Impaired Respiratory Function as an Auxiliary Marker for Disease Progression in Different Motor Subtypes of Parkinson's Disease Article Swipe
Zhen Li
,
Tao Huang
,
Ning Zhou
,
Xiao Shen
,
Yanlin Wang
,
Pengcheng Huang
,
Qingqing Shi
,
Tingyu Cao
,
Yuan Zhi
,
H F Wang
,
Xiaodong Zhu
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/mdc3.70089
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/mdc3.70089
Background The mechanisms underlying respiratory function impairments in different motor subtypes of Parkinson's disease (PD) remain poorly understood. Objectives This study aims to elucidate the differences in respiratory function between the two main PD motor subtypes, tremor‐dominant (TD) and postural instability gait difficulty (PIGD), and investigate their associations with disease severity. Methods A total of 106 PD patients (59 TD and 47 PIGD) and 42 age‐ and sex‐matched healthy controls (HCs) were enrolled. Pulmonary function tests (PFTs), respiratory muscle strength, and respiratory drive measurements were conducted. Multivariate models were employed to analyze correlations between respiratory function indices and clinical characteristics. Results Compared to HCs, PIGD patients exhibited significant reductions in forced vital capacity (FVC%) ( P = 0.018), peak expiratory flow (PEF%) ( P < 0.001), diffusing capacity for carbon monoxide adjusted for hemoglobin (DLCOc%) ( P = 0.013), and total lung capacity (TLC%) ( P = 0.045). Although differences between the two motor subtypes were not statistically significant, a more apparent declining trend was observed in PIGD patients. Regarding respiratory muscle strength, PIGD patients showed more severe impairments in maximal inspiratory pressure (PImax%) ( P < 0.001) and maximal expiratory pressure (PEmax%) ( P < 0.001). Multivariate linear regression analysis confirmed that PEF% was a significant determinant of cognitive function in TD patients (β = 0.497, P < 0.001), whereas the airway occlusion pressure at 100 milliseconds (P0.1%) influenced cognitive levels in PIGD patients (β = −0.373, P = 0.015). Conclusions Compared to TD patients, PIGD patients have more pronounced respiratory impairments. Specific respiratory indices correlate with motor severity and cognitive decline, highlighting their potential as markers for disease progression in PD motor subtypes.
Related Topics
Concepts
Medicine
Respiratory system
Internal medicine
Cardiology
Parkinson's disease
Pulmonary function testing
Vital capacity
Disease
Lung
Diffusing capacity
Lung function
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/mdc3.70089
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/mdc3.70089
- OA Status
- hybrid
- Cited By
- 1
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410124155
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410124155Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/mdc3.70089Digital Object Identifier
- Title
-
Impaired Respiratory Function as an Auxiliary Marker for Disease Progression in Different Motor Subtypes of Parkinson's DiseaseWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-05-06Full publication date if available
- Authors
-
Zhen Li, Tao Huang, Ning Zhou, Xiao Shen, Yanlin Wang, Pengcheng Huang, Qingqing Shi, Tingyu Cao, Yuan Zhi, H F Wang, Xiaodong ZhuList of authors in order
- Landing page
-
https://doi.org/10.1002/mdc3.70089Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/mdc3.70089Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/mdc3.70089Direct OA link when available
- Concepts
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Medicine, Respiratory system, Internal medicine, Cardiology, Parkinson's disease, Pulmonary function testing, Vital capacity, Disease, Lung, Diffusing capacity, Lung functionTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.poorly | 17 |
| abstract_inverted_index.remain | 16 |
| abstract_inverted_index.severe | 178 |
| abstract_inverted_index.showed | 176 |
| abstract_inverted_index.(P0.1%) | 229 |
| abstract_inverted_index.(PFTs), | 77 |
| abstract_inverted_index.(PIGD), | 44 |
| abstract_inverted_index.0.001), | 126, 220 |
| abstract_inverted_index.0.001). | 197 |
| abstract_inverted_index.0.013), | 139 |
| abstract_inverted_index.0.015). | 241 |
