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Associations between fluctuations in daytime sleepiness and motor and non-motor symptoms in Parkinson's disease
Karolinska institutet & Karolinska universitetssjukhuset.
Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences.ORCID iD: 0000-0003-2174-372X
Uppsala universitet.
Karolinska institutet & Karolinska universitetssjukhuset.
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2021 (English)In: Movement Disorders Clinical Practice, E-ISSN 2330-1619, Vol. 8, no 1, p. 44-50Article in journal (Refereed) Published
Abstract [en]

Abstract Background Non-motor fluctuations (NMF) are a major concern in Parkinson's disease (PD), and they have been categorised into neuropsychiatric, autonomic and sensory fluctuations. However, this categorisation does not include sleep and sleep-related features, and the association between daytime sleepiness and other motor and/or non-motor fluctuations in PD remains to be elucidated. Objective To investigate the relationship between daytime sleepiness and other non-motor and motor fluctuations in people with PD. Methods A three-day home diary recording daytime sleepiness, mood, anxiety, and motor symptoms was used along with the Karolinska Sleepiness Scale (KSS) and six days of accelerometer (Parkinson's KinetiGraph?; PKG?) registration to detect motor fluctuations among people with a DaTSCAN verified clinical PD diagnosis (32 men; mean PD duration, 8.2?years). Participants were categorised as motor fluctuators or non-fluctuators according to the UPDRS part IV and/or the presence of motor and non-motor fluctuations. Results Fifty-two people with PD participated. Daytime sleepiness correlated significantly with motor symptoms, mood and anxiety among those classified as motor fluctuators (n = 28). Motor fluctuators showed stronger correlations between the individual mean level of all diary variables (daytime sleepiness, anxiety, mood and motor symptoms) when compared to the non-fluctuators (n = 24). Stronger positive within-individual correlations were found among fluctuators in comparison to non-fluctuators. In general, PKG data did not correlate with diary data. Conclusion Episodes of daytime sleepiness, as reported by home diaries, were associated with other self-reported non-motor and motor fluctuations, but were not supported by PKG data.

Place, publisher, year, edition, pages
2021. Vol. 8, no 1, p. 44-50
Keywords [en]
Daytime sleepiness, Parkinson's disease, motor fluctuations and non-motor fluctuations, home diary, PKG
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-21304DOI: 10.1002/mdc3.13102ISI: 000583221500001OAI: oai:DiVA.org:hkr-21304DiVA, id: diva2:1477894
Available from: 2020-10-20 Created: 2020-10-20 Last updated: 2021-01-14Bibliographically approved

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Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and EducationDepartment of Nursing and Integrated Health Sciences
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