Lack of Polysomnographic Non-REM Sleep Changes in Early Parkinson’s Disease
Identifieur interne : 000944 ( Main/Merge ); précédent : 000943; suivant : 000945Lack of Polysomnographic Non-REM Sleep Changes in Early Parkinson’s Disease
Auteurs : Nico J. Diederich ; Olivier Rufra ; Vannina Pieri ; Géraldine Hipp ; Michel VaillantSource :
- Movement Disorders [ 0885-3185 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- physiology : Sleep, Sleep, REM.
- physiopathology : Parkinson Disease.
- Age Factors, Aged, Educational Status, Female, Humans, Male, Middle Aged, Polysomnography, Prospective Studies, Questionnaires, Sex Factors.
Abstract
Polysomnography (PSG) data are rare in patients who have early stage idiopathic Parkinson’s disease (IPD).
Thirty-three patients who had IPD with a disease duration ≤3 years and 37 age-matched controls were recruited. PSG analysis was performed on current medication.
Patients with IPD had a reduced mean percentage of muscle atonia during rapid eye movement (REM) sleep (80% vs 93%;
The results confirmed a reduction in muscle atonia during REM sleep as a characteristic finding in early IPD. However, there were no further disease-inherent or medication-induced changes in sleep architecture. Although sleep disturbances are considered to be an integral part of IPD, PSG cannot yet identify them objectively at an early stage. © 2013 International Parkinson and Movement Disorder Society
Url:
DOI: 10.1002/mds.25520
PubMed: 23744568
PubMed Central: 4238738
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PMC:4238738Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lack of Polysomnographic Non-REM Sleep Changes in Early Parkinson’s Disease</title><author><name sortKey="Diederich, Nico J" sort="Diederich, Nico J" uniqKey="Diederich N" first="Nico J" last="Diederich">Nico J. Diederich</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Rufra, Olivier" sort="Rufra, Olivier" uniqKey="Rufra O" first="Olivier" last="Rufra">Olivier Rufra</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Pieri, Vannina" sort="Pieri, Vannina" uniqKey="Pieri V" first="Vannina" last="Pieri">Vannina Pieri</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Hipp, Geraldine" sort="Hipp, Geraldine" uniqKey="Hipp G" first="Géraldine" last="Hipp">Géraldine Hipp</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Vaillant, Michel" sort="Vaillant, Michel" uniqKey="Vaillant M" first="Michel" last="Vaillant">Michel Vaillant</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23744568</idno><idno type="pmc">4238738</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4238738</idno><idno type="RBID">PMC:4238738</idno><idno type="doi">10.1002/mds.25520</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000432</idno><idno type="wicri:Area/Pmc/Curation">000432</idno><idno type="wicri:Area/Pmc/Checkpoint">000108</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000882</idno><idno type="wicri:Area/PubMed/Curation">000882</idno><idno type="wicri:Area/PubMed/Checkpoint">000958</idno><idno type="wicri:Area/Ncbi/Merge">003C00</idno><idno type="wicri:Area/Ncbi/Curation">003C00</idno><idno type="wicri:Area/Ncbi/Checkpoint">003C00</idno><idno type="wicri:doubleKey">0885-3185:2013:Diederich N:lack:of:polysomnographic</idno><idno type="wicri:Area/Main/Merge">000944</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lack of Polysomnographic Non-REM Sleep Changes in Early Parkinson’s Disease</title><author><name sortKey="Diederich, Nico J" sort="Diederich, Nico J" uniqKey="Diederich N" first="Nico J" last="Diederich">Nico J. Diederich</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Rufra, Olivier" sort="Rufra, Olivier" uniqKey="Rufra O" first="Olivier" last="Rufra">Olivier Rufra</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Pieri, Vannina" sort="Pieri, Vannina" uniqKey="Pieri V" first="Vannina" last="Pieri">Vannina Pieri</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Hipp, Geraldine" sort="Hipp, Geraldine" uniqKey="Hipp G" first="Géraldine" last="Hipp">Géraldine Hipp</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Vaillant, Michel" sort="Vaillant, Michel" uniqKey="Vaillant M" first="Michel" last="Vaillant">Michel Vaillant</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">Movement Disorders</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors</term><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Educational Status</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (physiopathology)</term><term>Polysomnography</term><term>Prospective Studies</term><term>Questionnaires</term><term>Sex Factors</term><term>Sleep (physiology)</term><term>Sleep, REM (physiology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Sleep</term><term>Sleep, REM</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Aged</term><term>Educational Status</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Polysomnography</term><term>Prospective Studies</term><term>Questionnaires</term><term>Sex Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec sec-type="background"><title>Background</title><p>Polysomnography (PSG) data are rare in patients who have early stage idiopathic Parkinson’s disease (IPD).</p></sec><sec sec-type="methods"><title>Methods</title><p>Thirty-three patients who had IPD with a disease duration ≤3 years and 37 age-matched controls were recruited. PSG analysis was performed on current medication.</p></sec><sec sec-type="results"><title>Results</title><p>Patients with IPD had a reduced mean percentage of muscle atonia during rapid eye movement (REM) sleep (80% vs 93%; <italic>P</italic> < 0.05). Total sleep time, sleep efficiency, indices/hour of arousals, awakenings, apnea/hypopnea, and periodic leg movements were similar in both groups. Age, but not dopaminergic medication, had a negative impact on sleep architecture in patients with IPD. There was no correlation between sleep efficiency assessed by PSG and sleep quality assessed by questionnaire.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>The results confirmed a reduction in muscle atonia during REM sleep as a characteristic finding in early IPD. However, there were no further disease-inherent or medication-induced changes in sleep architecture. Although sleep disturbances are considered to be an integral part of IPD, PSG cannot yet identify them objectively at an early stage. © 2013 International Parkinson and Movement Disorder Society</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Arnulf, I" uniqKey="Arnulf I">I Arnulf</name></author><author><name sortKey="Konofal, E" uniqKey="Konofal E">E Konofal</name></author><author><name sortKey="Merino Andreu, M" uniqKey="Merino Andreu M">M Merino-Andreu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pal, Pk" uniqKey="Pal P">PK Pal</name></author><author><name sortKey="Thennarasu, K" uniqKey="Thennarasu K">K Thennarasu</name></author><author><name sortKey="Fleming, J" uniqKey="Fleming J">J Fleming</name></author><author><name sortKey="Schulzer, M" uniqKey="Schulzer M">M Schulzer</name></author><author><name sortKey="Brown, T" uniqKey="Brown T">T Brown</name></author><author><name 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