Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude

Yu Cao,1,* Gongfeng Li,1,* Jinsheng Xue,2,* Guijuan Zhang,1 Sensen Gao,1 Yuling Huang,1 Aiqin Zhu1 1Institute of Geriatric, Qinghai Provincial People’s Hospital, Xining, People’s Republic of China; 2Foreign Cooperation Office, Chengdu Fifth People’s Hospital, Chengdu, P...

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Autores principales: Cao Y, Li G, Xue J, Zhang G, Gao S, Huang Y, Zhu A
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:99d14fe6be3243cfb7e47c8ae6aee2242021-12-02T17:26:20ZDepression and Related Factors in Patients with Parkinson’s Disease at High Altitude1178-2021https://doaj.org/article/99d14fe6be3243cfb7e47c8ae6aee2242021-05-01T00:00:00Zhttps://www.dovepress.com/depression-and-related-factors-in-patients-with-parkinsonrsquos-diseas-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Yu Cao,1,* Gongfeng Li,1,* Jinsheng Xue,2,* Guijuan Zhang,1 Sensen Gao,1 Yuling Huang,1 Aiqin Zhu1 1Institute of Geriatric, Qinghai Provincial People’s Hospital, Xining, People’s Republic of China; 2Foreign Cooperation Office, Chengdu Fifth People’s Hospital, Chengdu, People’s Republic of China*These authors contributed equally to this workCorrespondence: Aiqin ZhuInstitute of Geriatric, Qinghai Provincial People’s Hospital, No. 2 Gonghe Road, Xining, Qinghai, 810007, People’s Republic of ChinaTel +8613139069938Fax +869718176273Email zhuaq@hotmail.comPurpose: Depression seems to aggravate progression of Parkinson’s disease (PD). Hypoxia stress may be one of the pathogenic factors leading to PD. We investigated the characteristics of PD and factors related to Parkinson’s disease depression (PDD) at high altitude (mean altitude ≥ 2300 m).Patients and Methods: Totally 221 PD patients of three different nationalities (Han, Hui, and Tibetan) were recruited in a high-altitude hospital. Depression was present in 55.6% of them. Patient data were examined, including demographic information, medical history, disease duration and family history. Psychopathological characteristics and motor signs were assessed by the Hamilton Depression scale (HAMD) and scales for motor and non-motor symptoms in the Unified Parkinson’s Disease Rating Scale (UPDRS). Progression of PD was evaluated by the modified Hoehn and Yahr (H-Y) staging system.Results: Mean age (47.1% men) was 68.25± 13.67 years old, with disease duration of 4.18± 5.13 years and median H-Y scores 2.07± 0.97 points. Among three different nationalities, PD rate was 69.2% in Han nationals, 17.6% in Hui nationals and 13.1% in Tibetans of 221 PD patients. Compared with the non-depressed PD group, female, no-smoking and living alone rates, and dysphagia, pain, H-Y stage, ADL, UPDRS-I, UPDRS-III, HAMA, and PSQI scores were significantly increased in the PDD group, while MMSE scores were significantly decreased (P< 0.05 or P< 0.01). PD patients of Han and Hui nationalities had increased depression rates compared with Tibetan individuals (P< 0.05). Compared with the mild depression group, the moderate and severe depression groups had significantly increased salivation, dysphagia, H-Y stage, UPDRS-I, UPDRS-III, HAMA, and PSQI scores (P< 0.05 or P< 0.01). Living alone rates and ADL scores were increased in the severe depression group (P< 0.05). Logistic regression analysis showed that living alone (OR=19.833, 95% CI: 2.758– 142.624, P< 0.01), UPDRS-III score (OR=1.079, 95% CI: 1.009– 1.153, P< 0.05), and PSQI score (OR=1.538, 95% CI: 1.347– 1.755, P< 0.001) were risk factors for PDD. Male gender (OR=0.292, 95% CI: 0.112– 0.763, P< 0.05) was a protective factor in PDD.Conclusion: PDD is associated with gender, ethnicity, loneliness, non-motor symptoms (NMSs), motor symptoms, and disease severity, and depression severity. Living alone, dyskinesia, and sleep disorder are risk factors for PDD at high altitude. A relative protection against depression was observed in the Tibetan population.Keywords: high altitude, Parkinson’s disease, depression, motor symptoms, non-motor symptomsCao YLi GXue JZhang GGao SHuang YZhu ADove Medical Pressarticlehigh altitudeparkinson’s diseasedepressionmotor symptomsnon-motor symptomsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 1353-1362 (2021)
institution DOAJ
collection DOAJ
language EN
