Movement Disorders (revue)

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Essential tremor might be less frequent than Parkinson’s disease in North Israel Arab villages

Identifieur interne : 000413 ( Pmc/Checkpoint ); précédent : 000412; suivant : 000414

Essential tremor might be less frequent than Parkinson’s disease in North Israel Arab villages

Auteurs : A. Glik [Israël] ; M. Masarwa [Israël] ; A. Abuful [Israël] ; A. Deeb [Israël] ; R. Strugatsky [Israël] ; La Farrer [États-Unis] ; Rp Friedland [États-Unis] ; R. Inzelberg [Israël]

Source :

RBID : PMC:2763173

Abstract

Essential tremor (ET) is much more prevalent than Parkinson’s disease (PD) in Western countries. We estimated ET and PD prevalence in Wadi Ara Arabic villages in Northern Israel.

In this door-to-door survey, all consenting residents aged ≥ 65 years were systematically examined by an Arabic speaking team. No pre-screening questionnaires were used. A random sample of 900 subjects [437 males, mean age (SD)=72.6 years(6.6)] of the 2,163 eligible residents were evaluated. Sixteen subjects had an action, intentional tremor. Tremor prevalence was estimated as 1.78 % (95 % CI 1.1–2.87). Nine of these had another likely cause of tremor. Only 7 were diagnosed as ET [prevalence 0.78 % (95 %CI 0.38–1.6)]. PD was diagnosed in 13 subjects. PD prevalence was 1.44 % (95%CI 0.84–2.45).

ET is unusually uncommon in this population and possibly even less frequent than PD. PD prevalence in Wadi Ara is similar to that reported in Western countries.


Url:
DOI: 10.1002/mds.22324
PubMed: 18823047
PubMed Central: 2763173


Affiliations:


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PMC:2763173

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<p id="P1">Essential tremor (ET) is much more prevalent than Parkinson’s disease (PD) in Western countries. We estimated ET and PD prevalence in Wadi Ara Arabic villages in Northern Israel.</p>
<p id="P2">In this door-to-door survey, all consenting residents aged ≥ 65 years were systematically examined by an Arabic speaking team. No pre-screening questionnaires were used. A random sample of 900 subjects [437 males, mean age (SD)=72.6 years(6.6)] of the 2,163 eligible residents were evaluated. Sixteen subjects had an action, intentional tremor. Tremor prevalence was estimated as 1.78 % (95 % CI 1.1–2.87). Nine of these had another likely cause of tremor. Only 7 were diagnosed as ET [prevalence 0.78 % (95 %CI 0.38–1.6)]. PD was diagnosed in 13 subjects. PD prevalence was 1.44 % (95%CI 0.84–2.45).</p>
<p id="P3">ET is unusually uncommon in this population and possibly even less frequent than PD. PD prevalence in Wadi Ara is similar to that reported in Western countries.</p>
</div>
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<article-title>Essential tremor might be less frequent than Parkinson’s disease in North Israel Arab villages</article-title>
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<name>
<surname>Glik</surname>
<given-names>A</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="FN2" ref-type="author-notes">*</xref>
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<name>
<surname>Masarwa</surname>
<given-names>M</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="FN2" ref-type="author-notes">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Abuful</surname>
<given-names>A</given-names>
</name>
<degrees>MN</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deeb</surname>
<given-names>A</given-names>
</name>
<degrees>BN</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Strugatsky</surname>
<given-names>R</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Farrer</surname>
<given-names>LA</given-names>
</name>
<degrees>PhD, MD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Friedland</surname>
<given-names>RP</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Inzelberg</surname>
<given-names>R</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A5" ref-type="aff">5</xref>
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<aff id="A1">
<label>1</label>
Department of Neurology and The Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel</aff>
<aff id="A2">
<label>2</label>
Tel Aviv University, Ramat Aviv, Israel</aff>
<aff id="A3">
<label>3</label>
Departments of Medicine (Genetics Program), Neurology, Genetics & Genomics, Epidemiology, and Biostatistics, Boston University Schools of Medicine and Public Health, Boston, Massachusetts, USA</aff>
<aff id="A4">
<label>4</label>
Laboratory of Neurogeriatrics, Department of Neurology, Case Western Reserve University, School of Medicine, Cleveland, Ohio, USA</aff>
<aff id="A5">
<label>5</label>
Rappaport Faculty of Medicine, Technion, Haifa, Israel</aff>
<author-notes>
<corresp id="FN1">Address for correspondence: Inzelberg Rivka, MD, Department of Neurology, The Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, 52621, Israel, Tel: +972-3-5304718 or +972-3-5304753, Fax: +972-3-5304718,
<email>inzelber@post.tau.ac.il</email>
, Cc to:
<email>rivka.inzelberg@gmail.com</email>
</corresp>
<fn id="FN2" fn-type="equal">
<label>*</label>
<p>The first two authors have equally contributed to the study</p>
</fn>
<fn id="FN3">
<p>
<bold>Author roles:</bold>
</p>
<p>Glik A, MD. Performed statistical analysis and wrote the manuscript.</p>
<p>Masarwa M, MD. Examined the patients and participated in writing the manuscript.</p>
<p>Abuful A, MN. Examined the patients.</p>
<p>Deeb A, BN. Examined the patients.</p>
<p>Strugatsky R, MD Examined the patients.</p>
<p>Farrer LA, MD PhD. Designed the study and participated in writing the manuscript.</p>
<p>Friedland RP, MD. Designed the study, supervised data collection and participated in writing the manuscript.</p>
<p>Inzelberg R, MD. Designed the study, supervised data collection and analysis, examined the patients and wrote the manuscript.</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>8</day>
<month>10</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub">
<day>15</day>
<month>1</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>18</day>
<month>10</month>
<year>2009</year>
</pub-date>
<volume>24</volume>
<issue>1</issue>
<fpage>119</fpage>
<lpage>122</lpage>
<abstract>
<p id="P1">Essential tremor (ET) is much more prevalent than Parkinson’s disease (PD) in Western countries. We estimated ET and PD prevalence in Wadi Ara Arabic villages in Northern Israel.</p>
<p id="P2">In this door-to-door survey, all consenting residents aged ≥ 65 years were systematically examined by an Arabic speaking team. No pre-screening questionnaires were used. A random sample of 900 subjects [437 males, mean age (SD)=72.6 years(6.6)] of the 2,163 eligible residents were evaluated. Sixteen subjects had an action, intentional tremor. Tremor prevalence was estimated as 1.78 % (95 % CI 1.1–2.87). Nine of these had another likely cause of tremor. Only 7 were diagnosed as ET [prevalence 0.78 % (95 %CI 0.38–1.6)]. PD was diagnosed in 13 subjects. PD prevalence was 1.44 % (95%CI 0.84–2.45).</p>
<p id="P3">ET is unusually uncommon in this population and possibly even less frequent than PD. PD prevalence in Wadi Ara is similar to that reported in Western countries.</p>
</abstract>
<kwd-group>
<kwd>Epidemiology</kwd>
<kwd>prevalence studies</kwd>
<kwd>tremor</kwd>
<kwd>Parkinson’s disease</kwd>
<kwd>Arabic</kwd>
</kwd-group>
<contract-num rid="AG1">R01 AG017173-08 ||AG</contract-num>
<contract-num rid="AG1">R01 AG009029-15 ||AG</contract-num>
<contract-sponsor id="AG1">National Institute on Aging : NIA</contract-sponsor>
</article-meta>
</front>
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<list>
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<li>Israël</li>
<li>États-Unis</li>
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<li>Ohio</li>
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