The Prevalence and the Associated Factors of Sleep-Related Problems in Patients with Parkinson’s Disease at Maharat Nakhon Ratchasima Hospital

Main Article Content

Pawut Mekawichai

Abstract

          Objective: To evaluate the prevalence and identify the associated factors of sleep-related problem in patient with Parkinson’s disease at Maharat Nakhon Ratchasima Hospital. Patients & Method: A cross sectional study in Parkin-son’s disease patients at Maharat Nakhon Ratchasima Hospital were done during January-December 2010. Sleep problems were assessed by using the modified Parkinson’s disease sleep scales (MPDSS) questionnaires. The baseline characters and the expected associated factors were collected. All values were analyzed for identify the associated factors with sleep-related problems. Results: Eighty-five subjects were enrolled in the study. The prevalence of sleep-related problems was 54.1%. The most frequent sleep problem was nocturia and the second most common problem was sleep maintenance. The patients had received levodopa more than 500 mg/d were associated with sleep-related problems (adjusted odds ratio =3.2, 95%CI 1.23-8.29). Conclusion: The prevalence of sleep-related problems in patient with Parkinson’s disease at Maharat Nakhon Ratchasima Hospital was 54.1%. Nocturia is the most frequent sleep problem. The sleep-related problems were associated with high dosage of levodopa per day.

Article Details

How to Cite
Mekawichai, P. (2024). The Prevalence and the Associated Factors of Sleep-Related Problems in Patients with Parkinson’s Disease at Maharat Nakhon Ratchasima Hospital. Maharat Nakhon Ratchasima Hospital Journal, 34(3), 169–176. Retrieved from https://he04.tci-thaijo.org/index.php/MNRHJ/article/view/1815
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Original Article

References

De Rijk MC, Tzourio C, Breteler MM, Dartigues JF, Amaducci L, Lopez-Pousa S, et al. Prevalence of Parkinson disease in the elderly: The Rotterdam study. Neurology 1995; 45: 2143-6.

Hughes AJ, Daniel SE, Kilford L, Lee AJ. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: A clinic-pathological study of 100 cases. JNNP 1992; 55: 181-4.

Miyoshi K, Ueki A, Nagano O: Management of psychiatric symptoms of parkinson’s disease. Eur Neurol 1996; 36: S43-S48.

Sukying C, Bhokakul V, Udomsubpayakul U. An epidermiological study on insomnia in an elderly Thai population. J Med Assoc Thai 2003; 86: 316-24.

Tanasanvimon S, Ayuthaya NI, Phanthumchinda K. Modified Parkinson’s disease Scale (MPDSS) in Thai Parkinson’s disease patient. J Med Assoc Thai 2007; 90: 2277-83.

Praween L, Kongkiat K. Quality of life and sleep-related problems in patients with Parkinson’s disease at Thammasat University Hospital. Thammasat Med J 2010; 10: 165-74.

Kumar S, Bhatia M, Behari M. Sleep disorders in Parkinson’s disease. Mov Disord 2002; 17: 775-81.

Tandberg E, Larsen JP, Karlsen K. A community-based study of sleep disorders in patients with Parkinson’s disease. Mov Disord 1998; 13: 895-9.

Chaudhuri KR, Martinez-Martin P. Clinical assessment of nocturnal disability in Parkinson disease’s Sleep Scale. Neurology 2004; 63: S17-S20.

Thai geriatric depression scale-TGDS: Train the brain forum committee. Siriraj Hosp Gaz 1994; 46: 1-9.

Thai Mini-Mental State Examination (TMSE). Train the brain forum committee. Siriraj Hosp Gaz 1993; 45: 359-74.

Sid EO, Joy DH, Glen ES, Robert JI, Neill RG, Ronald CP, et al. Detecting dementia with the Mini-mental state examination (MMSE) in highly educated individual. Arch Neurol 2008; 65: 963-7.

Simuni T. Somnolence and other sleep disorders in Parkinson’s disease: The challenge for the practicing neurologist. Neurol Clin 2004; 22: S107-S126.

OSuilleabhain PE, Dewey RD Jr. Contributions of dopaminergic drugs and disease severity to daytime sleepiness in Parkinson’s disease. Arch Neurol 2002; 59: 986-9.

Thorpy MJ, Adler CH. Parkinson’s disease and sleep. Neurol Clin 2005; 23: 1187-208.

Singer C, Weiner WJ, Sanchez-Ramos JR. Autonomic dysfunction in men with Parkinson’s disease. Eur Neurol 1992; 32:134-40.