Mortality from Parkinson's disease and other causes in men who were prisoners of war in the Far East
Identifieur interne : 000309 ( PascalFrancis/Corpus ); précédent : 000308; suivant : 000310Mortality from Parkinson's disease and other causes in men who were prisoners of war in the Far East
Auteurs : C. R. Gale ; E. A. Braidwood ; P. D. Winter ; C. N. MartynSource :
- Lancet : (British edition) [ 0140-6736 ] ; 1999.
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- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background During World War II, more than 140000 Allied prisoners of war (POWs) were held captive by the Japanese in conditions of extreme privation. There have been concerns that the survivors are at increased risk of degenerative neurological disorders, especially Parkinson's disease. We assembled a cohort of British ex-POWs and analysed their mortality in a 46-year follow-up study. Methods Using records held by the War Pensions Agency, we abstracted data on 11915 British former POWs. 11134 men were traced, and observed numbers of deaths between 1952 and 1997 were compared with those expected from national rates for the male population of England and Wales. Standardised mortality ratios (SMR) were calculated. Findings Overall, mortality was lower than expected (7474 deaths vs 8796.2 expected; SMR 0.85 [95% Cl 0.83-0.87]). Death rates from Parkinson's disease among the former POWs were slightly below the national average, though this difference was not statistically significant (35 deaths vs 43.2 expected; SMR 0.81 [0.56-1.13]). A similar pattern was seen for other degenerative neurological disorders (motorneuron disease 0.62 [0.31-1.11], multiple sclerosis 0.88 [0.42-1.61], and dementia 0.88 [0.68-1.11]). The former POWs had significantly lower than expected mortality from all major causes of death (ischaemic heart disease 0.81 [0.78-0.85], cerebrovascular disease 0.88 [0.81-0.95], all malignant neoplasms 0.92 [0.88-0.95], and respiratory disease 0.79 [0.74-0.85]). They also had below average rates of death from tuberculosis (0.44 [0.26-0.71]) and suicide (0.77 [0.57-1.02]), though the latter relation was not statistically significant. Mortality from diseases of the liver was increased (chronic liver disease and cirrhosis 1.68 [1.28-2.17], primary carcinoma of the liver 2.42 [1.75-3.26]). Interpretation There is little evidence that men who were POWs in the Far East have higher rates of death than the male population generally. The only exception is diseases of the liver, which may be due to infection with hepatitis B or C virus during captivity. Death-certification data cannot provide a complete picture of physical and mental health, but the period of severe malnutrition, frequent infections, exhaustion, and intense psychological stress seems not to have increased susceptibility to neurodegenerative disease.
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| NO : | PASCAL 00-0039659 INIST |
|---|---|
| ET : | Mortality from Parkinson's disease and other causes in men who were prisoners of war in the Far East |
| AU : | GALE (C. R.); BRAIDWOOD (E. A.); WINTER (P. D.); MARTYN (C. N.) |
| AF : | Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal/Southampton S016 6YD/Royaume-Uni (1 aut., 3 aut., 4 aut.); Department of Social Securlty/Norcross, Blackpool/Royaume-Uni (2 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | Lancet : (British edition); ISSN 0140-6736; Coden LANCAO; Royaume-Uni; Da. 1999; Vol. 354; No. 9196; Pp. 2116-2118; Bibl. 22 ref. |
| LA : | Anglais |
| EA : | Background During World War II, more than 140000 Allied prisoners of war (POWs) were held captive by the Japanese in conditions of extreme privation. There have been concerns that the survivors are at increased risk of degenerative neurological disorders, especially Parkinson's disease. We assembled a cohort of British ex-POWs and analysed their mortality in a 46-year follow-up study. Methods Using records held by the War Pensions Agency, we abstracted data on 11915 British former POWs. 11134 men were traced, and observed numbers of deaths between 1952 and 1997 were compared with those expected from national rates for the male population of England and Wales. Standardised mortality ratios (SMR) were calculated. Findings Overall, mortality was lower than expected (7474 deaths vs 8796.2 expected; SMR 0.85 [95% Cl 0.83-0.87]). Death rates from Parkinson's disease among the former POWs were slightly below the national average, though this difference was not statistically significant (35 deaths vs 43.2 expected; SMR 0.81 [0.56-1.13]). A similar pattern was seen for other degenerative neurological disorders (motorneuron disease 0.62 [0.31-1.11], multiple sclerosis 0.88 [0.42-1.61], and dementia 0.88 [0.68-1.11]). The former POWs had significantly lower than expected mortality from all major causes of death (ischaemic heart disease 0.81 [0.78-0.85], cerebrovascular disease 0.88 [0.81-0.95], all malignant neoplasms 0.92 [0.88-0.95], and respiratory disease 0.79 [0.74-0.85]). They also had below average rates of death from tuberculosis (0.44 [0.26-0.71]) and suicide (0.77 [0.57-1.02]), though the latter relation was not statistically significant. Mortality from diseases of the liver was increased (chronic liver disease and cirrhosis 1.68 [1.28-2.17], primary carcinoma of the liver 2.42 [1.75-3.26]). Interpretation There is little evidence that men who were POWs in the Far East have higher rates of death than the male population generally. The only exception is diseases of the liver, which may be due to infection with hepatitis B or C virus during captivity. Death-certification data cannot provide a complete picture of physical and mental health, but the period of severe malnutrition, frequent infections, exhaustion, and intense psychological stress seems not to have increased susceptibility to neurodegenerative disease. |
| CC : | 002B17G |
| FD : | Démence Alzheimer; Maladie dégénérative; Mortalité; Milieu carcéral; Guerre; Etude cohorte; Homme |
| FG : | Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie |
| ED : | Alzheimer disease; Degenerative disease; Mortality; Carceral environment; War; Cohort study; Human |
| EG : | Nervous system diseases; Central nervous system disease; Cerebral disorder |
| SD : | Demencia Alzheimer; Enfermedad degenerativa; Mortalidad; Medio carcelario; Guerra; Estudio cohorte; Hombre |
| LO : | INIST-5004.354000081209670130 |
| ID : | 00-0039659 |
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Winter</name><affiliation><inist:fA14 i1="01"><s1>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal</s1><s2>Southampton S016 6YD</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Martyn, C N" sort="Martyn, C N" uniqKey="Martyn C" first="C. N." last="Martyn">C. N. Martyn</name><affiliation><inist:fA14 i1="01"><s1>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal</s1><s2>Southampton S016 6YD</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">00-0039659</idno><date when="1999">1999</date><idno type="stanalyst">PASCAL 00-0039659 INIST</idno><idno type="RBID">Pascal:00-0039659</idno><idno type="wicri:Area/PascalFrancis/Corpus">000309</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Mortality from Parkinson's disease and other causes in men who were prisoners of war in the Far East</title><author><name sortKey="Gale, C R" sort="Gale, C R" uniqKey="Gale C" first="C. R." last="Gale">C. R. Gale</name><affiliation><inist:fA14 i1="01"><s1>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal</s1><s2>Southampton S016 6YD</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Braidwood, E A" sort="Braidwood, E A" uniqKey="Braidwood E" first="E. A." last="Braidwood">E. A. Braidwood</name><affiliation><inist:fA14 i1="02"><s1>Department of Social Securlty</s1><s2>Norcross, Blackpool</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Winter, P D" sort="Winter, P D" uniqKey="Winter P" first="P. D." last="Winter">P. D. Winter</name><affiliation><inist:fA14 i1="01"><s1>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal</s1><s2>Southampton S016 6YD</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Martyn, C N" sort="Martyn, C N" uniqKey="Martyn C" first="C. N." last="Martyn">C. N. Martyn</name><affiliation><inist:fA14 i1="01"><s1>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal</s1><s2>Southampton S016 6YD</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14></affiliation></author></analytic><series><title level="j" type="main">Lancet : (British edition)</title><title level="j" type="abbreviated">Lancet : (Br. ed.)</title><idno type="ISSN">0140-6736</idno><imprint><date when="1999">1999</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lancet : (British edition)</title><title level="j" type="abbreviated">Lancet : (Br. ed.)</title><idno type="ISSN">0140-6736</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer disease</term><term>Carceral environment</term><term>Cohort study</term><term>Degenerative disease</term><term>Human</term><term>Mortality</term><term>War</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Démence Alzheimer</term><term>Maladie dégénérative</term><term>Mortalité</term><term>Milieu carcéral</term><term>Guerre</term><term>Etude cohorte</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background During World War II, more than 140000 Allied prisoners of war (POWs) were held captive by the Japanese in conditions of extreme privation. There have been concerns that the survivors are at increased risk of degenerative neurological disorders, especially Parkinson's disease. We assembled a cohort of British ex-POWs and analysed their mortality in a 46-year follow-up study. Methods Using records held by the War Pensions Agency, we abstracted data on 11915 British former POWs. 11134 men were traced, and observed numbers of deaths between 1952 and 1997 were compared with those expected from national rates for the male population of England and Wales. Standardised mortality ratios (SMR) were calculated. Findings Overall, mortality was lower than expected (7474 deaths vs 8796.2 expected; SMR 0.85 [95% Cl 0.83-0.87]). Death rates from Parkinson's disease among the former POWs were slightly below the national average, though this difference