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University of Groningen

A lifetime with Phenylketonuria

Jahja, Rianne

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date:

2017

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Jahja, R. (2017). A lifetime with Phenylketonuria: Towards a better understanding of therapeutic targets.

Rijksuniversiteit Groningen.

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Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.

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A lifetime with Phenylketonuria

Towards a better understanding of therapeutic targets

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The studies described in this thesis were conducted at the Beatrix Children’s Hospital, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands, at the Academic Medical Center, Amsterdam, The Netherlands, at the University Hospital Maastricht, Maastricht, The Netherlands, at the Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht, The Netherlands, at the University Medical Center St Radboud Nijmegen, Nijmegen, The Netherlands, and at the Erasmus Medical Center, Rotterdam, The Netherlands.

The studies in this thesis were supported by Zorg Onderzoek Nederland (No. 28-2719 granted to L. M. J. de Sonneville), the Dutch PKU Research Foundation (granted to F. J. van Spronsen and S. C. J. Huijbregts), NutsOhra Fund (No. 1003-061 granted to F. J. van Spronsen and S. C. J. Huijbregts) and the Division of Metabolic Diseases of the Beatrix Children’s Hospital of the University Medical Center Groningen, The Netherlands.

The author gratefully acknowledges the financial support for printing this thesis by: Graduate School of Medical Sciences

University of Groningen

University Medical Center Groningen Biomarin

Codexis, Inc Vitaflo

Nutricia Research BV

Cover design: Harald Pieper, Promotie in Zicht Layout: Gildeprint – The Netherlands Printed by: Gildeprint – The Netherlands ISBN: 978-90-367-9903-4 (printed)

978-90-367-9902-7 (digital)

Copyright © R. Jahja, 2017. rianne.jahja@gmail.com

All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means without prior written permission of the author and the copyright holders of the published articles.

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A lifetime with Phenylketonuria

Towards a better understanding of therapeutic targets

Proefschrift

ter verkrijging van de graad van doctor aan de

Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken

en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op

dinsdag 27 juni 2017 om 09:00 uur

door

Rianne Jahja

geboren op 6 juni 1986

te Hoorn

A lifetime with Phenylketonuria

Towards a better understanding of therapeutic targets

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op dinsdag 27 juni 2017 om 09:00 uur

door

Rianne Jahja

geboren op 6 juni 1986 te Hoorn

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Promotores

Prof. dr. F. J. van Spronsen

Prof. dr. J. J. van der Meere

Copromotor

Dr. S. C. J. Huijbregts

Beoordelingscommissie

Prof. dr. R. H. Lachmann

Prof. dr. G. P. A. Smit

Prof. dr. O. M. Tucha

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Paranimfen

Esther van Dam

Wiggert van Ginkel

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TABle of ConTenTs

Chapter 1

General Introduction

8

Chapter 2

Mental health and social functioning in early treated

Phenylketonuria: The PKU-COBESO study

26

Chapter 3

Neurocognitive evidence for revision of treatment targets and

guidelines for Phenylketonuria

42

Chapter 4

Cognitive profile and mental health in adult Phenylketonuria:

A PKU-COBESO study

56

Chapter 5

Long-term follow-up of cognition and mental health in adult

Phenylketonuria: A PKU-COBESO study

80

Chapter 6

Social-cognitive functioning and social skills in patients with

early treated Phenylketonuria: A PKU-COBESO study

102

Chapter 7

Is BRIEF a useful instrument in day to day care of patients with

Phenylketonuria?

118

Chapter 8

General Discussion

134

Chapter 9

Summary / Nederlandse Samenvatting

150

Chapter 10

Dankwoord

160

Curriculum Vitae

167

List of abbreviations

171

List of publications

173

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Chapter 1

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