Movement Disorders (revue)

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Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients

Identifieur interne : 001D15 ( PascalFrancis/Corpus ); précédent : 001D14; suivant : 001D16

Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients

Auteurs : Nico J. Diederich ; Michel Vaillant ; Mike Leischen ; Giovanna Mancuso ; Serge Golinval ; Romain Nati ; Marc Schlesser

Source :

RBID : Pascal:06-0077731

Descripteurs français

English descriptors

Abstract

In PD, the impact of nocturnal respiration on sleep continuity and architecture has not been systematically investigated by polysomnography (PSG). We performed a case-control study with retrospective analysis of PSG data of 49 PD patients. After classifying the PD patients according to their apnea/hypopnea index (AHI), they were matched with 49 controls in terms of age, gender, and AHI. There were 21 PD patients (43%) who had sleep apnea syndrome (SAS), classified as mild (AHI, 5-15) in 10 patients, moderate (AHI, > 15-30) in 4 patients, and severe (AHI, > 30) in 7 patients. PD patients had more deep sleep (P = 0.02) and more nocturnal awakenings (P < 0.001) than the controls. Their body mass index (BMI) was lower (P = 0.04), and they maintained a more favorable respiratory profile, with higher mean and minimal oxygen saturation values (P = 0.006 and 0.01, respectively). These differences were preserved when only considering PD patients with AHI > 15. PD patients had less obstructive sleep apneas (P = 0.035), independently from the factor AHI. Only the respiratory changes of 4 PD patients with BMI > 27 and AHI > 15 (8%) approximated those seen in the controls. At an early or middle stage of the disease, non-obese PD patients frequently have AHI values suggesting SAS, however, without the oxygen desaturation profile of SAS. Longitudinal studies of patients with such "abortive" SAS are warranted to establish if this finding reflects benign nocturnal respiratory muscle dyskinesia or constitutes a precursor sign of dysautonomia in PD.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients
A11 01  1    @1 DIEDERICH (Nico J.)
A11 02  1    @1 VAILLANT (Michel)
A11 03  1    @1 LEISCHEN (Mike)
A11 04  1    @1 MANCUSO (Giovanna)
A11 05  1    @1 GOLINVAL (Serge)
A11 06  1    @1 NATI (Romain)
A11 07  1    @1 SCHLESSER (Marc)
A14 01      @1 Department of Neuroscience, Centre Hospitalier de Luxembourg @3 LUX @Z 1 aut.
A14 02      @1 Interdisciplinary Sleep Laboratory, Centre Hospitalier de Luxembourg @3 LUX @Z 1 aut. @Z 6 aut. @Z 7 aut.
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C01 01    ENG  @0 In PD, the impact of nocturnal respiration on sleep continuity and architecture has not been systematically investigated by polysomnography (PSG). We performed a case-control study with retrospective analysis of PSG data of 49 PD patients. After classifying the PD patients according to their apnea/hypopnea index (AHI), they were matched with 49 controls in terms of age, gender, and AHI. There were 21 PD patients (43%) who had sleep apnea syndrome (SAS), classified as mild (AHI, 5-15) in 10 patients, moderate (AHI, > 15-30) in 4 patients, and severe (AHI, > 30) in 7 patients. PD patients had more deep sleep (P = 0.02) and more nocturnal awakenings (P < 0.001) than the controls. Their body mass index (BMI) was lower (P = 0.04), and they maintained a more favorable respiratory profile, with higher mean and minimal oxygen saturation values (P = 0.006 and 0.01, respectively). These differences were preserved when only considering PD patients with AHI > 15. PD patients had less obstructive sleep apneas (P = 0.035), independently from the factor AHI. Only the respiratory changes of 4 PD patients with BMI > 27 and AHI > 15 (8%) approximated those seen in the controls. At an early or middle stage of the disease, non-obese PD patients frequently have AHI values suggesting SAS, however, without the oxygen desaturation profile of SAS. Longitudinal studies of patients with such "abortive" SAS are warranted to establish if this finding reflects benign nocturnal respiratory muscle dyskinesia or constitutes a precursor sign of dysautonomia in PD.
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C07 03  X  ENG  @0 Extrapyramidal syndrome @5 39
C07 03  X  SPA  @0 Extrapiramidal síndrome @5 39
C07 04  X  FRE  @0 Maladie dégénérative @5 40
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Format Inist (serveur)

