Head injury at early ages is associated with risk of Parkinson's disease
Identifieur interne : 000704 ( Main/Exploration ); précédent : 000703; suivant : 000705Head injury at early ages is associated with risk of Parkinson's disease
Auteurs : Kathryn M. Taylor [États-Unis] ; Marie-Helene Saint-Hilaire ; Lewis Sudarsky ; David K. Simon ; Bonnie Hersh ; David Sparrow [États-Unis] ; Howard Hu ; Marc G. WeisskopfSource :
- Parkinsonism & related disorders [ 1353-8020 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- complications : Craniocerebral Trauma.
- epidemiology : Craniocerebral Trauma.
- etiology : Parkinson Disease.
- Adolescent, Aged, Case-Control Studies, Child, Female, Humans, Male, Middle Aged, Odds Ratio, Risk Factors, Surveys and Questionnaires.
Abstract
The literature on the effect of head injuries on the risk of PD is inconclusive. Some researchers have hypothesized that studies that have seen an effect are simply capturing injury related to pre-clinical PD. However in animal models brain inflammation, which can be initiated by head trauma, has been shown to produce PD-like effects. Furthermore, animal studies have found that early life inflammation in particular is of relevance for PD pathology.
We conducted an unmatched case-control study of 379 neurologist confirmed PD patients and 230 controls from the greater Boston, Massachusetts area with questionnaire data on history of head injury and other covariates. We used multivariable logistic regression to estimate adjusted odds ratios (OR) and their corresponding 95% confidence intervals (CI) for PD.
When we excluded injuries that occurred less than 10 years prior to the diagnosis of PD (in order to avoid reverse causation), we found an increased risk of PD associated with a head injury that resulted in a loss of consciousness, but it did not reach statistical significance (OR= 1.57; 95% CI= 0.89-2.80). We found a significant (p=0.04) effect of age at first head injury. For every 5 year earlier age at first head injury with loss of consciousness the OR for PD was 1.37 (95% CI: 1.01-1.86).
Our results suggest that head injury in early life increases the risk of PD.
Url:
DOI: 10.1016/j.parkreldis.2015.12.005
PubMed: 26725141
PubMed Central: 4787263
Affiliations:
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Le document en format XML
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<term>Child</term>
<term>Craniocerebral Trauma (complications)</term>
<term>Craniocerebral Trauma (epidemiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Parkinson Disease (etiology)</term>
<term>Risk Factors</term>
<term>Surveys and Questionnaires</term>
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<term>Aged</term>
<term>Case-Control Studies</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title>
<p id="P1">The literature on the effect of head injuries on the risk of PD is inconclusive. Some researchers have hypothesized that studies that have seen an effect are simply capturing injury related to pre-clinical PD. However in animal models brain inflammation, which can be initiated by head trauma, has been shown to produce PD-like effects. Furthermore, animal studies have found that early life inflammation in particular is of relevance for PD pathology.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We conducted an unmatched case-control study of 379 neurologist confirmed PD patients and 230 controls from the greater Boston, Massachusetts area with questionnaire data on history of head injury and other covariates. We used multivariable logistic regression to estimate adjusted odds ratios (OR) and their corresponding 95% confidence intervals (CI) for PD.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">When we excluded injuries that occurred less than 10 years prior to the diagnosis of PD (in order to avoid reverse causation), we found an increased risk of PD associated with a head injury that resulted in a loss of consciousness, but it did not reach statistical significance (OR= 1.57; 95% CI= 0.89-2.80). We found a significant (p=0.04) effect of age at first head injury. For every 5 year earlier age at first head injury with loss of consciousness the OR for PD was 1.37 (95% CI: 1.01-1.86).</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Our results suggest that head injury in early life increases the risk of PD.</p>
</sec>
</div>
</front>
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<name sortKey="Hu, Howard" sort="Hu, Howard" uniqKey="Hu H" first="Howard" last="Hu">Howard Hu</name>
<name sortKey="Saint Hilaire, Marie Helene" sort="Saint Hilaire, Marie Helene" uniqKey="Saint Hilaire M" first="Marie-Helene" last="Saint-Hilaire">Marie-Helene Saint-Hilaire</name>
<name sortKey="Simon, David K" sort="Simon, David K" uniqKey="Simon D" first="David K." last="Simon">David K. Simon</name>
<name sortKey="Sudarsky, Lewis" sort="Sudarsky, Lewis" uniqKey="Sudarsky L" first="Lewis" last="Sudarsky">Lewis Sudarsky</name>
<name sortKey="Weisskopf, Marc G" sort="Weisskopf, Marc G" uniqKey="Weisskopf M" first="Marc G." last="Weisskopf">Marc G. Weisskopf</name>
</noCountry>
<country name="États-Unis"><region name="Massachusetts"><name sortKey="Taylor, Kathryn M" sort="Taylor, Kathryn M" uniqKey="Taylor K" first="Kathryn M." last="Taylor">Kathryn M. Taylor</name>
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<name sortKey="Sparrow, David" sort="Sparrow, David" uniqKey="Sparrow D" first="David" last="Sparrow">David Sparrow</name>
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