Movement Disorders (revue)

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Metabolic Markers or Conditions Preceding Parkinson’s Disease: A Case-Control Study

Identifieur interne : 000178 ( Pmc/Checkpoint ); précédent : 000177; suivant : 000179

Metabolic Markers or Conditions Preceding Parkinson’s Disease: A Case-Control Study

Auteurs : Rodolfo Savica [États-Unis] ; Brandon R. Grossardt [États-Unis] ; J. Eric Ahlskog [États-Unis] ; Walter A. Rocca [États-Unis]

Source :

RBID : PMC:3539719

Abstract

Background

Several metabolic markers or conditions have been explored as possible risk or protective factors for Parkinson’s disease (PD); however, results remain conflicting. We further investigated these associations using a case-control study design.

Methods

We used the medical records-linkage system of the Rochester Epidemiology Project to identify 196 subjects who developed PD in Olmsted County, MN, from 1976 through 1995. Each incident case was matched by age (± 1 year) and sex to a general population control. We reviewed the complete medical records of cases and controls in the medical records-linkage system to abstract information about body mass index (BMI), cholesterol levels, hypertension, and diabetes mellitus preceding the onset of PD (or the index year).

Results

There were no significant differences between cases and controls for the metabolic markers or conditions investigated. No significant associations were found using 2 cut-offs for BMI levels (BMI ≥ 25 or BMI ≥ 30 kg/m2) and 3 cut-offs for cholesterol levels (> 200, > 250, or > 300 mg/dl). A diagnosis of hypertension or the documented use of anti-hypertensive medications were not significantly associated with the subsequent risk of PD (odds ratio [OR], 1.00; 95% confidence interval [CI], 0.65–1.54; P = .99), nor was a diagnosis of diabetes mellitus or the use of glucose-lowering medications (OR, 0.77; 95% CI, 0.37–1.57; P =.47).

Conclusions

Our study, based on historical information from a records-linkage system, does not support an association between BMI, cholesterol levels, hypertension, or diabetes mellitus and later development of PD.


Url:
DOI: 10.1002/mds.25016
PubMed: 22674432
PubMed Central: 3539719


Affiliations:


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PMC:3539719

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<title>Background</title>
<p id="P1">Several metabolic markers or conditions have been explored as possible risk or protective factors for Parkinson’s disease (PD); however, results remain conflicting. We further investigated these associations using a case-control study design.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We used the medical records-linkage system of the Rochester Epidemiology Project to identify 196 subjects who developed PD in Olmsted County, MN, from 1976 through 1995. Each incident case was matched by age (± 1 year) and sex to a general population control. We reviewed the complete medical records of cases and controls in the medical records-linkage system to abstract information about body mass index (BMI), cholesterol levels, hypertension, and diabetes mellitus preceding the onset of PD (or the index year).</p>
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<sec id="S3">
<title>Results</title>
<p id="P3">There were no significant differences between cases and controls for the metabolic markers or conditions investigated. No significant associations were found using 2 cut-offs for BMI levels (BMI ≥ 25 or BMI ≥ 30 kg/m
<sup>2</sup>
) and 3 cut-offs for cholesterol levels (> 200, > 250, or > 300 mg/dl). A diagnosis of hypertension or the documented use of anti-hypertensive medications were not significantly associated with the subsequent risk of PD (odds ratio [OR], 1.00; 95% confidence interval [CI], 0.65–1.54;
<italic>P</italic>
= .99), nor was a diagnosis of diabetes mellitus or the use of glucose-lowering medications (OR, 0.77; 95% CI, 0.37–1.57;
<italic>P</italic>
=.47).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our study, based on historical information from a records-linkage system, does not support an association between BMI, cholesterol levels, hypertension, or diabetes mellitus and later development of PD.</p>
</sec>
</div>
</front>
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<contrib contrib-type="author">
<name>
<surname>Savica</surname>
<given-names>Rodolfo</given-names>
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<degrees>MD, MSc</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
<surname>Grossardt</surname>
<given-names>Brandon R.</given-names>
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<degrees>MS</degrees>
<xref ref-type="aff" rid="A3">3</xref>
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<name>
<surname>Ahlskog</surname>
<given-names>J. Eric</given-names>
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<degrees>PhD, MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Rocca</surname>
<given-names>Walter A.</given-names>
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<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="corresp" rid="CR1">*</xref>
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Department of Neurology, College of Medicine, Mayo Clinic, Rochester, Minnesota, USA</aff>
<aff id="A2">
<label>2</label>
Division of Epidemiology, Department of Health Sciences Research, College of Medicine, Mayo Clinic, Rochester, Minnesota, USA</aff>
<aff id="A3">
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Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, College of Medicine, Mayo Clinic, Rochester, Minnesota, USA</aff>
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<bold>Correspondence to:</bold>
Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA; [telephone: (507) 284-3568; fax: (507) 284-1516;
<email>rocca@mayo.edu</email>
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<month>1</month>
<year>2013</year>
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<day>01</day>
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<year>2012</year>
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<day>01</day>
<month>7</month>
<year>2013</year>
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<volume>27</volume>
<issue>8</issue>
<fpage>974</fpage>
<lpage>979</lpage>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">Several metabolic markers or conditions have been explored as possible risk or protective factors for Parkinson’s disease (PD); however, results remain conflicting. We further investigated these associations using a case-control study design.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We used the medical records-linkage system of the Rochester Epidemiology Project to identify 196 subjects who developed PD in Olmsted County, MN, from 1976 through 1995. Each incident case was matched by age (± 1 year) and sex to a general population control. We reviewed the complete medical records of cases and controls in the medical records-linkage system to abstract information about body mass index (BMI), cholesterol levels, hypertension, and diabetes mellitus preceding the onset of PD (or the index year).</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">There were no significant differences between cases and controls for the metabolic markers or conditions investigated. No significant associations were found using 2 cut-offs for BMI levels (BMI ≥ 25 or BMI ≥ 30 kg/m
<sup>2</sup>
) and 3 cut-offs for cholesterol levels (> 200, > 250, or > 300 mg/dl). A diagnosis of hypertension or the documented use of anti-hypertensive medications were not significantly associated with the subsequent risk of PD (odds ratio [OR], 1.00; 95% confidence interval [CI], 0.65–1.54;
<italic>P</italic>
= .99), nor was a diagnosis of diabetes mellitus or the use of glucose-lowering medications (OR, 0.77; 95% CI, 0.37–1.57;
<italic>P</italic>
=.47).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our study, based on historical information from a records-linkage system, does not support an association between BMI, cholesterol levels, hypertension, or diabetes mellitus and later development of PD.</p>
</sec>
</abstract>
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<funding-source country="United States">National Institute of Neurological Disorders and Stroke : NINDS</funding-source>
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