Background
Methods
Subjects
PD (n = 60) | Male PD (n = 30) | Female PD (n = 30) | |
---|---|---|---|
Age(yr) | 59.05 ± 9.55 | 58.67 ± 10.23 | 59.43 ± 8.98 |
Age of onset(yr) | 54.97 ± 10.42 | 54.4 ± 11.38 | 55.53 ± 9.53 |
Handedness(L/R)(n) | 0/60 | 0/30 | 0/30 |
Educational level(yr) | 12.86 ± 2.97 | 13.1 ± 2.94 | 12.61 ± 3.03 |
Duration of illness(yr) | 4.22 ± 5.33 | 4.37 ± 4.85 | 4.07 ± 5.85 |
Hoehn and Yahr stage | 1.73 ± 0.8 | 1.92 ± 0.81 | 1.54 ± 0.76 |
UPDRS—Part III (“off” medication) | 24.81 ± 12.04 | 24.42 ± 13.32 | 25.19 ± 10.92 |
Medication(n) | 31/60 | 15/30 | 16/30 |
MAOI-B | 4 | 1 | 3 |
Dopamine agonist | 7 | 2 | 5 |
Levodopa | 9 | 5 | 4 |
Levodopa and dopamine agonist | 12 | 7 | 5 |
Levodopa and MAOI-B | 2 | 1 | 1 |
Dopamine agonist and MAOI-B | 1 | 1 | 0 |
Medication(equivalent) | 472.74 ± 293.16 | 483.73 ± 293.69 | 460.28 ± 302.34 |
BDI | 12.44 ± 9.06 | 12.48 ± 10.88 | 12.39 ± 7.08 |
MMSE | 28.98 ± 1.07 | 28.97 ± 0.81 | 29 ± 1.29 |
Procedure
Cognitive domains | Tests | Descriptions |
---|---|---|
Verbal memory | AVLT [45] | A list of 12 items is presented three times, each followed by free recall testing. After an interference test lasting 5 min, free recall of the list for the fourth time (short delayed free recall). After another 20 min, free and cued recall for the fifth time (long delayed free and cued recall), and choose the right items from a total of 24 (recognition). (Max score of recognition = 24, the rest = 12) |
Spatial processing ability | Rey-copy [46] | Copy one complex line-drawing figure without reminding later recall. (Max score = 36) |
CDT [47] | Draw a clock and mark the time 1:50. (Max score = 30) | |
Non-verbal memory | Rey-delayed recall [46] | 20–25 min after copying, recall the complex line-drawing figure. Identify the color of print in which a color name is written rather than the reading of the name itself. (Max score = 110) |
Language | BNT [48] | Name 30 line drawings of common objects shown sequentially, each within 20s. (Max score = 30) |
VFT(animals, cities, alternatives) [48] | Name as many animals as possible within 1 min; same for cities and animal-city alternatives. | |
Attention/executive function | SDMT | Numbers ranging from 1 to 9, with each digit matched to a different geometrical symbol. Write down the digit according to the symbol as quickly as possible. |
TMT [49] | Scan and connect either all numbers (Trail A), or alternating numbers and letters (Trail B), distributed in a spatial array. | |
