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SCIENTIFIC LITERATURE · MED

Factors correlated with excessive daytime sleepiness in patients with Parkinson's disease: A polysomnography study.

Brain Behav · 2023-08-02

DOI: 10.1002/brb3.3202PMID: 37533356

Open accessresearch-article; Journal ArticleOriginal source ↗

Research overview

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ObjectiveTo explore the factors correlated with excessive daytime sleepiness (EDS) in patients with Parkinson's disease (PD).MethodsA total of 239 PD patients were divided into two groups based on the presence of EDS (Epworth Sleepiness Scale score≥10) (PD-EDS vs. PD-non-EDS). Participants underwent an extensive assessment to determine demographic features, disease severity, polysomnography characteristics, and nonmotor symptoms.ResultsOf the 239 patients, 56 patients (23.4%) were classified as having PD combined with EDS. Binary logistic regression analysis showed that fatigue (Fatigue Severity Scale [FSS] score ≥4) (odds ratio [OR] [95% CI] = 4.897 [2.376-10.095], p ConclusionOur data revealed a close association among the respiratory-related microarousal index, FSS scores, and EDS. It can be speculated that fragmented sleep and pathological abnormalities of the central nervous system resulting in changes in arousal are major influencing factors of EDS in PD.

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