PMID- 31970322 OWN - NLM STAT- MEDLINE DCOM- 20200512 LR - 20220412 IS - 2532-1900 (Electronic) IS - 1128-2460 (Print) IS - 1128-2460 (Linking) VI - 38 IP - 4 DP - 2019 Dec TI - Fatigue in myotonic dystrophy type 1: a seven-year prospective study. PG - 239-244 AB - OBJECTIVES: Cross-sectional studies reported fatigue in 50-90% of patients with myotonic dystrophy type 1 (DM1). The aim of this research was to assess frequency of fatigue in DM1 patients during a seven-year period. MATERIALS AND METHODS: Study included 64 DM1 patients at baseline (50% males, age 42 +/- 12 years), and 38 after seven years. Following scales were used: Muscular Impairment Rating Scale (MIRS), Fatigue Severity Scale (FSS, score equal to or greater than 36 indicates significant fatigue), and Daytime Sleepiness Scale (DSS, score of more than six is considered significant). RESULTS: At baseline, 54% of DM1 patients had fatigue and 46% had excessive daytime sleepiness (EDS). Ten (32%) patients with fatigue had no EDS. At the baseline, patients with fatigue were older, were more likely to had adult-onset DM1, worse MIRS and DSS compared to the patients without fatigue. After seven years, FSS score increased (34 +/- 15 vs 48 14, p < 0.01), fatigue was found in 82% of patients, and EDS in 60%. Still eight (26%) patients with fatigue had no EDS. Fatigue progression did not parallel MIRS increase. CONCLUSIONS: Fatigue is a common symptom of DM1 and its progression during time did not correlate with the progression of muscle weakness. CI - (c)2019 Gaetano Conte Academy - Mediterranean Society of Myology, Naples, Italy. FAU - Peric, Stojan AU - Peric S AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Bjelica, Bogdan AU - Bjelica B AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Bozovic, Ivo AU - Bozovic I AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Pesovic, Jovan AU - Pesovic J AD - Faculty of Biology, Centre for Human Molecular Genetics, University of Belgrade, Belgrade, Serbia. FAU - Paunic, Teodora AU - Paunic T AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Banovic, Marija AU - Banovic M AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Brkusanin, Milos AU - Brkusanin M AD - Faculty of Biology, Centre for Human Molecular Genetics, University of Belgrade, Belgrade, Serbia. FAU - Aleksic, Ksenija AU - Aleksic K AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Basta, Ivana AU - Basta I AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Pavicevic, Dusanka Savic AU - Pavicevic DS AD - Faculty of Biology, Centre for Human Molecular Genetics, University of Belgrade, Belgrade, Serbia. FAU - Stojanovic, Vidosava Rakocevic AU - Stojanovic VR AD - Neurology Clinic, Clinical Centre of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia. LA - eng PT - Journal Article DEP - 20191201 PL - Italy TA - Acta Myol JT - Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology JID - 9811169 SB - IM MH - Adult MH - Disorders of Excessive Somnolence/*etiology MH - Fatigue/*etiology MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Myotonic Dystrophy/*complications MH - Prospective Studies MH - Severity of Illness Index MH - Sleepiness PMC - PMC6955629 OTO - NOTNLM OT - fatigue OT - follow-up OT - myotonic dystrophy type 1 OT - sleepiness OT - weakness EDAT- 2020/01/24 06:00 MHDA- 2020/05/13 06:00 PMCR- 2019/12/01 CRDT- 2020/01/24 06:00 PHST- 2020/01/24 06:00 [entrez] PHST- 2020/01/24 06:00 [pubmed] PHST- 2020/05/13 06:00 [medline] PHST- 2019/12/01 00:00 [pmc-release] AID - am-2019-04-239 [pii] PST - epublish SO - Acta Myol. 2019 Dec 1;38(4):239-244. eCollection 2019 Dec.