Movement Disorders (revue)

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Obesity, Diabetes and Risk of Parkinson Disease

Identifieur interne : 000248 ( Pmc/Checkpoint ); précédent : 000247; suivant : 000249

Obesity, Diabetes and Risk of Parkinson Disease

Auteurs : Natalia Palacios [États-Unis] ; Xiang Gao [États-Unis] ; Marjorie L. Mccullough [États-Unis] ; Eric J. Jacobs [États-Unis] ; Alpa V. Patel [États-Unis] ; Tinisha Mayo [États-Unis] ; Michael A. Schwarzschild ; Alberto Ascherio [États-Unis]

Source :

RBID : PMC:3627531

Abstract

Background and Objective

To investigate whether obesity and diabetes are related to risk of Parkinson disease (PD).

Methods

We prospectively followed 147,096 participants in the Cancer Prevention Study II Nutrition Cohort from 1992 to 2005. Participants provided information on anthropometric variables and medical history at baseline, and on waist circumference in 1997. Incident cases of PD (n = 656) were confirmed by treating neurologists and medical record review. Relative risks (RR) were estimated using proportional hazards models, adjusting for age, gender, smoking and other risk factors.

Results

Neither BMI nor waist circumference significantly predicted PD risk. The RR comparing individuals with a baseline BMI of ≥ 30 to those with a BMI < 23 was 1.00 (95% CI: 0.75, 1.34; p-trend: 0.79), and that comparing individuals with a waist circumference in the top category (>=40.3 inches in men and >=35 inches in women) to those in the bottom category (<34.5 inches in men and <28 inches in women) was 1.35 (95% CI 0.95, 1.93; p-trend 0.08). History of diabetes was not significantly associated with PD risk (combined RR = 0.88; 95 % CI: 0.62, 1.25; p-heterogeneity = 0.96). In addition, neither BMI at age 18, nor changes in weight between age 18 and baseline were significantly associated with PD risk. The results did not differ significantly by gender

Conclusion

Our results do not provide evidence for a relationship between BMI, weight change, waist circumference or baseline diabetes and risk of PD.


Url:
DOI: 10.1002/mds.23855
PubMed: 21739472
PubMed Central: 3627531


Affiliations:


