A new study finds that, overall, lifespan for those living with Parkinson’s disease (PD) is nearly identical to those in the general population. The study looked at a group of diseases called synucleinopathies, including Parkinson’s. The results appear in the May 15 online edition of JAMA Neurology.
Abnormal aggregation of proteins that develop inside nerve cells in people with Parkinson’s, named after Fritz Heinrich Lewy, the first person who noticed that some unusual proteins in the brain can make people act and think differently. Alpha-synuclein is the main component of Lewy bodies. — clumps of A protein in the human brain that is associated with the development of Parkinson’s. It is the main component of Lewy bodies. protein that accumulate in certain brain cells — are the hallmark of PD. The clumps also occur in less common diseases – such as multiple system atrophy (MSA), A progressive, neurodegenerative disease that shares symptoms of both Alzheimer’s disease and Parkinson’s. Unlike Parkinson’s disease dementia, cognitive symptoms are present before or within one year of noticing movement symptoms. The central features of DLB include progressive cognitive decline, changes in alertness and attention, visual hallucinations and parkinsonian motor symptoms such as slowness of movement, difficulty walking or rigidity., and PD dementia – in which symptoms can be similar to those of typical Parkinson’s.
Researchers led by Rodolfo Savica, M.D., Ph.D., at the Mayo Clinic in Rochester, MN, compared lifespan and cause of death among people with synucleinopathies compared to the general population. They examined the medical records of all 461 people diagnosed with synucleinopathies in Olmsted County, MN, between 1991 and 2010. The scientists also analyzed records from individuals closely matched for age and sex who did not have these diagnoses.
- Among the 461 study participants, 307 had been diagnosed with typical Parkinson’s, 81 with Lewy body dementia, 55 with PD dementia and 16 with MSA. As a combined group, people living with synucleinopathies died two years earlier than people in the general population.
- On average, when compared to the general population, people with typical Parkinson’s had a very similar lifespan, dying about a year earlier.
- On average, compared to the general population, people with MSA died six years earlier, those with dementia with Lewy bodies died six years earlier and those with PD dementia died three and a half years earlier.
- Among study participants with synucleinopathies, neurodegenerative disease was most commonly reported as the cause of death followed by cardiovascular disease. In the general population, it was cardiovascular disease followed by cancers.
What Does It Mean?
People with Parkinson’s and related diseases often have questions about how a diagnosis will impact their lifespan.
So far, studies of life expectancy in PD have been sparse, and the findings have been inconsistent. The findings from this study confirm that people with Parkinson’s can expect a similar lifespan as the general population. However, if A term used to describe a group of brain disorders that cause a broad complex of symptoms such as disorientation, confusion, memory loss, impaired judgment and alterations in mood and personality. develops – either in the case of dementia with Lewy bodies or PD dementia – lifespan is shortened. This illustrates the importance of identifying ways to prevent or slow cognitive changes in PD.
Overall, the study reminds us that people with Parkinson’s can live many years with the disease. With that in mind, people living with these diseases, their care partners and their families can take steps to plan for their health care and make important financial decisions.
Savica R, Grossardt BR, Bower JH, et al. (2017.) Survival and Causes of Death Among People With Clinically Diagnosed Synucleinopathies With Parkinsonism: A Population-Based Study. JAMA Neurologydoi:10.1001/jamaneurol.2017.0603