Petersen Maria Skaalum, Halling Jónrit, Bech Sára, Wermuth Lene, Weihe Pál, Nielsen Flemming, Jørgensen Poul J, Budtz-Jørgensen Esben, Grandjean Philippe
Institute of Public Health, Environmental Medicine, University of Southern Denmark, Winslowparken 17, Odense C, Denmark.
Neurotoxicology. 2008 Jul;29(4):584-90. doi: 10.1016/j.neuro.2008.03.001. Epub 2008 Mar 14.
This study aimed to investigate the association of Parkinson's disease (PD) with dietary exposure to polychlorinated biphenyls (PCBs) and methylmercury (MeHg) in a community with increased exposure levels. A total of 79 clinically verified idiopathic PD cases and 154 controls matched by sex and age were examined in this case-control study in the Faroe Islands. Blood and hair samples were collected and a questionnaire recorded lifetime information on residence, dietary habits, smoking history, and occupational exposure to solvents, pesticides, and metals. Both unconditional and conditional logistic regression analyses were used to estimate the odds ratio (OR) and 95% confidence interval (CI) in regard to relevant exposure variables. Increased ORs for dietary intakes of whale meat and blubber during adult life were statistically significant. The ORs for occupational exposure to solvents, pesticides and metals also suggested an increased risk for PD. Current serum concentrations of summation operator PCB and related contaminants suggested slightly increased ORs, although only beta-hexachlorocyclohexane (beta-HCH) was statistically significant. Increased intake of whale meat and blubber in adult life was significantly associated with PD, thus suggesting a positive association between previous exposure to marine food contaminants and development of PD.
本研究旨在调查在一个暴露水平升高的社区中,帕金森病(PD)与膳食中多氯联苯(PCBs)和甲基汞(MeHg)暴露之间的关联。在法罗群岛的这项病例对照研究中,共检查了79例经临床确诊的特发性PD病例以及154例按性别和年龄匹配的对照。采集了血液和头发样本,并通过问卷调查记录了有关居住情况、饮食习惯、吸烟史以及职业性接触溶剂、农药和金属的终生信息。使用无条件和条件逻辑回归分析来估计相关暴露变量的比值比(OR)和95%置信区间(CI)。成年期食用鲸肉和鲸脂的膳食摄入量增加,其OR值具有统计学意义。职业性接触溶剂、农药和金属的OR值也表明患PD的风险增加。当前血清中多氯联苯总和及相关污染物的浓度,虽然只有β-六氯环己烷(β-HCH)具有统计学意义,但OR值也略有升高。成年期鲸肉和鲸脂摄入量增加与PD显著相关,因此表明既往接触海洋食物污染物与PD的发生之间存在正相关。