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| Indexado |
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| 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
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.
| 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 |
| 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 |
| 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. |