Pesticides
Could Raise Parkinson's Risk
Type and duration of
exposure needed isn't yet clear, researchers say
By Alan Mozes
HealthDay Reporter
MONDAY, June 26 (HealthDay News) -- Exposure to pesticides, but not
other environmental contaminants, may boost the long-term risk for
developing Parkinson's disease by 70 percent, a new study suggests.
The researchers did not assess the length, frequency, or strength of
pesticide exposure, and they stressed that the absolute risk of
developing Parkinson's remains relatively small.
However, their finding does back up earlier animal studies linking
pesticide exposure to motor function abnormalities and lower levels of
the brain neurotransmitter dopamine. Declines in dopamine have long been
associated with Parkinson's.
"This is the first large human study that shows that exposure to
pesticide is associated with a higher incidence of Parkinson's," said
study lead author Dr. Alberto Ascherio, associate professor of nutrition
and epidemiology at the Harvard School of Public Health in Boston.
"It is, of course, a relative increase," emphasized Ascherio. "So,
whereas normally the lifetime risk for developing Parkinson's is three
percent, pesticide exposure will bring the risk to five percent."
Ascherio and his colleagues discussed their work in the July issue of
the Annals of Neurology.
The authors reviewed lifestyle surveys completed in both 1982 and in
2001 by over 143,000 participants in the U.S. "Cancer Prevention Study
II Nutrition Cohort," launched in 1982.
In addition to pesticide exposure, participants were asked about
exposure to a host of chemicals and dusts, such as: asbestos, acids,
solvents, coal and stone dust, coal tar, asphalt, diesel engine exhaust,
dyes, formaldehyde, gasoline exhaust, herbicides, textile fibers, wood
dust, and x-ray or radioactive materials. Nearly all the patients were
white, with an average age just of over 60.
The researchers studied 413 participants who were diagnosed with
Parkinson's disease.
The surveys revealed that just over eight percent of the men and just
over three percent of the women reported exposure to pesticides.
Exposed patients were twice as likely to be blue-collar workers and 14
times more likely to work as either a farmer, rancher, or fisherman.
However, no differences were found in terms of risk increase between
patients who experienced exposure because of their work, such as
farmers, and those who came into contact with the chemicals because of
home or garden use.
The Harvard team found that, regardless of occupation, pesticide
exposure boosted long-term Parkinson's risk by 70 percent over the
long-term.
Ascherio stressed that although the association found in his study was
stronger than any previously documented, more work is needed to pinpoint
what exactly it is about pesticides that may help spur Parkinson's.
"The key point would be to identify which chemicals cause Parkinson's,"
he said. "It's not very practical to tell people to avoid pesticides,
because many people find it very useful. So this will require more
detailed study," he added.
Robin Elliot, executive director for the Parkinson's Disease Foundation
in New York City, described the findings as "important and solid."
"This is certainly the biggest and most serious populations study on
people, and it appears to be the best proof today that there is a
general association between pesticide and Parkinson's among people,"
said Elliot. "It merits further investigation," he said.
In a separate smaller study, published in the June issue of Movement
Disorders, a team of researchers from the Mayo Clinic in Olmsted
County, Minn., found that pesticide exposure seemed to increase
Parkinson's risk for men, but not women.
Telephone interviews were conducted with 149 men and women, all
local-area Parkinson's patients who developed the illness between 1976
and 1995. The Mayo team also interviewed 129 healthy individuals.
They found that male patients were 2.4 times more likely than healthy
individuals to have been exposed to pesticides. No such increased risk
was evident among the female patients.
More information
SOURCES: Alberto Ascherio, M.D., associate professor, nutrition and
epidemiology, Harvard School of Public Health, Boston; Robin Elliot,
executive director, Parksinon's Disease Foundation, New York City; July,
2006 issue of the Annals of Neurology.
Last Updated: June 26, 2006
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