Occupation and risk of parkinsonism: a multicenter case-control study.
Identifieur interne : 000109 ( PubMed/Curation ); précédent : 000108; suivant : 000110Occupation and risk of parkinsonism: a multicenter case-control study.
Auteurs : Caroline. Tanner [États-Unis] ; G Ross ; Sarah. Jewell ; Robert. Hauser ; Joseph Jankovic ; Stewart. Factor ; Susan Bressman ; Amanda Deligtisch ; Connie Marras ; Kelly. Lyons ; Grace. Bhudhikanok ; Diana. Roucoux ; Cheryl Meng ; Robert. Abbott ; J LangstonSource :
- Archives of neurology ; 2009.
English descriptors
- KwdEn :
- 2,4-Dichlorophenoxyacetic Acid (adverse effects), Adult, Age Distribution, Age Factors, Aged, Aged, 80 and over, Case-Control Studies, Dyskinesia, Drug-Induced (epidemiology), Dyskinesia, Drug-Induced (physiopathology), Female, Gait Disorders, Neurologic (chemically induced), Gait Disorders, Neurologic (epidemiology), Gait Disorders, Neurologic (physiopathology), Humans, Male, Middle Aged, Neurotoxins (adverse effects), Neurotoxins (classification), Occupational Diseases (epidemiology), Occupational Exposure (statistics & numerical data), Parkinson Disease (epidemiology), Pesticides (adverse effects), Risk Factors, Solvents (adverse effects).
- MESH :
- chemical , adverse effects : 2,4-Dichlorophenoxyacetic Acid, Neurotoxins, Pesticides, Solvents.
- chemically induced : Gait Disorders, Neurologic.
- chemical , classification : Neurotoxins.
- epidemiology : Dyskinesia, Drug-Induced, Gait Disorders, Neurologic, Occupational Diseases, Parkinson Disease.
- physiopathology : Dyskinesia, Drug-Induced, Gait Disorders, Neurologic.
- statistics & numerical data : Occupational Exposure.
- Adult, Age Distribution, Age Factors, Aged, Aged, 80 and over, Case-Control Studies, Female, Humans, Male, Middle Aged, Risk Factors.
Abstract
We examined risk of parkinsonism in occupations (agriculture, education, health care, welding, and mining) and toxicant exposures (solvents and pesticides) putatively associated with parkinsonism.
DOI: 10.1001/archneurol.2009.195
PubMed: 19752299
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pubmed:19752299Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Research, The Parkinson's Institute, Sunnyvale, California 94085, USA. CTanner@thepi.org</nlm:affiliation>
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<term>Adult</term>
<term>Age Distribution</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Dyskinesia, Drug-Induced (epidemiology)</term>
<term>Dyskinesia, Drug-Induced (physiopathology)</term>
<term>Female</term>
<term>Gait Disorders, Neurologic (chemically induced)</term>
<term>Gait Disorders, Neurologic (epidemiology)</term>
<term>Gait Disorders, Neurologic (physiopathology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurotoxins (adverse effects)</term>
<term>Neurotoxins (classification)</term>
<term>Occupational Diseases (epidemiology)</term>
<term>Occupational Exposure (statistics & numerical data)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Pesticides (adverse effects)</term>
<term>Risk Factors</term>
<term>Solvents (adverse effects)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>2,4-Dichlorophenoxyacetic Acid</term>
<term>Neurotoxins</term>
<term>Pesticides</term>
<term>Solvents</term>
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<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Gait Disorders, Neurologic</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="classification" xml:lang="en"><term>Neurotoxins</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dyskinesia, Drug-Induced</term>
<term>Gait Disorders, Neurologic</term>
<term>Occupational Diseases</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dyskinesia, Drug-Induced</term>
<term>Gait Disorders, Neurologic</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Occupational Exposure</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Distribution</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">We examined risk of parkinsonism in occupations (agriculture, education, health care, welding, and mining) and toxicant exposures (solvents and pesticides) putatively associated with parkinsonism.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19752299</PMID>
<DateCreated><Year>2009</Year>
<Month>09</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted><Year>2009</Year>
<Month>10</Month>
<Day>23</Day>
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<Month>11</Month>
<Day>21</Day>
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<Issue>9</Issue>
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<Month>Sep</Month>
</PubDate>
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<Title>Archives of neurology</Title>
<ISOAbbreviation>Arch. Neurol.</ISOAbbreviation>
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<ArticleTitle>Occupation and risk of parkinsonism: a multicenter case-control study.</ArticleTitle>
<Pagination><MedlinePgn>1106-13</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1001/archneurol.2009.195</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We examined risk of parkinsonism in occupations (agriculture, education, health care, welding, and mining) and toxicant exposures (solvents and pesticides) putatively associated with parkinsonism.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate occupations, specific job tasks, or exposures and risk of parkinsonism and clinical subtypes.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Case-control.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Eight movement disorders centers in North America.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Inclusion criteria were parkinsonism (>or=2 cardinal signs), diagnosis within 8 years of recruitment (to minimize survival bias), and ability to participate in detailed telephone interviews. Control subjects were primarily nonblood relatives or acquaintances of patients.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">This multicenter case-control study compared lifelong occupational and job task histories to determine associations with parkinsonism and certain clinical subtypes (postural instability and gait difficulty and age at diagnosis </AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Findings in 519 cases and 511 controls were analyzed. Work in agriculture, education, health care, or welding was not associated with increased risk of parkinsonism. Unexpected increased risks associated with legal, construction and extraction, or religious occupations were not maintained after adjustment for duration. Risk of parkinsonism increased with pesticide use (odds ratio, 1.90; 95% confidence interval, 1.12-3.21), use of any of 8 pesticides mechanistically associated with experimental parkinsonism (2.20; 1.02-4.75), and use of 2,4-dichlorophenoxyacetic acid (2.59; 1.03-6.48). None of the specific occupations, job tasks, or task-related exposures were associated with younger age at diagnosis (</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The association of disease risk with pesticides support a toxicant-induced cause of parkinsonism.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tanner</LastName>
<ForeName>Caroline M</ForeName>
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<AffiliationInfo><Affiliation>Department of Clinical Research, The Parkinson's Institute, Sunnyvale, California 94085, USA. CTanner@thepi.org</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Meng</LastName>
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<ForeName>Robert D</ForeName>
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<Author ValidYN="Y"><LastName>Langston</LastName>
<ForeName>J William</ForeName>
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</Author>
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