La maladie de Parkinson au Canada (serveur d'exploration)

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Gout and the risk of Parkinson's disease: a cohort study.

Identifieur interne : 000F54 ( PubMed/Checkpoint ); précédent : 000F53; suivant : 000F55

Gout and the risk of Parkinson's disease: a cohort study.

Auteurs : Mary De Vera [Canada] ; M Mushfiqur Rahman ; James Rankin ; Jacek Kopec ; Xiang Gao ; Hyon Choi

Source :

RBID : pubmed:18975349

English descriptors

Abstract

Several studies have suggested that higher serum uric acid levels lead to a lower risk of Parkinson's disease (PD) because uric acid exerts antioxidant effects on neurons. Our objective was to examine the relationship between gout and the risk of PD in persons age > or = 65 years.

DOI: 10.1002/art.24193
PubMed: 18975349


Affiliations:


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pubmed:18975349

Le document en format XML

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<name sortKey="De Vera, Mary" sort="De Vera, Mary" uniqKey="De Vera M" first="Mary" last="De Vera">Mary De Vera</name>
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<nlm:affiliation>Arthritis Research Centre of Canada and University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<name sortKey="Rahman, M Mushfiqur" sort="Rahman, M Mushfiqur" uniqKey="Rahman M" first="M Mushfiqur" last="Rahman">M Mushfiqur Rahman</name>
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<name sortKey="Rankin, James" sort="Rankin, James" uniqKey="Rankin J" first="James" last="Rankin">James Rankin</name>
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<name sortKey="Kopec, Jacek" sort="Kopec, Jacek" uniqKey="Kopec J" first="Jacek" last="Kopec">Jacek Kopec</name>
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<term>British Columbia (epidemiology)</term>
<term>Case-Control Studies</term>
<term>Cohort Studies</term>
<term>Diuretics (therapeutic use)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gout (blood)</term>
<term>Gout (complications)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Multivariate Analysis</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (prevention & control)</term>
<term>Proportional Hazards Models</term>
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<term>Uric Acid (blood)</term>
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<term>Diuretics</term>
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<term>Gout</term>
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<term>Gout</term>
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<div type="abstract" xml:lang="en">Several studies have suggested that higher serum uric acid levels lead to a lower risk of Parkinson's disease (PD) because uric acid exerts antioxidant effects on neurons. Our objective was to examine the relationship between gout and the risk of PD in persons age > or = 65 years.</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Several studies have suggested that higher serum uric acid levels lead to a lower risk of Parkinson's disease (PD) because uric acid exerts antioxidant effects on neurons. Our objective was to examine the relationship between gout and the risk of PD in persons age > or = 65 years.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a population-based cohort study using the British Columbia Linked Health Database and PharmaCare data (i.e., prescription drug data for those age > or = 65 years). We compared incidence rates of PD between 11,258 gout patients and 56,199 controls matched on age, sex, date of gout diagnosis, and length of medical record. Cox proportional hazards models were used to estimate the relative risk (RR) of PD, adjusting for age, sex, prior comorbid conditions, and use of diuretics and nonsteroidal antiinflammatory drugs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Over an 8-year median followup, we identified 1,182 new cases of PD. Compared with individuals without gout, the multivariate RR of PD among those with gout was 0.70 (95% confidence interval [95% CI] 0.59-0.83). In subgroup analyses, the inverse association was similarly present in both sexes and was evident among those who did not use diuretics (RR 0.66, 95% CI 0.54-0.81), but not among diuretic users (RR 0.80, 95% CI 0.58-1.10, P for interaction 0.35).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our population-based data provide evidence for a protective effect of gout on the risk of PD and support the purported protective role of uric acid.</AbstractText>
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