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Progressive sleep ‘destructuring’ in Parkinson's disease. A polysomnographic study in 46 patients

Sleep abnormalities in Parkinson's disease (PD) are frequent, but it is unknown whether or not there is progressive loss of physiological sleep architecture or what the causes could be. Retrospective review of medical records and polysomnographic data from 46 non-demented PD patients. Sleep lat...

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Published in:Sleep medicine 2005-07, Vol.6 (4), p.313-318
Main Authors: Diederich, Nico J., Vaillant, Michel, Mancuso, Giovanna, Lyen, Peter, Tiete, Jo
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container_end_page 318
container_issue 4
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container_title Sleep medicine
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creator Diederich, Nico J.
Vaillant, Michel
Mancuso, Giovanna
Lyen, Peter
Tiete, Jo
description Sleep abnormalities in Parkinson's disease (PD) are frequent, but it is unknown whether or not there is progressive loss of physiological sleep architecture or what the causes could be. Retrospective review of medical records and polysomnographic data from 46 non-demented PD patients. Sleep latency was correlated with disease duration (F1,44=4.87, P=0.03). Total sleep time (F1,44=8.54, P=0.005), deep sleep time (F1,44=4.06, P=0.05), REM sleep time (F1,44=9.15, P=0.004) and sleep efficiency (SE) (F1,44=10.20, P=0.003) were inversely correlated with disease duration. The same sleep parameters were independent from the degree of motor impairment, dosage of the dopaminergic medications, and age. Subjective sleep complaints could only partially predict abnormalities in polysomnographic (PSG) studies. In PD nocturnal sleep ‘destructuring’ is linked to disease duration and evolves independently from other major disease parameters.
doi_str_mv 10.1016/j.sleep.2005.03.011
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subjects Adult
Aged
Disorders of Excessive Somnolence - diagnosis
Disorders of Excessive Somnolence - epidemiology
Excessive daytime sleepiness
Female
Humans
Male
Middle Aged
Parkinson Disease - epidemiology
Parkinson's disease
Polysomnography
REM sleep behavior disorder
Retrospective Studies
Severity of Illness Index
Sleep architecture
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - epidemiology
Sleep, REM - physiology
title Progressive sleep ‘destructuring’ in Parkinson's disease. A polysomnographic study in 46 patients
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