Abstract:
BACKGROUND:Pesticides have been associated with Parkinson's disease (PD), but there are few data on important exposure characteristics such as dose-effect relations. It is unknown whether associations depend on clinical PD subtypes. OBJECTIVES:We examined quantitative aspects of occupational pesticide exposure associated with PD and investigated whether associations were similar across PD subtypes. METHODS:As part of a French population-based case-control study including men enrolled in the health insurance plan for farmers and agricultural workers, cases with clinically confirmed PD were identified through antiparkinsonian drug claims. Two controls were matched to each case. Using a comprehensive occupational questionnaire, we computed indicators for different dimensions of exposure (duration, cumulative exposure, intensity). We used conditional logistic regression to compute odds ratios (ORs) and 95% confidence intervals (CIs) among exposed male farmers (133 cases, 298 controls). We examined the relation between pesticides and PD subtypes (tremor dominant/non-tremor dominant) using polytomous logistic regression. RESULTS:There appeared to be a stronger association with intensity than duration of pesticide exposure based on separate models, as well as a synergistic interaction between duration and intensity (p-interaction = 0.04). High-intensity exposure to insecticides was positively associated with PD among those with low-intensity exposure to fungicides and vice versa, suggesting independent effects. Pesticide exposure in farms that specialized in vineyards was associated with PD (OR = 2.56; 95% CI: 1.31, 4.98). The association with intensity of pesticide use was stronger, although not significantly (p-heterogeneity = 0.60), for tremor-dominant (p-trend < 0.01) than for non-tremor-dominant PD (p-trend = 0.24). CONCLUSIONS:This study helps to better characterize different aspects of pesticide exposure associated with PD, and shows a significant association of pesticides with tremor-dominant PD in men, the most typical PD presentation. CITATION:Moisan F, Spinosi J, Delabre L, Gourlet V, Mazurie JL, Bénatru I, Goldberg M, Weisskopf MG, Imbernon E, Tzourio C, Elbaz A. 2015. Association of Parkinson's disease and its subtypes with agricultural pesticide exposures in men: a case-control study in France. Environ Health Perspect 123:1123-1129; http://dx.doi.org/10.1289/ehp.1307970.
journal_name
Environ Health Perspectjournal_title
Environmental health perspectivesauthors
Moisan F,Spinosi J,Delabre L,Gourlet V,Mazurie JL,Bénatru I,Goldberg M,Weisskopf MG,Imbernon E,Tzourio C,Elbaz Adoi
10.1289/ehp.1307970subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1123-9issue
11eissn
0091-6765issn
1552-9924journal_volume
123pub_type
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journal_title:Environmental health perspectives
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journal_title:Environmental health perspectives
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更新日期:1998-06-01 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/EHP2192
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journal_title:Environmental health perspectives
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doi:10.1289/ehp.01109s4599
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journal_title:Environmental health perspectives
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journal_title:Environmental health perspectives
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更新日期:2014-11-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.8353169
更新日期:1983-11-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:1985-10-01 00:00:00
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更新日期:1981-01-01 00:00:00
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更新日期:2009-01-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.94102s847
更新日期:1994-11-01 00:00:00
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journal_title:Environmental health perspectives
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journal_title:Environmental health perspectives
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更新日期:2019-10-01 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/EHP3705
更新日期:2019-05-01 00:00:00
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更新日期:1998-12-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:2010-04-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:2004-11-01 00:00:00