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April 10, 2026Journal of Gastroenterology and Hepatology5 citations

Association of Gastrointestinal Symptoms With Severity and Progression of Cognitive Impairment in Parkinson’s Disease: A Systematic Review and Meta‐Analysis

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KHKimberly HoJKJeena KhanACAbraham Z. Cheloff

Key Points

  • To explore the relationship between gastrointestinal symptoms, particularly constipation, and cognitive impairment in Parkinson's disease.
  • Conducted a systematic review and meta-analysis
  • Focused on studies reporting GI symptoms in Parkinson’s disease patients
  • Performed subgroup analysis on prospective studies to assess correlations over time
  • Constipation was frequently reported among patients with PD dementia
  • Worsening constipation was correlated with increased cognitive impairment over a 5-year period
  • Findings suggest monitoring GI symptoms may be important for PD management

Abstract

GI symptoms, and constipation specifically, were commonly reported among patients with PD dementia. In a subgroup analysis of prospective studies, worsening constipation seemed to correlate with greater cognitive impairment over 5 years. Although this meta-analysis did not establish causation, these findings highlight the potential importance of monitoring constipation in PD individuals as ongoing research about the role of the gut-brain axis continues.

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Cite This Study

Ho et al. (2026) studied this question.

synapsesocial.com/papers/69d8967d6c1944d70ce07f7dhttps://doi.org/10.1111/jgh.70373
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