001     163984
005     20240717143409.0
024 7 _ |a 10.3233/JPD-212787
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024 7 _ |a 1877-7171
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037 _ _ |a DZNE-2022-00653
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Michels, Jennifer
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245 _ _ |a Long-Term Cognitive Decline Related to the Motor Phenotype in Parkinson's Disease.
260 _ _ |a Amsterdam
|c 2022
|b IOS Press
336 7 _ |a article
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520 _ _ |a Parkinson's disease (PD) is associated with various non-motor symptoms, including cognitive deterioration.Here, we used data from the DEMPARK/LANDSCAPE cohort to describe the association between progression of cognitive profiles and the PD motor phenotypes: postural instability and gait disorder (PIGD), tremor-dominant (TR-D), and not-determined (ND).Demographic, clinical, and neuropsychological six-year longitudinal data of 711 PD-patients were included (age: M = 67.57; 67.4% males). We computed z-transformed composite scores for a priori defined cognitive domains. Analyses were controlled for age, gender, education, and disease duration. To minimize missing data and drop-outs, three-year follow-up data of 442 PD-patients was assessed with regard to the specific role of motor phenotype on cognitive decline using linear mixed modelling (age: M = 66.10; 68.6% males).Our study showed that in the course of the disease motor symptoms increased while MMSE and PANDA remained stable in all subgroups. After three-year follow-up, significant decline of overall cognitive performance for PIGD-patients were present and we found differences for motor phenotypes in attention (β= -0.08, SE = 0.003, p < 0.006) and memory functions showing that PIGD-patients deteriorate per months by -0.006 compared to the ND-group (SE = 0.003, p = 0.046). Furthermore, PIGD-patients experienced more often difficulties in daily living.Over a period of three years, we identified distinct neuropsychological progression patterns with respect to different PD motor phenotypes, with early executive deficits yielding to a more amnestic profile in the later course. Here, in particular PIGD-patients worsened over time compared to TR-D and ND-patients, highlighting the greater risk of dementia for this motor phenotype.
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650 _ 7 |a Cognitive decline
|2 Other
650 _ 7 |a Parkinson’s disease
|2 Other
650 _ 7 |a dementia
|2 Other
650 _ 7 |a longitudinal
|2 Other
650 _ 7 |a mild cognitive impairment
|2 Other
650 _ 7 |a postural instability and gait disorder
|2 Other
650 _ 7 |a progression
|2 Other
650 _ 7 |a tremor-dominant
|2 Other
650 _ 2 |a Cognitive Dysfunction: complications
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Gait Disorders, Neurologic: diagnosis
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Neuropsychological Tests
|2 MeSH
650 _ 2 |a Parkinson Disease: diagnosis
|2 MeSH
650 _ 2 |a Phenotype
|2 MeSH
650 _ 2 |a Postural Balance
|2 MeSH
650 _ 2 |a Tremor: diagnosis
|2 MeSH
700 1 _ |a van der Wurp, Hendrik
|b 1
700 1 _ |a Kalbe, Elke
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700 1 _ |a Rehberg, Sarah
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700 1 _ |a Storch, Alexander
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700 1 _ |a Linse, Katharina
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700 1 _ |a Schneider, Christine
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700 1 _ |a Gräber, Susanne
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700 1 _ |a Berg, Daniela
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700 1 _ |a Dams, Judith
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700 1 _ |a Balzer-Geldsetzer, Monika
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700 1 _ |a Hilker-Roggendorf, Rüdiger
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700 1 _ |a Oberschmidt, Carola
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700 1 _ |a Baudrexel, Simon
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700 1 _ |a Witt, Karsten
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700 1 _ |a Schmidt, Nele
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700 1 _ |a Deuschl, Günther
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700 1 _ |a Mollenhauer, Brit
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700 1 _ |a Trenkwalder, Claudia
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700 1 _ |a Liepelt-Scarfone, Inga
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700 1 _ |a Spottke, Annika
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700 1 _ |a Roeske, Sandra
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700 1 _ |a Wüllner, Ullrich
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700 1 _ |a Wittchen, Hans-Ulrich
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700 1 _ |a Riedel, Oliver
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700 1 _ |a Kassubek, Jan
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700 1 _ |a Dodel, Richard
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700 1 _ |a Schulz, Jörg Bernhard
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700 1 _ |a Costa, Ana Sofia
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700 1 _ |a Reetz, Kathrin
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773 _ _ |a 10.3233/JPD-212787
|g Vol. 12, no. 3, p. 905 - 916
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|t Journal of Parkinson's Disease
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