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. 2021 May 6;16(5):e0251231. doi: 10.1371/journal.pone.0251231

Table 1. Demographic and clinical characteristics of individuals with Rett syndrome (RTT) and unaffected Controls (C).

Characteristics of subjects Group of Individuals* p-value+
RTT C
Demographics
    Number of participants 44 21 -
    Age (y) 12.4 (5.1, 36.1) 10.3 (4.9, 27.8) NS
    Race (W:H:B:A:O) (%)** 57:27:11:2:2 52:24:14:0:10 NS
Pubertal Status
    Menarche achieved (%) 50 33 NS
    Pre-pubertal: Post-pubertal (%) 20:80 52:48 0.01
MeCP2 Mutation
    Participants (n) 43 - -
    Mutation severity# (mild:moderate:severe) % 33:44:23 - -
Growth measurements
    Height (z-score) -2.5 (-5.7, 1.8) 0 (-2.5, 3.3) 0.001
    Weight (z-score) -1.9 (-10.4, 0.7) 0.4 (-3.2, 2.5) 0.001
    Body mass index (z-score) -0.5 (-8.7, 1.5) 0.4 (-3.2, 2.2) 0.01
    Body fat (%) 26 (17, 37) 26 (15, 39) NS
    Triceps skinfold (mm) 11 (5, 33) 14 (5, 31) 0.04
    Arm muscle area (mm2) 2332 (1418, 5314) 2704 (1282, 4730) NS
Symptoms
    Anxiety (%) 52 14 0.01
        Salivary cortisol (n) 42 20 -
        Cortisol (μg/dL) 0.12 (0.03, 1.37) 0.08 (0.02, 0.23) 0.01
    Bruxism (%) 68 5 0.001
    Hyperventilation (%) 68 0 0.001
    Abdominal distention (%) 50 0 0.001
    Seizures (%) 64 0 0.001
Bowel Movement
    Frequency < 1/day (%) 41 25 NS
    Stool consistency 0.001
        Loose (diarrhea) 27 (61%) 3 (14%) -
        Normal 10 (23%) 16 (76%) -
        Formed (constipated) 7 (16%) 1 (5%) -
        Data not available - 1 (5%) -
Ambulatory Status
    Non-ambulatory (%) 39 0 0.001
Clinical Severity Score (CSS)
        Participants (n) 40 - -
        CSS value 25 ± 7 - -
        CSS## (mild:moderate:severe) % 30:45:25 - -
Medications
        Proton pump inhibitors (%) 61 0 0.001
        Prokinetics (%) 18 0 0.05
        Probiotics (%) 23 0 0.01
        Laxatives (%) 70 0 0.001
        Anticonvulsants (%) 59 0 0.001
        Vagal nerve stimulation therapy (%) 16 0 0.01
Gastrointestinal Health Questionnaire (score)
    Health/Pain 13 (0, 43) 0 (0, 5) 0.001
    Eating/Chewing/Swallowing 24 (1, 48) 0 (0, 7) 0.001
    Gastrointestinal 23 (0, 52) 0 (0, 13) 0.001
    Mood/Personality 10 (0, 40) 0 (0, 8) 0.001
    Parental Concerns 10 (0, 51) 0 (0, 5) 0.001
    Total 71 (14, 231) 1 (0, 7) 0.001

*Values expressed as median (minimum, maximum) or proportion (%).

**W = White (Caucasian), H = Hispanic, B = Black (African American), A = Asian, O = Other (Pacific Islander).

#MeCP2 mutation severity: Mild = R133C, R294X, R306C, 3’ truncations; Moderate = T158M, all others except mild/severe; Severe = R106W, R255X, R270X, large deletions.

##Clinical severity score (CSS): Mild = ≤ 19, Moderate = 20–30, Severe = ≥31.

+ Mann-Whitney test (continuous variables) and Chi-squared test (discrete variables), p-value ≤ 0.05 considered significant.