NO : PASCAL 06-0077731 INIST
ET : Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients
AU : DIEDERICH (Nico J.); VAILLANT (Michel); LEISCHEN (Mike); MANCUSO (Giovanna); GOLINVAL (Serge); NATI (Romain); SCHLESSER (Marc)
AF : Department of Neuroscience, Centre Hospitalier de Luxembourg/Luxembourg (1 aut.); Interdisciplinary Sleep Laboratory, Centre Hospitalier de Luxembourg/Luxembourg (1 aut., 6 aut., 7 aut.); Service d'Epidémiologie et de Transfert de Technologies, CRP Santé/Luxembourg (2 aut., 3 aut.); Health Research Consulting/Luxembourg (4 aut.); Department of Internal Medicine, Centre Hospitalier de Luxembourg/Luxembourg (5 aut., 6 aut., 7 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 11; Pp. 1413-1418; Bibl. 19 ref.
LA : Anglais
EA : In PD, the impact of nocturnal respiration on sleep continuity and architecture has not been systematically investigated by polysomnography (PSG). We performed a case-control study with retrospective analysis of PSG data of 49 PD patients. After classifying the PD patients according to their apnea/hypopnea index (AHI), they were matched with 49 controls in terms of age, gender, and AHI. There were 21 PD patients (43%) who had sleep apnea syndrome (SAS), classified as mild (AHI, 5-15) in 10 patients, moderate (AHI, > 15-30) in 4 patients, and severe (AHI, > 30) in 7 patients. PD patients had more deep sleep (P = 0.02) and more nocturnal awakenings (P < 0.001) than the controls. Their body mass index (BMI) was lower (P = 0.04), and they maintained a more favorable respiratory profile, with higher mean and minimal oxygen saturation values (P = 0.006 and 0.01, respectively). These differences were preserved when only considering PD patients with AHI > 15. PD patients had less obstructive sleep apneas (P = 0.035), independently from the factor AHI. Only the respiratory changes of 4 PD patients with BMI > 27 and AHI > 15 (8%) approximated those seen in the controls. At an early or middle stage of the disease, non-obese PD patients frequently have AHI values suggesting SAS, however, without the oxygen desaturation profile of SAS. Longitudinal studies of patients with such "abortive" SAS are warranted to establish if this finding reflects benign nocturnal respiratory muscle dyskinesia or constitutes a precursor sign of dysautonomia in PD.
CC : 002B17; 002B17G; 002B17F
FD : Système nerveux pathologie; Apnée sommeil syndrome; Parkinson maladie; Etude cas témoin; Homme; Polysomnographie
FG : Appareil respiratoire pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie
ED : Nervous system diseases; Sleep apnea syndrome; Parkinson disease; Case control study; Human; Polysomnography
EG : Respiratory disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Sistema nervioso patología; Apnea sueno síndrome; Parkinson enfermedad; Estudio caso control; Hombre; Polisomnografía
LO : INIST-20953.354000134570810030
ID : 06-0077731

