MovDisordV3, PubMed, Checkpoint, bibRecord, 001461

Autonomic and sensory symptoms and signs in incident, untreated Parkinson's disease: frequent but mild.

Identifieur interne : 001461 ( PubMed/Checkpoint ); précédent : 001460; suivant : 001462

Autonomic and sensory symptoms and signs in incident, untreated Parkinson's disease: frequent but mild.

Auteurs : Bernd Müller [Norvège] ; Jan Petter Larsen ; Tore Wentzel-Larsen ; Geir Olve Skeie ; Ole-Bj Rn Tysnes

Source :

Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.

RBID : pubmed:20925070

Descripteurs français

Wicri :
- geographic : Norvège.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Autonomic Nervous System Diseases (epidemiology), Autonomic Nervous System Diseases (etiology), Community Health Planning, Disability Evaluation, Female, Humans, Incidence, Male, Middle Aged, Norway, Parkinson Disease (epidemiology), Parkinson Disease (physiopathology), Psychiatric Status Rating Scales, Regression Analysis, Sensation Disorders (epidemiology), Sensation Disorders (etiology), Severity of Illness Index.
MESH :
- geographic : Norway.
- epidemiology : Autonomic Nervous System Diseases, Parkinson Disease, Sensation Disorders.
- etiology : Autonomic Nervous System Diseases, Sensation Disorders.
- physiopathology : Parkinson Disease.
- Adult, Aged, Aged, 80 and over, Community Health Planning, Disability Evaluation, Female, Humans, Incidence, Male, Middle Aged, Psychiatric Status Rating Scales, Regression Analysis, Severity of Illness Index.

Abstract

Although nonmotor symptoms are increasingly recognized as key features in Parkinson's disease (PD), the occurrence and severity of autonomic and sensory symptoms in patients with very early and untreated PD are poorly documented. Two hundred seven patients with newly diagnosed, untreated PD and 175 controls from the population-based Norwegian ParkWest study were included. Postural blood pressure and olfactory function were measured and eight autonomic and sensory symptoms assessed using interview-based rating scales. Autonomic and sensory symptoms were more frequent in patients compared with controls (mean number of symptoms 2.9 vs. 1.1; P < 0.001) and in the postural instability and gait difficulty motor-subtype vs. tremor dominant subtype (mean 3.3 vs. 2.5; P = 0.008). In the patient group, reduced olfaction (59%), urinary problems (47%), increased saliva or drooling (42%), constipation (39%), and sensory complaints (34%) were the most frequent symptoms. Daily activities were not affected by these symptoms in 58% of the patients, and the influence on daily activities was rated as "mild" or less for all of these symptoms in 90%. A higher Hoehn and Yahr stage was associated with a higher number of autonomic and sensory symptoms and with the occurrence of gastrointestinal symptoms. Autonomic and sensory symptoms are common in patients with untreated, early PD although the severity of these symptoms is mild, with little or no influence on daily activities. The high prevalence of increased saliva or drooling close to the time of diagnosis is noteworthy and not described earlier.

DOI: 10.1002/mds.23387
PubMed: 20925070

Affiliations:

Norvège

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to stream PubMed, to step Corpus: 001532
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Links to Exploration step

