Clinical profile of Parkinson's disease in the Gumei community of Minhang district, Shanghai
Identifieur interne : 000458 ( Ncbi/Checkpoint ); précédent : 000457; suivant : 000459Clinical profile of Parkinson's disease in the Gumei community of Minhang district, Shanghai
Auteurs : Kangyong Liu [République populaire de Chine] ; Zhaohua Gu [République populaire de Chine] ; Liang Dong [République populaire de Chine] ; Liwei Shen [République populaire de Chine] ; Yinyi Sun [République populaire de Chine] ; Ting Zhang [République populaire de Chine] ; Nan Shi [République populaire de Chine] ; Qian Zhang [République populaire de Chine] ; Wei Zhang [République populaire de Chine] ; Meizhen Zhao [République populaire de Chine] ; Xiaojiang Sun [République populaire de Chine]Source :
- Clinics [ 1807-5932 ] ; 2014.
Abstract
We examined the demographic and clinical profiles of Parkinson's disease in Shanghai, China, to assist in disease management and provide comparative data on Parkinson's disease prevalence, phenotype, and progression among different regions and ethnic groups.
A door-to-door survey and follow-up clinical examinations identified 180 community-dwelling Han-Chinese Parkinson's disease patients (104 males, 76 females).
The average age at onset was 65.16±9.60 years. The most common initial symptom was tremor (112 patients, 62.22%), followed by rigidity (38, 21.11%), bradykinesia (28, 15.56%) and tremor plus rigidity (2, 1.11%). Tremor as the initial symptom usually began in a single limb (83.04% of patients). The average duration from onset to mild Parkinson's disease (Hoehn-Yahr phase 1–2) was 52.74±45.64 months. Progression from mild to moderate/severe Parkinson's disease (phase≥3) was significantly slower (87.07±58.72 months;
Unilateral limb tremor was the most common initial symptom, and motor function deteriorated slowly over ≈4−9 years. Earlier-onset patients experience greater psychiatric dysfunction.
Url:
DOI: 10.6061/clinics/2014(07)03
PubMed: 25029576
PubMed Central: 4081879
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical profile of Parkinson's disease in the Gumei community of Minhang district, Shanghai</title>
<author><name sortKey="Liu, Kangyong" sort="Liu, Kangyong" uniqKey="Liu K" first="Kangyong" last="Liu">Kangyong Liu</name>
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<wicri:noRegion>Shanghai</wicri:noRegion>
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<author><name sortKey="Gu, Zhaohua" sort="Gu, Zhaohua" uniqKey="Gu Z" first="Zhaohua" last="Gu">Zhaohua Gu</name>
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<author><name sortKey="Dong, Liang" sort="Dong, Liang" uniqKey="Dong L" first="Liang" last="Dong">Liang Dong</name>
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<wicri:regionArea>Center of Gumei Community, Minhang District, Shanghai</wicri:regionArea>
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<author><name sortKey="Shen, Liwei" sort="Shen, Liwei" uniqKey="Shen L" first="Liwei" last="Shen">Liwei Shen</name>
<affiliation wicri:level="1"><nlm:aff id="af4-cln_69p457">Fudan University Affiliated Fifthth People's Hospital, Department of Neurology, Shanghai, China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Fudan University Affiliated Fifthth People's Hospital, Department of Neurology, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
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<author><name sortKey="Sun, Yinyi" sort="Sun, Yinyi" uniqKey="Sun Y" first="Yinyi" last="Sun">Yinyi Sun</name>
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<author><name sortKey="Shi, Nan" sort="Shi, Nan" uniqKey="Shi N" first="Nan" last="Shi">Nan Shi</name>
<affiliation wicri:level="1"><nlm:aff id="af1-cln_69p457">Shanghai Pudong New Area Zhoupu Hospital, Department of Neurology, Shanghai, China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Shanghai Pudong New Area Zhoupu Hospital, Department of Neurology, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
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<author><name sortKey="Zhang, Qian" sort="Zhang, Qian" uniqKey="Zhang Q" first="Qian" last="Zhang">Qian Zhang</name>
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<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Shanghai Pudong New Area Zhoupu Hospital, Department of Neurology, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
</affiliation>
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<author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name>
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<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Shanghai Pudong New Area Zhoupu Hospital, Department of Neurology, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Zhao, Meizhen" sort="Zhao, Meizhen" uniqKey="Zhao M" first="Meizhen" last="Zhao">Meizhen Zhao</name>
<affiliation wicri:level="1"><nlm:aff id="af1-cln_69p457">Shanghai Pudong New Area Zhoupu Hospital, Department of Neurology, Shanghai, China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Shanghai Pudong New Area Zhoupu Hospital, Department of Neurology, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sun, Xiaojiang" sort="Sun, Xiaojiang" uniqKey="Sun X" first="Xiaojiang" last="Sun">Xiaojiang Sun</name>
<affiliation wicri:level="1"><nlm:aff id="af2-cln_69p457">Shanghai Jiaotong University Affiliated Sixth People's Hospital, Department of Neurology, Shanghai, China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Shanghai Jiaotong University Affiliated Sixth People's Hospital, Department of Neurology, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
</affiliation>
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<series><title level="j">Clinics</title>
<idno type="ISSN">1807-5932</idno>
<idno type="e-ISSN">1980-5322</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVE:</title>
<p>We examined the demographic and clinical profiles of Parkinson's disease in Shanghai, China, to assist in disease management and provide comparative data on Parkinson's disease prevalence, phenotype, and progression among different regions and ethnic groups.</p>
</sec>
<sec><title>METHODS:</title>
<p>A door-to-door survey and follow-up clinical examinations identified 180 community-dwelling Han-Chinese Parkinson's disease patients (104 males, 76 females).</p>
</sec>
<sec><title>RESULTS:</title>
<p>The average age at onset was 65.16±9.60 years. The most common initial symptom was tremor (112 patients, 62.22%), followed by rigidity (38, 21.11%), bradykinesia (28, 15.56%) and tremor plus rigidity (2, 1.11%). Tremor as the initial symptom usually began in a single limb (83.04% of patients). The average duration from onset to mild Parkinson's disease (Hoehn-Yahr phase 1–2) was 52.74±45.64 months. Progression from mild to moderate/severe Parkinson's disease (phase≥3) was significantly slower (87.07±58.72 months; <italic>p</italic>
<0.001), except for patients presenting initially with bradykinesia (53.83±24.49 months). Most patients (149/180, 82.78%) took levodopa with or without other drugs. The Hamilton Anxiety Scale revealed symptoms of clinical anxiety in 35 patients, and the Hamilton Depression Scale revealed depressive symptoms in 88 patients. The depressed or anxious subgroup (123 patients) demonstrated a significantly younger age at onset (55.54±7.68 years) compared with the overall mean (<italic>p</italic>
<0.05).</p>
</sec>
<sec><title>CONCLUSION:</title>
<p>Unilateral limb tremor was the most common initial symptom, and motor function deteriorated slowly over ≈4−9 years. Earlier-onset patients experience greater psychiatric dysfunction.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>République populaire de Chine</li>
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