was not statistically significant (35 deaths vs 43.2 expected; SMR 0.81 [0.56-1.13]). A similar pattern was seen for other degenerative neurological disorders (motorneuron disease 0.62 [0.31-1.11], multiple sclerosis 0.88 [0.42-1.61], and dementia 0.88 [0.68-1.11]). The former POWs had significantly lower than expected mortality from all major causes of death (ischaemic heart disease 0.81 [0.78-0.85], cerebrovascular disease 0.88 [0.81-0.95], all malignant neoplasms 0.92 [0.88-0.95], and respiratory disease 0.79 [0.74-0.85]). They also had below average rates of death from tuberculosis (0.44 [0.26-0.71]) and suicide (0.77 [0.57-1.02]), though the latter relation was not statistically significant. Mortality from diseases of the liver was increased (chronic liver disease and cirrhosis 1.68 [1.28-2.17], primary carcinoma of the liver 2.42 [1.75-3.26]). Interpretation There is little evidence that men who were POWs in the Far East have higher rates of death than the male population generally. The only exception is diseases of the liver, which may be due to infection with hepatitis B or C virus during captivity. Death-certification data cannot provide a complete picture of physical and mental health, but the period of severe malnutrition, frequent infections, exhaustion, and intense psychological stress seems not to have increased susceptibility to neurodegenerative disease.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0140-6736</s0></fA01><fA02 i1="01"><s0>LANCAO</s0></fA02><fA03 i2="1"><s0>Lancet : (Br. ed.)</s0></fA03><fA05><s2>354</s2></fA05><fA06><s2>9196</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Mortality from Parkinson's disease and other causes in men who were prisoners of war in the Far East</s1></fA08><fA11 i1="01" i2="1"><s1>GALE (C. R.)</s1></fA11><fA11 i1="02" i2="1"><s1>BRAIDWOOD (E. A.)</s1></fA11><fA11 i1="03" i2="1"><s1>WINTER (P. D.)</s1></fA11><fA11 i1="04" i2="1"><s1>MARTYN (C. N.)</s1></fA11><fA14 i1="01"><s1>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal</s1><s2>Southampton S016 6YD</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Social Securlty</s1><s2>Norcross, Blackpool</s2><s3>GBR</s3><sZ>2 aut.</sZ></fA14><fA20><s1>2116-2118</s1></fA20><fA21><s1>1999</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>5004</s2><s5>354000081209670130</s5></fA43><fA44><s0>0000</s0><s1>© 2000 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>22 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>00-0039659</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Lancet : (British edition)</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>Background During World War II, more than 140000 Allied prisoners of war (POWs) were held captive by the Japanese in conditions of extreme privation. There have been concerns that the survivors are at increased risk of degenerative neurological disorders, especially Parkinson's disease. We assembled a cohort of British ex-POWs and analysed their mortality in a 46-year follow-up study. Methods Using records held by the War Pensions Agency, we abstracted data on 11915 British former POWs. 11134 men were traced, and observed numbers of deaths between 1952 and 1997 were compared with those expected from national rates for the male population of England and Wales. Standardised mortality ratios (SMR) were calculated. Findings Overall, mortality was lower than expected (7474 deaths vs 8796.2 expected; SMR 0.85 [95% Cl 0.83-0.87]). Death rates from Parkinson's disease among the former POWs were slightly below the national average, though this difference was not statistically significant (35 deaths vs 43.2 expected; SMR 0.81 [0.56-1.13]). A similar pattern was seen for other degenerative neurological disorders (motorneuron disease 0.62 [0.31-1.11], multiple sclerosis 0.88 [0.42-1.61], and dementia 0.88 [0.68-1.11]). The former POWs had significantly lower than expected mortality from all major causes of death (ischaemic heart disease 0.81 [0.78-0.85], cerebrovascular disease 0.88 [0.81-0.95], all malignant neoplasms 0.92 [0.88-0.95], and respiratory disease 0.79 [0.74-0.85]). They also had below average rates of death from tuberculosis (0.44 [0.26-0.71]) and suicide (0.77 [0.57-1.02]), though the latter relation was not statistically significant. Mortality from diseases of the liver was increased (chronic liver disease and cirrhosis 1.68 [1.28-2.17], primary carcinoma of the liver 2.42 [1.75-3.26]). Interpretation There is little evidence that men who were POWs in the Far East have higher rates of death than the male population generally. The only exception is diseases of the liver, which may be due to infection with hepatitis B or C virus during captivity. Death-certification data cannot provide a complete picture of physical and mental health, but the period of severe malnutrition, frequent infections, exhaustion, and intense psychological stress seems not to have increased susceptibility to neurodegenerative disease.