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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2025-103-1-13-22</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-1039</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Возрастные и гендерные аспекты болезни Паркинсона</article-title><trans-title-group xml:lang="en"><trans-title>Age and gender aspects of parkinson's disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0632-6653</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юсупов</surname><given-names>Ф. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yusupov</surname><given-names>F. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юсупов Фуркат Абдулахатович — д-р мед. наук, профессор медицинского факультета</p><p>Ош</p></bio><bio xml:lang="en"><p>Furkat A.Yusupov — Doctor of Medical Sciences, Professor of the Faculty of Medicine</p><p>Osh</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-6178-8678</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ыдырысов</surname><given-names>И. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Ydyrysov</surname><given-names>I. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ыдырысов Исматилла Токтосунович — д-р мед. наук, профессор медицинского факультета</p><p>Ош</p></bio><bio xml:lang="en"><p>Ismatilla T.Ydyrysov — Doctor of Medical Sciences, Professor of the Faculty of Medicine</p><p>Osh</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5549-3832</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абдыкадыров</surname><given-names>М. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Abdykadyrov</surname><given-names>M. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абдыкадыров Мухаммадюсуф Шкуратович — аспирант медицинского факультета</p><p>Ош</p></bio><bio xml:lang="en"><p>Muhammadyusuf Sh. Abdykadyrov — postgraduate student of the medical faculty</p><p>Osh</p></bio><email xlink:type="simple">aratingo@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8502-2203</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юсупова</surname><given-names>Т. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Yusupova</surname><given-names>T. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юсупова Турсуной Фуркатовна — медицинский факультет</p><p>Ош</p></bio><bio xml:lang="en"><p>Tursunoy F. Yusupova — Faculty of Medicine</p><p>Osh</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ошский государственный университет</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>Osh State University</institution><country>Kyrgyzstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>08</day><month>05</month><year>2025</year></pub-date><volume>103</volume><issue>1</issue><fpage>13</fpage><lpage>22</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Юсупов Ф.А., Ыдырысов И.Т., Абдыкадыров М.Ш., Юсупова Т.Ф., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Юсупов Ф.А., Ыдырысов И.Т., Абдыкадыров М.Ш., Юсупова Т.Ф.</copyright-holder><copyright-holder xml:lang="en">Yusupov F.A., Ydyrysov I.T., Abdykadyrov M.S., Yusupova T.F.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.clinmedjournal.com/jour/article/view/1039">https://www.clinmedjournal.com/jour/article/view/1039</self-uri><abstract><p>Болезнь Паркинсона (БП) по-разному влияет на мужчин и женщин, обусловливая уникальные вызовы и подходы в ее лечении. У мужчин риск развития БП в два раза выше, чем у женщин, но у женщин наблюдаются более быстрое прогрессирование заболевания и более высокий уровень смертности. Кроме того, моторные и немоторные симптомы, реакция на лечение и факторы риска различаются у мужчин и женщин. Эти различия поддерживают гипотезу о том, что патогенез заболевания может включать различные механизмы у пациентов разного пола или одни и те же механизмы, проявляющиеся по-разному. В настоящем обзоре обобщены современные знания о гендерных различиях в клинических проявлениях БП, факторах риска, ответе на лечение и патофизиологических механизмах заболевания. Понимание того, как патология по-разному влияет на мужчин и женщин, может способствовать разработке индивидуализированных вмешательств и инновационных программ, отвечающих различным потребностям пациентов обоих полов, улучшая тем самым качество ухода за ними.</p></abstract><trans-abstract xml:lang="en"><p>Parkinson’s disease (PD) affects men and women differently, creating unique challenges and approaches in its treatment. Men are twice as likely to develop PD as women, but women experience higher mortality rates and faster disease progression. Moreover, motor and non-motor symptoms, response to treatment, and risk factors differ between men and women. These differences support the hypothesis that the disease’s pathogenesis may involve different mechanisms in male and female patients, or the same mechanisms manifesting differently. This review summarizes current knowledge on gender differences in the clinical manifestations of PD, risk factors, treatment response, and the disease’s pathophysiological mechanisms. Understanding how the pathology differently affects men and women can aid in the development of individualized interventions and innovative programs to meet the varied needs of patients of both sexes, thereby improving the quality of care.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>болезнь Паркинсона</kwd><kwd>тельца Леви</kwd><kwd>глубокая стимуляция мозга (DBS)</kwd><kwd>эстроген</kwd><kwd>альфасинуклеин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Parkinson’s disease</kwd><kwd>Lewy bodies</kwd><kwd>deep brain stimulation (DBS)</kwd><kwd>estrogen</kwd><kwd>alpha-synuclein</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Юсупов Ф.А., Юлдашев А.А., Нурматов Т.А. Биомаркеры ранней диагностики болезни Паркинсона. 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