Evidence map›Paper›PMID 39498807›Full record

ArticleMovement disorders clinical practice2024

Respiratory Dysfunction and Abnormal Hypoxic Ventilatory Response in Mild to Moderate Parkinson's Disease.

Jules M Janssen Daalen, Isabel R Straatsma, Jeroen W H van Hees, Amber Weevers, Veerle A van de Wetering-van Dongen, Maarten J Nijkrake, Marjan J Meinders, Frank H Bosch, Matthijs Kox, Philip N Ainslie and 2 more

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

12 authors.

Jules M Janssen DaalenRadboud University Medical Center, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Center of Expertise for Parkinson & Movement Disorders, Nijmegen, The Netherlands.ORCID 0000-0001-6290-5882
Isabel R StraatsmaDepartment of Medical BioSciences, Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Jeroen W H van HeesDepartment of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Amber WeeversDepartment of Medical BioSciences, Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Veerle A van de Wetering-van DongenDepartment of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands.
Maarten J NijkrakeDepartment of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands.
Marjan J MeindersRadboud University Medical Center, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Center of Expertise for Parkinson & Movement Disorders, Nijmegen, The Netherlands.
Frank H BoschRijnstate Hospital, Department of Internal Medicine, Arnhem, The Netherlands.
Matthijs KoxDepartment of Intensive Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Philip N AinslieUniversity of British Columbia, Center for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, Kelowna, Canada.
Bastiaan R BloemRadboud University Medical Center, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Center of Expertise for Parkinson & Movement Disorders, Nijmegen, The Netherlands.
Dick H J ThijssenDepartment of Medical BioSciences, Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

Therapeutic Development Grant of the Michael J. Fox Foundation MJFF-019201
6 · The paper itself

Abstract

backgroundRespiratory dysfunction is an important contributor to morbidity and mortality in advanced Parkinson's disease (PD), but it is unclear what parameters are sensitive to diagnose and monitor respiratory dysfunction across disease phases.

objectivesWe aimed to characterize respiratory dysfunction in mild to moderate PD.

methodsIn 20 individuals without cardiopulmonary comorbidity, pulmonary and inspiratory muscle function testing were performed ON-medication. Subsequently, the acute ventilatory response to hypoxia (HVR) was assessed by gradually decreasing F

resultsAt rest, individuals with greatest PD severity had a lower tidal volume (pairwise comparisons: 0.59 vs. 0.74, P = 0.038-0.050) and tended to have a higher breathing frequency (17.7 vs. 14.4, P = 0.076), despite normal pulmonary function. A 45-min exposure to hypoxia induced a significantly lower acute HVR in individuals with PD compared to controls (-0.0489 vs. 0.133 L.min/%, P = 0.0038). Acute HVR was reduced regardless of disease severity. Subacute HVR in individuals with milder disease tended to be higher compared to those with more advanced disease (P = 0.079).

conclusionsRespiratory dysfunction is present in individuals with PD, including those with relatively mild disease severity, and is characterized by altered breathing patterns at rest, as well as a lower HVR, despite normal pulmonary and inspiratory muscle function testing.

Indexed as

HypoxiaParkinson DiseaseAgedFemaleHumansMaleMiddle AgedRespiration DisordersRespiratory Function TestsSeverity of Illness IndexTidal VolumebreathinghypoxiaParkinson's diseasepneumoniarespiratory dysfunction

Identifiers

PMID39498807
PMCPMC11647984

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Registered trials

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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.