Association of Cumulative Lead Exposure with Parkinson’s Disease

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Association of Cumulative Lead Exposure with Parkinson’s Disease

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dc.contributor.author Nie, Huiling
dc.contributor.author Saint-Hilaire, Marie-Helene
dc.contributor.author Hu, Howard
dc.contributor.author Weisskopf, Marc G.
dc.contributor.author Weuve, Jennifer Lynn
dc.contributor.author Simon, David K.
dc.contributor.author Sudarsky, Lewis Richard
dc.contributor.author Hersh, Bonnie Patricia
dc.contributor.author Schwartz, Joel David
dc.contributor.author Wright, Robert O.
dc.date.accessioned 2011-05-16T23:36:02Z
dc.date.issued 2010
dc.identifier.citation Weisskopf, Marc G., Jennifer Weuve, Huiling Nie, Marie-Helene Saint-Hilaire, Lewis Sudarsky, David K. Simon, Bonnie Hersh, Joel Schwartz, Robert O. Wright, and Howard Hu. 2010. Association of Cumulative Lead Exposure with Parkinson's Disease. Environmental Health Perspectives 118(11): 1609-1613. en_US
dc.identifier.issn 0091-6765 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4889580
dc.description.abstract Background: Research using reconstructed exposure histories has suggested an association between heavy metal exposures, including lead, and Parkinson’s disease (PD), but the only study that used bone lead, a biomarker of cumulative lead exposure, found a nonsignificant increase in risk of PD with increasing bone lead. Objectives: We sought to assess the association between bone lead and PD. Methods: Bone lead concentrations were measured using 109Cd excited K-shell X-ray fluorescence from 330 PD patients (216 men, 114 women) and 308 controls (172 men, 136 women) recruited from four clinics for movement disorders and general-community cohorts. Adjusted odds ratios (ORs) for PD were calculated using logistic regression. Results: The average age of cases and controls at bone lead measurement was 67 (SD = 10) and 69 (SD = 9) years of age, respectively. In primary analyses of cases and controls recruited from the same groups, compared with the lowest quartile of tibia lead, the OR for PD in the highest quartile was 3.21 [95% confidence interval (CI), 1.17–8.83]. Results were similar but slightly weaker in analyses restricted to cases and controls recruited from the movement disorders clinics only (fourth-quartile OR = 2.57; 95% CI, 1.11–5.93) or when we included controls recruited from sites that did not also contribute cases (fourth-quartile OR = 1.91; 95% CI, 1.01–3.60). We found no association with patella bone lead. Conclusions: These findings, using an objective biological marker of cumulative lead exposure among typical PD patients seen in our movement disorders clinics, strengthen the evidence that cumulative exposure to lead increases the risk of PD. en_US
dc.language.iso en_US en_US
dc.publisher National Institute of Environmental Health Sciences en_US
dc.relation.isversionof doi:10.1289/ehp.1002339 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974701/pdf/ en_US
dash.license LAA
dc.subject biomarker en_US
dc.subject bone lead en_US
dc.subject case–control study en_US
dc.subject epidemiology en_US
dc.subject humans en_US
dc.subject metals en_US
dc.subject risk factor en_US
dc.title Association of Cumulative Lead Exposure with Parkinson’s Disease en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal Environmental Health Perspectives en_US
dash.depositing.author Weisskopf, Marc G.
dc.date.available 2011-05-16T23:36:02Z
dash.affiliation.other SPH^Environmental+Occupational Medicine+Epi en_US
dash.affiliation.other SPH^Student Stipends en_US
dash.affiliation.other HMS^Neurology- Beth Israel-Deaconess en_US
dash.affiliation.other HMS^Neurology-Brigham and Women's Hospital en_US
dash.affiliation.other HMS^Medicine-Brigham and Women's Hospital en_US
dash.affiliation.other SPH^Environmental+Occupational Medicine+Epi en_US
dash.affiliation.other HMS^Pediatrics-Children's Hospital en_US

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