{"id":55187,"date":"2002-11-01T00:00:00","date_gmt":"2018-12-04T05:56:35","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/plantation-work-and-risk-of-parkinson-disease-in-a-population-based\/"},"modified":"2018-12-04T06:56:35","modified_gmt":"2018-12-04T05:56:35","slug":"plantation-work-and-risk-of-parkinson-disease-in-a-population-based","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/plantation-work-and-risk-of-parkinson-disease-in-a-population-based\/","title":{"rendered":"Plantation work and risk of parkinson disease in a population-based longitudinal study"},"content":{"rendered":"

\u00ab\u00a0Context: Parkinson disease (PD) has an unknown cause; however, convincing evidence is emerging that indicates pesticides can selectively injure the dopaminergic system in laboratory animals. Retrospective studies in humans demonstrate a link between exposure to agricultural lifestyle factors and PD.Objective: To determine whether working on a plantation in Hawaii and exposure to pesticides are associated with an increased risk of PD decades later.Design and Setting: Prospective cohort study based on the island of Oahu, Hawaii, with 30 years of follow-up. Years of work on a plantation were assessed by questionnaire at study enrollment in 1965. Self-reported information on pesticide exposure was collected at a separate examination 6 years later.Participants: Participants were 7986 Japanese American men born between 1900 and 1919 who were enrolled in the longitudinal Honolulu Heart Program.Main Outcome Measures: Incident PD was determined by medical record review or by an examination conducted by a study neurologist at a later date..Results: During follow-up, 116 men developed PD. Age-adjusted incidence increased significantly among men who worked more than 10 years on a plantation. The relative risk of PD was 1.0 (95% confidence interval, 0.6-1.6), 1.7 (95% confidence interval, 0.8-3.7), and 1.9 (95% confidence interval, 1.0-3.5) for men who worked on a plantation 1 to 10 years, 11 to 20 years, and more than 20 years compared with men who never did plantation work (P=.006, test for trend). Age-adjusted incidence of PD was higher in men exposed to pesticides than in men not exposed to pesticides although this was not statistically significant (P=.10, test for trend).Conclusion: These longitudinal observations regarding plantation work in Hawaii support case-control studies suggesting that exposure to pesticides increases the risk of PD. \u00ab\u00a0<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-55187","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"\"PETROVITCH H,PACIFIC HLTH RES INST;846 S HOTEL ST; HONOLULU HI 96813, USA.helen@phri.hawaii-health.com\"","annee":"2002","mois":"11","numero":"59:11","page":"1787-1792","auteurs":[{"ID":55177,"post_author":"0","post_date":"2018-12-04 06:56:29","post_date_gmt":"2018-12-04 05:56:29","post_content":"","post_title":"Caroline M 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