| abstract_inverted_index.0.018), | 118 |
| abstract_inverted_index.0.045). | 148 |
| abstract_inverted_index.Methods | 52 |
| abstract_inverted_index.Results | 101 |
| abstract_inverted_index.analyze | 92 |
| abstract_inverted_index.between | 30, 94, 151 |
| abstract_inverted_index.disease | 14, 50, 270 |
| abstract_inverted_index.healthy | 69 |
| abstract_inverted_index.indices | 97, 256 |
| abstract_inverted_index.markers | 268 |
| abstract_inverted_index.maximal | 181, 190 |
| abstract_inverted_index.whereas | 221 |
| abstract_inverted_index.(DLCOc%) | 135 |
| abstract_inverted_index.(PEmax%) | 193 |
| abstract_inverted_index.(PImax%) | 184 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Although | 149 |
| abstract_inverted_index.Compared | 102, 243 |
| abstract_inverted_index.Specific | 254 |
| abstract_inverted_index.adjusted | 132 |
| abstract_inverted_index.analysis | 201 |
| abstract_inverted_index.apparent | 162 |
| abstract_inverted_index.capacity | 113, 128, 143 |
| abstract_inverted_index.clinical | 99 |
| abstract_inverted_index.controls | 70 |
| abstract_inverted_index.decline, | 263 |
| abstract_inverted_index.employed | 90 |
| abstract_inverted_index.function | 6, 29, 75, 96, 211 |
| abstract_inverted_index.monoxide | 131 |
| abstract_inverted_index.observed | 166 |
| abstract_inverted_index.patients | 58, 106, 175, 214, 235, 248 |
| abstract_inverted_index.postural | 40 |
| abstract_inverted_index.pressure | 183, 192, 225 |
| abstract_inverted_index.severity | 260 |
| abstract_inverted_index.subtypes | 11, 155 |
| abstract_inverted_index.Pulmonary | 74 |
| abstract_inverted_index.Regarding | 170 |
| abstract_inverted_index.cognitive | 210, 231, 262 |
| abstract_inverted_index.confirmed | 202 |
| abstract_inverted_index.correlate | 257 |
| abstract_inverted_index.declining | 163 |
| abstract_inverted_index.different | 9 |
| abstract_inverted_index.diffusing | 127 |
| abstract_inverted_index.elucidate | 24 |
| abstract_inverted_index.enrolled. | 73 |
| abstract_inverted_index.exhibited | 107 |
| abstract_inverted_index.occlusion | 224 |
| abstract_inverted_index.patients, | 246 |
| abstract_inverted_index.patients. | 169 |
| abstract_inverted_index.potential | 266 |
| abstract_inverted_index.severity. | 51 |
| abstract_inverted_index.strength, | 80, 173 |
| abstract_inverted_index.subtypes, | 36 |
| abstract_inverted_index.subtypes. | 275 |
| abstract_inverted_index.−0.373, | 238 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Objectives | 19 |
| abstract_inverted_index.conducted. | 86 |
| abstract_inverted_index.difficulty | 43 |
| abstract_inverted_index.expiratory | 120, 191 |
| abstract_inverted_index.hemoglobin | 134 |
| abstract_inverted_index.influenced | 230 |
| abstract_inverted_index.mechanisms | 3 |
| abstract_inverted_index.pronounced | 251 |
| abstract_inverted_index.reductions | 109 |
| abstract_inverted_index.regression | 200 |
| abstract_inverted_index.underlying | 4 |
| abstract_inverted_index.Conclusions | 242 |
| abstract_inverted_index.Parkinson's | 13 |
| abstract_inverted_index.determinant | 208 |
| abstract_inverted_index.differences | 26, 150 |
| abstract_inverted_index.impairments | 7, 179 |
| abstract_inverted_index.inspiratory | 182 |
| abstract_inverted_index.instability | 41 |
| abstract_inverted_index.investigate | 46 |
| abstract_inverted_index.progression | 271 |
| abstract_inverted_index.respiratory | 5, 28, 78, 82, 95, 171, 252, 255 |
| abstract_inverted_index.significant | 108, 207 |
| abstract_inverted_index.understood. | 18 |
| abstract_inverted_index.Multivariate | 87, 198 |
| abstract_inverted_index.associations | 48 |
| abstract_inverted_index.correlations | 93 |
| abstract_inverted_index.highlighting | 264 |
| abstract_inverted_index.impairments. | 253 |
| abstract_inverted_index.measurements | 84 |
| abstract_inverted_index.milliseconds | 228 |
| abstract_inverted_index.significant, | 159 |
| abstract_inverted_index.sex‐matched | 68 |
| abstract_inverted_index.statistically | 158 |
| abstract_inverted_index.characteristics. | 100 |
| abstract_inverted_index.tremor‐dominant | 37 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| citation_normalized_percentile.value | 0.8741957 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |