Evidence map›Paper›PMID 40571949›Full record

ArticleBMC neurology2025

Sex-differences in autonomic and cardiovascular responses to multimodal therapy in Parkinson's disease: a pilot study.

Franziska Siche-Pantel, Manfred Mühlenberg, Rüdiger Buschfort, Heinke Michels, Rasmus Jakobsmeyer, Julian Oesterschlink, Claus Reinsberger

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Franziska Siche-PantelDepartment of Exercise and Health, Faculty of Science, Institute of Sports Medicine, Paderborn University, Warburger Str. 100, Paderborn, 33098, Germany.
Manfred MühlenbergNeurologic department, Gräfliche Kliniken, Marcus Klinik GmbH und Co. KG, Bad Driburg, 33014, Germany.
Rüdiger BuschfortNeurologic department, Aatalklinik Wünnenberg GmbH, In Den Erlen 22, Bad Wünnenberg, 33181, Germany.
Heinke MichelsNeurologic department, Gräfliche Kliniken, Marcus Klinik GmbH und Co. KG, Bad Driburg, 33014, Germany.
Rasmus JakobsmeyerDepartment of Exercise and Health, Faculty of Science, Institute of Sports Medicine, Paderborn University, Warburger Str. 100, Paderborn, 33098, Germany.
Julian OesterschlinkDepartment of Exercise and Health, Faculty of Science, Institute of Sports Medicine, Paderborn University, Warburger Str. 100, Paderborn, 33098, Germany.
Claus ReinsbergerDepartment of Exercise and Health, Faculty of Science, Institute of Sports Medicine, Paderborn University, Warburger Str. 100, Paderborn, 33098, Germany. reinsberger@sportmed.uni-paderborn.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParkinson's Disease (PD) bears a variety of sex differences and is associated with cardiovascular dysregulation (CDR). Variation in the routinely assessed standard parameters heart rate (HR) and blood pressure (BP) seem not well understood within the frame of sex-specific developments under therapy. Parameters of heart rate variability (RMSSD) and electrodermal activity (meanEDA) may assist the understanding of underlying autonomic developments. This pilot study aims to describe sex-specific cardiovascular and autonomic responses to a multimodal inpatient rehabilitation program in patients with PD.

methodsForty-one PD patients (24 male, 17 female) participated in a stationary, multimodal therapy intervention (MTI). Before and after MTI, HR, BP, RMSSD, and meanEDA were assessed in supine baseline (5 min of rest before orthostasis) and during supine adaption to rest (5 min of rest after orthostasis). Differences between baseline and adaption to rest as well as differences over time of MTI were calculated using Wilcoxon test; sex differences using Mann-Whitney-U test.

resultsBefore MTI, women's supine HR (p = .034*; d = .17) and BP (p = .015*, d = 0.4) were significantly higher during adaption to rest than during baseline. After MTI, women's supine HR (p = .020*; d = .84) and BP (p = .022*, d = 0.5) during adaption to rest had decreased significantly. Men's HR and BP remained constant and without differences between the supine conditions. RMSSD and meanEDA remained steady in both sexes.

conclusionThe sex-specific responsiveness to MTI supports the concept of sex-sensitive therapeutic management for cardiovascular symptoms in PD. In both sexes, peripheral cardiovascular outcomes appeared not attributable to corresponding outcomes in autonomic regulation. Further examination of autonomic parameters could provide a foundation for developing therapeutic approaches that address central nervous system mechanisms. The study was officially registered (08/2020). The data supporting the findings of this study are available under http://apps.who.int/trialsearch/ under trial number DRKS00022773.

Indexed as

Autonomic Nervous SystemBlood PressureHeart RateParkinson DiseaseSex CharacteristicsAgedCombined Modality TherapyFemaleGalvanic Skin ResponseHumansMaleMiddle AgedPilot ProjectsCardiovascular dysregulationDysautonomiaExerciseParkinson’s diseaseSex differences

Identifiers

PMID40571949
PMCPMC12199527

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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.