Risk of Obstructive Sleep Apnea in Parkinson’s Disease: A Meta-Analysis
Open accessAbstract
STUDY OBJECTIVES: Sleep disorders are a common symptom of Parkinson's disease (PD) and they significantly impair the sleep quality of the PD patients. However, there is no conclusive evidence to support the relation between PD and the prevalence of obstructive sleep apnea (OSA). The purpose of this meta-analysis review is to evaluate the association between PD and the prevalence of OSA. METHODS: A comprehensive literature search was conducted on PubMed and Embase through July 2013. Only studies that referred to PD and the prevalence of OSA and that met the selection criteria were included in the analysis. The odds ratios (ORs) were used to evaluate the relationship of PD and the prevalence of OSA by the fixed-effect model. RESULTS: Five eligible studies were analyzed in this study including 322 cases and 6,361 controls. The pooled-analysis showed the OR to be 0.60 (95% confidence interval (CI): 0.44 to 0.81, P = 0.001) and I(2) = 0.0% (χ(2) = 3.90, P = 0.420) in the fixed-effect model. CONCLUSIONS: Although we only included five small sample studies that indicated high homogeneity in the heterogeneity test, the results suggest that there is a significant negative association between PD and the prevalence of OSA; PD patients generally have a reduced prevalence of OSA. According to our analysis, these results are primarily due to the lower BMI of PD patients when compared with the general population controls.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Not all studies have shown increased prevalence of obstructive sleep apnoea among Parkinson's disease patients.
“Although obstructive sleep apnoea, where breathing stops intermittently during sleep, is well known in PD (Monderer and Thorpy 2008), not all studies have shown increased prevalence among patients (Zeng et al. 2013).”
From The clinical symptoms of Parkinson's disease. (2016) · cites this paper as Zeng et al. 2013
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 43 · Cited by 60
Research works printed but not linked: 37
- [1]DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7: 177- 188. doi: 10.1016/0197-2456(86)90046-2. PubMed: 3802833. 3802833 · DOI · Paper page
- [2]Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315: 629- 634. doi: 10.1136/bmj.315.7109.629. PubMed: 9310563. 9310563 PMC2127453 · DOI · Paper page
- [3]Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22: 719- 748. PubMed: 13655060. 13655060
- [4]Diederich NJ, Vaillant M, Leischen M, Mancuso G, Golinval S et al. (2005) Sleep apnea syndrome in Parkinson's disease. A case-control study in 49 patients. Mov Disord 20: 1413- 1418. doi: 10.1002/mds.20624. PubMed: 16007620. 16007620 · DOI
- [5]Boeve BF, Molano JR, Ferman TJ, Smith GE, Lin SC et al. (2011) Validation of the Mayo Sleep Questionnaire to screen for REM sleep behavior disorder in an aging and dementia cohort. Sleep Med 12: 445- 453. doi: 10.1016/j.sleep.2010.12.009. PubMed: 21349763. 21349763 PMC3083495 · DOI
- [7]Epstein LJ, Kristo D, Strollo PJ Jr., Friedman N, Malhotra A et al. (2009) Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 5: 263- 276. PubMed: 19960649. 19960649 PMC2699173
- [8]Gaig C, Iranzo A (2012) Sleep-Disordered Breathing in Neurodegenerative Diseases. Curr Neurol Neurosci Rep 12: 205- 217. doi: 10.1007/s11910-011-0248-1. PubMed: 22249490. 22249490 · DOI
- [9]Guttman M, Slaughter PM, Theriault M-E, DeBoer DP, Naylor CD (2003) Burden of parkinsonism: A population-based study. Movement Disorders 18: 313- 319. doi: 10.1002/mds.10333. PubMed: 12621635. 12621635 · DOI
