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Diet and Parkinson's disease.
A possible role for the past intake of specific foods and food groups.
Results from a self-administered food-frequency
questionnaire in a case-control study.
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In a case-control study, we compared the past dietary habits of 342
Parkinson's disease (PD) patients recruited from nine German clinics with
those of 342 controls from the same neighborhood or region.

Data were gathered with a structured interview and a self-administered
food-frequency questionnaire, and analyzed using multivariate conditional
logistic regression to control for educational status and cigarette smoking.

There was no significant difference between cases and controls in the
consumption of fruits and vegetables, although there was a negative trend
for the consumption of raw vegetables.

Controls reported a higher potato consumption than patients (OR = 0.43, 95%
confidence interval [CI]: 0.24-0.74, highest versus lowest quartile).

Patients reported eating significantly larger quantities of sweet foods as
well as having more snacks than controls.

This may, however, be the result of an illness-related change in dietary
habits leading to a selective recall effect, since sweet foods may enhance
the transport of L-dopa across the blood-brain barrier.

We also found that patients consumed less beer (OR = 0.26, 95% CI:
0.14-0.49) and spirits (OR = 0.56, 95% CI: 0.36-0.86), but not wine, and
they consumed less coffee (OR = 0.27, 95% CI: 0.14-0.52, highest versus
lowest quartile), but not tea, than controls.

This may relate to a possible interaction between dopaminergic activity and
the intake of ethanol or caffeine.

Significantly more patients than controls reported ever consuming raw meat
(OR = 1.78, 95% CI: 1.21-2.63).

These results suggest that the intake of certain foods may be associated
with the development of PD.


Neurology 1996 Sep;47(3):636-43
Hellenbrand W, Seidler A, Boeing H, Robra BP, Vieregge P,
Nischan P, Joerg J, Oertel WH, Schneider E, Ulm G
Institute of Social Medicine, Faculty of Medicine, Otto-von-Guericke
University, Magdeburg, Germany.
PMID: 8797456   UI: 96390470
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