The use of & # 39; alcohol and psychological suffering are factors & # 39; recently identified possible risk for disorders & # 39; REM sleep behavior (pRBD), according to findings from the Canadian Longitudinal Study on Aging (CLSA).
RBD is the most prodromal symptom known more b & # 39; & # 39 of their own health; sinukleinopatija neurodegenerative diseases occurring. The majority of patients (80%) confirmed b'RBD will develop Parkinson's disease (PD), dementia b'wewy bodies (DLB), and multiple system atrophy. The risk factors for RBD remain poorly defined.
"The vast majority of & # 39; people with RBD do not present to doctors & # 39; sleep (or doctor)," said Dr. Reidald B. Postuma from the University & # 39; McGill, f & # 39; Montreal, Canada, to Reuters Health by email. "Doctors should be careful about this – if someone describes a clear case of & # 39; the dream enactment, may be in the early stages of & # 39; Parkinson's disease."
The team & # 39; Dr. CLSA Postuma used data from more than 30,000 participants between 2012 and 2015 to assess correlated demographic, economic and clinics pRBD.
After removal of potential imitating false RBD, 3.2% of the total group was considered to be the pRBD, researchers t neurology, Online December 26.
Age and ethnicity were not differ by & # 39; significantly between participants with pRBD and controls, but those who have pRBD were twice as likely to be male, had lower education and were more likely to smoke, compared with controls. These risk factors have been reported in previous studies.
Factors & # 39; newly identified risks to pRBD included higher levels of & # 39; consumption & # 39; alcohol, use of & # 39; antidepressant, higher levels of & # 39; psychological distress, anxiety diagnosed by a doctor and depressive disorder, and positive screening for disorder & # 39; posttraummatiku stress (PTSD).
Players with & # 39; PRBD ranked themselves lower on the life satisfaction and social position on average and were more likely to report retirement because of & # 39; health issues, compared to controls.
"One of the most impressive things about factors & # 39; risk of disturbances in REM sleep behavior is only partly resemble those of PD," said Dr. Postuma. "If all patients will receive a PD or a related disorder, m & # 39; have the features of & # 39; their risk are the same? For example, smoking, was associated with & # 39; consistent way & # 39, lower risk & # 39; PD in the general population, has the opposite relationship in & # 39; RBD (b'RBD people smoking more). "
"This suggests that the PD is one thing, and that the disease subtypes can & # 39; have different relationships with the & # 39; risk factors," he said.
Unfortunately, Dr. Postuma said, even if diagnosed with RBD, little can & # 39; done to prevent the development of & # 39; one associated neurodegenerative diseases.
-Will Boggs MD
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