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帕金森病的流行病学风险、预防与干预:基于营养的视角

Epidemiologic Risk and Prevention and Interventions in Parkinson Disease: From a Nutrition-Based Perspective.

作者信息

Zhang Fan, Liu Yu-Xian, Zhu Yun-Yue, Yu Qiu-Yan, Msigwa Samwel Sylvester, Zeng Zhi-Hai, Zhang Xiong, Wu Hong-Mei, Zhu Jian-Hong

机构信息

Department of Neurology and Institute of Geriatric Neurology, the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China; Institute of Nutrition and Diseases and Center for Research, School of Public Health, Wenzhou Medical University, Wenzhou, Zhejiang, China.

Department of Neurology and Institute of Geriatric Neurology, the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

J Nutr. 2025 Apr;155(4):1019-1030. doi: 10.1016/j.tjnut.2025.01.028. Epub 2025 Feb 1.

Abstract

Parkinson disease (PD) is a prevalent neurodegenerative disorder associated with aging. Current treatments for PD primarily focus on alleviating symptoms rather than altering the progression of the disease. The sporadic form of PD, which accounts for most cases, is thought to arise from a complex interaction between genetic predispositions and environmental factors. This review aimed to examine epidemiologic evidence regarding nutrition-related exposure factors and their associations with risk of developing PD. We proposed a tentative conclusion for each factor based on the available evidence. These associations may vary by gender and depend on dietary intake patterns and adherence. We also reviewed clinical trials on nutrition-related interventions for PD symptoms and progression. Future clinical trials may benefit from combining nutrition factors in intervention and testing within single-gender cohorts or subgroups defined by epidemiologic outcomes.

摘要

帕金森病(PD)是一种与衰老相关的常见神经退行性疾病。目前针对帕金森病的治疗主要集中在缓解症状而非改变疾病的进展。散发性帕金森病占大多数病例,被认为是由遗传易感性和环境因素之间的复杂相互作用引起的。本综述旨在研究与营养相关的暴露因素及其与患帕金森病风险的关联的流行病学证据。我们根据现有证据对每个因素提出了初步结论。这些关联可能因性别而异,并取决于饮食摄入模式和依从性。我们还回顾了针对帕金森病症状和进展的营养相关干预措施的临床试验。未来的临床试验可能会受益于在单一性别队列或根据流行病学结果定义的亚组中进行干预和测试时结合营养因素。

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