Milane Tracy, Bianchini Edoardo, Chardon Matthias, Barbieri Fabio Augusto, Hansen Clint, Vuillerme Nicolas
AGEIS, Université Grenoble Alpes, 38000 Grenoble, France.
Department of Neurology, Kiel University, 24105 Kiel, Germany.
Sensors (Basel). 2025 Jul 17;25(14):4447. doi: 10.3390/s25144447.
People with Parkinson's disease (PwPD) often experience sleep disturbances and reduced physical activity. Altered sleep behavior and lower daily steps have been linked to disease severity and symptom burden. Although physical activity may influence sleep, few studies have examined the relationship between sleep parameters and daily steps in PD. This scoping review aimed to review current knowledge on sleep parameters and daily steps collected concurrently in PwPD and their potential association. A systematic search was conducted in five databases, PubMed, Web of Science, Sport Discus, Cochrane Library, and Scopus. Methodological quality was assessed using a customized quality checklist developed by Zanardi and collaborators for observational studies, based on Downs and Black's work. Out of 1421 records, five studies met the eligibility criteria and were included in the review. Four studies reported wearable-based measurements of both step count and sleep parameters, while one study reported wearable-based measurements of step count and self-reported sleep measures. Two studies examined the association between sleep parameters and step count. One study did not find any correlation between sleep and step count, whereas one study reported a positive correlation between daytime sleepiness and step count. This review highlighted the lack of research investigating the relationship between sleep parameters and step count as an indicator of physical activity in PwPD. Findings are inconsistent with a potential positive correlation emerging between daytime sleepiness and step count. Findings also pointed toward lower step count and reduced sleep duration in PwPD, as measured with wearable devices.
帕金森病患者（PwPD）常经历睡眠障碍和身体活动减少。睡眠行为改变和每日步数减少与疾病严重程度和症状负担有关。尽管身体活动可能影响睡眠，但很少有研究探讨帕金森病患者睡眠参数与每日步数之间的关系。本综述旨在回顾帕金森病患者同时收集的睡眠参数和每日步数的现有知识及其潜在关联。在五个数据库（PubMed、科学网、体育文献数据库、考克兰图书馆和Scopus）中进行了系统检索。根据唐斯和布莱克的研究成果，采用扎纳尔迪及其合作者为观察性研究制定的定制质量清单评估方法学质量。在1421条记录中，有五项研究符合纳入标准并被纳入综述。四项研究报告了基于可穿戴设备的步数和睡眠参数测量，而一项研究报告了基于可穿戴设备的步数测量和自我报告的睡眠测量。两项研究探讨了睡眠参数与步数之间的关联。一项研究未发现睡眠与步数之间存在任何相关性，而另一项研究报告白天嗜睡与步数之间存在正相关。本综述强调缺乏对帕金森病患者睡眠参数与作为身体活动指标的步数之间关系的研究。研究结果不一致，白天嗜睡与步数之间可能存在正相关。研究结果还表明，使用可穿戴设备测量，帕金森病患者的步数较低且睡眠时间缩短。
