Risk of Parkinson's Disease in Celiac Disease: A Swedish Population-Based Study

IF 8.1 1区 医学 Q1 CLINICAL NEUROLOGY Annals of Neurology Pub Date : 2023-08-26 DOI:10.1002/ana.26780
Xiaoying Kang PhD, MPH, Alexander Ploner PhD, Bjorn Roelstraete PhD, Jonas F. Ludvigsson MD, PhD, Karin Wirdefeldt MD, PhD
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Abstract

Using a population-based matched cohort design, we assessed the association of celiac disease (CeD) with risk of PD by comparing patients with biopsy-confirmed CeD in Sweden to a biopsy-free population and their unaffected siblings, separately. No overall association was observed but CeD diagnosed before age 60 associated positively with incident diagnosis of PD (hazard ratio [HR] = 1.29; 95% confidence interval [CI]: 1.02–1.62), which was mainly attributed to the significantly elevated risk detected after 10–15 years since biopsy (HR = 1.68; 95% CI: 1.05–2.68). Our findings imply an increased vulnerability to long-term PD development among patients with CeD diagnosed before 60s. ANN NEUROL 2023;94:911–916

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腹腔疾病中帕金森氏症的风险:一项基于瑞典人群的研究。
使用基于人群的匹配队列设计,我们通过将瑞典经活检证实患有乳糜泻的患者与无活检人群及其未受影响的兄弟姐妹分别进行比较,评估了乳糜泻(CeD)与PD风险的关系。没有观察到总体关联,但60岁之前诊断的CeD与PD的事件诊断呈正相关(危险比[HR] = 1.29;95%置信区间[CI]:1.02-1.62),这主要归因于10-15后检测到的风险显著升高 活检后的年数(HR = 1.68;95%可信区间:1.05-2.68)。我们的研究结果表明,在60年代之前诊断为CeD的患者中,长期PD发展的脆弱性增加。神经网络2023;94:911-916。
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来源期刊
Annals of Neurology
Annals of Neurology 医学-临床神经学
CiteScore
18.00
自引率
1.80%
发文量
270
审稿时长
3-8 weeks
期刊介绍: Annals of Neurology publishes original articles with potential for high impact in understanding the pathogenesis, clinical and laboratory features, diagnosis, treatment, outcomes and science underlying diseases of the human nervous system. Articles should ideally be of broad interest to the academic neurological community rather than solely to subspecialists in a particular field. Studies involving experimental model system, including those in cell and organ cultures and animals, of direct translational relevance to the understanding of neurological disease are also encouraged.
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