PDF(Pubmed)
Abstract：
Examining how heat affects people with Parkinson\'s disease is essential for informing clinical decision-making, safety, well-being, and healthcare planning. While there is evidence that the neuropathology associated with Parkinson\'s disease affects thermoregulatory mechanisms, little attention has been given to the association of heat sensitivity to worsening symptoms and restricted daily activities in people with this progressive disease. Using a cross-sectional study design, we examined the experiences of people diagnosed with Parkinson\'s disease in the heat. Two-hundred and forty-seven people completed an online survey (age: 66.0 ± 9.2 years; sex: male = 102 (41.3%), female = 145 (58.7%)), of which 195 (78.9%) reported becoming more sensitive to heat with Parkinson\'s disease. Motor and nonmotor symptoms worsened with heat in 182 (73.7%) and 203 (82.2%) respondents, respectively. The most commonly reported symptoms to worsen included walking difficulties, balance impairment, stiffness, tremor, fatigue, sleep disturbances, excess sweating, difficulty concentrating, and light-headedness when standing. Concerningly, over half indicated an inability to work effectively in the heat, and nearly half reported that heat impacted their ability to perform household tasks and social activities. Overall, heat sensitivity was common in people with Parkinson\'s disease and had a significant impact on symptomology, day-to-day activities and quality of life.
摘要：
检查热量如何影响帕金森病患者对于告知临床决策至关重要。安全,幸福,和医疗保健规划。虽然有证据表明与帕金森病相关的神经病理学影响体温调节机制，在患有这种进行性疾病的人中，很少注意热敏感性与症状恶化和日常活动受限之间的关系。使用横断面研究设计，我们检查了被诊断患有帕金森病的人在高温下的经历。二百四十七人完成了一项在线调查（年龄：66.0±9.2岁；性别：男性=102（41.3％），女性=145（58.7%）），其中195人（78.9%）报告对帕金森病患者对热更加敏感。182名(73.7%)和203名(82.2%)受访者的运动和非运动症状随着热量而恶化，分别。最常见的加重症状包括行走困难，余额减值，刚度,震颤,疲劳,睡眠障碍,出汗过多,难以集中注意力,站立时头昏眼花。令人担心的是,超过一半的人表示无法在高温下有效工作，近一半的人报告说，热量影响了他们执行家务和社交活动的能力。总的来说,热敏感性在帕金森病患者中很常见，并对症状学产生重大影响，日常活动和生活质量。
