Table 1.
Demographic and clinical data of patients with idiopathic REM sleep behaviour disorder compared to healthy controls (cross-sectional) and longitudinal assessments of patients with idiopathic REM sleep behaviour disorder baseline vs. follow-up assessments
Cross-sectional group | Longitudinal assessment iRBD | ||||||
---|---|---|---|---|---|---|---|
iRBD | HC | p value | baseline | follow-up | p value | ||
Demographics | |||||||
Subjects, n | 17 | 16 | n.s | 10 | 10 | n.s | |
Sex | 17 m, 0 f | 16 m, 0 f | n.s | 10 m, 0 f | 10 m, 0 f | n.s | |
Age, years | 66.25 ± 9.17 | 66.54 ± 11.33 | n.s | 61.54 ± 11.97 | 65.27 ± 11.08 | < 0.0001 | |
Duration of iRBD, years | 5.85 ± 3.47 | n.a | n.s | 2.31 ± 2.25 | 5.95 ± 3.08 | 0.001 | |
RBD Quest | 8.53 ± 2.76** | 0.75 ± 1.39 | < 0.0001 | 9.90 ± 3.00 | 8.70 ± 2.71* | 0.024 | |
UPDRS III | 2.29 ± 1.90** | 0.19 ± 0.54 | < 0.0001 | 0.90 ± 1.29 | 1.90 ± 2.23 | n.s | |
Sympathoneural | |||||||
NE supine, pg/ml | 249.59 ± 99.78* | 354.13 ± 116.38 | 0.017 | n.a | n.a | n.a | |
NE upright, pg/ml | 579.12 ± 235.41 | 760.63 ± 303.45 | n.s | n.a | n.a | n.a | |
Mean supine systolic BP, mm Hg | 125.45 ± 20.92 | 124.74 ± 20.28 | n.s | 117.04 ± 11.43 | 125.87 ± 21.22 | n.s | |
n = 15 | |||||||
Mean upright systolic BP, mm Hg | 123.17 ± 21.62 | 128.72 ± 29.74 | n.s | 120.31 ± 12.68 | 121.21 ± 18.62 | n.s | |
n = 15 | |||||||
Mean supine diastolic BP, mm Hg | 68.41 ± 9.84 | 69.72 ± 12.12 | n.s | 65.89 ± 7.16 | 70.10 ± 8.52 | n.s | |
n = 15 | |||||||
Mean upright diastolic BP, mm Hg | 71.82 ± 12.59 | 75.66 ± 14.61 | n.s | 73.20 ± 7.63 | 73.10 ± 12.61 | n.s | |
n = 15 | |||||||
Mean HR supine, beats/min | 60.85 ± 9.14 | 58.75 ± 8.33 | n.s | 64.32 ± 9.6 | 62.55 ± 9.94 | n.s | |
n = 14 | n = 8 | ||||||
Mean HR upright, beats/min | 68.71 ± 10.88 | 64.29 ± 6.70 | n.s | 72.98 ± 10.60 | 70.61 ± 11.71* | 0.019 | |
n = 14 | n = 8 | ||||||
Systolic BP change 3 min standing, mm Hg | − 0.96 ± 9.00 | 2.13 ± 6.31 | n.s | − 1.21 ± 4.89 | − 0.25 ± 10.15 | n.s | |
n = 15 | |||||||
Diastolic BP change 3 min standing, mm Hg | 3.32 ± 13.26 | 7.70 ± 6.83 | n.s | 6.90 ± 9.05 | 3.52 ± 16.97 | n.s | |
n = 15 | |||||||
HR change 3 min standing, beats/min | 7.48 ± 8.26 | 6.20 ± 7.15 | n.s | 10.43 ± 8.27 | 9.34 ± 7.56 | n.s | |
n = 14 | |||||||
Max systolic BP change, mm Hg | − 41.45 ± 16.88* | − 23.67 ± 16.23 | 0.005 | -24.50 ± 11.70 | − 42.27 ± 20.01* | 0.024 | |
