Reduced risk of Parkinson's disease associated with lower body mass index and heavy leisure-time physical activity

The risk factors for Parkinson's disease (PD) are not well established. We therefore examined the prediction of various lifestyle factors on the incidence of PD in a cohort drawn from the Finnish Mobile Clinic Health Examination Survey, conducted in 1973-1976. The study population comprised 6,7...

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Veröffentlicht in:European journal of epidemiology 2014-04, Vol.29 (4), p.285-292
Hauptverfasser: Sääksjärvi, Katri, Knekt, Paul, Männistö, Satu, Lyytinen, Jukka, Jääskeläinen, Tuija, Kanerva, Noora, Heliövaara, Markku
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container_issue 4
container_start_page 285
container_title European journal of epidemiology
container_volume 29
creator Sääksjärvi, Katri
Knekt, Paul
Männistö, Satu
Lyytinen, Jukka
Jääskeläinen, Tuija
Kanerva, Noora
Heliövaara, Markku
description The risk factors for Parkinson's disease (PD) are not well established. We therefore examined the prediction of various lifestyle factors on the incidence of PD in a cohort drawn from the Finnish Mobile Clinic Health Examination Survey, conducted in 1973-1976. The study population comprised 6,715 men and women aged 50-79 years and free of PD at the baseline. All of the subjects completed a baseline health examination (including height and weight measurements) and a questionnaire providing information on leisure-time physical activity, smoking, and alcohol consumption. During a 22-year follow-up, 101 incident cases of PD occurred. The statistical analyses were based on Cox's model including age, sex, education, community density, occupation, coffee consumption, body mass index (BMI), leisure-time physical activity, smoking and alcohol consumption as independent variables. At first, BMI was not associated with PD risk, but after exclusion of the first 15 years of follow-up, an elevated risk appeared at higher BMI levels (P for trend 0.02). Furthermore, subjects with heavy leisure-time physical activity had a lower PD risk than those with no activity [relative risk (RR) 0.27, 95 % confidence interval (CI) 0.08-0.90]. In variance with findings for other chronic diseases, current smokers had a lower PD risk than those who had never smoked (RR 0.23, 95 % CI 0.08-0.67), and individuals with moderate alcohol intake (at the level of
doi_str_mv 10.1007/s10654-014-9887-2
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We therefore examined the prediction of various lifestyle factors on the incidence of PD in a cohort drawn from the Finnish Mobile Clinic Health Examination Survey, conducted in 1973-1976. The study population comprised 6,715 men and women aged 50-79 years and free of PD at the baseline. All of the subjects completed a baseline health examination (including height and weight measurements) and a questionnaire providing information on leisure-time physical activity, smoking, and alcohol consumption. During a 22-year follow-up, 101 incident cases of PD occurred. The statistical analyses were based on Cox's model including age, sex, education, community density, occupation, coffee consumption, body mass index (BMI), leisure-time physical activity, smoking and alcohol consumption as independent variables. At first, BMI was not associated with PD risk, but after exclusion of the first 15 years of follow-up, an elevated risk appeared at higher BMI levels (P for trend 0.02). Furthermore, subjects with heavy leisure-time physical activity had a lower PD risk than those with no activity [relative risk (RR) 0.27, 95 % confidence interval (CI) 0.08-0.90]. In variance with findings for other chronic diseases, current smokers had a lower PD risk than those who had never smoked (RR 0.23, 95 % CI 0.08-0.67), and individuals with moderate alcohol intake (at the level of &lt;5 g/day) had an elevated PD risk compared to nondrinkers. 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We therefore examined the prediction of various lifestyle factors on the incidence of PD in a cohort drawn from the Finnish Mobile Clinic Health Examination Survey, conducted in 1973-1976. The study population comprised 6,715 men and women aged 50-79 years and free of PD at the baseline. All of the subjects completed a baseline health examination (including height and weight measurements) and a questionnaire providing information on leisure-time physical activity, smoking, and alcohol consumption. During a 22-year follow-up, 101 incident cases of PD occurred. The statistical analyses were based on Cox's model including age, sex, education, community density, occupation, coffee consumption, body mass index (BMI), leisure-time physical activity, smoking and alcohol consumption as independent variables. At first, BMI was not associated with PD risk, but after exclusion of the first 15 years of follow-up, an elevated risk appeared at higher BMI levels (P for trend 0.02). 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We therefore examined the prediction of various lifestyle factors on the incidence of PD in a cohort drawn from the Finnish Mobile Clinic Health Examination Survey, conducted in 1973-1976. The study population comprised 6,715 men and women aged 50-79 years and free of PD at the baseline. All of the subjects completed a baseline health examination (including height and weight measurements) and a questionnaire providing information on leisure-time physical activity, smoking, and alcohol consumption. During a 22-year follow-up, 101 incident cases of PD occurred. The statistical analyses were based on Cox's model including age, sex, education, community density, occupation, coffee consumption, body mass index (BMI), leisure-time physical activity, smoking and alcohol consumption as independent variables. At first, BMI was not associated with PD risk, but after exclusion of the first 15 years of follow-up, an elevated risk appeared at higher BMI levels (P for trend 0.02). Furthermore, subjects with heavy leisure-time physical activity had a lower PD risk than those with no activity [relative risk (RR) 0.27, 95 % confidence interval (CI) 0.08-0.90]. In variance with findings for other chronic diseases, current smokers had a lower PD risk than those who had never smoked (RR 0.23, 95 % CI 0.08-0.67), and individuals with moderate alcohol intake (at the level of &lt;5 g/day) had an elevated PD risk compared to nondrinkers. The results support the hypothesis that lifestyle factors predict the occurrence of Parkinson's disease, but more research is needed.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>24633681</pmid><doi>10.1007/s10654-014-9887-2</doi><tpages>8</tpages></addata></record>
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subjects Aged
Alcohol drinking
Alcohol Drinking - epidemiology
Alcohol use
Alcoholic beverages
Alcohols
Biological and medical sciences
Body Mass Index
Cardiology
Cigar smoking
Cigarette smoking
Coffee
Cohort studies
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Disease risk
Epidemiology
Exercise
Female
Finland - epidemiology
Follow-Up Studies
General aspects
Health Surveys
Humans
Incidence
Infectious Diseases
Leisure Activities
Life Style
Lifestyles
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
NEUROEPIDEMIOLOGY
Neurology
Obesity - epidemiology
Oncology
Parkinson disease
Parkinson Disease - epidemiology
Parkinson Disease - etiology
Parkinson's disease
Population Surveillance
Prospective Studies
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Risk Reduction Behavior
Sex Factors
Smoking
Smoking - epidemiology
Statistical analysis
Surveys and Questionnaires
Tobacco, tobacco smoking
Toxicology
title Reduced risk of Parkinson's disease associated with lower body mass index and heavy leisure-time physical activity
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