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Risk factors of Parkinson's disease in Indian patients

Identifieur interne : 001679 ( Main/Corpus ); précédent : 001678; suivant : 001680

Risk factors of Parkinson's disease in Indian patients

Auteurs : M. Behari ; Achal K. Srivastava ; Radhika R. Das ; R. M Pandey

Source :

RBID : ISTEX:71A57B4C0FAC7A2E9A7F29C0545C73A566F8C8AA

Abstract

Epidemiological data on risk factors of Parkinson's disease (PD) are not available from India. In a case control study, we investigated environmental and genetic risk factors in the etiology of idiopathic Parkinson's disease. Three hundred seventy-seven patients of Parkinson disease (301 men, 76 women, mean±SD age 56.78±11.08 years) and equal number of age matched (±3 years) neurological controls (271 men, 106 women, mean±SD age 56.62±11.17 years) were included in the study. Conditional logistic regression model was used to determine the risk factors of PD. We found that male gender, family history of Parkinson's disease, past history of depression of up to 10-year duration and well water drinking of more than 10-year duration were significantly associated with occurrence of Parkinson's disease, whereas tobacco smoking of up to 20-year duration and exposure to pets had protective effect. However, tobacco smoking of more than 20-year duration, well water drinking of up to 10-year duration, vegetarian dietary habit, occupation involving physical exertion, rural living, farming, exposure to insecticides, herbicides, rodenticides, alcohol intake and family history of neurodegenerative diseases had no significant correlation with occurrence of PD in the patient population studied. Results of our study support the hypothesis of multifactorial etiology of PD with environmental factors acting on a genetically susceptible host.

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DOI: 10.1016/S0022-510X(01)00578-0

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<dateIssued encoding="w3cdtf">2001</dateIssued>
<dateValid encoding="w3cdtf">2001-07-02</dateValid>
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<abstract lang="en">Epidemiological data on risk factors of Parkinson's disease (PD) are not available from India. In a case control study, we investigated environmental and genetic risk factors in the etiology of idiopathic Parkinson's disease. Three hundred seventy-seven patients of Parkinson disease (301 men, 76 women, mean±SD age 56.78±11.08 years) and equal number of age matched (±3 years) neurological controls (271 men, 106 women, mean±SD age 56.62±11.17 years) were included in the study. Conditional logistic regression model was used to determine the risk factors of PD. We found that male gender, family history of Parkinson's disease, past history of depression of up to 10-year duration and well water drinking of more than 10-year duration were significantly associated with occurrence of Parkinson's disease, whereas tobacco smoking of up to 20-year duration and exposure to pets had protective effect. However, tobacco smoking of more than 20-year duration, well water drinking of up to 10-year duration, vegetarian dietary habit, occupation involving physical exertion, rural living, farming, exposure to insecticides, herbicides, rodenticides, alcohol intake and family history of neurodegenerative diseases had no significant correlation with occurrence of PD in the patient population studied. Results of our study support the hypothesis of multifactorial etiology of PD with environmental factors acting on a genetically susceptible host.</abstract>
<note type="content">Table 1: Association of various potential risk factors with the occurrence of Parkinson's disease</note>
<note type="content">Table 2: Risk factors [OR (95% CI)] of Parkinson's disease using conditional logistic regression</note>
<subject>
<genre>Keywords</genre>
<topic>Risk factors</topic>
<topic>Parkinson's disease</topic>
<topic>Bidi smoking</topic>
<topic>Neurodegeneration</topic>
<topic>Rural living</topic>
<topic>Pets exposure</topic>
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<title>Journal of the Neurological Sciences</title>
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<title>JNS</title>
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<originInfo>
<dateIssued encoding="w3cdtf">20010915</dateIssued>
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<identifier type="ISSN">0022-510X</identifier>
<identifier type="PII">S0022-510X(00)X0117-7</identifier>
<part>
<date>20010915</date>
<detail type="volume">
<number>190</number>
<caption>vol.</caption>
</detail>
<detail type="issue">
<number>1–2</number>
<caption>no.</caption>
</detail>
<extent unit="issue pages">
<start>1</start>
<end>108</end>
</extent>
<extent unit="pages">
<start>49</start>
<end>55</end>
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<identifier type="istex">71A57B4C0FAC7A2E9A7F29C0545C73A566F8C8AA</identifier>
<identifier type="DOI">10.1016/S0022-510X(01)00578-0</identifier>
<identifier type="PII">S0022-510X(01)00578-0</identifier>
<accessCondition type="use and reproduction" contentType="">© 2001Elsevier Science B.V.</accessCondition>
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<recordOrigin>Elsevier Science B.V., ©2001</recordOrigin>
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