RT info:eu-repo/semantics/article T1 Motor Fluctuations Development Is Associated with Non-Motor Symptoms Burden Progression in Parkinson’s Disease Patients: A 2-Year Follow-Up Study A1 Santos García, Diego A1 Deus-Fonticoba, Teresa de A1 Cores Bartolomé, Carlos A1 Feal Painceiras, María A1 Suárez Castro, Ester A1 Canfield, Héctor A1 Martínez Miró, Cristina A1 Jesús, Silvia A1 Aguilar, Miquel A1 Pastor, Pau A1 Planellás, Lluis L. A1 Cosgaya, Marina A1 García Caldentey, Juan A1 Caballol, Núria A1 Legarda, Inés A1 Hernández Vara, Jorge A1 Cabo López, Iria A1 López Manzanares, Lydia A1 González Aramburu, Isabel A1 Ávila Rivera, María A. A1 Gómez Mayordomo, Víctor A1 Nogueira, Víctor A1 Puente, Víctor A1 Dotor, Julio A1 Borrue, Carmen A1 Solano Vila, Berta A1 Álvarez Saúco, María A1 Vela Desojo, Lydia A1 Escalante Arroyo, Sonia A1 Cubo Delgado, Esther A1 Carrillo Padilla, Francisco 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 Blázquez Estrada, Marta A1 Seijo, Manuel A1 Ruíz Martínez, Javier A1 Valero, Caridad A1 Kurtis, Mónica M. A1 Fabregues, Oriol de A1 González Ardura, Jessica A1 Alonso Redondo, Rubén A1 Ordás Bandera, Carlos Manuel A1 López Díaz, Luis M. A1 McAfee, Darrian A1 Martínez Martín, Pablo A1 Mir, Pablo A1 COPPADIS Study Group K1 Burden K1 Follow-up K1 Non-motor symptoms K1 Motor fluctuations K1 Parkinson’s disease K1 Sistema nervioso-Enfermedades K1 Nervous system-Diseases K1 Medicina K1 Medicine K1 Neurología K1 Neurology AB Objective: The aim of the present study was to analyze the progression of non-motor symptoms (NMS) burden in Parkinson’s disease (PD) patients regarding the development of motor fluctuations (MF). Methods: PD patients without MF at baseline, who were recruited from January 2016 to November 2017 (V0) and evaluated again at a 2-year follow-up (V2) from 35 centers of Spain from the COPPADIS cohort, were included in this analysis. MF development at V2 was defined as a score ≥ 1 in the item-39 of the UPDRS-Part IV, whereas NMS burden was defined according to the Non-motor Symptoms Scale (NMSS) total score. Results: Three hundred and thirty PD patients (62.67 ± 8.7 years old; 58.8% males) were included. From V0 to V2, 27.6% of the patients developed MF. The mean NMSS total score at baseline was higher in those patients who developed MF after the 2-year follow-up (46.34 ± 36.48 vs. 34.3 ± 29.07; p = 0.001). A greater increase in the NMSS total score from V0 to V2 was observed in patients who developed MF (+16.07 ± 37.37) compared to those who did not develop MF (+6.2 ± 25.8) (p = 0.021). Development of MF after a 2-year follow-up was associated with an increase in the NMSS total score (β = 0.128; p = 0.046) after adjustment to age, gender, years from symptoms onset, levodopa equivalent daily dose (LEDD) and the NMSS total score at baseline, and the change in LEDD from V0 to V2. Conclusions: In PD patients, the development of MF is associated with a greater increase in the NMS burden after a 2-year follow-up. PB MDPI YR 2022 FD 2022-05 LK http://hdl.handle.net/10259/8822 UL http://hdl.handle.net/10259/8822 LA eng NO The study was conducted according to the guidelines of the Declaration of Helsinki, and ap-proved by Comité de Ética de la Investigación Clínica de Galicia from Spain (2014/534; 2/DEC/2014). DS Repositorio Institucional de la Universidad de Burgos RD 24-nov-2024