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

Nico J. Diederich*, Michel Vaillant, Giovanna Mancuso, Peter Lyen, Jo Tiete

*Corresponding author for this work

    Research output: Contribution to journalArticleResearchpeer-review

    113 Citations (Scopus)

    Abstract

    Background: 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. Methods: Retrospective review of medical records and polysomnographic data from 46 non-demented PD patients. Results: 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. Conclusion: In PD nocturnal sleep 'destructuring' is linked to disease duration and evolves independently from other major disease parameters.

    Original languageEnglish
    Pages (from-to)313-318
    Number of pages6
    JournalSleep Medicine
    Volume6
    Issue number4
    DOIs
    Publication statusPublished - Jul 2005

    Keywords

    • Excessive daytime sleepiness
    • Parkinson's disease
    • Polysomnography
    • REM sleep behavior disorder
    • Sleep architecture

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