Fatigue symptoms in Parkinson’s disease (PD) are associated with small but persistent reductions in diastolic blood pressure (DBP) throughout the day, report scientists in the Journal of Parkinson’s Disease.
Fatigue is a disabling non-motor symptom that affects about half of all individuals with PD.
“The majority of people with PD consider fatigue, defined as diminished energy levels or increased perception of effort that is disproportionate to attempted activities, to be one of their three biggest symptomatic concerns. But despite its high prevalence and disabling nature, we know relatively little about its underlying causes,” Vikas Kotagal, MD, MS, the study’s lead investigator, explains in a media release from IOS Press.
“Understanding the biological basis for fatigue in PD is a key step towards designing effective treatments. This is an important goal for the field of PD clinical research,” adds Kotogal, from the Department of Neurology, University of Michigan and Veterans Affairs Ann Arbor Health System (VAAAHS) and GRECC.
Investigators conducted a cross-sectional study research assessment of 35 people with PD recruited from the Ann Arbor Veterans Affairs Health System, all of whom wore a 24-hour blood pressure monitor to track their blood pressure hourly while they were at home. Researchers asked participants about the presence of fatigue symptoms and grouped them into two categories: those with fatigue and those without.
The data demonstrate study participants with fatigue symptoms had lower mean DBP compared to those without fatigue. The differences were most notable in the morning, the release explains.
“This is a novel finding that we hope may open the door for new, currently untapped ways to treat fatigue symptoms in PD,” Kotagal comments. “We hope these results will help move us towards better treatments for PD fatigue.
“If we can design and test treatments that increase DBP without worsening the harmful cardiovascular effects of high systolic blood pressure (SBP), we may be able improve fatigue symptoms in PD. Our data may also have implications on the off-target side effects of some classes of antihypertensive medications when used by patients with PD and fatigue.”
[Source(s): IOS Press, Science Daily]