- [10]Iranzo de Riquer A, Bergareche A, Campos V (2011) Sleep disorders in Parkinson disease. Neurologist 17: S38- S42. doi: 10.1097/NRL.0b013e31823966f8. PubMed: 22045324. 22045324 · DOI
- [11]Strickland D, Bertoni JM (2004) Parkinson's prevalence estimated by a state registry. Mov Disord 19: 318- 323. doi: 10.1002/mds.10619. PubMed: 15022187. 15022187 · DOI
- [12]Pal PK, Thennarasu K, Fleming J, Schulzer M, Brown T et al. (2004) Nocturnal sleep disturbances and daytime dysfunction in patients with Parkinson's disease and in their caregivers. Parkinsonism Relat Disord 10: 157- 168. doi: 10.1016/j.parkreldis.2003.11.002. PubMed: 15036171. 15036171 · DOI
- [13]Lees AJ, Blackburn NA, Campbell VL (1988) The nighttime problems of Parkinson's disease. Clin Neuropharmacol 11: 512- 519. doi: 10.1097/00002826-198812000-00004. PubMed: 3233589. 3233589 · DOI · Paper page
- [16]Braga-Neto P, da Silva-Júnior FP, Sueli Monte F, de Bruin PF, de Bruin VM (2004) Snoring and excessive daytime sleepiness in Parkinson's disease. J Neurol Sci 217: 41- 45. doi: 10.1016/j.jns.2003.08.010. PubMed: 14675608. 14675608 · DOI
- [17]Mittlböck M, Heinzl H (2006) A simulation study comparing properties of heterogeneity measures in meta-analyses. Stat Med 25: 4321- 4333. doi: 10.1002/sim.2692. PubMed: 16991104. 16991104 · DOI
- [18]Smith CA (1952) A simplified heterogeneity test. Ann Eugen 17: 35- 36. PubMed: 12976940. 12976940
- [19]Chaudhuri KR (2003) Nocturnal symptom complex in PD and its management. Neurology 61: S17- S23. doi: 10.1212/WNL.61.8.17A. PubMed: 14504376. 14504376 · DOI
- [21]Shpirer I, Miniovitz A, Klein C, Goldstein R, Prokhorov T et al. (2006) Excessive daytime sleepiness in patients with Parkinson's disease: A polysomnography study. Mov Disord 21: 1432- 1438. doi: 10.1002/mds.21002. PubMed: 16773617. 16773617 · DOI
- [22]Cochen De Cock V, Abouda M, Leu S, Oudiette D, Roze E et al. (2010) Is obstructive sleep apnea a problem in Parkinson's disease? Sleep Med 11: 247- 252. doi: 10.1016/j.sleep.2009.05.008. PubMed: 19628429. 19628429 · DOI
- [23]Valko PO, Hauser S, Werth E, Waldvogel D, Baumann CR (2012) Heart rate variability in patients with idiopathic Parkinson's disease with and without obstructive sleep apnea syndrome. Parkinsonism Relat Disord 18: 525- 531. doi: 10.1016/j.parkreldis.2012.01.023. PubMed: 22366275. 22366275 · DOI
- [24]Trotti LM, Bliwise DL (2010) No increased risk of obstructive sleep apnea in Parkinson's disease. Mov Disord 25: 2246- 2249. doi: 10.1002/mds.23231. PubMed: 20669289. 20669289 PMC3727899 · DOI
- [26]Herer B, Arnulf I, Housset B (2001) Effects of levodopa on pulmonary function in Parkinson's disease. Chest 119: 387- 393. doi: 10.1378/chest.119.2.387. PubMed: 11171713. 11171713 · DOI
- [27]Hovestadt A, Bogaard JM, Meerwaldt JD, van der Meché FG, Stigt J (1989) Pulmonary function in Parkinson's disease. J Neurol Neurosurg Psychiatry 52: 329- 333. doi: 10.1136/jnnp.52.3.329. PubMed: 2926415. 2926415 PMC1032405 · DOI
- [28]Chotinaiwattarakul W, Dayalu P, Chervin RD, Albin RL (2011) Risk of sleep-disordered breathing in Parkinson's disease. Sleep Breath 15: 471- 478. doi: 10.1007/s11325-010-0362-3. PubMed: 20473719. 20473719 PMC2978748 · DOI
- [29]Arnulf I, Konofal E, Merino-Andreu M, Houeto JL, Mesnage V et al. (2002) Parkinson's disease and sleepiness: an integral part of PD. Neurology 58: 1019- 1024. doi: 10.1212/WNL.58.7.1019. PubMed: 11940685. 11940685 · DOI
- [30]Baumann C, Ferini-Strambi L, Waldvogel D, Werth E, Bassetti CL (2005) Parkinsonism with excessive daytime sleepiness--a narcolepsy-like disorder? J Neurol 252: 139- 145. doi: 10.1007/s00415-005-0614-5. PubMed: 15729517. 15729517 · DOI
- [31]Norlinah MI, Afidah KN, Noradina AT, Shamsul AS, Hamidon BB et al. (2009) Sleep disturbances in Malaysian patients with Parkinson's disease using polysomnography and PDSS. Parkinsonism Relat Disord 15: 670- 674. doi: 10.1016/j.parkreldis.2009.02.012. PubMed: 19362875. 19362875 · DOI
- [32]Monaca C, Duhamel A, Jacquesson JM, Ozsancak C, Destée A et al. (2006) Vigilance troubles in Parkinson's disease: a subjective and objective polysomnographic study. Sleep Med 7: 448- 453. doi: 10.1016/j.sleep.2005.12.002. PubMed: 16740409. 16740409 · DOI
- [33]Lurie A (2011) Obstructive sleep apnea in adults: epidemiology, clinical presentation, and treatment options. Adv Cardiol 46: 1- 42. PubMed: 22005188. 22005188
- [34]Young T, Peppard PE, Taheri S (2005) Excess weight and sleep-disordered breathing. J Appl Physiol (1985) 99: 1592- 1599. doi: 10.1152/japplphysiol.00587.2005. PubMed: 16160020. 16160020 · DOI · Paper page
- [36]Morales-Briceño H, Cervantes-Arriaga A, Rodríguez-Violante M, Calleja-Castillo J, Corona T (2012) Overweight is more prevalent in patients with Parkinson's disease. Arq Neuropsiquiatr 70: 843- 846. doi: 10.1590/S0004-282X2012001100004. PubMed: 23175195. 23175195 · DOI
- [37]van der Marck MA, Dicke HC, Uc EY, Kentin ZH, Borm GF et al. (2012) Body mass index in Parkinson's disease: a meta-analysis. Parkinsonism Relat Disord 18: 263- 267. doi: 10.1016/j.parkreldis.2011.10.016. PubMed: 22100523. 22100523 · DOI
- [38]Vincken WG, Darauay CM, Cosio MG (1989) Reversibility of upper airway obstruction after levodopa therapy in Parkinson's disease. Chest 96: 210- 212. doi: 10.1378/chest.96.1.210. PubMed: 2736982. 2736982 · DOI
- [39]Mu L, Sobotka S, Chen J, Su H, Sanders I, et al. (2012) Altered Pharyngeal Muscles in Parkinson Disease. Journal of Neuropathology & Experimental Neurology 71: 510- 530 1097/NEN.1090b1013e318258381b PMC3358551 22588389
- [40]Monteiro L, Souza-Machado A, Valderramas S, Melo A (2012) The effect of levodopa on pulmonary function in Parkinson's disease: a systematic review and meta-analysis. Clin Ther 34: 1049- 1055. doi: 10.1016/j.clinthera.2012.03.001. PubMed: 22465616. 22465616 · DOI
- [41]Van Den Eeden SK, Tanner CM, Bernstein AL, Fross RD, Leimpeter A et al. (2003) Incidence of Parkinson's disease: variation by age, gender, and race/ethnicity. Am J Epidemiol 157: 1015- 1022. doi: 10.1093/aje/kwg068. PubMed: 12777365. 12777365 · DOI
- [42]Mayeux R, Marder K, Cote LJ, Denaro J, Hemenegildo N et al. (1995) The frequency of idiopathic Parkinson's disease by age, ethnic group, and sex in northern Manhattan, 1988-1993. Am J Epidemiol 142: 820- 827. PubMed: 7572958. 7572958
- [43]Hofman A, Collette HJ, Bartelds AI (1989) Incidence and risk factors of Parkinson's disease in The Netherlands. Neuroepidemiology 8: 296- 299. doi: 10.1159/000110197. PubMed: 2586699. 2586699 · DOI
- Authors
- Zeng, J., Wei, M., Li, T., Chen, W., Feng, Y., Shi, R., Song, Y., Zheng, W., & Ma, W.
- Affiliations
- Southern Medical University (CN)
- Nanfang Hospital (CN)
- Corresponding author
- Ma, Wenli
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-12-09
- Volume
- 8
- Issue
- 12
- Pages
- e82091
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3857239
- OpenAlex
- W2086090341
- Cited by
- 60
- References
- 43
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 7 · 2017: 8 · 2016: 9 · 2015: 8 · 2014: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (30901721)
- Natural Science Foundation of Guangdong Province (S2012010009537)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- Parkinson's disease, obstructive sleep apnea, sleep disorders, prevalence, body mass index, sleep quality
- MeSH terms
- Humans, Parkinson Disease, Quality Assurance, Health Care, Risk Factors, Prevalence, Case-Control Studies, Sleep Apnea, Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review