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Pascal:06-0077731

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<div type="abstract" xml:lang="en">In PD, the impact of nocturnal respiration on sleep continuity and architecture has not been systematically investigated by polysomnography (PSG). We performed a case-control study with retrospective analysis of PSG data of 49 PD patients. After classifying the PD patients according to their apnea/hypopnea index (AHI), they were matched with 49 controls in terms of age, gender, and AHI. There were 21 PD patients (43%) who had sleep apnea syndrome (SAS), classified as mild (AHI, 5-15) in 10 patients, moderate (AHI, > 15-30) in 4 patients, and severe (AHI, > 30) in 7 patients. PD patients had more deep sleep (P = 0.02) and more nocturnal awakenings (P < 0.001) than the controls. Their body mass index (BMI) was lower (P = 0.04), and they maintained a more favorable respiratory profile, with higher mean and minimal oxygen saturation values (P = 0.006 and 0.01, respectively). These differences were preserved when only considering PD patients with AHI > 15. PD patients had less obstructive sleep apneas (P = 0.035), independently from the factor AHI. Only the respiratory changes of 4 PD patients with BMI > 27 and AHI > 15 (8%) approximated those seen in the controls. At an early or middle stage of the disease, non-obese PD patients frequently have AHI values suggesting SAS, however, without the oxygen desaturation profile of SAS. Longitudinal studies of patients with such "abortive" SAS are warranted to establish if this finding reflects benign nocturnal respiratory muscle dyskinesia or constitutes a precursor sign of dysautonomia in PD.</div>
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<s1>© 2006 INIST-CNRS. All rights reserved.</s1>
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<s1>P</s1>
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<fA66 i1="01">
<s0>USA</s0>
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<s0>In PD, the impact of nocturnal respiration on sleep continuity and architecture has not been systematically investigated by polysomnography (PSG). We performed a case-control study with retrospective analysis of PSG data of 49 PD patients. After classifying the PD patients according to their apnea/hypopnea index (AHI), they were matched with 49 controls in terms of age, gender, and AHI. There were 21 PD patients (43%) who had sleep apnea syndrome (SAS), classified as mild (AHI, 5-15) in 10 patients, moderate (AHI, > 15-30) in 4 patients, and severe (AHI, > 30) in 7 patients. PD patients had more deep sleep (P = 0.02) and more nocturnal awakenings (P < 0.001) than the controls. Their body mass index (BMI) was lower (P = 0.04), and they maintained a more favorable respiratory profile, with higher mean and minimal oxygen saturation values (P = 0.006 and 0.01, respectively). These differences were preserved when only considering PD patients with AHI > 15. PD patients had less obstructive sleep apneas (P = 0.035), independently from the factor AHI. Only the respiratory changes of 4 PD patients with BMI > 27 and AHI > 15 (8%) approximated those seen in the controls. At an early or middle stage of the disease, non-obese PD patients frequently have AHI values suggesting SAS, however, without the oxygen desaturation profile of SAS. Longitudinal studies of patients with such "abortive" SAS are warranted to establish if this finding reflects benign nocturnal respiratory muscle dyskinesia or constitutes a precursor sign of dysautonomia in PD.</s0>
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<s0>002B17</s0>
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<s0>002B17G</s0>
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<fC02 i1="03" i2="X">
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</fC02>
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<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>01</s5>
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<s5>01</s5>
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<s0>Apnée sommeil syndrome</s0>
<s2>NM</s2>
<s5>02</s5>
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<s0>Sleep apnea syndrome</s0>
<s2>NM</s2>
<s5>02</s5>
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<fC03 i1="02" i2="X" l="SPA">
<s0>Apnea sueno síndrome</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
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<s0>Parkinson maladie</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s5>03</s5>
</fC03>
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<s0>Parkinson enfermedad</s0>
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<s5>09</s5>
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<s5>09</s5>
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<s5>09</s5>
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<s0>Homme</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
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<s5>10</s5>
</fC03>
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<s0>Hombre</s0>
<s5>10</s5>
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<s0>Polysomnography</s0>
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<s0>Polisomnografía</s0>
<s5>11</s5>
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<s5>37</s5>
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<s5>37</s5>
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<s0>Encéphale pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Système nerveux central pathologie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>41</s5>
</fC07>
<fN21>
<s1>044</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
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<fN82>
<s1>OTO</s1>
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<NO>PASCAL 06-0077731 INIST</NO>
<ET>Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients</ET>
<AU>DIEDERICH (Nico J.); VAILLANT (Michel); LEISCHEN (Mike); MANCUSO (Giovanna); GOLINVAL (Serge); NATI (Romain); SCHLESSER (Marc)</AU>
<AF>Department of Neuroscience, Centre Hospitalier de Luxembourg/Luxembourg (1 aut.); Interdisciplinary Sleep Laboratory, Centre Hospitalier de Luxembourg/Luxembourg (1 aut., 6 aut., 7 aut.); Service d'Epidémiologie et de Transfert de Technologies, CRP Santé/Luxembourg (2 aut., 3 aut.); Health Research Consulting/Luxembourg (4 aut.); Department of Internal Medicine, Centre Hospitalier de Luxembourg/Luxembourg (5 aut., 6 aut., 7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 11; Pp. 1413-1418; Bibl. 19 ref.</SO>
<LA>Anglais</LA>
<EA>In PD, the impact of nocturnal respiration on sleep continuity and architecture has not been systematically investigated by polysomnography (PSG). We performed a case-control study with retrospective analysis of PSG data of 49 PD patients. After classifying the PD patients according to their apnea/hypopnea index (AHI), they were matched with 49 controls in terms of age, gender, and AHI. There were 21 PD patients (43%) who had sleep apnea syndrome (SAS), classified as mild (AHI, 5-15) in 10 patients, moderate (AHI, > 15-30) in 4 patients, and severe (AHI, > 30) in 7 patients. PD patients had more deep sleep (P = 0.02) and more nocturnal awakenings (P < 0.001) than the controls. Their body mass index (BMI) was lower (P = 0.04), and they maintained a more favorable respiratory profile, with higher mean and minimal oxygen saturation values (P = 0.006 and 0.01, respectively). These differences were preserved when only considering PD patients with AHI > 15. PD patients had less obstructive sleep apneas (P = 0.035), independently from the factor AHI. Only the respiratory changes of 4 PD patients with BMI > 27 and AHI > 15 (8%) approximated those seen in the controls. At an early or middle stage of the disease, non-obese PD patients frequently have AHI values suggesting SAS, however, without the oxygen desaturation profile of SAS. Longitudinal studies of patients with such "abortive" SAS are warranted to establish if this finding reflects benign nocturnal respiratory muscle dyskinesia or constitutes a precursor sign of dysautonomia in PD.</EA>
<CC>002B17; 002B17G; 002B17F</CC>
<FD>Système nerveux pathologie; Apnée sommeil syndrome; Parkinson maladie; Etude cas témoin; Homme; Polysomnographie</FD>
<FG>Appareil respiratoire pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Sleep apnea syndrome; Parkinson disease; Case control study; Human; Polysomnography</ED>
<EG>Respiratory disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Apnea sueno síndrome; Parkinson enfermedad; Estudio caso control; Hombre; Polisomnografía</SD>
<LO>INIST-20953.354000134570810030</LO>
<ID>06-0077731</ID>
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