Abstract:
Objective To analyze the relationship between sleep disorders and serum vitamin D level in Parkinson's disease(PD)patients.
Methods A total of 85 PD patients were divided into deficiency group(vitamin D<50 nmol/L,
n=60)and normal group(vitamin D≥50 nmol/L,
n=25). Motor symptoms evaluated by Parkinson's Disease Unified Scoring Scale(UPDRS)score and Hoehn-Yahr(H-Y)staging, non-motor symptoms including sleep disorders, cognitive function, hypoosmia, constipation and rapid sleep eye movement behavior disorder[Sleep disorder was assessed using the Pittsburgh Sleep Quality Index(PSQI)]and other clinical indicators were assessed in all PD patients.
Results The proportion of vitamin D deficiency in PD patients was as high as 70.59%(60/85). For the motor symptoms indicators, UPDRS Ⅱ score and UPDRS Ⅲ score were significantly higher in the deficiency group than those in the normal group(
P<0.05), and no significant difference was found in H-Y staging(
P>0.05). In terms of the non-motor symptoms indicators, the total score of PSQI and sleep quality score in the deficiency group were higher than those in the normal group(
P<0.05). After adjustment of age, disease duration and UPDRS Ⅱ and Ⅲ scores, vitamin D level was negatively correlated with PSQI total score, sleep quality score, sleeping time score, sleep disorder score(
P<0.05 or
P<0.01).
Conclusion Vitamin D deficiency is common in PD patients, and vitamin D level is correlated with motor symptoms and sleep disorders in PD.