한빛사 논문
Sang Youl Rhee1, Kyung-Do Han2, Hyemi Kwon3, Se-Eun Park3, Yong-Gyu Park2, Yang-Hyun Kim4, Soon-Jip Yoo5, Eun-Jung Rhee3,* and Won-Young Lee3,*
1Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, Korea
2Department of Medical Statistics, Catholic University College of Medicine, Seoul, Korea
3Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
4Department of Family Medicine, Korea University College of Medicine, Seoul, Korea
5Division of Endocrinology and Metabolism, Department of Internal Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
*Corresponding author: Won-Young Lee or Eun-Jung Rhee
S.Y.R. and K.-D.H. contributed equally to this study as first authors.
Abstract
OBJECTIVE
Previous studies have suggested that diabetes increases the risk of Parkinson disease (PD); however, this has not been conclusively established. We analyzed the risk of PD based on baseline glucose tolerance status in a large-scale cohort representative of the general Korean population.
RESEARCH DESIGN AND METHODS
This analysis was performed in a cohort of 15,168,021 adults aged ≥40 years who underwent health checkups under the National Health Insurance Service between January 2009 and December 2010. The clinical course of subjects was monitored until December 2016. Subjects were classified into the following groups: no diabetes, impaired fasting glucose (IFG), diabetes duration <5 years, and diabetes duration ≥5 years. We analyzed the adjusted hazard ratio of PD for each group.
RESULTS
During the observation period of 49,076,148.74 person-years, PD occurred in 31,577 patients. Compared with the nondiabetes group, the adjusted hazard ratio was 1.038 (95% CI, 1.009–1.067) in the IFG group, 1.185 (95% CI, 1.143–1.229) in the diabetes duration <5 years group, and 1.618 (95% CI, 1.566–1.672) in the diabetes duration ≥5 years group. These results were consistent with those of the subgroup analysis, and the presence of diabetes further increased the risk of PD regardless of comorbidities such as cardiovascular, cerebrovascular, and chronic kidney diseases.
CONCLUSIONS
This population-based cohort study suggests that diabetes is an independent risk factor for PD.
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