Cited by 220Parkinson's Disease Mechanisms and TreatmentsNeurological disorders and treatmentsDementia and Cognitive Impairment Research

Gender differences in Parkinson’s disease: A clinical perspective

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Georgiev, D., Hamberg, K., Hariz, M., Forsgren, L., Hariz, G.-M.·2017·Acta Neurologica Scandinavica

Abstract

Available data indicate that there are gender differences in many features of Parkinson's disease (PD). Precise identification of the gender differences is important to tailor treatment, predict outcomes, and meet other individual and social needs in women and men with PD. The aim of this study was to review the available clinical data on gender differences in PD. Original articles and meta-analyses published between 1990 and 2016 systematically exploring gender differences in PD were reviewed. There is slight male preponderance in incidence and prevalence of PD. PD starts earlier in men. Women tend to be more prone to develop tremor-dominant PD but are less rigid than men. Motor improvement after deep brain stimulation is equal in both sexes, but women tend to show better improvement in activities of daily living. Furthermore, women with PD show better results on tests for general cognitive abilities, outperform men in verbal cognitive tasks, show more pain symptoms, and score higher on depression scales. It seems, however, that the differences in cognition, mood, and pain perception are not disease specific as similar gender differences can be found in healthy subjects and in other neurological conditions. Despite PD being the most frequently studied movement disorder, studies investigating gender differences in PD are still scarce with most of the studies being cross-sectional. Good-quality, prospective, longitudinal studies analyzing gender differences in PD and comparing them to matched healthy controls are needed in order to properly address the issues of gender differences in PD.

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  1. Hamberg K. Biology, gender and behaviour. A critical discussion of the biological models used for explaining cognitive and behavioural gender differences. In: Lee JW, ed. Psychology of Gender Identity. New York, NY: Noca Science Publisher, Inc; 2005:127-144.

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Authors
Georgiev, D., Hamberg, K., Hariz, M., Forsgren, L., & Hariz, G.-M.
Affiliations
  • Ljubljana University Medical Centre (SI)
  • Umeå University (SE)
  • UCL Queen Square Institute of Neurology (GB)
Corresponding author
Georgiev, D.
Venue
Acta Neurologica Scandinavica
Publisher
Wiley
Published
2017-07-02
Volume
136
Issue
6
Pages
570-584
ISSN
0001-6314 (ISSN-L)
OpenAlex
W2732909359
Cited by
220
References
98
Citations by year
2026: 16 · 2025: 35 · 2024: 40 · 2023: 24 · 2022: 28 · 2021: 15 · 2020: 32 · 2019: 21 · 2018: 9
FWCI
2.27
Type
journal article
Language
en
Open access
Locations
  • Acta Neurologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • The Strategic Research Area in Care Sciences (SFO-V)
  • Umeå Universitet
  • Semiconductor Research Corporation
  • UCL Unit of Functional Neurosurgery
  • Parkinson Appeal UK
  • Monument Trust
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Neurology › Neurological disorders and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
Parkinson's disease, gender differences, sex differences, tremor-dominant Parkinson's disease, rigidity, deep brain stimulation, activities of daily living, cognitive function, verbal cognition, pain perception, depression, incidence and prevalence, age of onset
MeSH terms
Activities of Daily Living, Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Parkinson Disease, Prospective Studies, Sex Factors

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