Session Information
Date: Monday, June 20, 2016
Session Title: Parkinson's disease: Non-motor symptoms
Session Time: 12:30pm-2:00pm
Location: Exhibit Hall located in Hall B, Level 2
Objective: To compare blood pressure (BP) changes in nighttime by continuous twenty four hour blood pressure monitoring (RR) as a postulated tool to describe sleep disturbances in relation to selfrating scales in Parkinson’s disease (PD).
Background: In recent clinical examinations sleep disturbances (SD) were shown as a non-motor complication in the course of PD with impact on life quality. SD in early and advanced stages of PD are 1.5 to 3.5 times more common than in healthy controls of similar age or in patients with other chronic disorders.
Methods: 220 PD in different stages of Hoehn & Yahr underwent 24 h BP monitoring and selfrating scales for sleep disturbance, modified question 23 of the PD NMS questionnaire and modified PDSS. We divided in two groups on the basis of postulated sleep disturbances in the night in form of BP variations higher than 30 mm Hg in systolic BP: Either no sleep disturbances (Group A) or sleep disturbances (Group B). Results were expressed in terms of number, mean value and standard deviation. Exclusion criteria were: Technical problems, instable and not controlled blood pressure in daytime, severe and not controlled depression, dementia.
Results: According to above mentioned criteria we devided in group A (No sleep disturbances) with 90 patients and group B (Sleep disturbances) with 130 patients. The correlation with question 23 of NMS Q and the point value of PDSS 2 revealed accordance of 80% resp 18.1 pts in A and 96,1% resp 29,1 pts in B. Both groups were similar and homogen distributed for age, Hoehn & Yahr stage, UPDRS III, NMS Q, IRLS and well controlled BP. Differences in group B were present with higher frequency/amount for the following parameters: Disease duration, L-Dopa Equivalent Dosis (LED) and depression.
Conclusions: To asses sleep disturbance in PD we recommend as a first evaluation step self rating scales PDSS 2 and PD NMS questionnaire. In addition continuous 24 h blood pressure monitoring could be a useful tool, although its first indication is controlling blood pressure. Limitations will be discussed. If available polysomnography should be performed.
Abstract für 16. International Congress of Parkinson’s disease and Movement Disorders; June 17-21, 2012, Dublin, Ireland. Abstract nr: 550054.
To cite this abstract in AMA style:
M. Hahne, D. Hartmann, C. Thomopoulos, A. Ramih, M. Esther, Y. Guangji, G. Bernd, W. Dirk, R. Heinz, J. Wolfgang. Is continuous twenty four hour blood pressure monitoring a suitable tool in evaluating sleep disturbances in Parkinson’s disease? [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/is-continuous-twenty-four-hour-blood-pressure-monitoring-a-suitable-tool-in-evaluating-sleep-disturbances-in-parkinsons-disease/. Accessed May 13, 2025.« Back to 2016 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/is-continuous-twenty-four-hour-blood-pressure-monitoring-a-suitable-tool-in-evaluating-sleep-disturbances-in-parkinsons-disease/