Evidence map›Paper›PMID 40388933›Full record

ArticleJournal of Parkinson's disease2025

Sex-specific progression of Parkinson's disease: A longitudinal mixed-models analysis.

Anne-Marie Hanff, Christopher McCrum, Armin Rauschenberger, Gloria A Aguayo, Claire Pauly, Sonja R Jónsdóttir, Olena Tsurkalenko, Maurice P Zeegers, Anja K Leist, Rejko Krüger and 1 more

Abstract read
In one paragraph

Article in Journal of Parkinson's disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Gender differences in non-motor symptoms in Parkinson's disease: a multicenter longitudinal study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Article
  5. Review
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

11 authors.

Anne-Marie HanffTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID 0000-0002-8955-8697
Christopher McCrumDepartment of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands.ORCID 0000-0002-4927-1114
Armin RauschenbergerBiomedical Data Science, Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg.ORCID 0000-0001-6498-4801
Gloria A AguayoDepartment of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID 0000-0002-5625-1664
Claire PaulyTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID 0000-0002-1824-5546
Sonja R JónsdóttirTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg.
Olena TsurkalenkoTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID 0000-0003-0286-3080
Maurice P ZeegersDepartment of Epidemiology, Care and Public Health Research Institute, School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0002-2387-083X
Anja K LeistDepartment of Social Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg.ORCID 0000-0002-5074-5209
Rejko KrügerTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID 0000-0003-4258-6241
NCER-PD consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundDespite its relevance, the clinical progression of motor- and non-motor symptoms associated with Parkinson's disease (PD) is poorly described and understood, particularly in relation to sex-specific differences in clinical progression.ObjectiveIdentification of differential aspects in disease progression in men and women with PD.MethodsLinear mixed-model analyses of 802 people with typical PD from the Luxembourg Parkinson's study's prospective cohort (median time of follow-up = three years). We estimated the effect of time and its moderation by sex (alpha ≤ 0.05), including confidence intervals, for the following outcomes: MDS-UPDRS I-IV, Starkstein Apathy Scale, Beck Depression Inventory, Montreal Cognitive Assessment (MoCA), Sniffin' sticks, bodily discomfort, rapid eye movement sleep behavior disorder questionnaire, PD Sleep Scale (PDSS), Munich Dysphagia Test-PD, Functional Mobility Composite Score, and the MDS-based tremor and postural instability and gait disturbances scale. In addition, the marginal means illustrated the symptoms' trajectories in men and women. Men and women had similar age.ResultsOverall, we observed a slower progression (interaction effect) in women compared to men, especially for MoCA (-0.159, 95%CI [-0.272, -0.046], p = 0.006), PDSS (-0.716, 95%CI [-1.229, -0.203], p = 0.006), PIGD (0.133, 95%CI [0.025 0.241], p = 0.016), and MDS-UPDRS II (0.346, 95%CI [0.120, 0.572], p = 0.003). The finding for MDS-UPDRS II was significant (FWER of 5%) after adjustment for multiple comparisons (Bonferroni-Holm).ConclusionsNext to the further exploration of sex-specific progression, interventions, proactive monitoring and communication strategies tailored to the symptoms progression and needs of men and women need to be developed.

Indexed as

Disease ProgressionGait Disorders, NeurologicParkinson DiseaseSex CharacteristicsAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSeverity of Illness IndexSex Factorscohort studiesepidemiologyneurodegenerative diseasepatient reported outcome measuressex differenceswomen

Identifiers

PMID40388933
PMCPMC13347478

What OpenQuestion holds

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LicenceCC BY
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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.