{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:25:08Z","timestamp":1790702708325,"version":"4.1.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Parkinson\u2019s Disease"],"published-print":{"date-parts":[[2013,8,1]]},"abstract":"<jats:p>Falls are frequent in Parkinson's disease (PD), and may be influenced by daytime sleepiness. We reviewed the records of 120 men with PD. Mean Epworth Sleepiness Scale (ESS) values were significantly different between non-fallers and fallers (6.0 vs. 9.7, p &lt; 0.01). In multivariate analysis, ESS remained significantly associated with falls (OR 1.2, 95% CI 1.1\u20131.4, p = 0.02), along with cognitive impairment (OR 4.4 95% CI 1.0\u201318.7, p = 0.04) and postural instability\/gait dysfunction (OR 1.6 95% CI 1.0\u20132.4, p = 0.03) in non-depressed patients. In conclusion, non-depressed PD patients are 20% more likely to fall for every one unit increase in the ESS measure of sleepiness.<\/jats:p>","DOI":"10.3233\/jpd-130184","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T13:57:30Z","timestamp":1575381450000},"page":"387-391","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Daytime Sleepiness is Associated with Falls in Parkinson's                     Disease"],"prefix":"10.1177","volume":"3","author":[{"given":"Meredith","family":"Spindler","sequence":"first","affiliation":[{"name":"Department of Neurology, Perelman School of Medicine at the University\r                    of Pennsylvania, Philadelphia, PA, USA"},{"name":"Parkinson's Disease Research, Education, and Clinical Center,\r                    Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalaka S.","family":"Gooneratne","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, Department of Medicine, Perelman School\r                    of Medicine at the University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Center for Sleep and Circadian Neurobiology and Division of Sleep\r                    Medicine, Perelman School of Medicine at the University of Pennsylvania,\r                    Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Siderowf","sequence":"additional","affiliation":[{"name":"Avid Radiopharmaceuticals Inc., Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John E.","family":"Duda","sequence":"additional","affiliation":[{"name":"Department of Neurology, Perelman School of Medicine at the University\r                    of Pennsylvania, Philadelphia, PA, USA"},{"name":"Parkinson's Disease Research, Education, and Clinical Center,\r                    Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Cantor","sequence":"additional","affiliation":[{"name":"Department of Neurology, Perelman School of Medicine at the University\r                    of Pennsylvania, Philadelphia, PA, USA"},{"name":"Center for Sleep and Circadian Neurobiology and Division of Sleep\r                    Medicine, Perelman School of Medicine at the University of Pennsylvania,\r                    Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabila","family":"Dahodwala","sequence":"additional","affiliation":[{"name":"Department of Neurology, Perelman School of Medicine at the University\r                    of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,1,1]]},"container-title":["Journal of Parkinson\u2019s Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/JPD-130184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/JPD-130184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:42:16Z","timestamp":1777610536000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3233\/JPD-130184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,8,1]]}},"alternative-id":["10.3233\/JPD-130184"],"URL":"https:\/\/doi.org\/10.3233\/jpd-130184","relation":{},"ISSN":["1877-7171","1877-718X"],"issn-type":[{"value":"1877-7171","type":"print"},{"value":"1877-718X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,1]]}}}