Parkinsonism risk factors in salt lake city, Utah

A community-based study

David Shprecher, Nan Zhang, Matthew Halverson, Rodolfo Savica

Research output: Contribution to journalArticle

Abstract

Background: The prevalence of dream enactment behavior and other risk factors for a parkinsonian disorder is not well documented. Methods: A survey on prevalence of parkinsonism risk factors was designed using two validated instruments (REM behavior disorder single item question, bowel movement frequency for constipation) and three exploratory instruments (for hallucinations, cognitive and olfactory complaints.) It was sent by mail and email to patients aged 50 and over at two University of Utah community clinics in Salt Lake City. A total of 7888 unique patients were sent the survey, and 1607 responses were recorded (response rate 20%). Those whose age was missing (n = 117) or less than 50 years (n = 10) were excluded from the analysis. Results: Of the 1406 without personal diagnosis of neurodegenerative disease 62.7% were female, and median age was 63. Family history (FH) of Parkinson’s disease was endorsed by 9%, constipation (defined as a bowel movement less than once per day) by 19%, mild cognitive complaints (MCI) 15.8%, dream enactment 13.7%, subjective hyposmia or anosmia 18.2%, and at least one potential psychotic symptom in 37.6%. Multivariable logistic regression showed male gender, mild cognitive complaints, hearing voices, and at least one potentially psychotic symptom to be significantly associated with dream enactment. Conclusions: This survey shows that dream enactment, a strong predictor of risk for synucleinopathy, is relatively common in the older population; because such individuals rarely come to medical attention of a sleep clinic, such survey research may be useful to identify and recruit at-risk individuals for trials aimed at preventing neurodegenerative disease.

Original languageEnglish (US)
Article number71
JournalBrain Sciences
Volume9
Issue number3
DOIs
StatePublished - Mar 1 2019

Fingerprint

Parkinsonian Disorders
Constipation
Neurodegenerative Diseases
REM Sleep Behavior Disorder
Olfaction Disorders
Hallucinations
Postal Service
Hearing
Parkinson Disease
Sleep
Logistic Models
Surveys and Questionnaires
Research
Population

Keywords

  • Anosmia
  • Constipation
  • Dementia with Lewy bodies
  • Hyposmia
  • Mild cognitive impairment
  • Parkinsonism
  • Parkinson’s disease
  • Psychosis
  • REM sleep behavior disorder

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Parkinsonism risk factors in salt lake city, Utah : A community-based study. / Shprecher, David; Zhang, Nan; Halverson, Matthew; Savica, Rodolfo.

In: Brain Sciences, Vol. 9, No. 3, 71, 01.03.2019.

Research output: Contribution to journalArticle

Shprecher, David ; Zhang, Nan ; Halverson, Matthew ; Savica, Rodolfo. / Parkinsonism risk factors in salt lake city, Utah : A community-based study. In: Brain Sciences. 2019 ; Vol. 9, No. 3.
@article{1376fa3c5b9c4a9cab79710f598697c0,
title = "Parkinsonism risk factors in salt lake city, Utah: A community-based study",
abstract = "Background: The prevalence of dream enactment behavior and other risk factors for a parkinsonian disorder is not well documented. Methods: A survey on prevalence of parkinsonism risk factors was designed using two validated instruments (REM behavior disorder single item question, bowel movement frequency for constipation) and three exploratory instruments (for hallucinations, cognitive and olfactory complaints.) It was sent by mail and email to patients aged 50 and over at two University of Utah community clinics in Salt Lake City. A total of 7888 unique patients were sent the survey, and 1607 responses were recorded (response rate 20{\%}). Those whose age was missing (n = 117) or less than 50 years (n = 10) were excluded from the analysis. Results: Of the 1406 without personal diagnosis of neurodegenerative disease 62.7{\%} were female, and median age was 63. Family history (FH) of Parkinson’s disease was endorsed by 9{\%}, constipation (defined as a bowel movement less than once per day) by 19{\%}, mild cognitive complaints (MCI) 15.8{\%}, dream enactment 13.7{\%}, subjective hyposmia or anosmia 18.2{\%}, and at least one potential psychotic symptom in 37.6{\%}. Multivariable logistic regression showed male gender, mild cognitive complaints, hearing voices, and at least one potentially psychotic symptom to be significantly associated with dream enactment. Conclusions: This survey shows that dream enactment, a strong predictor of risk for synucleinopathy, is relatively common in the older population; because such individuals rarely come to medical attention of a sleep clinic, such survey research may be useful to identify and recruit at-risk individuals for trials aimed at preventing neurodegenerative disease.",
keywords = "Anosmia, Constipation, Dementia with Lewy bodies, Hyposmia, Mild cognitive impairment, Parkinsonism, Parkinson’s disease, Psychosis, REM sleep behavior disorder",
author = "David Shprecher and Nan Zhang and Matthew Halverson and Rodolfo Savica",
year = "2019",
month = "3",
day = "1",
doi = "10.3390/brainsci9030071",
language = "English (US)",
volume = "9",
journal = "Brain Sciences",
issn = "2076-3425",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "3",

