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Association of women-specific health factors in the severity of Parkinson's disease
Indexado
WoS WOS:001000902300001
Scopus SCOPUS_ID:85161057253
DOI 10.1038/S41531-023-00524-X
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Parkinson's disease (PD) is an age-related neurological disorder known for the observational differences in its risk, progression, and severity between men and women. While estrogen has been considered to be a protective factor in the development of PD, there is little known about the role that fluctuations in hormones and immune responses from sex-specific health experiences have in the disease's development and severity. We sought to identify women-specific health experiences associated with PD severity, after adjusting for known PD factors, by developing and distributing a women-specific questionnaire across the United States and creating multivariable models for PD severity. We created a questionnaire that addresses women's specific experiences and their PD clinical history and deployed it through The Parkinson's Foundation: PD Generation. To determine the association between women-specific health factors and PD severity, we constructed multivariable logistic regression models based on the MDS-UPDRS scale and the participants' questionnaire responses, genetics, and clinical data. For our initial launch in November 2021, we had 304 complete responses from PD GENEration. Univariate and multivariate logistic modeling found significant associations between major depressive disorder, perinatal depression, natural childbirth, LRRK2 genotype, B12 deficiency, total hysterectomy, and increased PD severity. This study is a nationally available questionnaire for women's health and PD. It shifts the paradigm in understanding PD etiology and acknowledging how sex-specific experiences may contribute to PD severity. In addition, the work in this study sets the foundation for future research to investigate the factors behind sex differences in PD.

Revista



Revista ISSN
Npj Parkinsons Disease 2373-8057

Métricas Externas



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Disciplinas de Investigación



WOS
Sin Disciplinas
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Rao, Shilpa C. Mujer CLEVELAND CLIN - Estados Unidos
Case Western Reserve Univ - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
CASE School of Medicine - Estados Unidos
2 Li, Yadi - CLEVELAND CLIN - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
3 Lapin, Brittany Mujer CLEVELAND CLIN - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
4 Pattipati, Sreya - CLEVELAND CLIN - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
5 Ghosh Galvelis, Kamalini - Parkinsons Fdn - Estados Unidos
Parkinson's Disease Foundation - Estados Unidos
6 Naito, Anna Mujer Parkinsons Fdn - Estados Unidos
Parkinson's Disease Foundation - Estados Unidos
7 GUTIERREZ-MELLA, NICOLAS ANTONIO Hombre CLEVELAND CLIN - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
8 Leal, Thiago P. - CLEVELAND CLIN - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
9 Salim, Amira Mujer CLEVELAND CLIN - Estados Unidos
Case Western Reserve Univ - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
CASE School of Medicine - Estados Unidos
10 Salles, Philippe A. Hombre Universidad de Santiago de Chile - Chile
11 De Leon, Maria Mujer DefeatParkinsons - Estados Unidos
De Leon Enterprises - Estados Unidos
12 Mata, Ignacio Hombre CLEVELAND CLIN - Estados Unidos
Case Western Reserve Univ - Estados Unidos
Cleveland Clinic Foundation - Estados Unidos
CASE School of Medicine - Estados Unidos

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Financiamiento



Fuente
National Institutes of Health
Department of Veterans Affairs
U.S. Department of Veterans Affairs
Michael J. Fox Foundation
American Parkinson Disease Association
Parkinson's Foundation
Parkinson’s Foundation
Aligning Science Across Parkinson's
Aligning Science Across Parkinson’s and Michael J. Fox Foundation

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
We would like to acknowledge the Parkinson's Foundation for this study. I.F.M. and S.C.R. had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. I.F.M. reports grants from Aligning Science Across Parkinson's and Michael J. Fox Foundation, The Parkinson's Foundation, American Parkinson Disease Association, Department of Veterans Affairs, and National Institutes of Health.
We would like to acknowledge the Parkinson’s Foundation for this study. I.F.M. and S.C.R. had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. I.F.M. reports grants from Aligning Science Across Parkinson’s and Michael J. Fox Foundation, The Parkinson’s Foundation, American Parkinson Disease Association, Department of Veterans Affairs, and National Institutes of Health.

Muestra la fuente de financiamiento declarada en la publicación.