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17G</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Démence Alzheimer</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Alzheimer disease</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Demencia Alzheimer</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>04</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Mortalité</s0><s5>07</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Mortality</s0><s5>07</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Mortalidad</s0><s5>07</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Milieu carcéral</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Carceral environment</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Medio carcelario</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Guerre</s0><s5>13</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>War</s0><s5>13</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Guerra</s0><s5>13</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Etude cohorte</s0><s5>16</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Cohort study</s0><s5>16</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Estudio cohorte</s0><s5>16</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Homme</s0><s5>20</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Human</s0><s5>20</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Hombre</s0><s5>20</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Encéphale pathologie</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>39</s5></fC07><fN21><s1>024</s1></fN21></pA></standard><server><NO>PASCAL 00-0039659 INIST</NO><ET>Mortality from Parkinson's disease and other causes in men who were prisoners of war in the Far East</ET><AU>GALE (C. R.); BRAIDWOOD (E. A.); WINTER (P. D.); MARTYN (C. N.)</AU><AF>Medical Research Council Environmental Epidemiology Unit, University of Southampton, Southampton General Hospltal/Southampton S016 6YD/Royaume-Uni (1 aut., 3 aut., 4 aut.); Department of Social Securlty/Norcross, Blackpool/Royaume-Uni (2 aut.)</AF><DT>Publication en série; Niveau analytique</DT><SO>Lancet : (British edition); ISSN 0140-6736; Coden LANCAO; Royaume-Uni; Da. 1999; Vol. 354; No. 9196; Pp. 2116-2118; Bibl. 22 ref.</SO><LA>Anglais</LA><EA>Background During World War II, more than 140000 Allied prisoners of war (POWs) were held captive by the Japanese in conditions of extreme privation. There have been concerns that the survivors are at increased risk of degenerative neurological disorders, especially Parkinson's disease. We assembled a cohort of British ex-POWs and analysed their mortality in a 46-year follow-up study. Methods Using records held by the War Pensions Agency, we abstracted data on 11915 British former POWs. 11134 men were traced, and observed numbers of deaths between 1952 and 1997 were compared with those expected from national rates for the male population of England and Wales. Standardised mortality ratios (SMR) were calculated. Findings Overall, mortality was lower than expected (7474 deaths vs 8796.2 expected; SMR 0.85 [95% Cl 0.83-0.87]). Death rates from Parkinson's disease among the former POWs were slightly below the national average, though this difference was not statistically significant (35 deaths vs 43.2 expected; SMR 0.81 [0.56-1.13]). A similar pattern was seen for other degenerative neurological disorders (motorneuron disease 0.62 [0.31-1.11], multiple sclerosis 0.88 [0.42-1.61], and dementia 0.88 [0.68-1.11]). The former POWs had significantly lower than expected mortality from all major causes of death (ischaemic heart disease 0.81 [0.78-0.85], cerebrovascular disease 0.88 [0.81-0.95], all malignant neoplasms 0.92 [0.88-0.95], and respiratory disease 0.79 [0.74-0.85]). They also had below average rates of death from tuberculosis (0.44 [0.26-0.71]) and suicide (0.77 [0.57-1.02]), though the latter relation was not statistically significant. Mortality from diseases of the liver was increased (chronic liver disease and cirrhosis 1.68 [1.28-2.17], primary carcinoma of the liver 2.42 [1.75-3.26]). Interpretation There is little evidence that men who were POWs in the Far East have higher rates of death than the male population generally. The only exception is diseases of the liver, which may be due to infection with hepatitis B or C virus during captivity. Death-certification data cannot provide a complete picture of physical and mental health, but the period of severe malnutrition, frequent infections, exhaustion, and intense psychological stress seems not to have increased susceptibility to neurodegenerative disease.</EA><CC>002B17G</CC><FD>Démence Alzheimer; Maladie dégénérative; Mortalité; Milieu carcéral; Guerre; Etude cohorte; Homme</FD><FG>Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie</FG><ED>Alzheimer disease; Degenerative disease; Mortality; Carceral environment; War; Cohort study; Human</ED><EG>Nervous system diseases; Central nervous system disease; Cerebral disorder</EG><SD>Demencia Alzheimer; Enfermedad degenerativa; Mortalidad; Medio carcelario; Guerra; Estudio cohorte; Hombre</SD><LO>INIST-5004.354000081209670130</LO><ID>00-0039659</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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