Table 2.
Cross-sectional study participants, n | 109 |
Sex, n (%) | |
Male | 47 (43.1) |
Female | 62 (56.9) |
Age in years | |
Mean ± 1 SD | 51 ± 17 |
Range | 18–83 |
Race, n (%) | |
Asian | 3 (2.8) |
Black/African American | 1 (0.9) |
White | 98 (89.9) |
Other | 7 (6.4) |
Hispanic or Latino, n (%) | |
Yes | 15 (13.8) |
No | 94 (86.2) |
Country, n (%) (16 total countries represented) | |
United States | 54 (49.5) |
Canada | 5 (4.6) |
Australia | 10 (9.7) |
United Kingdom | 16 (14.7) |
France | 2 (1.8) |
Argentina | 7 (6.4) |
Bolivia | 2 (1.8) |
Chile | 1 (0.9) |
India | 1 (0.9) |
Iran | 1 (0.9) |
Ireland | 3 (2.8) |
Mexico | 1 (0.9) |
New Zealand | 3 (2.8) |
Poland | 1 (0.9) |
South Korea | 1 (0.9) |
Sweden | 1 (0.9) |
U.S. states represented, n | 21 |
Canadian provinces represented (Ontario), n | 1 |
Employment status, n (%) | |
Employed full-time | 29 (26.6) |
Employed part-time | 9 (8.3) |
On disability | 16 (14.7) |
Not working/not on disability | 8 (7.3) |
Retired | 30 (27.5) |
Student | 6 (5.5) |
Stay-at-home parent | 1 (0.9) |
Self-employed | 7 (6.4) |
Other | 3 (2.8) |
Has ALD impacted your employment status or choice?, n (%) | |
Yes | 60 (55.1) |
No | 40 (36.7) |
I don't know | 8 (7.3) |
Prefer not to answer | 1 (0.9) |
Highest level of education, n (%) | |
Grade school | 2 (1.8) |
High school | 29 (26.6) |
Technical degree | 19 (17.5) |
College | 33 (30.3) |
Master's or Doctorate | 24 (22.0) |
None | 2 (1.8) |
Has ALD prevented you from pursuing additional education?, n (%) | |
Yes | 18 (16.5) |
No | 87 (79.8) |
I don't know | 4 (3.7) |
Marital status, n (%) | |
Married | 61 (56.0) |
Single | 26 (23.9) |
Widowed | 3 (2.7) |
Divorced | 13 (12.0) |
Separated | 3 (2.7) |
Registered partnership | 3 (2.7) |
Has ALD impacted your marital status or decision to pursue relationships?, n (%) | |
Yes | 35 (32.1) |
No | 70 (64.2) |
I don't know | 4 (3.7) |
Diagnosed with ALD?, n (%) | |
Yes | 59 (54.1) |
No | 43 (39.5) |
I don't know | 7 (6.4) |
Diagnosed with AMN?, n (%) | |
Yes | 71 (65.1) |
No | 27 (24.8) |
I don't know | 11 (10.1) |
Diagnosed with cerebral form of ALD?, n (%) | |
Yes | 18 (16.5) |
No | 81 (74.3) |
I don't know | 10 (9.2) |
Diagnosed with Addison's disease?, n (%) | |
Yes | 35 (32.1) |
No | 71 (65.1) |
I don't know | 3 (2.8) |
Ever been in adrenal crisis?, n (%) | |
Yes | 22 (20.2) |
No | 82 (75.2) |
I don't know | 5 (4.6) |
Years since diagnosis | |
Mean ± 1 SD | 16 ± 11 |
Range | 1–40 |
Years since first noticed symptoms | |
Mean ± 1 SD | 15 ± 11 |
Range | 0–50 |
Ever misdiagnosed?, n (%) | |
Yes | 38 (34.9) |
No | 68 (62.4) |
I don't know | 3 (2.7) |
Ambulation, n (%) | |
Walk independently without assistance | 50 (45.9) |
Primarily use a cane or crutches | 34 (31.2) |
Primarily use a walker | 10 (9.2) |
Use a wheelchair or motorized scooter sometimes and walk sometimes | 7 (6.4) |
Primarily use a wheelchair or motorized scooter | 8 (7.3) |
Hours of home health aide per week, n (%) | |
None | 75 (68.8) |
1–5 h | 15 (13.8) |
6–10 h | 6 (5.5) |
16–20 h | 3 (2.7) |
Greater than 20 h | 10 (9.2) |
Speech, n (%) | |
Talk clearly and have no changes in speech | 89 (81.7) |
Some speech changes | 17 (15.6) |
Impaired speech, and people occasionally ask to repeat words or phrases | 2 (1.8) |
Impaired speech that is often not understood by others | 1 (0.9) |
Positive genetic test for ABCD1 gene mutation?, n (%) | |
Yes | 89 (81.6) |
No | 5 (4.6) |
No genetic testing | 11 (10.1) |
I don't know | 4 (3.7) |
Functional ability, n (%) | |
No symptoms | 4 (3.7) |
No significant disability | 26 (23.8) |
Slight disability | 32 (29.4) |
Moderate disability | 29 (26.6) |
Moderately severe disability | 18 (16.5) |
Ever received bone marrow or stem cell transplant?, n (%) | |
Yes | 5 (4.6) |
No | 104 (95.4) |
Current treatments, n (%)a | |
Hormone replacement, steroid medications, or corticosteroids | 34 (31.2) |
High dose antioxidants (OTC) | 4 (3.7) |
Lorenzo's oil | 2 (1.8) |
Spasticity-reducing medications (Baclofen, Tazanidine, Botox, etc.) | 33 (30.3) |
Neuropathic pain medications or anti-epileptic medications (Neurontin e.g. Gabapentin) | 32 (29.4) |
Medications for overactive bladder or bowel | 21 (19.3) |
Cannabidiol (CBD) | 15 (13.8) |
Anti-depressants or anti-anxiety medications | 24 (22.0) |
Physical therapy | 32 (29.4) |
None | 20 (18.4) |
Multiple-choice options that were not selected by any participant have been omitted for conciseness
Percents have been normalized for missing responses
aPercents may not add up to 100% because some individuals receive multiple treatments