A new study shows that older men who have a weak or irregular circadian rhythm guiding their daily cycles of rest and activity are more likely to develop Parkinson’s disease, a condition characterized by loss of control over movement, balance and other brain functions.
For the study, researchers at the University of California (UC) San Francisco Weill Institute for Neurosciences analyzed 11 years of data for nearly 3,000 independently living older men.
Their discovery of the link between circadian rhythms and Parkinson’s suggests these circadian disruptions may reflect neurodegenerative disease processes already affecting the brain’s internal clock well before a Parkinson’s diagnosis, and that they could be considered an early warning sign of the disease.
The findings are published in JAMA Neurology.
“The strength of the circadian rhythm activity seems to have a really important effect on health and disease, particularly in aging,” said study senior author Kristine Yaffe, MD, the Roy and Marie Scola Endowed Chair and vice chair of the Department of Psychiatry at UCSF, a professor of psychiatry, neurology, and epidemiology and biostatistics, and a member of the UCSF Memory and Aging Center.
“In this latest study we found that even small changes in circadian rhythm in older men were associated with a greater likelihood of getting Parkinson’s down the line.”
Further research should look at whether physiological changes set off by disruptions in circadian rhythms might themselves be a trigger for neurodegeneration, and whether strengthening these rhythms could lower the risk for developing Parkinson’s, say the researchers.
Parkinson’s is the second most common neurodegenerative disorder after Alzheimer’s disease. 500,000 individuals in the United States have been diagnosed with Parkinson’s disease, and many with the disease are undiagnosed, according to the National Institute of Neurological Disorders and Stroke.
Most who have Parkinson’s are diagnosed after age 60. There are no drugs known to prevent the disease, but there are a growing number of treatments to relieve symptoms.
Among older adults, weakened or irregular circadian rhythms of rest and activity are common, according to study lead author Yue Leng, MD, PhD, an assistant professor of psychiatry at UCSF. Other conditions — constipation or deficits in the sense of smell — have also been associated with increased likelihood of developing Parkinson’s later on.
“Parkinson’s is a disease that probably takes decades to develop, and apart from changes in movement, earlier signs might be critical in understanding the disease and its mechanisms,” Leng said. “This is the first large, long-term study to find that disrupted circadian rhythms might be linked to Parkinson’s that emerges years later.”
The study, which enrolled 2,930 men with an average age of 76.3 when the research began, was part of the larger, population-based Osteoporotic Fractures in Men Study (MRoS), which began in 2000 and enrolled men at six medical centers nationwide.
None of the participants initially had Parkinson’s, and all were living in community-based settings (i.e. not in nursing homes). Their status for many health-related factors was assessed at the start, and they were monitored via follow-up visits and questionnaires.
As part of the study, the research team monitored circadian rhythms of rest and activity over three separate 24-hour periods by having participants wear an actigraph — a watch-like device that detects and records even slight wrist movements.
The data collected from these devices were independently associated with the later development of Parkinson’s.
In previous research, the team identified a link between daytime napping and the later development of Parkinson’s. But the association between circadian rhythms and Parkinson’s is not just a matter of disrupted sleep, according to the new study.
The link held true even after accounting for indicators of sleep disturbances — including loss of sleep; sleep inefficiency (time spent asleep after turning off the lights); leg movement during sleep; and the chronic, temporary stopping of breathing known as sleep apnea.
The researchers also factored in regional differences in study sites and participant demographics, education, baseline cognitive performance, chronic diseases, physical activity, symptoms of depression, body mass index, smoking, and use of benzodiazepines, alcohol, and caffeine.
The team looked at four measures of participants’ rest-activity rhythms as calculated by actigraph: amplitude, the difference between the period of greatest to least activity; mesor, the average activity; robustness, how well the measured cyclical rest-activity matched a regular curve similar to a cosine wave; and acrophase, a measure of advance or delay in the 24-hour cycle relative to the population average.
During follow-up, 78 of the 2,930 study participants were diagnosed with Parkinson’s. Participants who scored lowest in actigraph amplitude, mesor or robustness had triple the risk of developing Parkinson’s compared to those who scored highest. The researchers did not find an association between acrophase and Parkinson’s risk.
Animal studies have shown that cells controlling the brain’s circadian rhythm pacemaker often begin to degenerate even before cells in the part of the brain that are traditionally associated with Parkinson’s symptoms, suggesting that weakening of circadian rhythm may in some cases represent an early stage of disease.
Leng also does not rule out the possibility that disruptions in circadian rhythm, already known to cause metabolic changes and inflammation, might themselves contribute to neurodegenerative disease.
Leng hopes to investigate whether weakened circadian rhythms trigger inflammation or the abnormal accumulation of proteins seen in affected brain tissue in both Parkinson’s and Alzheimer’s.
“These neurodegenerative diseases are not reversible,” she said. “But if research points to sleep or circadian problems being risk factors for neurodegeneration prior to traditional symptoms, then we may be able to use that information for early detection and diagnosis, or we might be able to intervene in ways that prevent development of neurodegenerative loss of function.”