Stroop [50] | Identify the color of print in which a color name is written rather than the reading of the name itself. (Max score = 110) |
Data analysis
Results
Demographic and clinical characteristics of participants
Cognitive performance
PD(n = 60) | Control(n = 100) | Significance | |
---|---|---|---|
Age | 59.05 ± 9.55 | 58.2 ± 7.57 | p = 0.412 |
Education | 12.86 ± 2.97 | 12.63 ± 3.24 | p = 0.665 |
MMSE | 28.98 ± 1.07 | 29.03 ± 0.69 | p = 0.71 |
Verbal memory | |||
AVLT-short delayed free recall | 4.91 ± 1.93 | 5.29 ± 2.5 | p = 0.234 |
AVLT-long delayed free recall | 4.47 ± 1.66 | 4.72 ± 2.72 | p = 0.20 |
AVLT-long delayed cued recall | 4.57 ± 2.06 | 4.69 ± 2.57 | p = 0.819 |
AVLT-sum 1 to 5 | 15.53 ± 5.12 | 26.17 ± 8.15 | p = 0.000 |
AVLT-recognition | 20.02 ± 3.47 | 20.35 ± 2.89 | p = 0.53 |
Non-verbal memory | |||
Rey-delayed recall | 15.6 ± 7.58 | 15.16 ± 6.5 | p = 0.74 |
Visuospatial function | |||
Rey-copy (time) | 178.42 ± 61.11 | 165.57 ± 68.41 | p = 0.24 |
Rey-copy (score) | 32.98 ± 3.88 | 34.16 ± 1.74 | p = .944 |
CDT | 22.72 ± 6.05 | 25.81 ± 6.3 | p = 0.004* |
Language | |||
VFT (animals) | 16.1 ± 3.6 | 19.43 ± 19.22 | p = 0.19 |
VFT (cities) | 13.76 ± 5.35 | 17.39 ± 5.82 | p = 0.00* |
VFT (alternative) | 14.46 ± 5.2 | 17.11 ± 5.02 | p = 0.003* |
BNT | 23.03 ± 3.66 | 23.63 ± 3.81 | p = 0.34 |
Attention/executive function | |||
SDMT | 31.88 ± 11.91 | 43.61 ± 11.6 | p = 0.00* |
Stroop (time) | 77.95 ± 26.27 | 75.98 ± 24.22 | p = 0.63 |
Stroop (score) | 46.66 ± 4.61 | 46.58 ± 7.86 | p = 0.94 |
TMT-A | 71.37 ± 33.5 | 55.77 ± 24.8 | p = 0.00* |
TMT-B | 164.61 ± 59.16 | 150.55 ± 74.35 | p = 0.23 |
Treated PD (n = 31) | Untreated PD (n = 29) | Controls (n = 100) | P-valuea | P-valueb | P-valuec | |
---|---|---|---|---|---|---|
Age | 57.03 ± 10.19 | 61.21 ± 8.46 | 58.2 ± 7.57 | 0.591 | 0.061 | 0.111 |
Gender(male) | 15/31 | 15/29 | 38/100 | 0.402 | 0.204 | 1.000 |
Disease duration | 6.16 ± 6.36 | 2.13 ± 2.79 | 0.000* | |||
Education | 12.70 ± 3.12 | 13.04 ± 2.85 | 12.63 ± 3.24 | 0.765 | 0.512 | 0.774 |
MMSE | 29.13 ± 1.12 | 28.83 ± 1.00 | 29.03 ± 0.69 | 0.137 | 0.350 | 0.135 |
Verbal memory | ||||||
AVLT-short delayed free recall | 5.04 ± 1.99 | 4.79 ± 1.90 | 5.29 ± 2.5 | 0.439 | 0.264 | 0.734 |
AVLT-long delayed free recall | 4.55 ± 1.84 | 4.38 ± 1.47 | 4.72 ± 2.72 | 0.699 | 0.502 | 0.994 |
AVLT-sum 1 to 5 | 15.10 ± 5.83 | 15.96 ± 4.33 | 26.17 ± 8.15 | 0.000* | 0.000* | 0.378 |
AVLT-recognition | 20.27 ± 3.95 | 19.78 ± 3.00 | 20.35 ± 2.89 | 0.585 | 0.355 | 0.788 |
