帕金森病的进展和暴露在Lejeune营地受污染的水中
Samuel M Goldman1,2, Frances M Weaver3,4, Beverly Gonzalez5
1Division of Occupational, Environmental, and Climate Medicine, University of California San Francisco, San Francisco, California, USA.
概括
在Lejeune海军基地营地饮用水中暴露于挥发性有机化合物 (VOC) 可能会加速帕金森病 (PD) 的进展. 与未暴露的个体相比,暴露于VOC的个体表现出更快的精神病发作,骨折和跌倒.
科学领域:
- 环境健康 环境健康
- 神经科学是一个神经科学.
- 流行病学 流行病学
背景情况:
- 以前的研究表明,由于受污染的水,Lejeune海军基地营地的服务人员患帕金森病 (PD) 的风险增加.
- 挥发性有机化合物 (VOC) 对PD进展的影响在很大程度上尚未研究.
研究的目的:
- 调查在Lejeune营地饮用水中的VOC暴露是否与加速PD进展有关.
主要方法:
- 分析了来自Lejeune营 (1975-1985) 的172,128名海军陆战队员的队列.
- 在VA和医疗保险数据库 (2000-2021) 中确定了PD患者.
- 暴露于VOCs被使用ATSDR估计分类;生存分析 (Kaplan-Meier,Cox回归) 将暴露和未暴露组之间的进展结果 (精神病,骨折,跌倒,死亡) 进行比较.
主要成果:
- 在270名PD患者中,177人 (65.6%) 暴露于VOC,中位数暴露超过了允许水平的50倍以上.
- 暴露的个体经历的精神病 (HR 2.19),骨折 (HR 2.44) 和跌倒 (HR 2.64) 的时间显著缩短.
- 观察到达死亡时间的剂量-反应关系 (P趋势=0.032);没有发现死亡时间的差异.
结论:
- 饮用水中的三乙烯和其他VOCs可能会加速PD的进展,表现为早期发病的精神病,骨折和跌倒.
- 这些发现表明环境暴露对神经退行性疾病进展的长期影响.
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