RT info:eu-repo/semantics/article T1 Sleep Problems Are Related to a Worse Quality of Life and a Greater Non-Motor Symptoms Burden in Parkinson’s Disease A1 Santos García, Diego A1 Suárez Castro, Ester A1 Deus-Fonticoba, Teresa de A1 Feal Panceiras, M. J. A1 Muñoz Enríquez, J. G. A1 Paz González, José Manuel A1 Cores Bartolomé, Carlos A1 Planellás, Lluis L. A1 García Caldentey, Juan A1 Caballol, Núria A1 Legarda, Inés A1 Cabo López, Iria A1 López Manzanares, Lydia A1 Ávila Rivera, María A. A1 Catalán, María José A1 Nogueira, Víctor A1 Borrue, Carmen A1 Álvarez Saúco, María A1 Vela Desojo, Lydia A1 Cubo Delgado, Esther A1 Martínez Castrillo, Juan Carlos A1 Sánchez Alonso, Pilar A1 Alonso Losada, María Gema A1 López Ariztegui, Nuria A1 Gastón, Itziar A1 Kulisevsky Bojarsky, Jaume A1 Pagonabarraga, Javier A1 Seijo, Manuel A1 Ruíz Martínez, Javier A1 Valero, Caridad A1 Kurtis, Mónica M. A1 González Ardura, Jessica A1 Prieto, Cristina A1 Mir, Pablo A1 Martínez Martín, Pablo A1 COPPADIS Study Group K1 Non-motor symptoms K1 Parkinson’s disease K1 Parkinson’s disease sleep scale K1 Quality of life K1 Sleep K1 Sistema nervioso-Enfermedades K1 Nervous system-Diseases K1 Medicina K1 Medicine K1 Neurología K1 Neurology AB Introduction:The aim of the present study was to examine the frequency of self-reported sleep problems and their associated factors in a large cohort of PD patients.Methods:PD patients and controls, recruited from 35 centers of Spain from the COPPADIS cohort were included in this cross-sectional study. Sleep problems were assessed by the Spanish version of the Parkinson’s disease Sleep Scale version 1 (PDSS-1). An overall score below 82 or a score below 5 on at least 1 item was defined as sleep problems.Results:The frequency of sleep problems was nearly double in PD patients compared to controls: 65.8% (448/681) vs 33.5% (65/206) (p < 0.0001). Mean total PDSS score was lower in PD patients than controls: 114.9 ± 28.8 vs 132.8 ± 16.3 (p < 0.0001). Quality of life (QoL) was worse in PD patients with sleep problems compared to those without: PDQ-39SI, 19.3 ± 14 vs 13 ± 11.6 (p < 0.0001); EUROHIS-QoL8, 3.7 ± 0.5 vs 3.9 ± 0.5 (p < 0.0001). Non-motor symptoms burden (NMSS; OR = 1.029; 95%CI 1.015–1.043; p < 0.0001) and impulse control behaviors (QUIP-RS; OR = 1.054; 95%CI 1.009–1.101; p = 0.018) were associated with sleep problems after adjustment for age, gender, disease duration, daily equivalent levodopa dose, H&Y, UPDRS-III, UPDRS-IV, PD-CRS, BDI-II, NPI, VAS-Pain, VAFS, FOGQ, and total number of non-antiparkinsonian treatments.Conclusion:Sleep problems were frequent in PD patients and were related to both a worse QoL and a greater non-motor symptoms burden in PD. These findings call for increased awareness of sleep problems in PD patients. PB SAGE Publications SN 0891-9887 YR 2020 FD 2020-10 LK http://hdl.handle.net/10259/8803 UL http://hdl.handle.net/10259/8803 LA eng DS Repositorio Institucional de la Universidad de Burgos RD 24-nov-2024