and Nguyen NK: Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden. World Acad Sci J 7: 123, 2025.
APA
Luu, T.T., Pham, A.T., Vu, C.D., Tran, P.N., Nguyen, T.T., & Nguyen, N.K. (2025). Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden. World Academy of Sciences Journal, 7, 123. https://doi.org/10.3892/wasj.2025.411
MLA
Luu, T. T., Pham, A. T., Vu, C. D., Tran, P. N., Nguyen, T. T., Nguyen, N. K."Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden". World Academy of Sciences Journal 7.6 (2025): 123.
Chicago
Luu, T. T., Pham, A. T., Vu, C. D., Tran, P. N., Nguyen, T. T., Nguyen, N. K."Real‑world challenges in the management of pediatric Pompe disease: Nutrition, motor function and family burden". World Academy of Sciences Journal 7, no. 6 (2025): 123. https://doi.org/10.3892/wasj.2025.411
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