Increased daytime sleepiness in Parkinson's disease: a questionnaire survey.
Identifieur interne : 003755 ( PubMed/Checkpoint ); précédent : 003754; suivant : 003756Increased daytime sleepiness in Parkinson's disease: a questionnaire survey.
Auteurs : Birgit Högl [Autriche] ; Klaus Seppi ; Elisabeth Brandauer ; Susanne Glatzl ; Birgit Frauscher ; Ulrike Niedermüller ; Gregor Wenning ; Werner Poewe [Autriche]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2003.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Case-Control Studies, Disorders of Excessive Somnolence (etiology), Disorders of Excessive Somnolence (psychology), Dopamine Agonists (therapeutic use), Female, Humans, Male, Parkinson Disease (complications), Parkinson Disease (drug therapy), Questionnaires, Severity of Illness Index, Sleep, Snoring.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Dopamine Agonists.
- complications : Parkinson Disease.
- drug therapy : Parkinson Disease.
- etiology : Disorders of Excessive Somnolence.
- psychology : Disorders of Excessive Somnolence.
- Aged, Case-Control Studies, Female, Humans, Male, Questionnaires, Severity of Illness Index, Sleep, Snoring.
Abstract
We evaluated the frequency and severity of excessive daytime sleepiness in an outpatient population with Parkinson's disease in comparison to age-matched controls and examined its relationship with antiparkinsonian drug therapy and sleep history. Increased daytime sleepiness and involuntary sleep episodes have been described in Parkinson's disease, but the etiology is not completely understood. The Epworth Sleepiness Scale (ESS), a validated questionnaire for daytime sleepiness, was prospectively administered to 99 consecutive outpatients with Parkinson's disease and 44 age-matched controls. In addition, a short sleep-screening questionnaire was used. The ESS revealed significantly increased daytime sleepiness in PD patients compared to controls (7.5 +/- 4.6 vs. 5.8 +/- 3.0, P = 0.013). The ESS score was abnormally high (10 or more) in 33 % of PD patients and 11.4% of controls (P = 0.001). ESS was not different between PD patients on levodopa monotherapy and those on levodopa and dopamine agonists, or between patients taking ergoline or non-ergoline dopamine agonists. In PD patients and in controls, sleepiness was significantly associated with reported heavy snoring. Increased daytime sleepiness is more frequent in patients with PD than in elderly controls. Similar to controls, increased daytime sleepiness in PD patients is correlated with heavy snoring.
DOI: 10.1002/mds.10365
PubMed: 12621636
Affiliations:
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pubmed:12621636Le document en format XML
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<front><div type="abstract" xml:lang="en">We evaluated the frequency and severity of excessive daytime sleepiness in an outpatient population with Parkinson's disease in comparison to age-matched controls and examined its relationship with antiparkinsonian drug therapy and sleep history. Increased daytime sleepiness and involuntary sleep episodes have been described in Parkinson's disease, but the etiology is not completely understood. The Epworth Sleepiness Scale (ESS), a validated questionnaire for daytime sleepiness, was prospectively administered to 99 consecutive outpatients with Parkinson's disease and 44 age-matched controls. In addition, a short sleep-screening questionnaire was used. The ESS revealed significantly increased daytime sleepiness in PD patients compared to controls (7.5 +/- 4.6 vs. 5.8 +/- 3.0, P = 0.013). The ESS score was abnormally high (10 or more) in 33 % of PD patients and 11.4% of controls (P = 0.001). ESS was not different between PD patients on levodopa monotherapy and those on levodopa and dopamine agonists, or between patients taking ergoline or non-ergoline dopamine agonists. In PD patients and in controls, sleepiness was significantly associated with reported heavy snoring. Increased daytime sleepiness is more frequent in patients with PD than in elderly controls. Similar to controls, increased daytime sleepiness in PD patients is correlated with heavy snoring.</div>
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