Evidence map›Paper›PMID 27448468›Full record

Trial reportSleep medicine2016

Obstructive Sleep Apnea and Cognition in Parkinson's disease.

Alexandrea L Harmell, Ariel B Neikrug, Barton W Palmer, Julie A Avanzino, Lianqi Liu, Jeanne E Maglione, Loki Natarajan, Jody Corey-Bloom, Jose S Loredo, Sonia Ancoli-Israel

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Stage-specific interactions among PLM, RBD, and OSAHS in parkinson's disease and MSA.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Parkinson disease-associated cognitive impairment.Nature reviews. Disease primers · 2021
    Review
  11. Review
  12. Sleep Issues in Parkinson's Disease and Their Management.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  13. Review
  14. Sleep in Parkinson's disease.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Review
  15. Article
  16. The Neuropsychiatry of Parkinson Disease: A Perfect Storm.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Review
  17. PlasmaAnnals of clinical and translational neurology · 2019
    Article
  18. Obstructive Sleep Apnea and the Risk of Cognitive Decline in Older Adults.American journal of respiratory and critical care medicine · 2019
    Review
  19. Article
  20. Change in Cognition and Other Non-Motor Symptoms With Obstructive Sleep Apnea Treatment in Parkinson Disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Alexandrea L HarmellJoint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, CA, USA.
Ariel B NeikrugDepartment of Anesthesiology, University of Utah, Salt Lake City, UT, USA.
Barton W PalmerJoint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, CA, USA; Stein Institute for Research on Aging, CA, USA; Veterans Administration Healthcare System, San Diego, CA, USA.
Julie A AvanzinoDepartment of Psychiatry, University of California, San Diego, CA, USA; Stein Institute for Research on Aging, CA, USA.
Lianqi LiuDepartment of Psychiatry, University of California, San Diego, CA, USA.
Jeanne E MaglioneDepartment of Psychiatry, University of California, San Diego, CA, USA; Stein Institute for Research on Aging, CA, USA; Veterans Administration Healthcare System, San Diego, CA, USA.
Loki NatarajanDepartment of Family and Preventative Medicine, University of California, San Diego, CA, USA.
Jody Corey-BloomDepartment of Neurosciences, University of California, San Diego, CA, USA.
Jose S LoredoVeterans Administration Healthcare System, San Diego, CA, USA; Department of Medicine, University of California, San Diego, CA, USA.
Sonia Ancoli-IsraelJoint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, CA, USA; Stein Institute for Research on Aging, CA, USA; Department of Medicine, University of California, San Diego, CA, USA. Electronic address: sancoliisrael@ucsd.edu.
University of California, San Diego · USInstitute on Aging · USSan Diego State University · USUniversity of Utah · US

Funding

ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZELL, JASON · 1985 to 2010
$74.3M
SAN DIEGO CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTEUL1RR031980 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2010 to 2011
$14.0M
FELLOWSHIP IN GERIATRIC MENTAL HEALTHT32MH019934 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Elizabeth W Twamley · 1994 to 2026
$9.5M
SLEEP CONSOLIDATION IN A NURSING HOME POPULATIONR01AG008415 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANCOLI-ISRAEL, SONIA · 1989 to 2011
$3.0M
NCRR NIH HHS M01 RR000827NCRR NIH HHS UL1 RR031980NIA NIH HHS R01 AG008415NIMH NIH HHS T32 MH019934
6 · The paper itself

Abstract

objectiveObstructive sleep apnea (OSA) is very common in Parkinson's disease (PD). OSA is known to affect patients' cognition. The present study assessed whether PD patients with OSA (PD + OSA) score lower on cognitive measures than those without OSA (PD - OSA). In addition, this study evaluated whether treating the OSA with continuous positive airway pressure (CPAP) in PD + OSA patients results in an improved cognitive functioning.

methodsEighty-six patients with PD underwent an overnight polysomnography screen for OSA and were administered the Mini-Mental Status Exam (MMSE) and the Montreal Cognitive Assessment (MoCA). This resulted in 38 patients with PD + OSA who were randomly assigned to receive either therapeutic CPAP for 6 weeks (n = 19) or placebo CPAP for three weeks followed by therapeutic CPAP for three weeks (n = 19). Intervention participants completed a neurocognitive battery at baseline and 3- and 6-week time-points.

resultsPatients with PD + OSA scored significantly lower than PD - OSA on the MMSE and MoCA after controlling for age, education, and PD severity. OSA was a significant predictor of cognition (MMSE p <0.01; MoCA p = 0.028).There were no significant changes between groups in cognition when comparing three weeks of therapeutic CPAP with 3 weeks of placebo CPAP. Comparisons between pre-treatment and 3-week post-therapeutic CPAP for the entire sample also revealed no significant changes on overall neuropsychological (NP) scores.

conclusionsFindings suggest that PD patients with OSA show worse cognitive functioning on cognitive screening measures than those without OSA. However, OSA treatment after three or six weeks of CPAP may not result in overall cognitive improvement in patients with PD.

Indexed as

CognitionAgedContinuous Positive Airway PressureFemaleHumansMaleNeuropsychological TestsParkinson DiseasePolysomnographySleep Apnea, ObstructiveTreatment OutcomeCognitionContinuous positive airway pressureInterventionNeuropsychologyObstructive sleep apneaParkinson's disease

Identifiers

PMID27448468
PMCPMC4963611
OpenAlexW2260589301

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.