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糖尿病对帕金森病运动和非运动症状的影响:一项横断面研究。

Effects of Diabetes Mellitus on Motor and Non-Motor Symptoms in Parkinson's Disease: A Cross-Sectional Study.

作者信息

Rodríguez-González Irving C, Botello-Villagrana Fernando, Gomez-Villalobos Sergio R, Torres-Mancilla Ximena M, González-Cantú Arnulfo, González-González Mirna, Martinez-Ramirez Daniel

机构信息

Tecnologico de Monterrey, School of Medicine and Health Sciences, 64710 Monterrey, Nuevo León, Mexico.

Tecnologico de Monterrey, School of Medicine and Health Sciences, 44379 Guadalajara, Jalisco, Mexico.

出版信息

Rev Neurol. 2025 Aug 27;80(7):38630. doi: 10.31083/RN38630.

DOI:10.31083/RN38630
PMID:40916959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12415886/
Abstract

INTRODUCTION

While there is a growing body of evidence indicating a potential connection between Parkinson's disease and diabetes mellitus, there is a lack of focus on investigating how diabetes correlates with the severity of both motor and non-motor symptoms in Parkinson's disease.

OBJECTIVE

This study examined and contrasted both motor and non-motor symptoms in patients diagnosed with Parkinson's disease, stratified by the presence or absence of diabetes.

METHODS

A total of 40 Parkinson's disease patients, divided into two groups (with and without diabetes), were assessed using various scales, including the Movement Disorders Society - Unified Parkinson's Disease Rating Scale, Scales for Outcomes in Parkinson's Disease - Autonomic Dysfunction and Non-Motor Symptoms, Beck Depression Inventory, Montreal Cognitive Assessment, and Parkinson's Disease Questionnaire-39. Demographic and clinical characteristics were also recorded. Statistical analyses included -tests, Mann-Whitney U tests, and Fisher's exact test.

RESULTS

Significant differences were observed in the motor sub-score of postural instability and gait disturbance symptoms, autonomic total scores, urinary function domain, depression scores, and quality of life in the mobility and emotional domains between the Parkinson's disease non-diabetes, and Parkinson's disease - diabetes groups.

CONCLUSIONS

Our study unveiled differences in motor and Non-Motor Symptoms among patients with Parkinson's disease and diabetes, underscoring the influence of diabetes on manifestations of the disease.

摘要

引言

虽然越来越多的证据表明帕金森病与糖尿病之间存在潜在联系,但对于研究糖尿病如何与帕金森病的运动和非运动症状严重程度相关联却缺乏关注。

目的

本研究对诊断为帕金森病的患者的运动和非运动症状进行了检查和对比,并根据是否患有糖尿病进行分层。

方法

共有40名帕金森病患者被分为两组(有糖尿病组和无糖尿病组),使用多种量表进行评估,包括运动障碍协会统一帕金森病评定量表、帕金森病自主神经功能障碍和非运动症状结局量表、贝克抑郁量表、蒙特利尔认知评估量表以及帕金森病问卷-39。还记录了人口统计学和临床特征。统计分析包括t检验、曼-惠特尼U检验和费舍尔精确检验。

结果

在帕金森病非糖尿病组和帕金森病糖尿病组之间,姿势不稳和步态障碍症状的运动子评分、自主神经总分、泌尿功能领域、抑郁评分以及运动和情感领域的生活质量方面观察到显著差异。

结论

我们的研究揭示了帕金森病合并糖尿病患者在运动和非运动症状方面的差异,强调了糖尿病对该疾病表现的影响。

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Temporal trends in the prevalence of Parkinson's disease from 1980 to 2023: a systematic review and meta-analysis.1980 年至 2023 年帕金森病患病率的时间趋势:系统评价和荟萃分析。
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2024 Alzheimer's disease facts and figures.2024 年阿尔茨海默病事实和数据。
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Trial of Lixisenatide in Early Parkinson's Disease.利西拉肽治疗早期帕金森病的试验。
N Engl J Med. 2024 Apr 4;390(13):1176-1185. doi: 10.1056/NEJMoa2312323.
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Diabetic striatopathy and other acute onset de novo movement disorders in hyperglycemia.糖尿病纹状体病和其他高血糖引起的急性新发运动障碍。
Diabetes Metab Syndr. 2024 Mar;18(3):102997. doi: 10.1016/j.dsx.2024.102997. Epub 2024 Mar 31.
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Diabetic peripheral neuropathy: pathogenetic mechanisms and treatment.糖尿病周围神经病变:发病机制与治疗。
Front Endocrinol (Lausanne). 2024 Jan 9;14:1265372. doi: 10.3389/fendo.2023.1265372. eCollection 2023.
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Healthcare (Basel). 2023 May 4;11(9):1316. doi: 10.3390/healthcare11091316.
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