Dietary patterns and risk of Parkinson's disease: a case-control study in Japan

被引:51
作者
Okubo, H. [1 ,2 ]
Miyake, Y. [3 ]
Sasaki, S. [4 ]
Murakami, K. [4 ]
Tanaka, K. [3 ]
Fukushima, W. [5 ]
Kiyohara, C. [6 ]
Tsuboi, Y. [7 ]
Yamada, T. [7 ]
Oeda, T. [8 ,9 ]
Shimada, H. [10 ]
Kawamura, N. [11 ]
Sakae, N. [11 ]
Fukuyama, H. [12 ]
Hirota, Y. [5 ]
Nagai, M. [13 ]
机构
[1] Univ Tokyo, Dept Social & Prevent Epidemiol, Grad Sch Med, Bunkyo Ku, Tokyo 1130033, Japan
[2] Japan Soc Promot Sci, Tokyo, Japan
[3] Fukuoka Univ, Fac Med, Dept Prevent Med & Publ Hlth, Fukuoka 81401, Japan
[4] Univ Tokyo, Sch Publ Hlth, Dept Social & Prevent Epidemiol, Tokyo 1130033, Japan
[5] Osaka City Univ, Dept Publ Hlth, Grad Sch Med, Osaka 558, Japan
[6] Kyushu Univ, Dept Prevent Med, Grad Sch Med Sci, Fukuoka 812, Japan
[7] Fukuoka Univ, Dept Neurol, Fac Med, Fukuoka 81401, Japan
[8] Natl Utano Hosp, Dept Neurol, Kyoto, Japan
[9] Natl Utano Hosp, Clin Res Inst, Kyoto, Japan
[10] Osaka City Univ, Grad Sch Med, Dept Geriatr & Neurol, Osaka 558, Japan
[11] Kyushu Univ, Grad Sch Med Sci, Dept Neurol, Neurol Inst, Fukuoka 812, Japan
[12] Kyoto Univ, Grad Sch Med, Human Brain Res Ctr, Kyoto, Japan
[13] Saitama Med Unvivers, Fac Med, Dept Publ Hlth, Saitama, Japan
基金
日本学术振兴会;
关键词
case-control study; dietary patterns; factor analysis; Japan; Parkinson's disease; HISTORY QUESTIONNAIRE; FUTURE RISK; VITAMIN-C; CONSUMPTION; IRON; CAROTENOIDS; POPULATION; VALIDITY; FOLATE; PD;
D O I
10.1111/j.1468-1331.2011.03600.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Nearly all epidemiologic studies examining the association between the risk of Parkinsons disease (PD) and diet have focused on single foods and specific nutrients. However, epidemiologic evidence for the association of dietary pattern with PD, namely the measurement of overall diet by considering the cumulative effects of nutrients is extremely limited. We conducted a hospital-based casecontrol study in Japan to examine the relationship between dietary patterns and the risk of PD. Methods: Patients with PD diagnosed using the UK PD Society Brain Bank criteria (n = 249) and controls without neurodegenerative diseases (n = 368) were recruited. At the time of recruitment, dietary intake during the preceding 1 month was assessed using a validated, self-administered diet history questionnaire. Dietary patterns from 33 predefined food groups (energy-adjusted food g/day) were extracted by factor analysis. Results: Three dietary patterns were identified: 'Healthy', 'Western' and 'Light meal' patterns. After adjustment for potential non-dietary confounding factors, the Healthy pattern, characterized by a high intake of vegetables, seaweed, pulses, mushrooms, fruits and fish, was inversely associated with the risk of PD with a border-line significance (P for trend = 0.06). Multivariate Odds ratio (95% confidence intervals) for PD in the highest quartile of the Healthy pattern was 0.54 (0.32-0.92) compared with the lowest quartile. No associations with PD were detected for the other two dietary patterns. Conclusion: In this case-control study in Japan, a dietary pattern consisting of high intakes of vegetables, fruits and fish may be associated with a decreased risk of PD.
引用
收藏
页码:681 / 688
页数:8
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