VESELÝ, Branislav, Eva KORIŤÁKOVÁ, Nicolaas I. BOHNEN, Dasa VISZLAYOVA, Silvia KIRALOVA, Peter VALKOVIC, Egon KURCA and Ivan REKTOR. The contribution of cerebrovascular risk factors, metabolic and inflammatory changes to cognitive decline in Parkinson's disease: preliminary observations. Journal of Neural Transmission. WIEN: SPRINGER WIEN, 2019, vol. 126, No 10, p. 1303-1312. ISSN 0300-9564. Available from: https://dx.doi.org/10.1007/s00702-019-02043-7.
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Basic information
Original name The contribution of cerebrovascular risk factors, metabolic and inflammatory changes to cognitive decline in Parkinson's disease: preliminary observations
Authors VESELÝ, Branislav (703 Slovakia, belonging to the institution), Eva KORIŤÁKOVÁ (203 Czech Republic, belonging to the institution), Nicolaas I. BOHNEN (840 United States of America), Dasa VISZLAYOVA (203 Czech Republic), Silvia KIRALOVA (703 Slovakia), Peter VALKOVIC (703 Slovakia), Egon KURCA (703 Slovakia) and Ivan REKTOR (203 Czech Republic, guarantor, belonging to the institution).
Edition Journal of Neural Transmission, WIEN, SPRINGER WIEN, 2019, 0300-9564.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30210 Clinical neurology
Country of publisher Austria
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.505
RIV identification code RIV/00216224:14740/19:00108604
Organization unit Central European Institute of Technology
Doi http://dx.doi.org/10.1007/s00702-019-02043-7
UT WoS 000487898500005
Keywords in English Vascular risk factors; Inflammation; Metabolic factors; Cognitive impairment; Parkinson's disease
Tags rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 7/4/2020 07:29.
Abstract
To determine whether systemic medical factors, such as vascular risk factors, metabolic and inflammatory markers contribute to cognitive decline in Parkinson's disease (PD); if confirmed to determine whether a clinically applicable risk factor model can predict the conversion from normal cognition (NC) to mild cognitive impairment (MCI). 58 patients who met the UK Brain Bank Criteria for PD underwent clinical and laboratory assessment at study entry; 47 patients were re-assessed after 2 years. Medical history, vascular risk (QRISK2), blood metabolic and inflammatory factors, brain vessel examinations, activity of daily living, and neuropsychological testing were performed. Forty patients had NC and 18 patients had MCI at baseline. Patients with MCI had higher level of interleukin 6, folic acid below normal range and higher l-dopa equivalent dose compared to cognitive normal patients at baseline. Patients with NC at baseline were classified into two groups: patients who remained cognitively normal (non-converters, n = 23) and patients who progressed to MCI (converters, n = 11). MCI converters were older at baseline and had higher QRISK2 than the non-converters. Patients with higher QRISK2, lower uric acid level and lower activity of daily living scale at baseline had a higher risk of converting from NC to MCI with a sensitivity of 72.2%, a specificity of 87%, and an overall accuracy of 82.4%. Systemic medical factors are associated with cognitive impairment in PD both cross-sectionally and longitudinally. A risk factor model predicting the decline from NC to MCI could be constructed.
Links
LQ1601, research and development projectName: CEITEC 2020 (Acronym: CEITEC2020)
Investor: Ministry of Education, Youth and Sports of the CR
NV16-33798A, research and development projectName: Modulace funkční konektivity kortikálních sítí vlivem STN DBS
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