topic high altitude
parkinson’s disease
depression
motor symptoms
non-motor symptoms
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle high altitude
parkinson’s disease
depression
motor symptoms
non-motor symptoms
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Cao Y
Li G
Xue J
Zhang G
Gao S
Huang Y
Zhu A
Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude
description Yu Cao,1,* Gongfeng Li,1,* Jinsheng Xue,2,* Guijuan Zhang,1 Sensen Gao,1 Yuling Huang,1 Aiqin Zhu1 1Institute of Geriatric, Qinghai Provincial People’s Hospital, Xining, People’s Republic of China; 2Foreign Cooperation Office, Chengdu Fifth People’s Hospital, Chengdu, People’s Republic of China*These authors contributed equally to this workCorrespondence: Aiqin ZhuInstitute of Geriatric, Qinghai Provincial People’s Hospital, No. 2 Gonghe Road, Xining, Qinghai, 810007, People’s Republic of ChinaTel +8613139069938Fax +869718176273Email zhuaq@hotmail.comPurpose: Depression seems to aggravate progression of Parkinson’s disease (PD). Hypoxia stress may be one of the pathogenic factors leading to PD. We investigated the characteristics of PD and factors related to Parkinson’s disease depression (PDD) at high altitude (mean altitude ≥ 2300 m).Patients and Methods: Totally 221 PD patients of three different nationalities (Han, Hui, and Tibetan) were recruited in a high-altitude hospital. Depression was present in 55.6% of them. Patient data were examined, including demographic information, medical history, disease duration and family history. Psychopathological characteristics and motor signs were assessed by the Hamilton Depression scale (HAMD) and scales for motor and non-motor symptoms in the Unified Parkinson’s Disease Rating Scale (UPDRS). Progression of PD was evaluated by the modified Hoehn and Yahr (H-Y) staging system.Results: Mean age (47.1% men) was 68.25± 13.67 years old, with disease duration of 4.18± 5.13 years and median H-Y scores 2.07± 0.97 points. Among three different nationalities, PD rate was 69.2% in Han nationals, 17.6% in Hui nationals and 13.1% in Tibetans of 221 PD patients. Compared with the non-depressed PD group, female, no-smoking and living alone rates, and dysphagia, pain, H-Y stage, ADL, UPDRS-I, UPDRS-III, HAMA, and PSQI scores were significantly increased in the PDD group, while MMSE scores were significantly decreased (P< 0.05 or P< 0.01). PD patients of Han and Hui nationalities had increased depression rates compared with Tibetan individuals (P< 0.05). Compared with the mild depression group, the moderate and severe depression groups had significantly increased salivation, dysphagia, H-Y stage, UPDRS-I, UPDRS-III, HAMA, and PSQI scores (P< 0.05 or P< 0.01). Living alone rates and ADL scores were increased in the severe depression group (P< 0.05). Logistic regression analysis showed that living alone (OR=19.833, 95% CI: 2.758– 142.624, P< 0.01), UPDRS-III score (OR=1.079, 95% CI: 1.009– 1.153, P< 0.05), and PSQI score (OR=1.538, 95% CI: 1.347– 1.755, P< 0.001) were risk factors for PDD. Male gender (OR=0.292, 95% CI: 0.112– 0.763, P< 0.05) was a protective factor in PDD.Conclusion: PDD is associated with gender, ethnicity, loneliness, non-motor symptoms (NMSs), motor symptoms, and disease severity, and depression severity. Living alone, dyskinesia, and sleep disorder are risk factors for PDD at high altitude. A relative protection against depression was observed in the Tibetan population.Keywords: high altitude, Parkinson’s disease, depression, motor symptoms, non-motor symptoms
format article
author Cao Y
Li G
Xue J
Zhang G
Gao S
Huang Y
Zhu A
author_facet Cao Y
Li G
Xue J
Zhang G
Gao S
Huang Y
Zhu A
author_sort Cao Y
title Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude
title_short Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude
title_full Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude
title_fullStr Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude
title_full_unstemmed Depression and Related Factors in Patients with Parkinson’s Disease at High Altitude
title_sort depression and related factors in patients with parkinson’s disease at high altitude
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/99d14fe6be3243cfb7e47c8ae6aee224
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