A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.

The aim of this study was to investigate the possible reduced risk of Parkinson Disease (PD) due to coffee, alcohol, and/or cigarette consumption. In addition, we explored the potential effect modification by intensity, duration and time-since-cessation of smoking on the association between cumulati...

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Main Authors: Marianne van der Mark, Peter C G Nijssen, Jelle Vlaanderen, Anke Huss, Wim M Mulleners, Antonetta M G Sas, Teus van Laar, Hans Kromhout, Roel Vermeulen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0095297&type=printable
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author Marianne van der Mark
Peter C G Nijssen
Jelle Vlaanderen
Anke Huss
Wim M Mulleners
Antonetta M G Sas
Teus van Laar
Hans Kromhout
Roel Vermeulen
author_facet Marianne van der Mark
Peter C G Nijssen
Jelle Vlaanderen
Anke Huss
Wim M Mulleners
Antonetta M G Sas
Teus van Laar
Hans Kromhout
Roel Vermeulen
author_sort Marianne van der Mark
collection DOAJ
description The aim of this study was to investigate the possible reduced risk of Parkinson Disease (PD) due to coffee, alcohol, and/or cigarette consumption. In addition, we explored the potential effect modification by intensity, duration and time-since-cessation of smoking on the association between cumulative pack-years of cigarette smoking (total smoking) and PD risk. Data of a hospital based case-control study was used including 444 PD patients, diagnosed between 2006 and 2011, and 876 matched controls from 5 hospitals in the Netherlands. A novel modeling method was applied to derive unbiased estimates of the potential modifying effects of smoking intensity, duration, and time-since-cessation by conditioning on total exposure. We observed no reduced risk of PD by alcohol consumption and only a weak inverse association between coffee consumption and PD risk. However, a strong inverse association of total smoking with PD risk was observed (OR=0.27 (95%CI: 0.18-0.42) for never smokers versus highest quartile of tobacco use). The observed protective effect of total smoking was significantly modified by time-since-cessation with a diminishing protective effect after cessation of smoking. No effect modification by intensity or duration of smoking was observed indicating that both intensity and duration have an equal contribution to the reduced PD risk. Understanding the dynamics of the protective effect of smoking on PD risk aids in understanding PD etiology and may contribute to strategies for prevention and treatment.
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spelling doaj-art-d8d8dcd34e4f4cc28ee00c19db17c4fc2025-08-20T03:00:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9529710.1371/journal.pone.0095297A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.Marianne van der MarkPeter C G NijssenJelle VlaanderenAnke HussWim M MullenersAntonetta M G SasTeus van LaarHans KromhoutRoel VermeulenThe aim of this study was to investigate the possible reduced risk of Parkinson Disease (PD) due to coffee, alcohol, and/or cigarette consumption. In addition, we explored the potential effect modification by intensity, duration and time-since-cessation of smoking on the association between cumulative pack-years of cigarette smoking (total smoking) and PD risk. Data of a hospital based case-control study was used including 444 PD patients, diagnosed between 2006 and 2011, and 876 matched controls from 5 hospitals in the Netherlands. A novel modeling method was applied to derive unbiased estimates of the potential modifying effects of smoking intensity, duration, and time-since-cessation by conditioning on total exposure. We observed no reduced risk of PD by alcohol consumption and only a weak inverse association between coffee consumption and PD risk. However, a strong inverse association of total smoking with PD risk was observed (OR=0.27 (95%CI: 0.18-0.42) for never smokers versus highest quartile of tobacco use). The observed protective effect of total smoking was significantly modified by time-since-cessation with a diminishing protective effect after cessation of smoking. No effect modification by intensity or duration of smoking was observed indicating that both intensity and duration have an equal contribution to the reduced PD risk. Understanding the dynamics of the protective effect of smoking on PD risk aids in understanding PD etiology and may contribute to strategies for prevention and treatment.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0095297&type=printable
spellingShingle Marianne van der Mark
Peter C G Nijssen
Jelle Vlaanderen
Anke Huss
Wim M Mulleners
Antonetta M G Sas
Teus van Laar
Hans Kromhout
Roel Vermeulen
A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.
PLoS ONE
title A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.
title_full A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.
title_fullStr A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.
title_full_unstemmed A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.
title_short A case-control study of the protective effect of alcohol, coffee, and cigarette consumption on Parkinson disease risk: time-since-cessation modifies the effect of tobacco smoking.
title_sort case control study of the protective effect of alcohol coffee and cigarette consumption on parkinson disease risk time since cessation modifies the effect of tobacco smoking
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0095297&type=printable
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