La maladie de Parkinson au Canada (serveur d'exploration)

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A Four-Year Longitudinal Study on Restless Legs Syndrome in Parkinson Disease.

Identifieur interne : 000303 ( PubMed/Corpus ); précédent : 000302; suivant : 000304

A Four-Year Longitudinal Study on Restless Legs Syndrome in Parkinson Disease.

Auteurs : Marcello Moccia ; Roberto Erro ; Marina Picillo ; Gabriella Santangelo ; Emanuele Spina ; Roberto Allocca ; Katia Longo ; Marianna Amboni ; Raffaele Palladino ; Roberta Assante ; Sabina Pappatà ; Maria Teresa Pellecchia ; Paolo Barone ; Carmine Vitale

Source :

RBID : pubmed:26564123

English descriptors

Abstract

Restless legs syndrome (RLS) prevalence estimates range from 0% to 52% in Parkinson disease (PD), but the causal relationship between the two disorders is still debated. The present study aims to evaluate RLS prevalence in de novo PD subjects, its incidence during the first 4 years from diagnosis, and possible relationships with clinical, laboratory, and neuroradiological data.

DOI: 10.5665/sleep.5452
PubMed: 26564123

Links to Exploration step

pubmed:26564123

Le document en format XML

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<term>Age of Onset</term>
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<term>Dopamine Plasma Membrane Transport Proteins (metabolism)</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Prevalence</term>
<term>Random Allocation</term>
<term>Restless Legs Syndrome (complications)</term>
<term>Restless Legs Syndrome (diagnosis)</term>
<term>Restless Legs Syndrome (epidemiology)</term>
<term>Restless Legs Syndrome (physiopathology)</term>
<term>Sleep Wake Disorders (complications)</term>
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<term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
<term>Restless Legs Syndrome</term>
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<front>
<div type="abstract" xml:lang="en">Restless legs syndrome (RLS) prevalence estimates range from 0% to 52% in Parkinson disease (PD), but the causal relationship between the two disorders is still debated. The present study aims to evaluate RLS prevalence in de novo PD subjects, its incidence during the first 4 years from diagnosis, and possible relationships with clinical, laboratory, and neuroradiological data.</div>
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<Month>02</Month>
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<Month>11</Month>
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<Title>Sleep</Title>
<ISOAbbreviation>Sleep</ISOAbbreviation>
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<Abstract>
<AbstractText Label="STUDY OBJECTIVES" NlmCategory="OBJECTIVE">Restless legs syndrome (RLS) prevalence estimates range from 0% to 52% in Parkinson disease (PD), but the causal relationship between the two disorders is still debated. The present study aims to evaluate RLS prevalence in de novo PD subjects, its incidence during the first 4 years from diagnosis, and possible relationships with clinical, laboratory, and neuroradiological data.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred nine newly diagnosed, drug-naïve PD subjects were evaluated at the time of PD diagnosis, and after 2- and 4-years. RLS diagnosis was performed with the RLS Diagnostic Index at each visit. Motor features, additional non-motor symptoms (NMS), and concomitant dopaminergic and nondopaminergic treatments were also gathered. Moreover, at baseline, 65 subjects were randomly selected to undergo a FP-CIT SPECT to study dopamine transporter availability.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">RLS prevalence rose from 4.6% at baseline evaluation to 6.5% after 2 years and to 16.3% after 4 years (P = 0.007). A multinomial logistic stepwise regression model selected NMS Questionnaire items more likely to be associated with RLS at diagnosis (insomnia, OR = 15.555; P = 0.040) and with occurrence of RLS during follow-up (dizziness, OR = 1.153; P = 0.022; and daytime sleepiness; OR = 9.557; P = 0.001), as compared to patients without RLS. Older age was more likely associated to increased RLS occurrence during follow-up in a random effect logistic regression model (OR = 1.187; P = 0.036). A multinomial logistic stepwise model found increased dopaminergic transporter availability of affected caudate and putamen to be more likely associated with RLS presence at diagnosis (n = 5; OR = 75.711; P = 0.077), and RLS occurrence during follow-up (n = 16; OR = 12.004; P = 0.059), respectively, as compared to patients without RLS (n = 88).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">RLS is present since PD diagnosis, and increases in prevalence during the course of PD. PD subjects with RLS have higher age at PD onset, more preserved dopaminergic pathways, and worse sleep and cardiovascular disturbances.</AbstractText>
<CopyrightInformation>© 2016 Associated Professional Sleep Societies, LLC.</CopyrightInformation>
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<ForeName>Roberto</ForeName>
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<Affiliation>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Neurological and Movement Sciences, University of Verona, Policlinico Borgo Roma, Verona, Italy.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo>
<Affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.</Affiliation>
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</AffiliationInfo>
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<LastName>Palladino</LastName>
<ForeName>Raffaele</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Primary Care and Public Health, Imperial College, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Public Health, Federico II University, Naples, Italy.</Affiliation>
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<LastName>Assante</LastName>
<ForeName>Roberta</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.</Affiliation>
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<LastName>Pappatà</LastName>
<ForeName>Sabina</ForeName>
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<AffiliationInfo>
<Affiliation>Institute of Biostructure and Bioimaging, National Research Council, Naples, Italy.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Pellecchia</LastName>
<ForeName>Maria Teresa</ForeName>
<Initials>MT</Initials>
<AffiliationInfo>
<Affiliation>Center for Neurodegenerative Diseases (CEMAND), Neuroscience Section, Department of Medicine, University of Salerno, Salerno, Italy.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Barone</LastName>
<ForeName>Paolo</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Center for Neurodegenerative Diseases (CEMAND), Neuroscience Section, Department of Medicine, University of Salerno, Salerno, Italy.</Affiliation>
</AffiliationInfo>
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<LastName>Vitale</LastName>
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<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>IDC Hermitage-Capodimonte, Naples, Italy.</Affiliation>
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<AffiliationInfo>
<Affiliation>Department of Motor Sciences, University Parthenope, Naples, Italy.</Affiliation>
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