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Updated: Jun 23, 2025

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Using a smartphone-based self-management platform to study sex differences in Parkinson's disease: multicenter,
Zhiheng Xu1, Lirong Jin2, Weijie Chen3
1Department of Neurology and National Research Center for Aging and Medicine & National Center for Neurological Disorders, State Key Laboratory of Medical Neurobiology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Sex differences in Parkinson's disease (PD) patient-reported outcomes (PROs) were identified using a smartphone platform. Females reported more depression and dyskinesia, while males reported more hyposmia and daytime sleepiness.
Area of Science:
- Neurology
- Digital Health
- Patient-Reported Outcomes
Background:
- Patient-reported outcomes (PROs) are crucial for understanding clinical characteristics.
- Remote PRO measurement is a recent advancement in healthcare.
- Sex differences in Parkinson's disease (PD) PROs remain under-researched.
Purpose of the Study:
- To investigate sex differences in PROs among Parkinson's disease patients.
- To evaluate the utility of a smartphone-based platform for remote PRO data collection.
Main Methods:
- A smartphone-based self-management platform was utilized for remote PRO measurement.
- 1828 Parkinson's disease patients (1001 male, 827 female) completed PRO submissions.
- Data analysis focused on identifying statistically significant sex-based variations in reported outcomes.
Main Results:
- Significant sex differences in PROs were observed.
- Females had lower height, weight, and BMI than males.
- Females reported higher rates of depression and dyskinesia; males reported more hyposmia and daytime sleepiness.
Conclusions:
- The study provides evidence of distinct sex differences in PD patient-reported outcomes.
- These findings underscore the importance of considering gender in clinical decision-making for PD.
- Remote PRO measurement via smartphone platforms is feasible and effective for PD patients.
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