Cohort study2016

Dietary cholesterol, fats and risk of Parkinson's disease in the Singapore Chinese Health Study

Tan LC, Methawasin K, Tan EK, Tan JH, Au WL, Yuan JM, Koh WP

Journal of neurology, neurosurgery, and psychiatry · 36 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
Government
Ministry of Health -Singapore
University or hospital
National University of Singapore
Government
National Institutes of Health
University or hospital
Cancer Institute, University of Pittsburgh
Government
National Cancer Institute
Government
NCI NIH HHS
Grants
National Cancer Institute (R01 CA080205); National Cancer Institute (R01CA144034); National Cancer Institute (UM1 CA182876)

Based on 6 listed funder(s).

Publication

Published
2015-02-10 · J Neurol Neurosurg Psychiatry · vol. 87 · issue 1 · pp. jnnp–2014
Publisher
BMJ
Cited
41 citations · more than 89% of similar papers · 2.6× the field average
References
42 works
Access
Open access (repository copy)
Research areas
Fatty Acid Research and Health · Parkinson's Disease Mechanisms and Treatments · Nutritional Studies and Diet
Keywords
Guideline, Judgement, Relevance (law), Alternative medicine, Variety (cybernetics), Interpretation (philosophy), Disease, Medicine, Evidence-based medicine, Psychology, Political science, Law, Pathology, Philosophy, Computer science
MeSH
humans, parkinson disease, dietary fats, cholesterol, dietary, fatty acids, fatty acids, monounsaturated, patient discharge, diet, medical record linkage, risk, cohort studies, follow-up studies, prospective studies, dose-response relationship, drug, aged, middle aged, diet records, singapore, china, female, male, surveys and questionnaires

7 authors

From SG, US

  • Louis Tan · correspondingNational Neuroscience Institute
  • Kulthida MethawasinNational Neuroscience Institute
  • Eng‐King TanDuke-NUS Medical School; National Neuroscience Institute
  • June H. TanNational University Health System
  • Wing‐Lok AuDuke-NUS Medical School; National Neuroscience Institute
  • Jian‐Min YuanUniversity of Pittsburgh; UPMC Hillman Cancer Center

Abstract

Background

Prospective studies on lipids and risk of Parkinson's disease (PD) in Asian populations are sparse. This study prospectively examined the associations between dietary cholesterol and major fatty acids, and risk of PD among the Chinese in Singapore.

Methods

This study used data from the Singapore Chinese Health Study, a population-based prospective cohort of 63 257 men and women aged 45-74 years in Singapore enrolled in 1993-1998. Dietary intakes of cholesterol and fatty acids were derived from a validated semiquantitative food frequency questionnaire and the Singapore Food Composition Table. Incident PD cases were identified either through follow-up interviews or record linkage analysis with hospital discharge and PD outpatient registries.

Results

After an average of 14.6 years, 218 men and 193 women in the cohort developed PD. Dietary cholesterol was associated with statistically significantly lower risk of PD in a dose-dependent manner among men after adjustment for established risk factors for PD and intakes of major fatty acids. Compared to the lowest quartile, HR (95% CI) for the highest quartile was 0.53 (95% CI 0.33 to 0.84) (P for trend=0.006). Among women, dietary monounsaturated fatty acid was inversely associated with PD risk (P for trend=0.033). Compared to the lowest quartile, HR for the highest quartile was 0.44 (95% CI 0.22 to 0.88). There was no statistically significant association between dietary saturated, n-3 and n-6 fatty acids and PD risk.

Conclusions

Higher intakes of cholesterol and monounsaturated fatty acids may reduce risk of PD in men and women, respectively.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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