pubmed:20925070

Le document en format XML

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<author><name sortKey="Muller, Bernd" sort="Muller, Bernd" uniqKey="Muller B" first="Bernd" last="Müller">Bernd Müller</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Haukeland University Hospital, Bergen, Norway. bernd.muller@helse-bergen.no</nlm:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Neurology, Haukeland University Hospital, Bergen</wicri:regionArea>
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<author><name sortKey="Larsen, Jan Petter" sort="Larsen, Jan Petter" uniqKey="Larsen J" first="Jan Petter" last="Larsen">Jan Petter Larsen</name>
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<author><name sortKey="Wentzel Larsen, Tore" sort="Wentzel Larsen, Tore" uniqKey="Wentzel Larsen T" first="Tore" last="Wentzel-Larsen">Tore Wentzel-Larsen</name>
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<author><name sortKey="Skeie, Geir Olve" sort="Skeie, Geir Olve" uniqKey="Skeie G" first="Geir Olve" last="Skeie">Geir Olve Skeie</name>
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<author><name sortKey="Tysnes, Ole Bj Rn" sort="Tysnes, Ole Bj Rn" uniqKey="Tysnes O" first="Ole-Bj Rn" last="Tysnes">Ole-Bj Rn Tysnes</name>
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<author><name sortKey="Muller, Bernd" sort="Muller, Bernd" uniqKey="Muller B" first="Bernd" last="Müller">Bernd Müller</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Haukeland University Hospital, Bergen, Norway. bernd.muller@helse-bergen.no</nlm:affiliation>
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<author><name sortKey="Larsen, Jan Petter" sort="Larsen, Jan Petter" uniqKey="Larsen J" first="Jan Petter" last="Larsen">Jan Petter Larsen</name>
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<author><name sortKey="Wentzel Larsen, Tore" sort="Wentzel Larsen, Tore" uniqKey="Wentzel Larsen T" first="Tore" last="Wentzel-Larsen">Tore Wentzel-Larsen</name>
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<author><name sortKey="Skeie, Geir Olve" sort="Skeie, Geir Olve" uniqKey="Skeie G" first="Geir Olve" last="Skeie">Geir Olve Skeie</name>
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<author><name sortKey="Tysnes, Ole Bj Rn" sort="Tysnes, Ole Bj Rn" uniqKey="Tysnes O" first="Ole-Bj Rn" last="Tysnes">Ole-Bj Rn Tysnes</name>
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<term>Autonomic Nervous System Diseases (etiology)</term>
<term>Community Health Planning</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Norway</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Psychiatric Status Rating Scales</term>
<term>Regression Analysis</term>
<term>Sensation Disorders (epidemiology)</term>
<term>Sensation Disorders (etiology)</term>
<term>Severity of Illness Index</term>
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<term>Sensation Disorders</term>
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<term>Aged, 80 and over</term>
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<term>Female</term>
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<term>Incidence</term>
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<term>Middle Aged</term>
<term>Psychiatric Status Rating Scales</term>
<term>Regression Analysis</term>
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<front><div type="abstract" xml:lang="en">Although nonmotor symptoms are increasingly recognized as key features in Parkinson's disease (PD), the occurrence and severity of autonomic and sensory symptoms in patients with very early and untreated PD are poorly documented. Two hundred seven patients with newly diagnosed, untreated PD and 175 controls from the population-based Norwegian ParkWest study were included. Postural blood pressure and olfactory function were measured and eight autonomic and sensory symptoms assessed using interview-based rating scales. Autonomic and sensory symptoms were more frequent in patients compared with controls (mean number of symptoms 2.9 vs. 1.1; P < 0.001) and in the postural instability and gait difficulty motor-subtype vs. tremor dominant subtype (mean 3.3 vs. 2.5; P = 0.008). In the patient group, reduced olfaction (59%), urinary problems (47%), increased saliva or drooling (42%), constipation (39%), and sensory complaints (34%) were the most frequent symptoms. Daily activities were not affected by these symptoms in 58% of the patients, and the influence on daily activities was rated as "mild" or less for all of these symptoms in 90%. A higher Hoehn and Yahr stage was associated with a higher number of autonomic and sensory symptoms and with the occurrence of gastrointestinal symptoms. Autonomic and sensory symptoms are common in patients with untreated, early PD although the severity of these symptoms is mild, with little or no influence on daily activities. The high prevalence of increased saliva or drooling close to the time of diagnosis is noteworthy and not described earlier.</div>
</front>
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<Abstract><AbstractText>Although nonmotor symptoms are increasingly recognized as key features in Parkinson's disease (PD), the occurrence and severity of autonomic and sensory symptoms in patients with very early and untreated PD are poorly documented. Two hundred seven patients with newly diagnosed, untreated PD and 175 controls from the population-based Norwegian ParkWest study were included. Postural blood pressure and olfactory function were measured and eight autonomic and sensory symptoms assessed using interview-based rating scales. Autonomic and sensory symptoms were more frequent in patients compared with controls (mean number of symptoms 2.9 vs. 1.1; P < 0.001) and in the postural instability and gait difficulty motor-subtype vs. tremor dominant subtype (mean 3.3 vs. 2.5; P = 0.008). In the patient group, reduced olfaction (59%), urinary problems (47%), increased saliva or drooling (42%), constipation (39%), and sensory complaints (34%) were the most frequent symptoms. Daily activities were not affected by these symptoms in 58% of the patients, and the influence on daily activities was rated as "mild" or less for all of these symptoms in 90%. A higher Hoehn and Yahr stage was associated with a higher number of autonomic and sensory symptoms and with the occurrence of gastrointestinal symptoms. Autonomic and sensory symptoms are common in patients with untreated, early PD although the severity of these symptoms is mild, with little or no influence on daily activities. The high prevalence of increased saliva or drooling close to the time of diagnosis is noteworthy and not described earlier.</AbstractText>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Autonomic and sensory symptoms and signs in incident, untreated Parkinson's disease: frequent but mild.

Autonomic and sensory symptoms and signs in incident, untreated Parkinson's disease: frequent but mild.

Source :

Descripteurs français

English descriptors

Abstract

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Links to Exploration step

Le document en format XML

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