}

TY - JOUR

T1 - Parkinsonism risk factors in salt lake city, Utah

T2 - A community-based study

AU - Shprecher, David

AU - Zhang, Nan

AU - Halverson, Matthew

AU - Savica, Rodolfo

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Background: The prevalence of dream enactment behavior and other risk factors for a parkinsonian disorder is not well documented. Methods: A survey on prevalence of parkinsonism risk factors was designed using two validated instruments (REM behavior disorder single item question, bowel movement frequency for constipation) and three exploratory instruments (for hallucinations, cognitive and olfactory complaints.) It was sent by mail and email to patients aged 50 and over at two University of Utah community clinics in Salt Lake City. A total of 7888 unique patients were sent the survey, and 1607 responses were recorded (response rate 20%). Those whose age was missing (n = 117) or less than 50 years (n = 10) were excluded from the analysis. Results: Of the 1406 without personal diagnosis of neurodegenerative disease 62.7% were female, and median age was 63. Family history (FH) of Parkinson’s disease was endorsed by 9%, constipation (defined as a bowel movement less than once per day) by 19%, mild cognitive complaints (MCI) 15.8%, dream enactment 13.7%, subjective hyposmia or anosmia 18.2%, and at least one potential psychotic symptom in 37.6%. Multivariable logistic regression showed male gender, mild cognitive complaints, hearing voices, and at least one potentially psychotic symptom to be significantly associated with dream enactment. Conclusions: This survey shows that dream enactment, a strong predictor of risk for synucleinopathy, is relatively common in the older population; because such individuals rarely come to medical attention of a sleep clinic, such survey research may be useful to identify and recruit at-risk individuals for trials aimed at preventing neurodegenerative disease.

AB - Background: The prevalence of dream enactment behavior and other risk factors for a parkinsonian disorder is not well documented. Methods: A survey on prevalence of parkinsonism risk factors was designed using two validated instruments (REM behavior disorder single item question, bowel movement frequency for constipation) and three exploratory instruments (for hallucinations, cognitive and olfactory complaints.) It was sent by mail and email to patients aged 50 and over at two University of Utah community clinics in Salt Lake City. A total of 7888 unique patients were sent the survey, and 1607 responses were recorded (response rate 20%). Those whose age was missing (n = 117) or less than 50 years (n = 10) were excluded from the analysis. Results: Of the 1406 without personal diagnosis of neurodegenerative disease 62.7% were female, and median age was 63. Family history (FH) of Parkinson’s disease was endorsed by 9%, constipation (defined as a bowel movement less than once per day) by 19%, mild cognitive complaints (MCI) 15.8%, dream enactment 13.7%, subjective hyposmia or anosmia 18.2%, and at least one potential psychotic symptom in 37.6%. Multivariable logistic regression showed male gender, mild cognitive complaints, hearing voices, and at least one potentially psychotic symptom to be significantly associated with dream enactment. Conclusions: This survey shows that dream enactment, a strong predictor of risk for synucleinopathy, is relatively common in the older population; because such individuals rarely come to medical attention of a sleep clinic, such survey research may be useful to identify and recruit at-risk individuals for trials aimed at preventing neurodegenerative disease.

KW - Anosmia

KW - Constipation

KW - Dementia with Lewy bodies

KW - Hyposmia

KW - Mild cognitive impairment

KW - Parkinsonism

KW - Parkinson’s disease

KW - Psychosis

KW - REM sleep behavior disorder

UR - http://www.scopus.com/inward/record.url?scp=85067597420&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067597420&partnerID=8YFLogxK

U2 - 10.3390/brainsci9030071

DO - 10.3390/brainsci9030071

M3 - Article

VL - 9

JO - Brain Sciences

JF - Brain Sciences

SN - 2076-3425

IS - 3

M1 - 71

ER -