Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients
Identifieur interne : 001D15 ( PascalFrancis/Corpus ); précédent : 001D14; suivant : 001D16Sleep 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 SchlesserSource :
- Movement disorders [ 0885-3185 ] ; 2005.
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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.
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Format Inist (serveur)
NO : | PASCAL 06-0077731 INIST |
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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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<front><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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<server><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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