Evidence map›Paper›PMID 31158943›Full record

ArticleJournal of movement disorders2019

Nonmotor and Dopamine Transporter Change in REM Sleep Behavior Disorder by Olfactory Impairment.

Jee-Young Lee, Eun Jin Yoon, Yu Kyeong Kim, Chae Won Shin, Hyunwoo Nam, Jae Min Jeong, Han-Joon Kim, Beomseok Jeon

Open access · diamondAbstract read
In one paragraph

Article in Journal of movement disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Longitudinal Trajectory of Multimodal Markers in a Patient with Isolated REM Sleep Behavior Disorder.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  3. Article
  4. Blood microbiome signatures in the REM sleep behavior disorder-Lewy body disease continuum.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Article
  5. Article
  6. Imaging Procedure and Clinical Studies of [Nuclear medicine and molecular imaging · 2024
    Review
  7. Article
  8. Validation of the REM behaviour disorder phenoconversion-related pattern in an independent cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Longitudinal Changes in Isolated Rapid Eye Movement Sleep Behavior Disorder-Related Metabolic Pattern Expression.Movement disorders : official journal of the Movement Disorder Society · 2021
    Article
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

8 authors at 5 institutions in 1 country.

Jee-Young LeeDepartment of Neurology, Seoul National University-Seoul Metropolitan Government Boramae Medical Center, Seoul, Korea.
Eun Jin YoonDepartment of Nuclear Medicine, Seoul National University-Seoul Metropolitan Government Boramae Medical Center, Seoul, Korea.
Yu Kyeong KimDepartment of Nuclear Medicine, Seoul National University-Seoul Metropolitan Government Boramae Medical Center, Seoul, Korea.
Chae Won ShinDepartment of Neurology, Kyung Hee University Medical Center, Seoul, Korea.
Hyunwoo NamDepartment of Neurology, Seoul National University-Seoul Metropolitan Government Boramae Medical Center, Seoul, Korea.
Jae Min JeongInstitute of Radiation Medicine, Seoul National University Medical Research Center, Seoul National University, Seoul, Korea.
Han-Joon KimDepartment of Nuclear Medicine, Seoul National University College of Medicine, Seoul, Korea.
Beomseok JeonDepartment of Neurology, Seoul National University College of Medicine, Seoul, Korea.
Seoul National University · KRKyung Hee University Medical Center · KRSeoul Metropolitan Government · KRSeoul National University Hospital · KRSNUH SMG-SNU Boramae Medical Center · KR

Funding

Ministry of Education, Science and TechnologyNational Research Foundation of Korea 2014M3C7A1046042National Research Foundation of Korea 2016R1D1A1B03936159National Research Foundation of Korea 2018R1C1B3008971
6 · The paper itself

Abstract

objectiveIt is unclear whether the decline in dopamine transporters (DAT) differs among idiopathic rapid eye movement sleep behavior disorder (iRBD) patients with different levels of olfactory impairment. This study aimed to characterize DAT changes in relation to nonmotor features in iRBD patients by olfactory loss.

methodsThis prospective cohort study consisted of three age-matched groups: 30 polysomnography-confirmed iRBD patients, 30 drug-naïve Parkinson's disease patients, and 19 healthy controls without olfactory impairment. The iRBD group was divided into two groups based on olfactory testing results. Participants were evaluated for reported prodromal markers and then underwent 18F-FP-CIT positron emission tomography and 3T MRI. Tracer uptakes were analyzed in the caudate, anterior and posterior putamen, substantia nigra, and raphe nuclei.

resultsOlfactory impairment was defined in 38.5% of iRBD patients. Mild parkinsonian signs and cognitive functions were not different between the two iRBD subgroups; however, additional prodromal features, constipation, and urinary and sexual dysfunctions were found in iRBD patients with olfactory impairment but not in those without. Tracer uptake showed significant group differences in all brain regions, except the raphe nuclei. The iRBD patients with olfactory impairment had uptake reductions in the anterior and posterior putamen, caudate, and substantia nigra (p < 0.016 in all, adjusted for age), which ranged from 0.6 to 0.8 of age-normative values. In contrast, those without olfactory impairment had insignificant changes in all regions ranging above 0.8.

conclusionThere was a clear distinction in DAT loss and nonmotor profiles by olfactory status in iRBD.

Indexed as

Dopamine transportersIdiopathic REM sleep behavior disorderOlfactionParkinson’s diseasePositron emission tomography

Identifiers

PMID31158943
PMCPMC6547034
OpenAlexW2947758703

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.