Non-verbal memory | ||||||
Rey-delayed recall | 13.86 ± 6.15 | 17.63 ± 8.67 | 15.16 ± 6.5 | 0.347 | 0.206 | 0.102 |
Visuospatial function | ||||||
Rey-copy (time) | 175.21 ± 58.78 | 181.75 ± 64.34 | 165.57 ± 68.41 | 0.268 | 0.162 | 0.854 |
Rey-copy (score) | 31.62 ± 4.82 | 34.44 ± 1.58 | 34.16 ± 1.74 | 0.006* | 0.503 | 0.016* |
CDT | 20.41 ± 7.15 | 25.04 ± 3.52 | 25.81 ± 6.3 | 0.000* | 0.252 | 0.004* |
Language | ||||||
VFT (animals) | 16.17 ± 3.23 | 16.03 ± 4.01 | 19.43 ± 19.22 | 0.358 | 0.193 | 0.632 |
VFT (cities) | 15.10 ± 5.42 | 12.38 ± 5.00 | 17.39 ± 5.82 | 0.021* | 0.000* | 0.012* |
VFT (alternative) | 14.33 ± 4.01 | 14.59 ± 6.27 | 17.11 ± 5.02 | 0.009* | 0.003* | 0.715 |
BNT | 23.10 ± 3.41 | 22.96 ± 3.98 | 23.63 ± 3.81 | 0.337 | 0.323 | 1.000 |
Attention/executive function | ||||||
SDMT | 31.14 ± 13.92 | 32.62 ± 9.70 | 43.61 ± 11.6 | 0.000* | 0.000* | 0.602 |
Stroop (time) | 76.17 ± 29.36 | 79.72 ± 23.15 | 75.98 ± 24.22 | 0.699 | 0.339 | 0.323 |
Stroop (score) | 46.79 ± 4.56 | 46.52 ± 4.73 | 46.58 ± 7.86 | 0.027* | 0.088 | 0.827 |
TMT-A | 75.21 ± 44.69 | 67.66 ± 18.71 | 55.77 ± 24.8 | 0.004* | 0.001* | 0.873 |
TMT-B | 163.96 ± 66.04 | 165.21 ± 53.15 | 150.55 ± 74.35 | 0.278 | 0.063 | 0.762 |
Male PD (n = 30) | Male Control (n = 38) | Female PD (n = 30) | Female Control (n = 62) | P-valuea | P-valueb | P-valuec | P-valued | |
---|---|---|---|---|---|---|---|---|
MMSE | 28.97 ± 0.81 | 28.97 ± 0.79 | 29 ± 1.29 | 29.06 ± 0.62 | p = 0.97 | p = 0.97 | p = 0.705 | p = 0.54 |
Verbal memory | ||||||||
AVLT-short delayed free recall | 4.55 ± 1.68 | 4.74 ± 2.48 | 5.29 ± 2.12 | 5.63 ± 2.46 | p = 0.92 | p = 0.53 | p = 0.153 | p = 0.083 |
AVLT-long delayed free recall | 4.14 ± 1.51 | 4.29 ± 2.56 | 4.79 ± 1.76 | 4.98 ± 2.8 | p = 0.99 | p = 0.99 | p = 0.133 | p = 0.216 |
AVLT-long delayed cued recall | 3.96 ± 1.56 | 4.11 ± 2.33 | 5.13 ± 2.32 | 5.07 ± 2.66 | p = 0.99 | p = 0.91 | p = 0.031* | p = 0.075 |
AVLT-sum 1 to 5 | 15.07 ± 4.32 | 24.37 ± 8.67 | 15.97 ± 5.84 | 27.27 ± 7.67 | p = 0.000* | p = 0.000* | p = 0.506 | p = 0.083 |
AVLT-recognition | 20.52 ± 4.01 | 19.68 ± 2.04 | 19.5 ± 2.79 | 20.77 ± 3.26 | p = 0.287 | p = 0.09 | p = 0.29 | p = 0.069 |
Non-verbal memory | ||||||||
Rey-delayed recall | 17.16 ± 7.14 | 15.13 ± 7.08 | 14.15 ± 7.82 | 15.17 ± 6.18 | p = 0.27 | p = 0.51 | p = 0.154 | p = 0.978 |
Visuospatial function | ||||||||
Rey-copy (time) | 178.07 ± 67.9 | 159.35 ± 66.09 | 178.73 ± 55.47 | 169.4 ± 70.08 | p = 0.27 | p = 0.53 | p = 0.968 | p = 0.485 |
