The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study
Abstract This study investigates whether incorporating olfactory dysfunction into motor subtypes of Parkinson’s disease (PD) improves associations with clinical outcomes. PD is commonly divided into motor subtypes, such as postural instability and gait disturbance (PIGD) and tremor-dominant PD (TDPD...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-025-85984-2 |
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| author | Chia-Yen Lin Hsiao-Hui Chen Ching-Heng Lin Ming-Hong Chang |
| author_facet | Chia-Yen Lin Hsiao-Hui Chen Ching-Heng Lin Ming-Hong Chang |
| author_sort | Chia-Yen Lin |
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| description | Abstract This study investigates whether incorporating olfactory dysfunction into motor subtypes of Parkinson’s disease (PD) improves associations with clinical outcomes. PD is commonly divided into motor subtypes, such as postural instability and gait disturbance (PIGD) and tremor-dominant PD (TDPD), but non-motor symptoms like olfactory dysfunction remain underexplored. We assessed 157 participants with PD using the University of Pennsylvania Smell Identification Test (UPSIT), Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (M-UPDRS), Montreal Cognitive Assessment (MoCA), 39-item Parkinson’s Disease Questionnaire Summary Index (PDQ-39 SI), and 99mTc-TRODAT-1 imaging. Motor subtypes were categorized as PIGD and TDPD, and olfactory subtypes were categorized as total anosmia (TA) and non-anosmia (NA). Significant differences were observed, with the highest disease burden occurring in PIGD TA, while the lowest occurred in TDPD NA. The total M-UPDRS scores (59.0, 47.5, 43.0, 36.0; p < 0.001) and PDQ-39 SI scores (22.4, 22.8, 9.6, and 9.0; p < 0.001) varied significantly across groups, and the highest occurred for PIGD TA, followed by PIGD NA, TDPD TA, and TDPD NA. MoCA scores indicated the best cognitive performance in TDPD NA (p = 0.002). Thus, the results show that integrating olfactory dysfunction with motor subtypes may enhance PD classification, particularly in cognitive assessment in cases of TDPD. |
| format | Article |
| id | doaj-art-3c58b54e3bac48b391c07d035e2783ce |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-3c58b54e3bac48b391c07d035e2783ce2025-01-12T12:19:54ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-025-85984-2The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot studyChia-Yen Lin0Hsiao-Hui Chen1Ching-Heng Lin2Ming-Hong Chang3Department of Neurology, Neurological Institute, Taichung Veterans General HospitalDepartment of Medical Research, Taichung Veterans General HospitalDepartment of Medical Research, Taichung Veterans General HospitalDepartment of Neurology, Neurological Institute, Taichung Veterans General HospitalAbstract This study investigates whether incorporating olfactory dysfunction into motor subtypes of Parkinson’s disease (PD) improves associations with clinical outcomes. PD is commonly divided into motor subtypes, such as postural instability and gait disturbance (PIGD) and tremor-dominant PD (TDPD), but non-motor symptoms like olfactory dysfunction remain underexplored. We assessed 157 participants with PD using the University of Pennsylvania Smell Identification Test (UPSIT), Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (M-UPDRS), Montreal Cognitive Assessment (MoCA), 39-item Parkinson’s Disease Questionnaire Summary Index (PDQ-39 SI), and 99mTc-TRODAT-1 imaging. Motor subtypes were categorized as PIGD and TDPD, and olfactory subtypes were categorized as total anosmia (TA) and non-anosmia (NA). Significant differences were observed, with the highest disease burden occurring in PIGD TA, while the lowest occurred in TDPD NA. The total M-UPDRS scores (59.0, 47.5, 43.0, 36.0; p < 0.001) and PDQ-39 SI scores (22.4, 22.8, 9.6, and 9.0; p < 0.001) varied significantly across groups, and the highest occurred for PIGD TA, followed by PIGD NA, TDPD TA, and TDPD NA. MoCA scores indicated the best cognitive performance in TDPD NA (p = 0.002). Thus, the results show that integrating olfactory dysfunction with motor subtypes may enhance PD classification, particularly in cognitive assessment in cases of TDPD.https://doi.org/10.1038/s41598-025-85984-2Parkinson’s diseaseOlfaction disordersPostural instabilityAnosmiaCognitive dysfunctionQuality of life |
| spellingShingle | Chia-Yen Lin Hsiao-Hui Chen Ching-Heng Lin Ming-Hong Chang The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study Scientific Reports Parkinson’s disease Olfaction disorders Postural instability Anosmia Cognitive dysfunction Quality of life |
| title | The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study |
| title_full | The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study |
| title_fullStr | The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study |
| title_full_unstemmed | The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study |
| title_short | The added value of anosmic subtype on motor subtype in Parkinson’s disease: a pilot study |
| title_sort | added value of anosmic subtype on motor subtype in parkinson s disease a pilot study |
| topic | Parkinson’s disease Olfaction disorders Postural instability Anosmia Cognitive dysfunction Quality of life |
| url | https://doi.org/10.1038/s41598-025-85984-2 |
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