期刊
MOVEMENT DISORDERS
卷 37, 期 12, 页码 2355-2366出版社
WILEY
DOI: 10.1002/mds.29222
关键词
Parkinson; cognitive impairment; food toxin; Annonaceae; risk factor
资金
- French Ministry of Health (Inter-regional Hospital Clinical Research Program) [2011-A01259-32]
- Guadeloupe Region
- European Union [2019-FED-118]
- French National Research Agency [ANR-17-EURE-0017]
- France Parkinson Association
The research found that in the Caribbean, the consumption of Annonaceae products is positively associated with the disease severity and cognitive deficits of patients with degenerative parkinsonism.
Background: High consumption of Annona muricata fruit has been previously identified as a risk factor for atypical parkinsonism in the French Caribbean islands. Objective: We tested whether consumption of Annonaceae products could worsen the clinical phenotype of patients with any form of degenerative parkinsonism. Methods: We analyzed neurological data from 180 Caribbean parkinsonian patients and specifically looked for dose effects of lifelong, cumulative Annonaceae consumption on cognitive performance. Using unsupervised clustering, we identified one cluster with mild/moderate symptoms (N = 102) and one with severe symptoms including cognitive impairment (N = 78). Results: We showed that even low cumulative consumption of fruits/juices (>0.2 fruit-years) or any consumption of herbal tea from Annonaceae worsen disease severity and cognitive deficits in degenerative parkinsonism including Parkinson's disease (OR fruits-juices: 3.76 [95% CI: 1.13-15.18]; OR herbal tea: 2.91 [95% CI: 1.34-6.56]). Conclusion: We suggest that more restrictive public health preventive recommendations should be made regarding the consumption of Annonaceae products. (c) 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
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