Rey-copy(score) | 33.08 ± 4.13 | 34.11 ± 1.75 | 32.9 ± 3.72 | 34.19 ± 1.74 | p = 0.49 | p = 0.49 | p = 0.867 | p = 0.807 |
CDT | 23 ± 4.29 | 25.82 ± 9.05 | 22.5 ± 7.22 | 25.8 ± 3.83 | p = 0.16 | p = 0.019* | p = 0.766 | p = 0.989 |
Language | ||||||||
VFT (animals) | 16.45 ± 3.39 | 18.03 ± 5.42 | 15.77 ± 3.83 | 20.6 ± 25.66 | p = 0.48 | p = 0.31 | p = 0.472 | p = 0.556 |
VFT (cities) | 13.9 ± 4.75 | 19.26 ± 5.77 | 13.63 ± 5.96 | 15.8 ± 5.43 | p = 0.000* | p = 0.12 | p = 0.852 | p = 0.01* |
VFT (alternatives) | 14 ± 4.34 | 18.34 ± 5.41 | 14.9 ± 5.95 | 16.05 ± 4.46 | p = 0.001* | p = 0.36 | p = 0.511 | p = 0.046* |
BNT | 24.45 ± 2.93 | 24 ± 4.65 | 21.62 ± 3.81 | 23.4 ± 3.21 | p = 0.65 | p = 0.02* | p = 0.003* | p = 0.45 |
Attention/executive function | ||||||||
SDMT | 31.97 ± 12.25 | 43.33 ± 12.24 | 31.79 ± 11.78 | 43.84 ± 11.17 | p = 0.000* | p = 0.000* | p = 0.957 | p = 0.849 |
Stroop (time) | 83.43 ± 31.6 | 76.68 ± 18.87 | 72.83 ± 19.24 | 75.56 ± 27.05 | p = 0.29 | p = 0.62 | p = 0.126 | p = 0.827 |
Stroop (score) | 46.04 ± 5.32 | 47.35 ± 12.15 | 47.23 ± 3.83 | 46.11 ± 3.42 | p = 0.60 | p = 0.16 | p = 0.327 | p = 0.451 |
TMT-A | 64.1 ± 21.64 | 54.11 ± 22.81 | 78.89 ± 42.3 | 56.8 ± 26.09 | p = 0.074 | p = 0.003* | p = 0.101 | p = 0.601 |
TMT-B | 164.79 ± 69 | 152.84 ± 55.07 | 164.41 ± 47.71 | 149.11 ± 84.58 | p = 0.43 | p = 0.38 | p = 0.646 | p = 0.81 |
Adjusted R2 |
P
| Standardized β(gender) | P (gender) | |
---|---|---|---|---|
MMSE | −0.027 | 0.587 | −0.033 | 0.830 |
Verbal memory | ||||
AVLT-short delayed free recall | 0.005 | 0.403 | 0.099 | 0.511 |
AVLT-long delayed free recall | 0.118 | 0.070 | 0.129 | 0.361 |
AVLT-long delayed cued recall | 0.127 | 0.065 | 0.331 | 0.025* |
AVLT-sum 1 to 5 | 0.044 | 0.235 | 0.037 | 0.799 |
AVLT-recognition | 0.007 | 0.399 | −0.074 | 0.634 |
Non-verbal memory | ||||
Rey-delayed recall | 0.143 | 0.059 | −0.215 | 0.148 |
Visuospatial function | ||||
Rey-copy (time) | 0.194 | 0.017 | −0.123 | 0.365 |
Rey-copy(score) | −0.084 | 0.900 | −0.091 | 0.567 |
CDT | 0.175 | 0.058 | 0.155 | 0.341 |
Language | ||||
VFT (animals) | −0.042 | 0.680 | −0.133 | 0.386 |
VFT (cities) | 0.040 | 0.250 | −0.101 | 0.490 |
VFT (alternatives) | −0.108 | 0.992 | 0.029 | 0.856 |
BNT | 0.175 | 0.025 | −0.386 | 0.007* |
Attention/executive function | ||||
SDMT | 0.053 | 0.212 | −0.011 | 0.938 |
Stroop (time) | 0.091 | 0.113 | −0.203 | 0.159 |
Stroop (score) | 0.079 | 0.136 | 0.070 | 0.625 |
TMT-A | 0.337 | 0.001 | 0.173 | 0.163 |
TMT-B | 0.192 | 0.019 | 0.057 | 0.675 |