n = 15 | |||||||
Max diastolic BP change, mm Hg | − 21.35 ± 11.48* | –10.92 ± 8.76 | 0.008 | − 12.79 ± 7.99 | − 21.60 ± 13.34* | 0.037 | |
n = 15 | |||||||
Max HR raise, beats/min | 20.32 ± 7.99 | 18.39 ± 13.16 | n.s | 20.87 ± 8.4 | 21.82 ± 9.33 | n.s | |
n = 14 | n = 8 | ||||||
Max BP change mean systolic, mm Hg | − 2.28 ± 15.98 | 3.98 ± 14.28 | n.s | 3.27 ± 14.47 | − 4.66 ± 19.53 | n.s | |
n = 15 | |||||||
Max BP change mean diastolic, mm Hg | 3.41 ± 11.04 | 5.94 ± 7.30 | n.s | 7.31 ± 7.85 | 3.0 ± 13.99 | n.s | |
n = 15 | |||||||
Cardiovagal | |||||||
RSA difference BPmax/BPmin, ms | 102.25 ± 71.29 | 124.13 ± 60.47 | n.s | 81.11 ± 80.62 | 99 ± 69.43 | n.s | |
n = 16 | n = 15 | n = 9 | |||||
Heart rate variability supine, ms | 4.02 ± 2.32 | 6.87 ± 6.89 | n.s | 4.21 ± 1.72 | 3.83 ± 2.21 | n.s | |
n = 15 | n = 8 | ||||||
Valsalva ratio (BPmax/BPmin) | 1.30 ± 0.12 | 1.44 ± 0.43 | n.s | 1.46 ± 0.27 | 1.29 ± 0.11* | 0.007 | |
n = 16 | n = 12 | n = 9 | n = 9 | ||||
Ewing 30:15 quotient | 1.36 ± 0.77 | 1.16 ± 0.11 | n.s | 1.15 ± 0.11 | 1.12 ± 0.07 | n.s | |
n = 14 | n = 9 | ||||||
Non-motor symptoms | |||||||
NMS Quest | 6.82 ± 3.73** | 2.19 ± 2.07 | < 0.0001 | 7.10 ± 4.07 | 6.60 ± 3.13 | n.s | |
OH | 12 yes, 5 no | 1 yes, 15 no | < 0.0001 | 3 yes, 7 no | 8 yes, 2 no* | 0.015 | |
BDI-II | 7.77 ± 8.87* | 1.50 ± 2.42 | 0.014 | 7.00 ± 9.24 | 5.70 ± 6.99 | n.s | |
MoCA | 27.41 ± 2.06 | 28.69 ± 1.25 | n.s | 27.44 ± 2.01 | 27.10 ± 2.28 | n.s | |
n = 9 | |||||||
Olfaction left | 9 (6–10)°** | 14 (11.5–15)° | 0.004 | 10 (7–10)° | 9 (6–10)° | n.s | |
n = 9 | |||||||
Olfaction right | 6 (5–9)°** | 13.5 (12–14.25)° | < 0.0001 | 8.5 (7.75–10.25)° | 7 (6–9.75)° | n.s | |
n = 8 |
Bold values represent the significant data
Beck Depression Inventory II (BDI-II), blood pressure (BP), female (f), healthy control (HC), heart rate (HR), idiopathic REM sleep behaviour disorder (iRBD), male (m), Montreal Cognitive Assessment (MoCA), Non-motor Symptoms Questionnaire (NMS Quest), norepinephrine (NE), not significant (n.s.), orthostatic hypotension (OH), RBD Questionnaire (RBD Quest), respiratory sinus arrhythmia (RSA), Unified Parkinson’s Disease Rating scale, part III (UPDRS III)
Significant differences between groups or baseline vs. follow-up at *p < 0.05, **p < 0.001, data presented as the mean ± SD, but as median (IQR) for olfaction