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PMC:3627531

Le document en format XML

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<sec id="S1">
<title>Background and Objective</title>
<p id="P10">To investigate whether obesity and diabetes are related to risk of Parkinson disease (PD).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P11">We prospectively followed 147,096 participants in the Cancer Prevention Study II Nutrition Cohort from 1992 to 2005. Participants provided information on anthropometric variables and medical history at baseline, and on waist circumference in 1997. Incident cases of PD (n = 656) were confirmed by treating neurologists and medical record review. Relative risks (RR) were estimated using proportional hazards models, adjusting for age, gender, smoking and other risk factors.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P12">Neither BMI nor waist circumference significantly predicted PD risk. The RR comparing individuals with a baseline BMI of ≥ 30 to those with a BMI < 23 was 1.00 (95% CI: 0.75, 1.34; p-trend: 0.79), and that comparing individuals with a waist circumference in the top category (>=40.3 inches in men and >=35 inches in women) to those in the bottom category (<34.5 inches in men and <28 inches in women) was 1.35 (95% CI 0.95, 1.93; p-trend 0.08). History of diabetes was not significantly associated with PD risk (combined RR = 0.88; 95 % CI: 0.62, 1.25; p-heterogeneity = 0.96). In addition, neither BMI at age 18, nor changes in weight between age 18 and baseline were significantly associated with PD risk. The results did not differ significantly by gender</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P13">Our results do not provide evidence for a relationship between BMI, weight change, waist circumference or baseline diabetes and risk of PD.</p>
</sec>
</div>
</front>
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<journal-id journal-id-type="nlm-journal-id">8610688</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5937</journal-id>
<journal-id journal-id-type="nlm-ta">Mov Disord</journal-id>
<journal-id journal-id-type="iso-abbrev">Mov. Disord.</journal-id>
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<contrib contrib-type="author">
<name>
<surname>Palacios</surname>
<given-names>Natalia</given-names>
</name>
<degrees>ScD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gao</surname>
<given-names>Xiang</given-names>
</name>
<degrees>MD PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McCullough</surname>
<given-names>Marjorie L.</given-names>
</name>
<degrees>ScD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jacobs</surname>
<given-names>Eric J.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Patel</surname>
<given-names>Alpa V.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mayo</surname>
<given-names>Tinisha</given-names>
</name>
<degrees>MPH</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schwarzschild</surname>
<given-names>Michael A.</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ascherio</surname>
<given-names>Alberto</given-names>
</name>
<degrees>MD, DPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
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</contrib-group>
<aff id="A1">
<label>1</label>
Dept. of Nutrition, Harvard School of Public Health 655 Huntington Ave., Boston, MA 02115</aff>
<aff id="A2">
<label>2</label>
Epidemiology Research Program, American Cancer Society, 250 Williams St., Atlanta, GA 30303</aff>
<aff id="A3">
<label>3</label>
Massachusetts General Hospital, Boston, MA, 02114</aff>
<aff id="A4">
<label>4</label>
Dept. of Epidemiology, Harvard School of Public Health 677 Huntington Ave., Boston, MA 02115</aff>
<aff id="A5">
<label>5</label>
Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital, and Harvard Medical School, Boston, MA 02115</aff>
<author-notes>
<corresp id="CR1">Corresponding Author: Natalia Palacios, ScD, Dept. of Nutrition, Harvard School of Public Health 655 Huntington Ave., Boston, MA 02115 phone and fax: (617)304-4254 (phone)
<email>palacios@hsph.harvard.edu</email>
</corresp>
<fn id="FN1">
<p id="P1">AUTHOR ROLES</p>
<p id="P2">Natalia Palacios: Performed the data analysis, wrote the first draft of the manuscript and edited subsequent drafts</p>
<p id="P3">Xiang Gao: Acquisition of data, critical revision of manuscript</p>
<p id="P4">Marji McCullough: Acquisition of data, critical revision of manuscript</p>
<p id="P5">Eric Jacobs: Analysis and interpretation of data, critical revision of manuscript.</p>
<p id="P6">Alpa Patel: Acquisition of data, critical revision of manuscript</p>
<p id="P7">Tinisha Mayo: Analysis and interpretation of data, critical revision of manuscript, administrative and clerical support.</p>
<p id="P8">Michael Schwarzschild: Acquisition of data, critical revision of the manuscript.</p>
<p id="P9">Dr. Alberto Ascherio: Conception and design, acquisition of data, analysis and interpretation of data, critical revision of the manuscript, obtaining funding, statistical expertise.</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>13</day>
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>07</day>
<month>7</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub">
<month>10</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>16</day>
<month>4</month>
<year>2013</year>
</pub-date>
<volume>26</volume>
<issue>12</issue>
<fpage>2253</fpage>
<lpage>2259</lpage>
<abstract>
<sec id="S1">
<title>Background and Objective</title>
<p id="P10">To investigate whether obesity and diabetes are related to risk of Parkinson disease (PD).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P11">We prospectively followed 147,096 participants in the Cancer Prevention Study II Nutrition Cohort from 1992 to 2005. Participants provided information on anthropometric variables and medical history at baseline, and on waist circumference in 1997. Incident cases of PD (n = 656) were confirmed by treating neurologists and medical record review. Relative risks (RR) were estimated using proportional hazards models, adjusting for age, gender, smoking and other risk factors.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P12">Neither BMI nor waist circumference significantly predicted PD risk. The RR comparing individuals with a baseline BMI of ≥ 30 to those with a BMI < 23 was 1.00 (95% CI: 0.75, 1.34; p-trend: 0.79), and that comparing individuals with a waist circumference in the top category (>=40.3 inches in men and >=35 inches in women) to those in the bottom category (<34.5 inches in men and <28 inches in women) was 1.35 (95% CI 0.95, 1.93; p-trend 0.08). History of diabetes was not significantly associated with PD risk (combined RR = 0.88; 95 % CI: 0.62, 1.25; p-heterogeneity = 0.96). In addition, neither BMI at age 18, nor changes in weight between age 18 and baseline were significantly associated with PD risk. The results did not differ significantly by gender</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P13">Our results do not provide evidence for a relationship between BMI, weight change, waist circumference or baseline diabetes and risk of PD.</p>
</sec>
</abstract>
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</front>
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<name sortKey="Schwarzschild, Michael A" sort="Schwarzschild, Michael A" uniqKey="Schwarzschild M" first="Michael A." last="Schwarzschild">Michael A. Schwarzschild</name>
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<country name="États-Unis">
<region name="Massachusetts">
<name sortKey="Palacios, Natalia" sort="Palacios, Natalia" uniqKey="Palacios N" first="Natalia" last="Palacios">Natalia Palacios</name>
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<name sortKey="Ascherio, Alberto" sort="Ascherio, Alberto" uniqKey="Ascherio A" first="Alberto" last="Ascherio">Alberto Ascherio</name>
<name sortKey="Ascherio, Alberto" sort="Ascherio, Alberto" uniqKey="Ascherio A" first="Alberto" last="Ascherio">Alberto Ascherio</name>
<name sortKey="Ascherio, Alberto" sort="Ascherio, Alberto" uniqKey="Ascherio A" first="Alberto" last="Ascherio">Alberto Ascherio</name>
<name sortKey="Gao, Xiang" sort="Gao, Xiang" uniqKey="Gao X" first="Xiang" last="Gao">Xiang Gao</name>
<name sortKey="Gao, Xiang" sort="Gao, Xiang" uniqKey="Gao X" first="Xiang" last="Gao">Xiang Gao</name>
<name sortKey="Jacobs, Eric J" sort="Jacobs, Eric J" uniqKey="Jacobs E" first="Eric J." last="Jacobs">Eric J. Jacobs</name>
<name sortKey="Mayo, Tinisha" sort="Mayo, Tinisha" uniqKey="Mayo T" first="Tinisha" last="Mayo">Tinisha Mayo</name>
<name sortKey="Mccullough, Marjorie L" sort="Mccullough, Marjorie L" uniqKey="Mccullough M" first="Marjorie L." last="Mccullough">Marjorie L. Mccullough</name>
<name sortKey="Patel, Alpa V" sort="Patel, Alpa V" uniqKey="Patel A" first="Alpa V." last="Patel">Alpa V. Patel</name>
</country>
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