Department of Epidemiology and Health Statistics, Qingdao University Medical College, Dongzhou Road, No.38, Qingdao, 266021, Shandong, People's Republic of China,
Eur J Epidemiol. 2014 Sep;29(9):613-9. doi: 10.1007/s10654-014-9921-4. Epub 2014 Jun 4.
Dairy foods have been linked to Parkinson's disease (PD), and a meta-analysis of prospective cohort studies on dairy foods intake and PD risk was conducted. Eligible studies were identified in a literature search of EMBASE and PubMed up to April 2014. Seven results from prospective studies were included, including 1,083 PD cases among 304,193 subjects. The combined risk of PD for highest vs. lowest level of dairy foods intake was 1.40 (1.20-1.63) overall, 1.66 (1.29-2.14) for men and 1.15 (0.85-1.56) for women. For highest vs. lowest level, the PD risk was 1.45 (1.23-1.73) for milk, 1.26 (0.99-1.60) for cheese, 0.95 (0.76-1.20) for yogurt and 0.76 (0.51-1.13) for butter. The linear dose-response relationship showed that PD risk increased by 17% [1.17 (1.06-1.30)] for every 200 g/day increment in milk intake (Pfor non-linearity = 0.22), and 13% [1.13 (0.91-1.40)] for every 10 g/day increment in cheese intake (Pfor non-linearity = 0.39). The absolute risk differences were estimated to be 2-4 PD cases per 100,000 person-years for every 200 g/day increment in milk intake, and 1-3 PD cases per 100,000 person-years for every 10 g/day increment in cheese intake. Dairy foods (milk, cheese) might be positively associated with increased risk of PD, especially for men.
乳制品与帕金森病(PD)有关,我们对乳制品摄入与 PD 风险的前瞻性队列研究进行了荟萃分析。在截至 2014 年 4 月的 EMBASE 和 PubMed 文献检索中确定了符合条件的研究。共纳入 7 项前瞻性研究,包括 304193 名受试者中的 1083 例 PD 病例。乳制品摄入量最高与最低水平相比,总体 PD 风险为 1.40(1.20-1.63),男性为 1.66(1.29-2.14),女性为 1.15(0.85-1.56)。最高与最低水平相比,PD 风险为牛奶 1.45(1.23-1.73),奶酪 1.26(0.99-1.60),酸奶 0.95(0.76-1.20),黄油 0.76(0.51-1.13)。线性剂量-反应关系表明,牛奶摄入量每增加 200 克/天,PD 风险增加 17%[1.17(1.06-1.30)](P 非线性=0.22),奶酪摄入量每增加 10 克/天,PD 风险增加 13%[1.13(0.91-1.40)](P 非线性=0.39)。估计每增加 100,000 人年 200 克/天牛奶摄入量,PD 风险增加 2-4 例/100,000 人年,每增加 10 克/天奶酪摄入量,PD 风险增加 1-3 例/100,000 人年。乳制品(牛奶、奶酪)可能与 PD 风险增加呈正相关,尤其是对男性而言。