Source:
American Academy Of Neurology
Date:
2000-05-09
In-Home Pesticide Exposure Increases Parkinsons Risk
SAN DIEGO, CA Pesticide use and exposure in the home and garden increase
the risk of developing Parkinsons disease, according to a study of almost
500 people newly diagnosed with the disease. Researchers announced their findings
at a presentation at the American Academy of Neurologys 52nd annual meeting
in San Diego, CA, April 29 May 6, 2000.
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"This study is the largest yet of newly diagnosed individuals with Parkinson's
disease and it is the first study to show a significant association between
home pesticide use and the risk of developing
Parkinson's disease," said study lead author Lorene Nelson, PhD, a neuroepidemiologist
at Stanford University School of Medicine. The preliminary results from this
study mirror what is already known about the increased risk of Parkinson's disease
associated with occupational exposure to pesticides.
The researchers questioned 496 people who had been diagnosed with Parkinson's
disease about past use of pesticides. Each patient was asked if they had used
or been exposed to insecticides in the home or garden, herbicides or weed killers
in the garden, or fungicides to control mold or mildew in the home or garden.
Researchers asked detailed questions about past pesticide use including first
exposures and frequency of pesticide contact.
The Parkinsons patients lifetime histories were then compared to
541 people without the disease. Researchers found that people who had been exposed
to pesticides were approximately two times more likely to develop Parkinson's
disease than people not exposed to pesticides.
In-home exposure to insecticides carried the highest risk of developing the
disease. Parkinsons patients were more than twice as likely to have been
exposed to insecticides in the home than those without the disease. Past exposure
to herbicides was also associated with the disease, whereas exposure to insecticides
in the garden and fungicides were not found to be risk factors.
Damage to nerve cells in a part of the brain called the substantia nigra leads
to the movement difficulties characteristic of Parkinson's disease. Therefore,
people exposed to chemicals that have a particular affinity for this region
of the brain may be at particular risk for developing the disease.
"Certain chemicals that an individual is exposed to in the environment
may cause selective death of brain cells or neurons," stated Nelson. "If
we could understand why these neurons are being killed in certain circumstances,
we can then try and prevent it."
But Nelson cautioned that more studies are needed before any conclusive statements
can be made about the causes of Parkinson's disease, including any genetic influence
on a person's probability of developing the disease.
Nelson also stressed that the results of the study must be interpreted with
caution. "No specific guidelines regarding avoidance of pesticides can
be given at this time but, in general, this is an area of public health importance
that needs to be pursued," said Nelson.
Parkinsons disease is a slowly progressive, neurodegenerative disease
that affects more than 500,000 people in the United States. Parkinsons
causes the loss of dopamine, a chemical in the brain, which results in muscle
stiffness and rigidity, slowness in movement and tremor of the arms and legs.
The National Institutes of Health provided funding for the study.
The American Academy of Neurology, an association of more than 16,500 neurologists
and neuroscience professionals, is dedicated to improving patient care through
education and research. For more information about the American Academy of Neurology,
visit its Web site at http://www.aan.com. For online neurological health and
wellness information, visit NeuroVista at http://www.aan.com/neurovista. Editor's
Note: The original news release can be found here.
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This story has been adapted from a news release issued by American Academy Of
Neurology.