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<title>Sex Differences in Motor and Non-Motor Symptoms among Spanish Patients with Parkinson’s Disease</title>
<creator>Santos García, Diego</creator>
<creator>Laguna, Ariadna</creator>
<creator>Hernández Vara, Jorge</creator>
<creator>Deus-Fonticoba, Teresa de</creator>
<creator>Cores Bartolomé, Carlos</creator>
<creator>Feal Painceiras, María</creator>
<creator>Íñiguez Alvarado, María Cristina</creator>
<creator>García Díaz, Iago</creator>
<creator>Jesús, Silvia</creator>
<creator>Buongiorno, María Teresa</creator>
<creator>Planellás, Lluis L.</creator>
<creator>Cosgaya, Marina</creator>
<creator>García Caldentey, Juan</creator>
<creator>Caballol, Núria</creator>
<creator>Legarda, Inés</creator>
<creator>Cabo López, Iria</creator>
<creator>López Manzanares, Lydia</creator>
<creator>González Aramburu, Isabel</creator>
<creator>Ávila Rivera, María A.</creator>
<creator>Gómez Mayordomo, Víctor</creator>
<creator>Nogueira, Víctor</creator>
<creator>Puente, Víctor</creator>
<creator>Dotor, Julio</creator>
<creator>Borrue, Carmen</creator>
<creator>Solano Vila, Berta</creator>
<creator>Álvarez Saúco, María</creator>
<creator>Vela Desojo, Lydia</creator>
<creator>Escalante Arroyo, Sonia</creator>
<creator>Cubo Delgado, Esther</creator>
<creator>Carrillo Padilla, Francisco</creator>
<creator>Martínez Castrillo, Juan Carlos</creator>
<creator>Sánchez Alonso, Pilar</creator>
<creator>Alonso Losada, María Gema</creator>
<creator>López Ariztegui, Nuria</creator>
<creator>Gastón, Itziar</creator>
<creator>Kulisevsky Bojarsky, Jaume</creator>
<creator>Menéndez González, Manuel</creator>
<creator>Seijo, Manuel</creator>
<creator>Ruíz Martínez, Javier</creator>
<creator>Valero, Caridad</creator>
<creator>Kurtis, Mónica M.</creator>
<creator>González Ardura, Jessica</creator>
<creator>Alonso Redondo, Rubén</creator>
<creator>Ordás Bandera, Carlos Manuel</creator>
<creator>López Díaz, Luis M.</creator>
<creator>McAfee, Darrian</creator>
<creator>Martínez Martín, Pablo</creator>
<creator>Mir, Pablo</creator>
<creator>COPPADIS Study Group</creator>
<subject>Motor</subject>
<subject>Non-motor symptoms</subject>
<subject>Gender</subject>
<subject>Parkinson’s disease</subject>
<subject>Quality of life</subject>
<subject>Sex</subject>
<description>Background and objective: Sex plays a role in Parkinson’s disease (PD) mechanisms. We analyzed sex difference manifestations among Spanish patients with PD. Patients and Methods: PD patients who were recruited from the Spanish cohort COPPADIS from January 2016 to November 2017 were included. A cross-sectional and a two-year follow-up analysis were conducted. Univariate analyses and general linear model repeated measure were used. Results: At baseline, data from 681 PD patients (mean age 62.54 ± 8.93) fit the criteria for analysis. Of them, 410 (60.2%) were males and 271 (39.8%) females. There were no differences between the groups in mean age (62.36 ± 8.73 vs. 62.8 ± 9.24; p = 0.297) or in the time from symptoms onset (5.66 ± 4.65 vs. 5.21 ± 4.11; p = 0.259). Symptoms such as depression (p &lt; 0.0001), fatigue (p &lt; 0.0001), and pain (p &lt; 0.00001) were more frequent and/or severe in females, whereas other symptoms such as hypomimia (p &lt; 0.0001), speech problems (p &lt; 0.0001), rigidity (p &lt; 0.0001), and hypersexuality (p &lt; 0.0001) were more noted in males. Women received a lower levodopa equivalent daily dose (p = 0.002). Perception of quality of life was generally worse in females (PDQ-39, p = 0.002; EUROHIS-QOL8, p = 0.009). After the two-year follow-up, the NMS burden (Non-Motor Symptoms Scale total score) increased more significantly in males (p = 0.012) but the functional capacity (Schwab and England Activities of Daily Living Scale) was more impaired in females (p = 0.001). Conclusion: The present study demonstrates that there are important sex differences in PD. Long-term prospective comparative studies are needed.</description>
<date>2024-03-15</date>
<date>2024-03-15</date>
<date>2023-02</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/8827</identifier>
<identifier>10.3390/jcm12041329</identifier>
<identifier>2077-0383</identifier>
<language>eng</language>
<relation>Journal of Clinical Medicine. 2023, V. 12, n. 4, 1329</relation>
<relation>https://doi.org/10.3390/jcm12041329</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>MDPI</publisher>
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