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Published in: Neurological Sciences 8/2022

06-04-2022 | Parkinson's Disease | Original Article

Risk factors for motor complications in female patients with Parkinson’s disease

Authors: Zhirong Wan, Xuemei Wang, Huizi Ma, Zhan Wang, Tao Feng

Published in: Neurological Sciences | Issue 8/2022

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Abstract

Objective

To investigate the risk factors of motor complications in female patients with Parkinson’s disease (PD) and the correlation between the occurrence of motor complications and sex hormone levels.

Methods

According to the occurrence and types of motor complications, 103 female PD patients were divided into two groups: patients with or without the wearing-off phenomenon, patients with or without dyskinesia. Binary logistic regression analysis was performed respectively to screen for the risk factors of the wearing-off phenomenon and dyskinesia in female PD patients.

Results

Among 103 female PD patients, 44 (42.72%) had motor complications. Patients with the wearing-off phenomenon and patients with dyskinesia had higher prolactin levels than patients without the wearing-off phenomenon and patients without dyskinesia, respectively. However, the difference was no longer significant when the two groups were corrected for multiple comparisons (P < 0.0028). Multivariate analysis found that younger age at onset and higher Hoehn-Yahr (H&Y) stage were identified as independent risk factors for the wearing-off phenomenon and younger age of onset was an independent risk factor for dyskinesia in female PD patients (P < 0.05).

Conclusion

Female PD patients have a higher incidence of motor complications. Younger age of onset and higher H&Y stage were the risk factors of the wearing-off phenomenon, and younger onset age was the risk factor of dyskinesia in female PD patients. There may be a certain correlation between the occurrence of motor complications and sex hormone levels in female PD patients, which requires further verification.
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Metadata
Title
Risk factors for motor complications in female patients with Parkinson’s disease
Authors
Zhirong Wan
Xuemei Wang
Huizi Ma
Zhan Wang
Tao Feng
Publication date
06-04-2022
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 8/2022
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-022-05959-3

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