Universität zu Köln

Knudsen, Karoline, Fedorova, Tatyana D., Hansen, Allan K., Sommerauer, Michael, Haase, Anne-Mette, Svendsen, Kristina B., Otto, Marit, Ostergaard, Karen, Krogh, Klaus and Borghammer, Per ORCID: 0000-0001-6391-8052 (2019). Objective intestinal function in patients with idiopathic REM sleep behavior disorder. Parkinsonism Relat. Disord., 58. S. 28 - 35. OXFORD: ELSEVIER SCI LTD. ISSN 1873-5126

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Abstract

Background: Parkinson's disease is characterized by pathological alpha-synuclein accumulation and cell death, which has been hypothesized to originate in peripheral nerve terminals and subsequently spread via autonomic nerves. Supporting this, most Parkinson's disease patients experience autonomic non-motor symptoms such as constipation, often years prior to diagnosis. Objective: We aimed to study gastrointestinal transit time, colonic volume, and peristaltic movements in idiopathic REM Sleep Behavior Disorder patients, a prodromal marker of Parkinson's disease or Dementia with Lewy bodies. Methods: Twenty-two patients were included and compared to previously published data from Parkinson's disease patients and controls. Gastrointestinal transit time, computed tomography-based volume estimation, and colonic motility were performed as markers of gastrointestinal function and autonomic involvement. Subjective constipation symptoms were evaluated with two different questionnaires. Results: Gastrointestinal transit time was increased in 33% (p = 0.039) and colonic volume in 48% (p = 0.0049) of patients. Colonic transit time measured by the 3D-Transit system was increased in 70% (p = 0.0326) and the number of fast peristaltic colonic movements was reduced (p = 0.015). Mean small intestinal transit time was comparable to Parkinson's disease patients, although not significantly different compared to controls (p = 0.18). Subjective constipation symptoms were present in 18 or 419/0 , depending on type of questionnaire. Conclusions: Total gastrointestinal transit time, colonic volume, and 3D-Transit colonic transit time were significantly increased compared to controls, although not to the extent seen in medicated Parkinson's patients. Limited correlation was seen between subjective constipation and objective markers. The findings support that marked GI dysfunction is present in the early prodromal PD phase.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Knudsen, Karoline UNSPECIFIED UNSPECIFIED UNSPECIFIED Fedorova, Tatyana D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hansen, Allan K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sommerauer, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Haase, Anne-Mette UNSPECIFIED UNSPECIFIED UNSPECIFIED Svendsen, Kristina B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Otto, Marit UNSPECIFIED UNSPECIFIED UNSPECIFIED Ostergaard, Karen UNSPECIFIED UNSPECIFIED UNSPECIFIED Krogh, Klaus UNSPECIFIED UNSPECIFIED UNSPECIFIED Borghammer, Per UNSPECIFIED orcid.org/0000-0001-6391-8052 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-139475
DOI:	10.1016/j.parkreldis.2018.08.011
Journal or Publication Title:	Parkinsonism Relat. Disord.
Volume:	58
Page Range:	S. 28 - 35
Date:	2019
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1873-5126
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PARKINSONS-DISEASE; NONMOTOR SYMPTOMS; TRANSIT-TIME; CONSTIPATION; NEUROPATHOLOGY; DYSFUNCTION; PREVALENCE; PATHOLOGY Multiple languages Clinical Neurology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13947