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神经疾病的决定因素:系统综述的综合分析。

Determinants of neurological disease: Synthesis of systematic reviews.

机构信息

McLaughlin Centre for Population Health Risk Assessment, University of Ottawa, Ottawa, Ontario, Canada; School of Epidemiology, Public Health and Preventive Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Risk Sciences International, Ottawa, Ontario, Canada.

Faculty of Health Sciences, University of Ontario Institute of Technology, Canada.

出版信息

Neurotoxicology. 2017 Jul;61:266-289. doi: 10.1016/j.neuro.2017.04.002. Epub 2017 Apr 12.

Abstract

Systematic reviews were conducted to identify risk factors associated with the onset and progression of 14 neurological conditions, prioritized as a component of the National Population Health Study of Neurological Conditions. These systematic reviews provided a basis for evaluating the weight of evidence of evidence for risk factors for the onset and progression of the 14 individual neurological conditions considered. A number of risk factors associated with an increased risk of onset for more than one condition, including exposure to pesticides (associated with an increased risk of AD, amyotrophic lateral sclerosis, brain tumours, and PD; smoking (AD, MS); and infection (MS, Tourette syndrome). Coffee and tea intake was associated with a decreased risk of onset of both dystonia and PD. Further understanding of the etiology of priority neurological conditions will be helpful in focusing future research initiatives and in the development of interventions to reduce the burden associated with neurological conditions in Canada and internationally.

摘要

系统评价旨在确定与 14 种神经状况的发生和进展相关的风险因素,这些因素被优先作为国家神经状况人口健康研究的一个组成部分。这些系统评价为评估 14 种单独神经状况的发生和进展的风险因素的证据权重提供了依据。许多与多种状况发生风险增加相关的风险因素,包括接触杀虫剂(与 AD、肌萎缩性侧索硬化症、脑肿瘤和 PD 风险增加相关)、吸烟(AD、MS)和感染(MS、妥瑞氏症)。咖啡和茶的摄入与肌张力障碍和 PD 的发病风险降低有关。进一步了解优先神经状况的病因学将有助于集中未来的研究计划,并制定干预措施,以减轻加拿大和国际上与神经状况相关的负担。

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